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Revista Brasileira de Psiquiatria

Dena Sadeghi Bahmani, Parviz Faraji, Robab Faraji, Undine E Lang, Edith Holsboer-Trachsler, Serge Brand
OBJECTIVE: Whereas several studies have predicted academic achievement (AA) as a function of favorable cognitive factors and low negative emotional functioning (such as depression and anxiety), little is known about its associations with cognitive-emotional states of positive emotional functioning, such as social satisfaction. The present study sought to evaluate associations of AA with dimensions of negative and positive emotional functioning. METHOD: This cross-sectional study enrolled 275 students (mean age, 21...
March 12, 2018: Revista Brasileira de Psiquiatria
J David Guerrero-Apolo, J Blas Navarro-Pastor, Antonio Bulbena-Vilarrasa, Julián Gabarre-Mir
OBJECTIVE: Impulsiveness has been the subject of much research, but little is known about the possible relationship between craniofacial anatomy and impulsiveness. The present study was designed to investigate the relationship between one aspect of craniofacial structure (the angle of inclination of the forehead) and impulsiveness. METHOD: Photographs in profile were obtained from 131 volunteers who had been fined for driving at high speed and were undergoing a court-mandated driving license point-recovery course...
March 12, 2018: Revista Brasileira de Psiquiatria
Paulo Mattos, Bruno P Nazar, Rosemary Tannock
OBJECTIVE: The marked increase in the prevalence of attention-deficit/hyperactivity disorder (ADHD) among university students gives rise to questions about how best to diagnose in this setting. The aim of the present study was to calculate ADHD prevalence in a large non-clinical sample of medical students using a stepwise design and to determine whether ADHD diagnosis varies if interviewees use additional probing procedures to obtain examples of positive DSM items. METHODS: A total of 726 students were screened with the Adult Self-Report Scale (ASRS) and invited for an interview with the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) adapted for adults...
February 15, 2018: Revista Brasileira de Psiquiatria
Mariana Escobar, Juliana N Scherer, Cassia M Soares, Luciano S P Guimarães, Martine E Hagen, Lisia von Diemen, Flavio Pechansky
OBJECTIVE: To evaluate the nutritional status of crack users and to analyze its correlation with drug use profiles. METHODS: Cross-sectional study with 108 crack users. Anthropometric data were assessed through body mass index (BMI) and bioimpedance (BIA) measurements. A blood test to analyze hematocrit, hemoglobin, glucose, and lipid profiles was also performed. Crack use was determined through a standardized interview. RESULTS: Based on BMI and BIA, most individuals were eutrophic (about 70%)...
February 15, 2018: Revista Brasileira de Psiquiatria
André Stroppa, Fernando A Colugnati, Harold G Koenig, Alexander Moreira-Almeida
OBJECTIVE: Few quantitative studies have examined the effect of religious involvement on the course of bipolar disorder (BD). We investigated the effects of religious activity and coping behaviors on the course of depression, mania, and quality of life (QoL) in patients with BD. METHODS: Two-year longitudinal study of 168 outpatients with BD. Linear regression was used to examine associations between religious predictors and outcome variables (manic symptoms, depression, QoL), controlling for sociodemographic variables...
February 15, 2018: Revista Brasileira de Psiquiatria
Narahyana B de Araujo, Thomas R Nielsen, Knut Engedal, Maria L Barca, Evandro S Coutinho, Jerson Laks
OBJECTIVE: To validate the Rowland Universal Dementia Assessment Scale for use in Brazil (RUDAS-BR). METHODS: We first completed an English-Brazilian Portuguese translation and back-translation of the RUDAS. A total of 135 subjects over 60 years of age were included: 65 cognitively healthy and 70 with Alzheimer's disease (AD) according to the DSM-IV and Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria...
February 15, 2018: Revista Brasileira de Psiquiatria
Rafael T da Costa, Marcele R de Carvalho, Pedro Ribeiro, Antonio E Nardi
OBJECTIVE: To investigate the reactions of women with driving phobia to a therapeutic program of scheduled virtual reality exposure treatment (VRET) sessions. METHODS: The study intervention consisted of a computer game with car-driving scenarios that included several traffic situations. We investigated the participants' sense of presence, subjective distress, and physiological responses during eight virtual-reality exposures. We also evaluated clinical characteristics, driving cognitions, and quality of life in the participants...
February 15, 2018: Revista Brasileira de Psiquiatria
Mariana B de Matos, Christian L de Mola, Jéssica P Trettim, Karen Jansen, Ricardo A da Silva, Luciano D de Mattos Souza, Liliane da Costa Ores, Mariane L Molina, Fernanda T Coelho, Ricardo T Pinheiro, Luciana de A Quevedo
OBJECTIVE: To evaluate the association between abuse of and dependence on different psychoactive substances and the presence of anxiety disorders in a sample of young adults from a city in southern Brazil. METHODS: Between 2007 and 2009, we carried out a cross-sectional, population-based study of individuals aged 18-24 years who lived in Pelotas, a city in southern Brazil. We evaluated anxiety disorders using the Mini International Neuropsychiatric Interview 5.0 (MINI), and use of psychoactive substances with the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST 2...
February 15, 2018: Revista Brasileira de Psiquiatria
Thiago M Fidalgo, Zila M Sanchez, Sheila C Caetano, Solange Andreoni, Adriana Sanudo, Qixuan Chen, Sílvia S Martins
OBJECTIVE: The effects of exposure to violent events in adolescence have not been sufficiently studied in middle-income countries such as Brazil. The aims of this study are to investigate the prevalence of psychiatric disorders among 12-year-olds in two neighborhoods with different socioeconomic status (SES) levels in São Paulo and to examine the influence of previous violent events and SES on the prevalence of psychiatric disorders. METHODS: Students from nine public schools in two neighborhoods of São Paulo were recruited...
February 15, 2018: Revista Brasileira de Psiquiatria
Giulia A Aldi, Iris Lange, Cristiana Gigli, Lies Goossens, Koen R Schruers, Fiammetta Cosci
OBJECTIVE: Pattern separation (PS) is the ability to represent similar experiences as separate, non-overlapping representations. It is usually assessed via the Mnemonic Similarity Task - Object Version (MST-O) which, however, assesses PS performance without taking behavioral context discrimination into account, since it is based on pictures of everyday simple objects on a white background. We here present a validation study for a new task, the Mnemonic Similarity Task - Context Version (MST-C), which is designed to measure PS while taking behavioral context discrimination into account by using real-life context photographs...
February 1, 2018: Revista Brasileira de Psiquiatria
Fu-Ying Zhao, Ying-Ying Yue, Lei Li, Sen-Yang Lang, Ming-Wei Wang, Xiang-Dong Du, Yun-Long Deng, Ai-Qin Wu, Yong-Gui Yuan
Post-stroke depression (PSD) is a very common complication that leads to increased physical disability, poor functional outcome, and higher mortality. Therefore, early detection and treatment are very important. Since there are currently no specific guidelines for this disorder in China, the purpose of this study was to develop PSD guidelines and provide suggestions for clinicians and related workers.
February 1, 2018: Revista Brasileira de Psiquiatria
Alexander Moreira-Almeida, Saulo de F Araujo, C Robert Cloninger
OBJECTIVE: The mind-brain problem (MBP) has marked implications for psychiatry, but has been poorly discussed in the psychiatric literature. This paper evaluates the presentation of the MBP in the three leading general psychiatry journals during the last 20 years. METHODS: Systematic review of articles on the MBP published in the three general psychiatry journals with the highest impact factor from 1995 to 2015. The content of these articles was analyzed and discussed in the light of contemporary debates on the MBP...
February 1, 2018: Revista Brasileira de Psiquiatria
Mireille C Almeida, Denise A Claudino, Ruth B Grigolon, Bacy Fleitlich-Bilyk, Angélica M Claudino
OBJECTIVES: To study the prevalence of psychiatric disorders in adolescents with and without type 1 diabetes, the factors associated with its presence, and to test the reliability of a screening tool for use in clinical settings. METHODS: Eighty-one adolescents were enrolled in this case-control study, including 36 diabetic participants and 45 controls. Clinical and sociodemographic data were collected and psychiatric symptoms and diagnoses were obtained from adolescents and their parents using a screening tool (Strengths & Difficulties Questionnaire) and a semi-structured interview (Development and Well-Being Assessment)...
February 1, 2018: Revista Brasileira de Psiquiatria
Eliana C Ciasca, Rita C Ferreira, Carmen L A Santana, Orestes V Forlenza, Glenda D Dos Santos, Paula S Brum, Paula V Nunes
OBJECTIVE: There are few quantitative studies on art therapy for the treatment of depression. The objective of this study was to evaluate if art therapy is beneficial as an adjuvant treatment for depression in the elderly. METHODS: A randomized, controlled, single-blind study was carried out in a sample of elderly women with major depressive disorder (MDD) stable on pharmacotherapy. The experimental group (EG) was assigned to 20 weekly art therapy sessions (90 min/session)...
February 1, 2018: Revista Brasileira de Psiquiatria
Fernanda P Moreira, Carolina D Wiener, Jacqueline F de Oliveira, Luciano D M Souza, Ricardo A da Silva, Luis V Portela, Diogo R Lara, Karen Jansen, Jean Pierre Oses
OBJECTIVE: To evaluate the serum leptin levels in cannabis smokers. METHODS: This was a cross-sectional population-based study of participants between the ages of 18 and 35 years. The data were collected through a self-administered questionnaire covering sociodemographic data and the use of psychoactive substances. Leptin levels were measured using a commercial ELISA kit. RESULTS: Of the 911 participants, 6.7% were identified as cannabis smokers and had significantly lower leptin levels (p = 0...
February 1, 2018: Revista Brasileira de Psiquiatria
Fernando Venturini, Eduardo C de Moura, Paula A Bastos, Lourdes C Martins, Yara D Fragoso
OBJECTIVE: Involuntary hospitalization for acute psychiatry cases can be acceptable when there is potential harm. However, there are few reasons for a patient committed on these grounds to stay in an institution for a long period. The objective of the present study was to identify the profile and costs of compulsory hospitalizations over 20 days in a public psychiatric hospital in the coastal region of the state of São Paulo. METHODS: Retrospective data were collected from the medical records of 1,064 patients admitted between July 2013 and June 2016 from an intensive mental healthcare unit in Santos, state of São Paulo, Brazil...
December 18, 2017: Revista Brasileira de Psiquiatria
Ilana Pinsky, Camila Bernal, Lindsey Vuolo, Charles Neighbors
Brazil has a sizable alcohol and substance use disorder (ASUD) population, yet there are considerable gaps in treatment access and retention. ASUD, a chronic medical condition, is highly comorbid with medical and behavioral health disorders. This indicates a need for more targeted interventions in order to achieve health care integration (a major goal of Brazil's health care system). Care management - that is, the organization of patient care by an institution - is a viable strategy to engage individuals with ASUD who might benefit from treatment but are not aware of or do not use the available resources, as well as to help maintain patients in treatment...
December 18, 2017: Revista Brasileira de Psiquiatria
Ilana Berlowitz, Christian Ghasarian, Heinrich Walt, Fernando Mendive, Vanessa Alvarado, Chantal Martin-Soelch
OBJECTIVE: The harmful use of psychoactive substances represents one of today's largest public health problems. Yet, in spite of its global relevance, current treatment for substance use disorders (SUDs) is still not entirely successful. The purpose of this study was to investigate alternative treatments and conceptions from traditional Amazonian medicine adapted to SUDs. METHODS: We conducted semi-structured interviews with 13 practicing experts at a well-established addiction treatment center in the Peruvian Amazon and performed qualitative content analysis on the collected data...
December 18, 2017: Revista Brasileira de Psiquiatria
Luciana C Silva, Maria C T V Teixeira, Edith L Ribeiro, Cristiane S Paula
OBJECTIVE: To develop, implement, and verify the impact of a training program for health care providers working with children with autism spectrum disorder (ASD) in psychosocial care centers for children and adolescents (Centro de Atenção Psicossocial à Infância e à Adolescência - CAPSi) in São Paulo, Brazil. METHODS: This quasi-experimental study was conducted with 14 professionals from four CAPSi units. The training program consisted of six phases: 1) pre-intervention observation; 2) meeting with staff to assess the main needs of the training program; 3) developing materials for training and evaluation; 4) meetings to discuss program implementation; 5) a final meeting for case discussion and evaluation; and 6) distance supervision...
December 18, 2017: Revista Brasileira de Psiquiatria
Ana P Herrmann, Roberta Andrejew, Radharani Benvenutti, Clarissa S Gama, Elaine Elisabetsky
OBJECTIVE: N-acetylcysteine (NAC) is beneficial in psychiatric conditions, including schizophrenia. Patients with schizophrenia exhibit mesolimbic dopamine hyperfunction consequent to an endogenous sensitization process. This sensitization can be modeled in rodents by repeated exposure to psychostimulants, provoking an enduring amplified response at subsequent exposure. The aim of this study was to investigate the effects of NAC on amphetamine sensitization in mice. METHODS: D-amphetamine was administered to C57BL/6 mice three times a week for 3 weeks; the dose was increased weekly from 1 to 3 mg/kg...
December 11, 2017: Revista Brasileira de Psiquiatria
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