Revista Brasileira de Psiquiatria最新文献

Can Socioeconomic Status Moderate the Effect of a Conflictive Family Environment on Brain Structure and Externalising-Internalising Behaviour in Children and Adolescents? 社会经济地位能否调节冲突家庭环境对儿童和青少年大脑结构和外化-内化行为的影响？

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-05-17 DOI: 10.47626/1516-4446-2025-4195

Elizabeth Trejos-Castillo, Ann Mastergeorge, Hugo Cogo-Moreira, Vinicius Oliveira Santana, André Zugman, Célia Maria de Araújo, Pedro Mario Pan, Felipe Picon, Luis Augusto Paim Rohde, Andrea P Jackowski

{"title":"Can Socioeconomic Status Moderate the Effect of a Conflictive Family Environment on Brain Structure and Externalising-Internalising Behaviour in Children and Adolescents?","authors":"Elizabeth Trejos-Castillo, Ann Mastergeorge, Hugo Cogo-Moreira, Vinicius Oliveira Santana, André Zugman, Célia Maria de Araújo, Pedro Mario Pan, Felipe Picon, Luis Augusto Paim Rohde, Andrea P Jackowski","doi":"10.47626/1516-4446-2025-4195","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4195","url":null,"abstract":"Objective: This study examines the effects of socioeconomic status (SES) as a possible moderator of the effects of family conflict on externalising and internalising behaviours, and hippocampal and amygdala volumes.Methods: A longitudinal complete-case analysis of 714 children and adolescents (mean age: 11.2 years; 46.2% females) was conducted using data from the Brazilian High-Risk Cohort Study for Psychiatric Disorders in Childhood (BHRC). At baseline, parents/guardians completed the Family Environment Scale and the Brazilian SES Questionnaire. Three years after baseline, the same participants underwent brain magnetic resonance imaging, and the Child Behaviour Checklist (CBCL) was administered. Automated segmentation of the amygdala and hippocampus was performed using FreeSurfer v.5.1 software.Results: Family conflict at baseline predicted internalising and externalising behaviours at follow-up. Evidence regarding the effects of family conflict and SES on brain structure and the moderating effects of family conflict on psychopathology and brain outcomes conditioned on SES was lacking.Conclusion: These results are consistent with emerging evidence that family conflict is a risk factor for externalising and internalising youth behaviour. These findings warrant further attention, focusing on prevention and intervention efforts and social policy development.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obesity, Stigmatization, and Mental Health: The Imperative of a Psychosocial and Legal Approach Approach in Brazil. 肥胖、污名化和心理健康：巴西社会心理和法律途径的必要性。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-05-17 DOI: 10.47626/1516-4446-2025-4259

Gabriela Rocha Dos Santos, Brunna Boaventura, Daniel Prates Baldez, Natasha Kim de Oliveira da Fonseca, Gabrielle Terezinha Fopa, Lucas Maynard Lovato, Rodolfo Furlan Damiano, Gisele Gus Manfro

引用次数: 0

Emotional recognition technologies applied to health: Review and challenges. 情感识别技术在健康中的应用：回顾与挑战。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-04-29 DOI: 10.47626/1516-4446-2024-3963

Elsa S Lima, Camila P Perico, Bruno T L Nichio, Guilherme T Linhares, Amora Schwanka, Reginaldo D da Silveira, Dieval Guizelini, Luiz A P Neves, Roberto T Raittz, Jeroniza N Marchaukoski

{"title":"Emotional recognition technologies applied to health: Review and challenges.","authors":"Elsa S Lima, Camila P Perico, Bruno T L Nichio, Guilherme T Linhares, Amora Schwanka, Reginaldo D da Silveira, Dieval Guizelini, Luiz A P Neves, Roberto T Raittz, Jeroniza N Marchaukoski","doi":"10.47626/1516-4446-2024-3963","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3963","url":null,"abstract":"Emotions affect health and health affects emotions. Emotions can help in the prevention, diagnosis, and treatment of many diseases when properly recognized and interpreted. Affective computing emerges to detect one or more signals associated with human emotions. Research into the use of emotion recognition in healthcare is scarce, therefore it is crucial to explore the reasons behind this phenomenon and identify neglected methods with potential for human health. We review methods and technologies used in emotion recognition and their applications in healthcare, highlighting methods not discussed in previous reviews of the field, including electroencephalogram and electrocardiogram, thermal camera, bracelet, skin conductance, and audio. A metric based on reproducibility and population was established to assess the review articles' quality. We surveyed and analyzed studies with tools of affective computing applied to health, based on the metrics established, to qualify and identify the challenges of the area. Our study reveal that there are challenges to be overcome in detecting and recognising human emotions, related to sample size and low quality reproducibility. We list and discuss the main current challenges, perspectives and solutions to overcome the challenges, focusing on investigating the application of affective technologies in healthcare and establishing a gold standard.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Second to Fourth Digit Ratio (2D:4D) and Cognitive Functioning in Bipolar Disorder. 第二到第四位数比率（2D:4D）与双相情感障碍的认知功能。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-04-28 DOI: 10.47626/1516-4446-2024-4025

Mustafa Nogay Coşkun, Müge Topcuoğlu, Betül Keskin, Ali Erdoğan, Özge Doğanavşargil-Baysal

{"title":"Second to Fourth Digit Ratio (2D:4D) and Cognitive Functioning in Bipolar Disorder.","authors":"Mustafa Nogay Coşkun, Müge Topcuoğlu, Betül Keskin, Ali Erdoğan, Özge Doğanavşargil-Baysal","doi":"10.47626/1516-4446-2024-4025","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-4025","url":null,"abstract":"Introduction: Bipolar Disorder(BD) involves complex mood, neuropsychological, immunological, and physiological changes, with cognitive impairments persisting even during remission.Our study aimed to investigate the relationship between the second-to-fourth digit ratio(2D:4D) and cognitive functions in BD patients.Methods: Our cross-sectional study, which included forty-seven BD patients in remission for at least six months and forty-seven healthy volunteers, was designed to thoroughly understand the relationship between the 2D:4D and cognitive functions in BD.All participants were administered Stroop Test(ST), Wisconsin Card Sorting Test(WCST), and Trail Making Test A and B forms(TMT-A/B). The same researcher measured the 2D:4D ratio using a digital caliper, ensuring consistency and accuracy.Results: The left 2D:4D ratio was significantly higher in the patient group than healthy controls. Additionally, there was a statistically significant difference in ST, WCST, and TMT-A/B scores between the two groups, with the BD group scoring higher and being more unsuccessful.We also observed a weak negative correlation between the completion time of the TMT A form and the right-hand 2D:4D finger ratios in the BD group.Conclusion: The findings of our study carry significant implications.They reveal a marked difference in the 2D:4D of patients compared to healthy controls and a decline in the cognitive functions of patients even during remission.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suicidal ideation and medical comorbidity: a hidden problem. 自杀意念和医疗合并症：一个隐藏的问题。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-04-27 DOI: 10.47626/1516-4446-2025-4188

Walter Santos Gonçalves, Carlos Eduardo F Moraes, Rosely Sichieri, Phillipa Hay, Jose Carlos Appolinario

引用次数: 0

Missed opportunities to prevent the influx of newcomers into open drug scenes in Brazil. 错过了阻止新来者涌入巴西公开毒品场所的机会。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-04-27 DOI: 10.47626/1516-4446-2024-4087

Clarice Sandi Madruga, Katia Isicawa de Sousa Barreto, Martha Canfield, Guilherme Godoy, Danilo Silveira Seabra, Ronaldo R Laranjeira, Quirino Cordeiro

引用次数: 0

Unraveling Disordered Eating: A Call for Early Intervention and Action. 解开饮食失调：呼吁早期干预和行动。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-04-17 DOI: 10.47626/1516-4446-2025-4210

Stella Nasser, Thiago Fidalgo

引用次数: 0

Parental pattern, childhood trauma, and impulsivity contribute to the severity of crack cocaine addiction: a cluster analysis. 父母模式、童年创伤和冲动对快克可卡因成瘾的严重程度有影响：聚类分析。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-03-16 DOI: 10.47626/1516-4446-2024-3645

Daniela Benzano Bumaguin, Joana Corrêa de Magalhães Narvaez, Jaqueline B Schuch, Deborah Daitschman, Sergio Kato, Lisia von Diemen, Felix H P Kessler

{"title":"Parental pattern, childhood trauma, and impulsivity contribute to the severity of crack cocaine addiction: a cluster analysis.","authors":"Daniela Benzano Bumaguin, Joana Corrêa de Magalhães Narvaez, Jaqueline B Schuch, Deborah Daitschman, Sergio Kato, Lisia von Diemen, Felix H P Kessler","doi":"10.47626/1516-4446-2024-3645","DOIUrl":"10.47626/1516-4446-2024-3645","url":null,"abstract":"Objective: To determine severity clusters (groups) of substance use in crack cocaine users by the severity scores of the sixth version of the Addiction Severity Index (ASI-6) and compare the groups detected in relation to risk factors as parental styles, childhood maltreatment, and impulsivity.Methods: A cross-sectional study was conducted with 531 male adults with Substance Use Disorder, admitted to a hospital treatment unit for addiction in Southern Brazil. In order to detect more homogeneous groups of individuals, the approach used involves the K-means clustering using ASI-6 scores to create clusters or groups of individuals with similar severity in different areas. Parenting styles were assessed using the Measure of Parental Style, childhood trauma was assessed using the Childhood Trauma Questionnaire, and the patients' impulsivity was measured using the Barratt Impulsivity Scale 11. Poisson Regression was used for association analysis.Results: Two distinct clusters (groups) were identified, which differed significantly across all composite scores (p<0.001). These associations were further confirmed through Poisson Regression analysis. The more severe cluster showed significantly higher scores for maternal abuse (p=0.026), sexual abuse (p=0.003), motor impulsivity (p=0.014) and unplanned above the 75th Percentile (p=0.032) compared to the less severe group. Other parenting styles, types of trauma and impulsivity were not significant different between the groups.Conclusions: The division into severity clusters contributes to the proposition of more targeted treatments. More research focusing on outpatients would be important to reinforce the impact on preventing early life factors and treating impulsivity.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential Adverse Events of Fluoxetine: A Real-world Study Based on FAERS Database. 氟西汀潜在不良事件：基于FAERS数据库的真实世界研究

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-03-16 DOI: 10.47626/1516-4446-2024-3879

Xuezheng Gao, Xiangjun Zhou, Zhiqiang Du, Qin Zhou, Ying Jiang, Haohao Zhu

{"title":"Potential Adverse Events of Fluoxetine: A Real-world Study Based on FAERS Database.","authors":"Xuezheng Gao, Xiangjun Zhou, Zhiqiang Du, Qin Zhou, Ying Jiang, Haohao Zhu","doi":"10.47626/1516-4446-2024-3879","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3879","url":null,"abstract":"Objective: This study aimed to mine and analyze adverse event signals of fluoxetine using the FAERS database.Methods: This study focused on suspected drug adverse reaction reports from the first quarter of 2004 to the second quarter of 2023, with fluoxetine as the primary suspected drug. Four signal mining and analysis methods were employed to comprehensively assess adverse event signals.Results: A total of 19,932,732 reports were collected, of which 22,884 were primarily suspected of fluoxetine. Through analysis, 862 PT signals involving 27 SOCs were identified. Among the reported patients, female patients (58.81%) reported a higher proportion than males (26.84%), and the age group of 18 to 45 held the largest percentage. Adverse event signal strength related to pregnancy and neonatal conditions was notable, including Foetal exposure during pregnancy, Exposure during pregnancy, and neonatal health-related adverse events showed higher signal strength, such as Atrial septal defect, Premature baby, Ventricular septal defect, and Maternal drugs affecting the fetus.Conclusion: Although Fluoxetine has been extensively approved and applied, its use in pregnant and planning-to-conceive women should be approached with caution.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of recurrent priapism during prolonged clozapine administration 氯氮平长期服用期间反复勃起1例

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2025-03-16 DOI: 10.47626/1516-4446-2024-4053

Kelly Acosta Gallardo, Nestor Andrades, Trino Baptista, Jose de Leon, Carlos De las Cuevas, Daniel Jose Salazar Juarez

引用次数: 0