Revista Brasileira de Psiquiatria最新文献

Item-wise validity study of the Impact of Event Scale - Revised (IES-R): self-reported reactions of hospital personnel exposed to a stressful workplace. 事件影响量表-修订版（IES-R）的项目有效性研究：医院工作人员对工作场所压力反应的自我报告。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-27 DOI: 10.47626/1516-4446-2024-3882

Vitor A Petrilli-Mazon, Marcos O Carvalho-Alves, Eurípedes Constantino Miguel, Felipe Corchs, Mariana Curi, Yuan-Pang Wang

{"title":"Item-wise validity study of the Impact of Event Scale - Revised (IES-R): self-reported reactions of hospital personnel exposed to a stressful workplace.","authors":"Vitor A Petrilli-Mazon, Marcos O Carvalho-Alves, Eurípedes Constantino Miguel, Felipe Corchs, Mariana Curi, Yuan-Pang Wang","doi":"10.47626/1516-4446-2024-3882","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3882","url":null,"abstract":"Objective: Recent studies have revealed a heterogeneous prevalence and presentation of PTSD across countries. It is crucial to assess the methodological and item-level measurement factors that contribute to variations in mental disorder rates across cultures. This study aimed to investigate the traumatic experiences of hospital workers by employing item analysis of the Impact of Event Scale-Revised (IES-R).Methods: Data were collected from 1,000 employees of a large hospital during the COVID-19 pandemic and were further subjected to item response theory (IRT) analysis with respect to the discrimination (a) and difficulty (b) parameters of the item pool.Results: Our results demonstrated that the IES-R items had a good discriminative ability (a) and covered a range of distress severity (b) associated with traumatic experiences. The IES-R was found to be a reliable and informative instrument for assessing individuals with moderate to severe trauma-related distress across the spectrum of traumatic symptoms. In particular, items #10 (\"jumpy or easily startled\") and #6 (\" thought about it when didn't mean to\"), reflecting the PTSD domains of hyperarousal and intrusion, excelled in discriminating between different levels of traumatic distress. Conversely, items related to avoidance and sleep disturbance showed diminished discriminative ability.Conclusions: The item analysis of the IES-R may be used to assess trauma symptoms in the context of a traumatic exposure, thereby identifying the most discriminative and informative items of the PTSD measure in our context. Our findings may refine the IES-R and facilitate the development of a more effective scale with optimized item parameters.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740300","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

Virtual reality, social intelligence, mirror neurons and bipolar spectrum a new perspective. 虚拟现实、社交智能、镜像神经元和躁郁症谱的新视角。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-17 DOI: 10.47626/1516-4446-2024-3901

Mauro G Carta, Antonio E Nardi

引用次数: 0

A rare event of late agranulocytosis during clozapine use in schizophrenia and the importance of monitoring vitamin B12 levels in patients with severe psychiatric conditions: a case report. 精神分裂症患者在使用氯氮平期间出现罕见的迟发性粒细胞减少症，以及监测重症精神病患者维生素 B12 水平的重要性：病例报告。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-17 DOI: 10.47626/1516-4446-2024-3852

Alessandra Faggion Mocellin, Clara de Oliveira Lapa, Clarissa Severino Gama

引用次数: 0

Costs of dementia in Brazil. 巴西老年痴呆症的成本。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-17 DOI: 10.47626/1516-4446-2024-3611

Fabiana Araújo Figueiredo da Mata, Ari Alex Ramos, Laiss Bertola, Thais Suarez, Cleusa Pinheiro Ferri, Haliton Alves de Oliveira Júnior

{"title":"Costs of dementia in Brazil.","authors":"Fabiana Araújo Figueiredo da Mata, Ari Alex Ramos, Laiss Bertola, Thais Suarez, Cleusa Pinheiro Ferri, Haliton Alves de Oliveira Júnior","doi":"10.47626/1516-4446-2024-3611","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3611","url":null,"abstract":"Background: Given the increasing number of people with dementia in Brazil, there is an urgency for health and social systems to plan strategies to meet the needs of this population and their families. Therefore, research on dementia costs is essential. This study estimated direct and indirect costs related to dementia in Brazil.Methods: We employed the cost of illness study methodology to estimate dementia-related costs. Moreover, we used household interview data from the ReNaDe project and public, free-of-charge national databases to collect service use and values information. The societal and the SUS (Brazilian Universal Health System) perspectives were adopted.Results: The monthly cost of dementia per individual increases with the syndrome's progression from US$ 843.04 in the initial stage to US$ 1,317.81 in the intermediate stage, peaking at US$ 1,576.15 in the advanced stage. Indirect costs constitute at least 73% of total expenses. When considering the costs for Brazil, it is in the intermediate stage of dementia that the country's total expenses are the highest.Conclusions: Family caregivers shoulder at least 73% of the health-related costs of dementia in Brazil, highlighting the need to improve and create supporting strategies for people with dementia and their families.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648416","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

Adventures of Psychiatry in a General Hospital: A tale of C-L psychiatry origins and resistance in Brazil. 综合医院的精神病学历险记：巴西 C-L 精神病学起源与抗争的故事。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-17 DOI: 10.47626/1516-4446-2024-3854

Juliano Victor Luna, João Alberto Carvalho

引用次数: 0

Signal Mining and Risk Analysis of Olanzapine Adverse Events in the FAERS Database. FAERS 数据库中奥氮平不良事件的信号挖掘和风险分析。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-17 DOI: 10.47626/1516-4446-2024-3880

Aiguo Dong, Lingyi Shi, Zhiqiang Du, Qin Zhou, Ying Jiang, Haohao Zhu, Anqing Zhu

{"title":"Signal Mining and Risk Analysis of Olanzapine Adverse Events in the FAERS Database.","authors":"Aiguo Dong, Lingyi Shi, Zhiqiang Du, Qin Zhou, Ying Jiang, Haohao Zhu, Anqing Zhu","doi":"10.47626/1516-4446-2024-3880","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3880","url":null,"abstract":"Objective: This study aims to assess the safety profile of Olanzapine by analyzing adverse events (AEs) reported in the FAERS database, particularly focusing on newly identified risks.Method: The study involved adverse events (AEs) related to Olanzapine from January 1, 2004, to June 30, 2023. Four signal mining methods were used for a comprehensive analysis of the frequency and strength of AEs, including ROR, PRR, BCPNN, and EBGM.Results: A total of 43,664 reports with Olanzapine as the primary suspect drug were collected. 776 PT signals involving 27 SOCs were identified. The main affected groups were females and the age group of 18 to 45 years. Psychiatric disorders and Nervous system disorders were the most common adverse reactions. Moreover, the analysis revealed some adverse reactions not recorded in the manual, including cardiovascular risks like Pancreatitis, Chylomicron increased, Hyperchylomicronaemia, and Myocardial reperfusion injury, as well as rare but serious adverse reactions like Neuroleptic malignant syndrome and Anosognosia.Conclusion: This study identified new cardiovascular risks associated with Olanzapine, including pancreatitis and myocardial reperfusion injury, which require further investigation.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648420","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

Satisfactory Levels of Functionality and Quality of Life in Caregivers of Patients with Bipolar Disorder: Is this Possible? 双相情感障碍患者照顾者的功能和生活质量达到令人满意的水平：这可能吗？

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-16 DOI: 10.47626/1516-4446-2024-3866

Mariana Troesch, Sarah Prates, Stella Sarmento, Thiago Cerqueira-Silva, Gabriela Léda-Rêgo, Caroline Dallalana, Juliana S Casqueiro, Paula Studart-Bottó, Ângela Miranda-Scippa

{"title":"Satisfactory Levels of Functionality and Quality of Life in Caregivers of Patients with Bipolar Disorder: Is this Possible?","authors":"Mariana Troesch, Sarah Prates, Stella Sarmento, Thiago Cerqueira-Silva, Gabriela Léda-Rêgo, Caroline Dallalana, Juliana S Casqueiro, Paula Studart-Bottó, Ângela Miranda-Scippa","doi":"10.47626/1516-4446-2024-3866","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3866","url":null,"abstract":"Objectives: To measure the levels of functionality and QoL of caregivers of patients with BD, investigating the association between them, as well as the relationship with clinical and sociodemographic data of these caregivers.Method: A cross-sectional study was conducted between 2020 and 2022 with caregivers of patients with BD treated in an outpatient clinic of a university hospital. The following instruments were applied: Clinical and sociodemographic questionnaire, WHODAS 2.0, SF-36, MINI-PLUS, and SCID II.Results: The median score on WHODAS 2.0 was less than 20. In SF-36, the medians found in its domains were above 60. Those who demonstrated greater functional impairment had lower QoL. Being younger, being a parent, having non-psychiatric clinical conditions, and having mental disorders were associated with worse QoL and lower functionality.Conclusion: The results obtained indicate less functional impairment and a better perception of QoL when compared to literature data, demonstrating that there is a subgroup of caregivers who perform their caregiving role without significant compromise in these health aspects. Exploring other factors associated with functionality and QoL, such as resilience, the presence of psychological support, or others, may allow for better targeting of public health interventions, optimizing comprehensive bidirectional care for patients and caregivers.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644746","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

Are we correctly diagnosing and screening bipolar depression? 我们是否正确诊断和筛查了双相抑郁症？

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-15 DOI: 10.47626/1516-4446-2024-3808

Adriana Munhoz Carneiro, Fernando Dos Santos Fernandes, Ricardo Alberto Moreno, Doris Hupfeld Moreno

引用次数: 0

Manipulating levels of uncertainty in a decision making task for obsessive-compulsive disorder. 在强迫症决策任务中操纵不确定性水平。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-15 DOI: 10.47626/1516-4446-2023-3432

Uma Maheswari Ganesh, Lavanya Sharma, Himani Kashyap, Shyam Sundar Arumugham, Janardhan Reddy

{"title":"Manipulating levels of uncertainty in a decision making task for obsessive-compulsive disorder.","authors":"Uma Maheswari Ganesh, Lavanya Sharma, Himani Kashyap, Shyam Sundar Arumugham, Janardhan Reddy","doi":"10.47626/1516-4446-2023-3432","DOIUrl":"https://doi.org/10.47626/1516-4446-2023-3432","url":null,"abstract":"Objective: The study aims to investigate whether manipulating levels of uncertainty would influence performance in a decision-making task in obsessive-compulsive disorder (OCD).Methods: This case-control study compares the performance in beads task (measuring reflection/decisional impulsivity) performance and trait impulsivity (Short Urgency-Premeditation-Perseverance-Sensation Seeking-Positive Urgency (UPPS-P)) in patients with OCD (n=65) and non-clinical controls (n=45). Mann Whitney U test was carried out to assess between-group differences.Results: The OCD group had significantly lesser draws to decision (U=1845 , p=.019) and subjective decisional-certainty (U=1518, p=0.00) in the low-uncertainty (85:15) condition , higher scores of negative urgency (U= 2163, p=<0.001) and lower scores on sensation-seeking (U= 907.5, p=.001) in the UPPS-P. However, the comparison of beads task performance does not survive correction for multiple comparisons.Conclusion: Patients with OCD engage in impulsive decision-making in the lower-uncertainty condition in comparison to healthy controls, despite low subjective certainty of the decision. They also had increased scores on the trait impulsivity factor of negative urgency. Future studies may explore the relationship between trait impulsivity as well as the contributions of symptom severity, anxiety and decisional certainty to impulsivity in OCD.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644729","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

Seeking psychiatric emergency care by individuals who died by suicide in Fortaleza in 2022. 2022 年福塔莱萨自杀死亡者寻求精神科急诊的情况。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-11-15 DOI: 10.47626/1516-4446-2024-3635

Ana Carolina Asfor, Matias Melo

{"title":"Seeking psychiatric emergency care by individuals who died by suicide in Fortaleza in 2022.","authors":"Ana Carolina Asfor, Matias Melo","doi":"10.47626/1516-4446-2024-3635","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3635","url":null,"abstract":"Objectives: Suicide represents 1% of all deaths in the world. It's more prevalent in underdeveloped countries. Suicide mortality in Brazil has been growing in recent years. We Evaluated whether patients who committed suicide in Fortaleza sought the only psychiatric emergency service in the State before the act during the year 2022.Methods: Retrospective cross-sectional study with data from electronic psychiatric emergency records and expert reports from the state forensic expertise service.Results: 292 deaths were identified, which represents almost 2% of mortality in Fortaleza this year, 25% of which were female and 74.6% were male. Only 2.7% of individuals who committed suicide within this period requested a psychiatric emergency evaluation in the 3 months before the death. Among these individuals, 75% mentioned suicidal ideation. Furthermore, 70% of deaths were due to hanging.Conclusions: The study found that the majority of patients who committed suicide in Fortaleza in 2022 did not seek the only psychiatric emergency service before the event, more studies are needed to investigate the causes of this behavior.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639696","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