Revista Brasileira de Psiquiatria最新文献_第2页

Maternal depressive symptoms trajectories and harsh parenting: the mediating role of maternal quality of life in the 2004 Pelotas Birth Cohort. 母亲抑郁症状轨迹与严厉的养育方式：2004 年佩洛塔斯出生队列中母亲生活质量的中介作用。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-22 DOI: 10.47626/1516-4446-2024-3652

Alicia Matijasevich, Jessica Mayumi Maruyama, Luciana Tovo-Rodrigues, Iná S Santos

{"title":"Maternal depressive symptoms trajectories and harsh parenting: the mediating role of maternal quality of life in the 2004 Pelotas Birth Cohort.","authors":"Alicia Matijasevich, Jessica Mayumi Maruyama, Luciana Tovo-Rodrigues, Iná S Santos","doi":"10.47626/1516-4446-2024-3652","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3652","url":null,"abstract":"Objective: To study the impacts of maternal depressive symptoms trajectories and harsh parenting and explore if the maternal quality of life mediates this association.Methods: We used data from the 2004 Pelotas Birth Cohort, a population-based longitudinal study from Pelotas, Brazil (N = 3285 mothers, complete cases analysis). We used the Edinburgh Postnatal Depression Scale to assess maternal depressive symptoms and the trajectories from three months until the 11-year follow-up were calculated using a group-based modelling approach. Psychological and physical aggression were measured using the Parent-Child Conflict Tactics Scale. Maternal quality of life was measured by the question \"How is your quality of life?\". Data were analyzed using path models in Mplus.Results: Our findings showed that all maternal depressive symptoms trajectories increased the frequency of psychological and physical aggression at early adolescence when compared to the reference group. Mediation analysis indicated that maternal depressive symptoms led to low levels of perceived maternal quality of life, which in turn was associated with the increased use of harsh parenting. The proportion of total effect explained by maternal quality of life ranged from 4.04% (0.00%-5.58%) to 16.31% (10.88%-19.10%).Conclusion: Our findings support the evidence showing that maternal depressive symptoms are associated with harsh parenting within a longitudinal framework from a middle-income country. Our results also suggest that one mechanism underlying this association is a women's lower perceived quality of life.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294249","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

Longitudinal Gut Microbiota Composition During Perinatal period in Women with Different Intensities of Depressive Symptoms. 不同抑郁症状强度妇女围产期的纵向肠道微生物群组成

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-21 DOI: 10.47626/1516-4446-2024-3721

Amanda S Mota, Luiz Gustavo Sparvoli, Pedro Augusto R Vanzele, Nathalia F Naspolini, Eric de Castro Tobaruela, Carlos T Yoshizaki, Rossana Pulcineli Vieira Francisco, Ana Maria S S Oliveira, Marco Aurélio Knippel Galletta, Vera Lucia C Tess, Carla R Taddei

{"title":"Longitudinal Gut Microbiota Composition During Perinatal period in Women with Different Intensities of Depressive Symptoms.","authors":"Amanda S Mota, Luiz Gustavo Sparvoli, Pedro Augusto R Vanzele, Nathalia F Naspolini, Eric de Castro Tobaruela, Carlos T Yoshizaki, Rossana Pulcineli Vieira Francisco, Ana Maria S S Oliveira, Marco Aurélio Knippel Galletta, Vera Lucia C Tess, Carla R Taddei","doi":"10.47626/1516-4446-2024-3721","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3721","url":null,"abstract":"Background: Depressive symptoms during perinatal significantly impact mothers and infants. Emerging evidence suggests a connection between gut microbiota and mood regulation. This study investigated whether depressive symptoms are associated with changes in the gut microbiota of women during the perinatal period.Method: A total of 34 pregnant women were screened for depression using the Edinburgh Postnatal Depression Scale (EPDS) and categorized based on symptom severity. Stool samples were collected during the third trimester and at two postpartum timepoints. All samples underwent 16S rRNA gene sequencing and Quantification of Short-Chain Fatty Acids (SCFA) using a gas chromatograph-mass spectrometer (GC-MS).Results: No differences in SCFA concentrations were observed between groups (p>0.05). However, postpartum women with moderate to severe symptoms (MG group) had a significant increase in Enterobacteriaceae abundance compared to the mild and absent group (AL group) (p<0.05). The Bifidobacterium genus increased significantly in both groups over time (p<0.05). The MG group showed a reduction in depressive symptoms during psychiatric treatment (p<0.05).Conclusion: These findings suggest a link between gut microbiota and perinatal depressive symptoms. Further research is needed to understand the broader implications for maternal health through microbiome-targeted approaches.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294248","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

Predictors of response to emotional distress with Single session interventions: using Enhanced Psychoeducation in a crisis situation. 单次干预对情绪困扰反应的预测因素：在危机情况下使用强化心理教育。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-21 DOI: 10.47626/1516-4446-2024-3749

Ana Luiza da Silva Ache, Bruno Braga Montezano, Bruno Paz Mosqueiro, Marco Antonio Caldieraro, Lucas Spanemberg, Giovanni Salum, Marcelo Pio de Almeida Fleck

{"title":"Predictors of response to emotional distress with Single session interventions: using Enhanced Psychoeducation in a crisis situation.","authors":"Ana Luiza da Silva Ache, Bruno Braga Montezano, Bruno Paz Mosqueiro, Marco Antonio Caldieraro, Lucas Spanemberg, Giovanni Salum, Marcelo Pio de Almeida Fleck","doi":"10.47626/1516-4446-2024-3749","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3749","url":null,"abstract":"Single-session interventions (SSI) are an effective strategy reducing emotional distress. Enhanced psychoeducation (EP), which includes empathic listening, risk stratification, symptom monitoring, and habit modification is particularly suitable for SSIs. We investigate predictors of response to an online EP intervention among essential service professionals during COVID-19 in Brazil. TELEPSI Project financed by the Ministry of Health of Brazil, nationwide initiative, which served more than 3,300 individuals in various psychotherapeutic modalities. Data from April 2020 to December 2021. We included all participants who received SSIs with high levels of emotional distress. Final sample: 460 subjects, 89.1% female, and 81.1% health professionals. 300 subjects underwent reassessment in one month. Participants with harmful use of social networks, spending time on social media, playing video games, smoking, drinking alcohol, spending time with pets had a less pronounced symptom decrease. Participants who played instruments or already received some psychological treatment showed a greater magnitude of symptom decrease. This highlighted the impact of lifestyle factors on the efficacy of SSIs. These results underscore the importance of considering individual lifestyle factors when implementing SSIs and contribute to growing body of evidence supporting the tailored application of psychoeducational strategies in mental health interventions, particularly in high-stress environments.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294251","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

Introducing a New Severity Specifier for Schizophrenia: Conceptual Framework and Clinical Implications. 引入精神分裂症的新严重程度指标：概念框架和临床意义。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-19 DOI: 10.47626/1516-4446-2024-3722

Ary Gadelha, Renan M Biokino, Pedro Lorencetti, Nicolas A Crossley, Daniela Bordini, Raffael Massuda

{"title":"Introducing a New Severity Specifier for Schizophrenia: Conceptual Framework and Clinical Implications.","authors":"Ary Gadelha, Renan M Biokino, Pedro Lorencetti, Nicolas A Crossley, Daniela Bordini, Raffael Massuda","doi":"10.47626/1516-4446-2024-3722","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3722","url":null,"abstract":"Schizophrenia patients represent a heterogeneous group in clinical presentation and severity. Although severity has been operationalized in different ways, mostly on a gradient between symptom severity and functional impairment, such approaches are limited in capturing real-world functioning. We suggest adopting the severity model proposed by DSM-5 for autism spectrum disorders. The model defines three levels of severity, based on the support required, directly addressing two barriers from previous models: real-world functioning and ease of implementation. Our adapted model includes three new features: First, this severity specifier is global, rather than for each symptom domain. Second, the centrality of occupational functioning is emphasized to define the level of support. Third, we propose a one-month timeframe for severity appraisal, standardizing the assessment process. Considering practical utility, we indicate how severity assessment can guide clinical practice towards rehabilitation. Additionally, we outlined operational definitions for severity and functioning in schizophrenia, aligned with the premises of our model. Finally, we acknowledge potential limitations, the most relevant being the need for empirical validation. The model is presented to foster discussion. Additional studies will follow to investigate inter-rater reliability and convergent validation with standard measures of symptom and functioning severity.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294247","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

Depression, anxiety, stress, and well-being in fringe groups. 边缘群体的抑郁、焦虑、压力和幸福感。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-19 DOI: 10.47626/1516-4446-2024-3784

Josef Finsterer

引用次数: 0

The amygdala as a therapeutic target for aggressive and disruptive behaviors: Systematic review. 杏仁核是攻击性和破坏性行为的治疗目标：系统综述。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-19 DOI: 10.47626/1516-4446-2024-3582

Juan Camilo Salcedo-Moreno, Fernando Peralta-Pizza, Paola Vélez-Jimenez, David Arteaga-Ortiz, Lina María Villegas-Trujillo, Oscar Andrés Escobar-Vidarte

{"title":"The amygdala as a therapeutic target for aggressive and disruptive behaviors: Systematic review.","authors":"Juan Camilo Salcedo-Moreno, Fernando Peralta-Pizza, Paola Vélez-Jimenez, David Arteaga-Ortiz, Lina María Villegas-Trujillo, Oscar Andrés Escobar-Vidarte","doi":"10.47626/1516-4446-2024-3582","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3582","url":null,"abstract":"Objective: To identify the effects of amygdala neuromodulation in the management disruptive behavior in patients, as well as changes in their quality of life and its relationship with epilepsy.Methods: MEDLINE, OVID, WoS, Central Cochrane, and Scopus databases were systematically searched up to March 2023 for studies examining extremely aggressive patients who underwent ablative surgeries or deep brain stimulation (DBS) of the amygdala as the unique therapeutic target, with a six-month follow-up at least.Results: The search yielded 1352 studies excluding duplicates, but only 11 case series, and 3 case reports met the inclusion criteria. They were published between 1963-2023 with a total of 1033 patients, mostly male, aged between 5 and 61 years. Most studies implemented amygdalotomy and only one DBS. More than 70% of the patients improved their behavior; approximately 30% had seizures, of which 40% presented improvement. Two studies reported worsening behavior.Conclusions: Although we found that amygdalotomy has a positive effect on the behavior of patients and the control of their seizures, it is necessary to carry out updated studies with greater epidemiological power. Future research should analyze the DBS use and the role of connectomics of the different neural networks involved with this brain structure.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294254","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

Floods in southern Brazil: the urgent need for mental health support in the context of climatic disasters. 巴西南部的洪灾：气候灾害背景下心理健康支持的迫切需要。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-09-16 DOI: 10.47626/1516-4446-2024-3845

Thiago Henrique Roza, Daniel Prates-Baldez, Debora da Silva Noal, Beatriz Schmidt, Ana Cecilia Andrade de Moraes Weintraub, Laiana Azevedo Quagliato, Antonio Egídio Nardi, Flavio Kapczinski

引用次数: 0

Association between Depressive Symptoms and Social Support in a Nationally Representative Sample Of Older Adults (ELSI-Brazil). 具有全国代表性的老年人样本中抑郁症状与社会支持之间的关系（ELSI-巴西）。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-08-19 DOI: 10.47626/1516-4446-2024-3543

Beatriz Oliveira Carvalho, Érico Castro-Costa, Maria Fernanda Lima-Costa, Antônio Ignácio de Loyola

{"title":"Association between Depressive Symptoms and Social Support in a Nationally Representative Sample Of Older Adults (ELSI-Brazil).","authors":"Beatriz Oliveira Carvalho, Érico Castro-Costa, Maria Fernanda Lima-Costa, Antônio Ignácio de Loyola","doi":"10.47626/1516-4446-2024-3543","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3543","url":null,"abstract":"Objective: To investigate the association between depressive symptoms and social support among a representative sample of the Brazilian population aged 50 years or older.Methodology: Cross-sectional study, based on 8,074 participants of the second wave of the Brazilian Longitudinal Study on Aging - ELSI-Brasil. Depressive symptoms were screened based on the CES-D8 instrument, and social support was investigated in its structural and functional dimensions. Sociodemographic variables and health conditions were considered for adjustment in investigating the association between social support and depressive symptoms using the Poisson regression model.Results: The prevalence of depressive symptoms was estimated at 19.1% (95% CI:16.7;21.7). In the analysis adjusted for possible confounding factors, depressive symptoms were independently associated with negative social support in the items \"not married\" (RP=1.24; 95% CI: 1.07-1.44), \"not having someone to trust\" (RP=1.31; 95% CI: 1.10-1.56) and \"not having someone to borrow money or an object from, in case of need\" (RP=1.46; 95% CI: 1.21-1.75).Conclusion: The present results highlight the importance of social relations in determining the presence of depressive symptoms and reinforce the need to implement public policies aimed at strengthening social networks to minimize this public health problem.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000666","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

Addressing the elephant in the screening room: an item response theory analysis of the Prodromal Questionnaire (PQ-16) for at-risk symptoms of psychosis. 解决筛查室中的大象问题：针对精神病高危症状的前驱症状问卷（PQ-16）的项目反应理论分析。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-08-19 DOI: 10.47626/1516-4446-2024-3614

Christophe Gauld, Pierre Fourneret, Ben Alderson-Day, Emma Palmer-Cooper, Clément Dondé

{"title":"Addressing the elephant in the screening room: an item response theory analysis of the Prodromal Questionnaire (PQ-16) for at-risk symptoms of psychosis.","authors":"Christophe Gauld, Pierre Fourneret, Ben Alderson-Day, Emma Palmer-Cooper, Clément Dondé","doi":"10.47626/1516-4446-2024-3614","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3614","url":null,"abstract":"Objective: Within the context of patients at-risk of psychosis, where a variety of symptoms are present, identifying the most discriminative symptoms is essential for efficient detection and management.Methods: This cross-sectional online study analyzed individuals from the general population in order to better assess their risk of presenting symptoms belonging to the clinical high risk (CHR) for psychosis, called \"CHR-related symptoms\". The Prodromal Questionnaire-16 (PQ-16) served as a self-report screening tool. Item response theory (IRT) with a graded response model was used to assess the discrimination and difficulty of its criteria.Results: The analysis included 936 participants (mean age: 21.5 years; 28.1% male, 71.9% female). \"Déjà vu\" stood out for its high discriminative power, while \"Voices or whispers\" and \"Seen things\" demonstrated strong precision relatively to the other CHR-related symptoms. Conversely, \"Smell or taste\" and \"Changing face\" were associated with the most severe cases relatively to the other CHR-related symptoms.Conclusion: This study identified the most indicative CHR-related symptoms to emphasize their significance in accurately assessing severity and guiding targeted preventative interventions.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000665","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

Internalizing problems can differ in boys and girls since early childhood: Findings from the Child Behavioral Checklist 1.5-5 (CBCL 1.5-5). 男孩和女孩的内化问题在童年早期就可能存在差异：儿童行为检查表 1.5-5 (CBCL 1.5-5) 的研究结果。

IF 3.6 3区医学

Revista Brasileira de Psiquiatria Pub Date : 2024-08-18 DOI: 10.47626/1516-4446-2024-3616

Adriana Maldonado Martinez, Sheila C Caetano, Marcos V Ribeiro, Alexandra Restrepo-Henao, Paola M Okuda, Thiago M Fidalgo, Pamela J Surkan, Luis Manuel Silva, Silvia S Martins

{"title":"Internalizing problems can differ in boys and girls since early childhood: Findings from the Child Behavioral Checklist 1.5-5 (CBCL 1.5-5).","authors":"Adriana Maldonado Martinez, Sheila C Caetano, Marcos V Ribeiro, Alexandra Restrepo-Henao, Paola M Okuda, Thiago M Fidalgo, Pamela J Surkan, Luis Manuel Silva, Silvia S Martins","doi":"10.47626/1516-4446-2024-3616","DOIUrl":"https://doi.org/10.47626/1516-4446-2024-3616","url":null,"abstract":"Background: Globally, internalizing problems disproportionately affect females in adolescence and adulthood, with limited research at earlier ages due to a focus on disruptive behaviors. Our study addresses this gap by exploring the structure of internalizing problems and gender differences in Brazilian preschoolers.Methods: We analyzed data from the Child Behavioral Checklist 1.5-5 in the Preschool Mental Health Study, involving 1,292 children aged 4 to 5 in Embu das Artes, São Paulo, Brazil. Confirmatory factor analysis and mean comparisons explored internalizing problems and gender variations.Results: A two-factor model best fit both internalizing and externalizing problems.The hierarchical model with four factors (Emotionally Reactive, Anxiety/Depression, Somatic Complaints, and Withdrawn) best fit internalizing problems, achieving partial invariance between boys and girls. Boys scored higher in Withdrawn Syndrome, while girls scored higher in Somatic Complaints Syndrome.Conclusions: Preschoolers' internalizing problems warrant attention beyond their link to externalizing problems. While the overall construct is similar in boys and girls, divergent syndrome scores indicate potential distinct risk patterns requiring further exploration.","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000667","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