Caroline Elizabeth Konradt, Ricardo Gonçalves da Silva, Karen Jansen, Daniela Martins Vianna, Luciana de Avila Quevedo, Luciano Dias de Mattos Souza, Jean Pierre Oses, R. Pinheiro
{"title":"Depressão pós-parto e percepção de suporte social durante a gestação","authors":"Caroline Elizabeth Konradt, Ricardo Gonçalves da Silva, Karen Jansen, Daniela Martins Vianna, Luciana de Avila Quevedo, Luciano Dias de Mattos Souza, Jean Pierre Oses, R. Pinheiro","doi":"10.1590/S0101-81082011005000010","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000010","url":null,"abstract":"OBJECTIVE: To assess the impact of low perceived social support during pregnancy as a risk factor for depression within 30 to 60 days postpartum. METHOD: This cohort study included pregnant women treated at public hospitals (Brazilian Unified Health System) in the city of Pelotas, state of Rio Grande do Sul, southern Brazil. Postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Women with scores ≥ 13 points were considered to be depressed. RESULTS: Of the total of 1,019 women assessed, 168 (16.5%) presented postpartum depression. Women who did not receive support from their partners (p = 0.000), their families (p = 0.000), and friends (p = 0.000) were at higher risk for developing postpartum depression. CONCLUSION: Our findings suggest that perceived social support during pregnancy may be a protective factor against postpartum depression.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"21 1","pages":"76-79"},"PeriodicalIF":0.0,"publicationDate":"2011-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73762281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrícia Figueira, L. F. M. Diniz, H. C. D. S. Filho
{"title":"Características demográficas e psicossociais associadas à depressão pós-parto em uma amostra de Belo Horizonte","authors":"Patrícia Figueira, L. F. M. Diniz, H. C. D. S. Filho","doi":"10.1590/S0101-81082011005000009","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000009","url":null,"abstract":"INTRODUCTION: Postpartum depression has been the object of extensive research both because of its high prevalence and its repercussions on the mother and the infant. OBJECTIVE:To compare women with and without depression in a sample of postpartum women randomly selected at a maternity in the city of Belo Horizonte, Brazil. METHODS: A total of 245 women who gave birth at a private maternity hospital in Belo Horizonte were selected. A semi-structured interview was used for the collection of psychosocial and demographic data. Diagnosis of major depression was established using and a structured interview (Mini Neuropsychiatric Interview, MINI-Plus), based on criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). RESULTS: Of the total sample, 26.9% had a diagnosis of postpartum depression. No differences were observed in the social and demographic characteristics of depressed women (n = 66, 26,9%) and of those without depression (n = 179, 73,1%). Nevertheless, several clinical and psychosocial variables showed significant differences between the groups and were therefore associated with postpartum depression, namely previous history of depression, presence of stress or depressive/anxiety symptoms during pregnancy, postpartum complications affecting the mother or the infant, and lack of support and care in the postpartum period. CONCLUSION: The identification of factors associated with postpartum depression is important for an improved understanding of the pathophysiology of this disease and for the establishment of strategies aimed at prevention and early diagnosis.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"58 1","pages":"71-75"},"PeriodicalIF":0.0,"publicationDate":"2011-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79982997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Regina Lopes Schimitt, Idalina Cesaltina Ribeiro Benedito, Bruna Dedavid da Rocha, Joyce Iracema Angelo Chivia, M. Hidalgo
{"title":"Adaptação transcultural da versão brasileira da escala Social Rhythm Metric-17 (SRM-17) para a população angolana","authors":"Regina Lopes Schimitt, Idalina Cesaltina Ribeiro Benedito, Bruna Dedavid da Rocha, Joyce Iracema Angelo Chivia, M. Hidalgo","doi":"10.1590/S0101-81082011005000008","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000008","url":null,"abstract":"INTRODUCTION: Social rhythm is a concept that correlates social Zeitgebers (synchronizers) with endogenous markers of time, and can be assessed with the Social Rhythm Metric-17 (SRM-17). The aim of this study was to adapt the Brazilian version of the SRM-17 to Angolan Portuguese, comparing the two scales in samples that speak the same language but have cultural differences. METHODS: The Brazilian version of the SRM-17 was assessed by 10 Angolan students who analyzed the intelligibility of the 15 sentences contained in the instrument using a 10-cm visual analog scale and proposed changes to the text. Results were reviewed for the generation of a final Angolan version, followed by a reading test and the production of a final report. RESULTS: The final Angolan version of SRM-17 maintained an equivalence of items in relation to the Brazilian Portuguese version. The version assessed by the students showed a satisfactory degree of intelligibility and semantic equivalence in most items. However, some items presented intelligibility results below the mean total scores of the scale (8.38 ± 1.0). CONCLUSION: Although the populations of Brazil and Angola speak the same language, significant cultural differences were found between the two countries. This paper presents an instrument to assess social rhythm adapted to the Angolan culture. The cross-cultural adaptation process herein described should be continued by validating the final version of the instrument in a larger sample and by assessing operational, functional, and measure equivalence.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"95 8","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2011-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S0101-81082011005000008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72441536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. C. Neto, José Cássio do Nascimento Pitta, Marco Antonio Alves Brasil, M. A. Adad, Rogério Wolf de Aguiar, Camila Ruschel Selbach, Carolina Belotto, Claudia Coral, F. L. D. P. Ramos, P. M. Simonaggio
{"title":"Panorama nacional do ensino da psiquiatria nas escolas médicas brasileiras","authors":"A. C. Neto, José Cássio do Nascimento Pitta, Marco Antonio Alves Brasil, M. A. Adad, Rogério Wolf de Aguiar, Camila Ruschel Selbach, Carolina Belotto, Claudia Coral, F. L. D. P. Ramos, P. M. Simonaggio","doi":"10.1590/S0101-81082011005000006","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000006","url":null,"abstract":"OBJECTIVE: To determine the profile of psychiatric teaching in Brazilian medical schools, with a focus on the number of professors involved and their respective degrees, the number of disciplines devoted to psychiatry and the predominant approach (psychodynamic/clinical/other) adopted, the didactic materials employed and the teaching and learning facilities available. METHODS: The study was based on the collection of data via application of questionnaires at all medical schools registered with the Brazilian Association of Medical Education (Associacao Brasileira de Educacao Medica). RESULTS: Of the 119 Brazilian schools contacted, 85 (71%) returned the questionnaires. The number of professors graduated in psychiatry at each school varied from 1 to 5 (75.3%); of these, 1 to 2 (43.4%) had a PhD degree, 1 to 2 (45.8%) a master's degree, and 1 to 2 (57.3%) were specialists. The findings revealed that 41.2% of the schools offered two disciplines of psychiatry, with a predominantly psychodynamic/clinical approach (61.2%). At 52.9% of the schools, teaching of psychiatric topics was not restricted to the specific disciplines; 64.7% of the disciplines offered hands-on training in general clinical settings. Mean number of credit hours of psychiatric teaching along the medical program was 61-90 (26.2%), and 88.9% of the programs used books as the main choice for didactic purposes. At 83.3% of the medical schools, psychiatric teaching is graded by students at the end of each discipline. CONCLUSION: The present findings revealed an important heterogeneity in the geographic regions assessed, affecting at least 71% of the schools. New studies are warranted to advance the preliminary findings herein reported.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"15 1","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2011-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80119046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidência de conduta violenta e antissocial em população psiquiátrica forense","authors":"L. E. B. Telles, J. O. Folino, J. G. V. Taborda","doi":"10.1590/S0101-81082011005000004","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000004","url":null,"abstract":"INTRODUCTION: The consequences of violent and antisocial behaviors among psychiatric hospital inpatients are serious and may affect the treatment of the aggressor. Lack of knowledge concerning the incidence of this phenomenon and its characteristics helps perpetuate the current scenario. OBJECTIVES: To present an updated literature review on the topic, to estimate the incidence of violent and antisocial behaviors in a mental hospital population, and to describe the implementation of a systematic method to record this phenomenon. METHOD: A cohort was selected among the psychiatric inpatients at Mauricio Cardoso Forensic Psychiatry Institute (Instituto Psiquiatrico Forense Mauricio Cardoso, IPFMC). Yudofsky's Overt Aggression Scale (OAS) and Tengstrom et al.'s Follow-Up Questionnaire were used. During a 1-year follow-up period, episodes of violent and antisocial behavior were evaluated daily and recorded on both the scale and the questionnaire. The population sample included 68 male patients randomly selected among the committed inpatients at IPFMC. RESULTS: The incidence of violent/antisocial behavior along the period assessed was 200 episodes involving 50 patients. Aggressions and antisocial behavior occurred mainly in daytime. The interventions most commonly used were verbal management, patient isolation, and intramuscular medication. CONCLUSION: For the first time, the occurrence of violent and antisocial behavior was measured in a forensic psychiatric population.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"41 1","pages":"03-07"},"PeriodicalIF":0.0,"publicationDate":"2011-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83601026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thiago Viola, Rodrigo Grassi-Oliveira, A. Renner, B. Schiavon
{"title":"Trauma complexo e suas implicações diagnósticas","authors":"Thiago Viola, Rodrigo Grassi-Oliveira, A. Renner, B. Schiavon","doi":"10.1590/S0101-81082011000100010","DOIUrl":"https://doi.org/10.1590/S0101-81082011000100010","url":null,"abstract":"Prolonged exposure to multiple traumatic events of an interpersonal nature, particularly during development, has shown psychological consequences and symptoms not included among the current diagnostic criteria of post-traumatic stress disorder (PTSD). These negative and chronic situations during childhood and adolescence provide further evidence of the existence of a psychopathological syndrome associated with complex (dis)adaptations to a number of traumatic effects. The absence of a cohesive and reliable diagnosis for these patients negatively affects symptom identification and treatment planning. The aim of the present study was to review the definition of trauma, presenting the concept of complex trauma and investigating its clinical implications and the diagnostic categories deriving from this construct. Important questions are raised about differences between complex trauma and PTSD, followed by an investigation of PTSD symptoms and comorbid disorders, as well as the limitations of PTSD diagnosis. Taking into consideration the psychopathological impact associated with complex trauma, the article discusses the possibility of including a new diagnostic category in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders is discussed, as part of the spectrum of post-traumatic psychopathologies.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"26 1","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80654633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Mecca, R. Bravo, Renata de Lima Velloso, J. S. Schwartzman, D. Brunoni, M. Teixeira
{"title":"Screening for signs and symptoms of autism spectrum disorders in siblings","authors":"T. Mecca, R. Bravo, Renata de Lima Velloso, J. S. Schwartzman, D. Brunoni, M. Teixeira","doi":"10.1590/S0101-81082011000200009","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200009","url":null,"abstract":"Pervasive developmental disorders (PDD) are characterized by comprehensive and qualitative abnormalities affecting three areas of development: reciprocal social interaction, communication, and a repetitive, stereotyped behavioral repertoire, of limited interests. Genetic studies have identified the recurrence of PDD in the same family. The present study aimed to trace the occurrence of signs and symptoms of PDD in the siblings of patients with this diagnosis. The study included 25 subjects from 19 families. Data collection was performed using the Brazilian version of the Autism Screening Questionnaire (ASQ). Two cases of PDD in siblings were confirmed (10.52% of cases): a monozygotic twin brother and the brother of a proband with a diagnosis of Asperger syndrome. Our data indicate higher rates of PDD in siblings than described in the literature (2-6%), close to the findings that suggest a 10% rate of familial recurrence in dizygotic twins. This result provides evidence of possible neurogenetic factors to explain the occurrence of PDD in relatives of the probands assessed and underscores the need to screen not only the child under evaluation, but also their siblings.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"33 1","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81315079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Kapczinski, Jair Segal, P. Magalhães, Rodrigo Grassi de Oliveira
{"title":"Revista de Psiquiatria do Rio Grande do Sul: new trends","authors":"F. Kapczinski, Jair Segal, P. Magalhães, Rodrigo Grassi de Oliveira","doi":"10.1590/S0101-81082011000200001","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200001","url":null,"abstract":"","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"33 1","pages":"69-69"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76425937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Gulassa, Andrea Lorena da Costa, Eglacy C. Sophia, Cíntia Sanches, Talita Vendrame, M. Zilberman
{"title":"Group therapy for morbid jealousy","authors":"D. Gulassa, Andrea Lorena da Costa, Eglacy C. Sophia, Cíntia Sanches, Talita Vendrame, M. Zilberman","doi":"10.1590/S0101-81082011000200011","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200011","url":null,"abstract":"2Psicologa, Pro-AMITI. Mestre em Ciencias, USP. 3 Psicologa, Pro-AMITI. Mestre e Doutoranda em Ciencias, USP. 4 Psicologa, Pro-AMITI.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"5 1","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84992988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reforma psiquiátrica e o Datasus: o uso de um instrumento ou o uso instrumental?","authors":"Lucas Spanemberg","doi":"10.1590/S0101-81082011000100012","DOIUrl":"https://doi.org/10.1590/S0101-81082011000100012","url":null,"abstract":"Psiquiatra. Preceptor de Residencia, Unidade de Internacao Psiquiatrica, Hospi-tal Sao Lucas, Pontificia Universidade Catolica do Rio Grande do Sul (PUCRS), Porto Alegre, RS. Doutorando, Programa de Pos-Graduacao em Psiquiatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS.Suporte fi nanceiro: Bolsa de Doutorado, Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES).","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"61 1","pages":"68-68"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76367285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}