Trends in Psychiatry and Psychotherapy最新文献

{"title":"Sleep quality of adult recreational cannabis users: a systematic review of literature.","authors":"Nathália Lima Costa, Wennyo Camilo da Silva E Silva, Marianne Lucena da Silva, Katiane da Costa Cunha","doi":"10.47626/2237-6089-2024-0802","DOIUrl":"10.47626/2237-6089-2024-0802","url":null,"abstract":"<p><strong>Objective: </strong>Human sleep is fundamental for the proper occurrence of organic functions. Hence, lack of sleep can impair cognitive function, resulting in emotional problems, memory changes, and disease onset. However, it is worth noting that sleep is influenced by outside factors, such as drug use. In this sense, the aim of this review is to analyze studies that researched the influence of recreational marijuana on the sleep quality of adults.</p><p><strong>Methods: </strong>High-sensitivity searches were conducted on databases (Biblioteca Virtual em Saúde [BVS], MEDLINE via PubMed, Cochrane, Embase, Web of Science, and Scopus) using descriptors related to marijuana and sleep habits.</p><p><strong>Results: </strong>Eighteen studies from four countries were included with a total sample size of 29,858 participants. It was found that marijuana affects sleep characteristics - such as latency and duration - with these changes being more evident in users who make greater use of marijuana and in those with early onset of marijuana use.</p><p><strong>Conclusion: </strong>It was observed that most articles demonstrated a detrimental effect of recreational cannabis use on the quality of sleep in adults.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20240802"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959792","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":"Commentary on the clinical study of CBD-rich cannabis extract in children with autism spectrum disorder.","authors":"Claudio Córdova, Otavio Nóbrega","doi":"10.47626/2237-6089-2024-1010","DOIUrl":"10.47626/2237-6089-2024-1010","url":null,"abstract":"","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20241010"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856194","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":"The impact of family stress and resilience on child development: a scoping review.","authors":"Marília M Mendes-Sousa, Marina B Perrone, Rafael B de Melo, Marcos V V Ribeiro, Qiong Chao, Carolina Torres, Zila M Sanchez, Pamela J Surkan, Silvia S Martins, Thiago M Fidalgo, Sheila C Caetano","doi":"10.47626/2237-6089-2022-0556","DOIUrl":"10.47626/2237-6089-2022-0556","url":null,"abstract":"<p><strong>Objective: </strong>Children grow up spending most of their time within the family social environment, where they can experience stressful situations such as marital conflict, a non-cohesive environment, parental alcohol use disorder, parental depression, and other parental mental health issues. All these factors are associated with children's developmental delays. We aimed to conduct a scoping review on associations between family stress and family resilience and child development delays to examine familial conditions associated with child development.</p><p><strong>Methods: </strong>We conducted a scoping review of observational studies published from January 2000 to July 2023 and indexed in the MEDLINE and LILACS databases. We included observational studies that assessed history of exposure to violence and behavioral or emotional symptoms or mental health problems among children aged 4-12. Data were independently extracted using a structured form.</p><p><strong>Results: </strong>Database searches identified 12,990 unique records. A total of 43 articles were included in the review. Three main findings emerged: (1) parental mental health problems, especially depressive symptoms in mothers, were associated with child developmental delays and mental health problems; (2) better parenting practices and a cohesive home environment were positively associated with child development; and (3) vulnerable social environments (e.g., poverty and housing insecurity) may be linked to child mental health problems.</p><p><strong>Conclusion: </strong>The studies reviewed show that promoting better family dynamics and increasing family cohesion, as well as improving parenting abilities, are beneficial to children's socioemotional development and prevention of child mental health problems. Moreover, increasing family and children's resilience improves the quality of life within family units.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20220556"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048171","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":"Randomized clinical trial comparing the effects of an asynchronous mobile application to guided brief cognitive behavioral therapy for managing anxiety among medical students.","authors":"Andrian Fajar Kusumadewi, Carla Raymondalexas Marchira, Doni Widyandana, Ronny Tri Wirasto","doi":"10.47626/2237-6089-2023-0713","DOIUrl":"10.47626/2237-6089-2023-0713","url":null,"abstract":"<p><strong>Objective: </strong>Medical students are a population at increased risk for anxiety due to their demanding schedule and concerns about potential stigmatization, which often discourage them from seeking help. It has been reported that the coronavirus disease (COVID-19) pandemic worsened this issue by restricting social interaction and mobility. An innovative method has been developed to address this problem, known as the asynchronous Digital Cognitive Education Gadjah Mada Anxiety Intervention for Medical Students (DCE GAMA-AIMS). Compared to traditional therapy, this modality can be accessed independently without the guidance of a therapist. The objective of this study was to compare the effectiveness of DCE GAMA-AIMS compared to therapist-guided brief cognitive behavioral therapy (bCBT) for reducing anxiety scores.</p><p><strong>Methods: </strong>A non-blinded randomized clinical trial (RCT) was conducted with 66 medical students. The participants were equally divided into two groups, an intervention and a control group. The intervention group was given DCE GAMA-AIMS, while guided bCBT was administered to the controls. The data obtained were analyzed using independent t tests and analysis of variance (ANOVA).</p><p><strong>Results: </strong>The application had a significant effect, reducing anxiety scores from the 2nd week (M Taylor Manifest Anxiety Scale [TMAS] = 18) to the 8th week (M TMAS = 13). A faster and more significant improvement was observed in the intervention group from the 1st to the 2nd week compared to the controls, who began to improve in the 4th week. Furthermore, the intervention group had larger effect size (1.32) compared to the control (0.79) from the 1st to 8th weeks.</p><p><strong>Conclusion: </strong>Asynchronous DCE GAMA-AIMS and guided bCBT both reduced TMAS scores in medical students with anxiety, but DCE GAMA-AIMS yielded a larger effect size.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230713"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399664","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":"U-SMILE: a brief version of the Short Multidimensional Inventory on Lifestyle Evaluation.","authors":"Raquel B De Boni, Jurema C Mota, Felipe Barreto Schuch, Daniel Alvarez Pires, Thiago Sousa Matias, Renato Sobral Monteiro-Junior, Andrea C Deslandes, Danilo R Silva, Helena Ferreira Moura, Nicole Galvão-Coelho, Fabianna Resende de Jesus-Moraleida, Flavio Kapczinski, Vicent Balanzá-Martinez","doi":"10.47626/2237-6089-2023-0722","DOIUrl":"10.47626/2237-6089-2023-0722","url":null,"abstract":"<p><strong>Objective: </strong>Lifestyle Medicine comprises six domains: diet, substance use, physical activity, stress management, social connection, and sleep. The comprehensive assessment of lifestyle is challenging, but the Short Multidimensional Inventory on Lifestyle Evaluation (SMILE) was developed to fill out this gap. In this paper, we describe the development and the psychometric properties (internal consistency, concurrent and convergent validity) of a shorter version of the SMILE among university students.</p><p><strong>Methods: </strong>Data from a cross-sectional study including 369 students from 10 Brazilian universities were used. Considering a theoretical nomological net, we performed exploratory factor analysis (EFA) to obtain the most parsimonious, interpretable, and good-fitting model.</p><p><strong>Results: </strong>The final model was called U-SMILE, comprised 24 items, and presented acceptable internal consistency (Cronbach's α = 0.73, McDonald's ω = 0.79). To evaluate the concurrent validity of the U-SMILE, we compared it to the original SMILE and found a high correlation between the instruments (Spearman's r = 0.94). Furthermore, we evaluated convergent validity by examining the U-SMILE correlation with the Patient Health Questionnaire (PHQ-9) (Spearman's r = -0.517), and Generalized Anxiety Disorder Questionnaire (GAD-7) (Spearman's r = -0.356), two validated instruments to screen for depression and anxiety, respectively.</p><p><strong>Conclusion: </strong>Our findings suggest that the U-SMILE is a valid instrument for assessing lifestyle among university students. We recommend that the use of U-SMILE to evaluate overall lifestyle scores rather than individual domain scores. Finally, we discuss the importance of clarifying the definitions of lifestyle and related constructs in future research.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230722"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683476","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":"Associations between triarchic traits and mental health symptoms: the role of coping styles as mediators.","authors":"Lucas de Francisco Carvalho, Cibelle de Oliveira, Maria Clara Romão Pontes Rolim Garcia, Gisele Magarotto Machado","doi":"10.47626/2237-6089-2023-0625","DOIUrl":"10.47626/2237-6089-2023-0625","url":null,"abstract":"<p><strong>Objectives: </strong>We investigated relationships between the triarchic model of psychopathy, coping styles, and externalizing and internalizing symptoms, and verified the mediating effect of coping styles.</p><p><strong>Methods: </strong>Participants were 957 adults who answered the Triarchic Psychopathy Measure (TriPM), the Inventory of Depression and Anxiety Symptoms Expanded Version (IDAS-II), and the Crime and Analogous Behavior Scale (CAB).</p><p><strong>Results: </strong>Data were analyzed using four path analyses to test our hypotheses, indicating each triarchic trait is differently associated with psychological symptoms and coping styles. We also observed preferences for some coping styles affecting the association between triarchic traits and psychological symptoms.</p><p><strong>Conclusion: </strong>Our findings suggest that coping styles only affect the interaction between boldness and distress, as well as between boldness and fear, indicating that specific coping strategies can account for variations in distress and fear linked to boldness.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230625"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10278421","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":"Identifying borderline traits in a Brazilian community sample using the Dimensional Clinical Personality Inventory 2 factors.","authors":"André Pereira Gonçalves, Lucas de Francisco Carvalho","doi":"10.47626/2237-6089-2024-0871","DOIUrl":"https://doi.org/10.47626/2237-6089-2024-0871","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the discriminative capacity of Dimensional Clinical Personality Inventory 2 (IDCP-2) factors in identifying individuals with elevated Borderline Personality Disorder (BPD) traits within a Brazilian community sample while proposing an optimal cutoff score for distinguishing high BPD trait levels.</p><p><strong>Methods: </strong>The participant cohort consisted of 1,469 adults who completed assessments, including the Level of Personality Functioning Scale - Brief Form 2.0 (LPFS), Personality Inventory for DSM-5 (PID-5), IDCP-2, and Structured Clinical Interview for the DSM-IV - Personality Questionnaire (PQ-SCID-II). We categorized participants into three groups by utilizing the traits outlined in the Alternative Model of Personality Disorders (AMPD) from DSM-5 Section III. Furthermore, latent profile analysis based on PID-5 facets revealed the existence of three empirically derived profiles.</p><p><strong>Results: </strong>Our findings demonstrate that IDCP-2 factors exhibited substantial discriminative power, marked by large effect sizes across most factors. To minimize false negatives, we suggest a conservative cutoff score of 22 as the most effective threshold for identifying individuals with high levels of BPD traits.</p><p><strong>Conclusion: </strong>The BPD score generated from IDCP-2 factors holds significant promise in clinical practice, offering valuable insights into a patient's propensity to exhibit a BPD profile and provide a comprehensive clinical profile.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869719","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":"Hematological Changes in Clozapine Users: A Study in a Brazilian Community Sample.","authors":"Natalia Daher, Mateus Diniz, Renan Biokino, Pedro Lorencetti, Carolina Ziebold, Raffael Massuda, Ary Gadelha","doi":"10.47626/2237-6089-2024-0967","DOIUrl":"https://doi.org/10.47626/2237-6089-2024-0967","url":null,"abstract":"<p><strong>Introduction: </strong>Clozapine is the only antipsychotic with proven superior efficacy for treatment-resistant schizophrenia. However, global utilization rates remain suboptimal due to concerns about hematological side effects. This study aimed to investigate hematological abnormalities among clozapine users at a large community center in the Brazilian countryside.</p><p><strong>Methods: </strong>This study adopts a real-world approach and was conducted based on a retrospectively analyzed complete blood counts from clozapine users in Goiás, Brazil. We describe the total number and percentage of participants presenting blood dyscrasias. Logistic regression models, using Stata v.18, were employed to evaluate whether sex or age were associated with the presentation of neutropenia.</p><p><strong>Results: </strong>Data from 6,160 complete blood counts from 486 patients taken between 2011 and 2018 were analyzed. Blood dyscrasias were observed in 37.4% of patients, with anemia being the most common (23.6%), followed by thrombocytopenia (9.46%) and eosinophilia (13.7%). Neutropenia occurred in 4.52% of patients, primarily mild (3.9%) and moderate (0.62%), with no cases of agranulocytosis identified.</p><p><strong>Discussion: </strong>Clozapine users showed a higher prevalence of blood dyscrasias compared to the overall Brazilian population. Most cases of neutropenia were mild and transient. Our results suggest a lower risk of severe neutropenia and emphasize the need to investigate other blood dyscrasias.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869718","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":"Evaluation of Criminal Responsibility in a Patient with Fetal Alcohol Syndrome and Intellectual Disability.","authors":"Alexandre Martins Valença, Fabiana Estrela Silveira Bethlem, Gustavo Carvalho de Oliveira, Antonio Geraldo da Silva, Lisieux Elaine de Borba Telles, Antonio Egidio Nardi","doi":"10.47626/2237-6089-2024-0924","DOIUrl":"https://doi.org/10.47626/2237-6089-2024-0924","url":null,"abstract":"<p><p>The current study presents the case of a young man with intellectual disability related to fetal alcohol syndrome, referred for forensic psychiatric examination of criminal liability following charges of armed robbery, and who was considered not criminally liable. In such cases, it is crucial to perform early diagnosis and rely on educational and developmental services and a supportive home environment to decrease complications such as substance use and criminal involvement.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865782","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":"Virtual reality: An Emerging Tool for Mental Health.","authors":"Sergio Machado, Rafael Ferreira-Garcia, Lucio Lage, José Carlos Appolinario, Mauro Giovanni Carta, Antonio E Nardi","doi":"10.47626/2237-6089-2024-0973","DOIUrl":"https://doi.org/10.47626/2237-6089-2024-0973","url":null,"abstract":"","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773505","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}