Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)最新文献

{"title":"Social vulnerability and schizophrenia: a neglected problem requiring immediate action.","authors":"Ary Gadelha, Fernando Malinowski, Raffael Massuda","doi":"10.47626/1516-4446-2025-4698","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4698","url":null,"abstract":"","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133999","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 Gambling Landscape in Brazil: Developing Effective Public Health Policies Based on a Population Survey Data.","authors":"Rodrigo Pereira Pio, Andressa Goldman Ruwel, Jéssica Veras Eloy Dewes, Clarice Madruga, Thiago Henrique Roza, Daniel Tornaim Spritzer, Félix Henrique Paim Kessler","doi":"10.47626/1516-4446-2025-4546","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4546","url":null,"abstract":"","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146134007","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 postpartum depressive symptom trajectories and breastfeeding patterns: Results from the MILQ-Brazil study.","authors":"Gabriela Torres Silva, Adriana Divina de Souza Campos, Daniela Paula Polessa, Amanda Caroline Cunha Figueiredo, Bruna Celestino Schneider, Daniela de Barros Mucci, Antonio E Nardi, Lindsay H Allen, Gilberto Kac","doi":"10.47626/1516-4446-2025-4624","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4624","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between postpartum depression (PPD) symptom trajectories and breastfeeding patterns (BFP) between 1-8.5 months.</p><p><strong>Methods: </strong>A prospective cohort study with 97 healthy mother-infant pairs from Brazil was followed at 1-3.49, 3.5-5.9, and 6-8.5 months. PPD symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS). BFP patterns were characterized using longitudinal clusters based on milk volume (dose-to-mother technique), feeding frequency/duration, and age at complementary food introduction (CFI). PPD trajectories were identified using growth mixture modeling, and classes were selected based on AIC/BIC. Multinomial logistic regression assessed associations with BFP.</p><p><strong>Results: </strong>Two PPD symptom trajectories were identified. The \"Lower Score\" (87%) indicated PPD stability throughout follow-up, while the \"Higher Score\" (12%) showed more transitions, mainly to PPD remission in later stages. Three breastfeeding clusters (C) were identified. C1 with moderate volume/frequency with later CFI (n=37; 38%); C2 with lower volume/frequency with intermediate CFI (n=34; 35%); and C3 with higher volume/frequency with earlier CFI (n=26; 27%). Women with higher PPD symptoms showed a trend toward significance in being associated with C3 (OR=4.17; 95%CI: 0.96-18.50; p=0.055) compared with C1.</p><p><strong>Conclusions: </strong>Although the association between higher PPD symptoms and less favorable breastfeeding practices presented only a trend toward significance, it suggests that PPD symptoms may influence breastfeeding behaviors. Larger samples are needed to confirm these findings, and the use of diagnostic tools other than EPDS, a screening tool, may strengthen future studies. Clinically, the findings underscore the need for early PPD screening in primary care and stronger breastfeeding support.</p>","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146134019","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":"Socio-Demographic and Clinical Characteristics of the Populations Underrepresented in Mental Illness Association Studies (PUMAS) - Brazil: Descriptive Case-Control Study.","authors":"Beatriz A Carneiro, Lucas C Quarantini, Mateus Diniz, Nayana Holanda, Saulo C Albuquerque, André Luis, Thiago Holanda Freitas, Carolina Ziebold, Marcos Leite Santoro, Sintia Belangero, Taiane V Andrade, Ana Teresa Caliman-Fontes, Yana Quarantini-Alvim, David Gallo-Roiter, Luna B Dib, Nayla Lima, Cássio Santos-Lima, Breno Souza-Marques, Thais P Barreto, Maria São Pedro B Santos, Vanessa Ota, Carolina Muniz, Pedro Lorencetti, Ana Clara Oliveira, Ana Laura Carneiro, Carina de Morais Luis Pereira, Isabella Bárbara Dantas, Marcela Diniz Rassi Rincon, Silvia Coutinho de Almeida, Suzana R F Rezende, Wanessa Sales, Ana Maria Ramirez, Ana M Díaz-Zuluaga, Johanna Valencia-Echeverry, Nicolas Crossley, Loes Olde Loohuis, Nelson Freimer, Carlo Lopez Jaramillo, Ary Gadelha","doi":"10.47626/1516-4446-2025-4527","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4527","url":null,"abstract":"<p><strong>Objective: </strong>To describe the sociodemographic characteristics of the PUMAS sample in Brazil, focusing on differences between case and control groups and ethnic variation across cities.</p><p><strong>Methods: </strong>This case-control study included a convenience sample of patients with schizophrenia and bipolar disorder, alongside matched controls, from five brazilian cities: Belém, Fortaleza, Goiânia, Salvador, and São Paulo. The Diagnostic Interview for Psychosis and Affective Disorders (DIPAD) was used to confirm diagnoses and assess lifetime psychopathology and clinical data.</p><p><strong>Results: </strong>A total of 14,017 subjects (54.7% female, mean age 39.93 years, s.d. 12.88) were enrolled: 7,532 patients with either bipolar disorder (N=4,059) or schizophrenia spectrum disorders (N=3,473), and 6,485 controls. Over 70% self-identified as black, admixed (Pardos), or indigenous. Significant differences in self-identified skin color, according to brazilian official classifications, were observed across cities. Patients with schizophrenia showed significant socioeconomic disparities compared to those with bipolar disorders. A higher proportion of individuals with severe mental illness self-identified as admixed. Educational attainment was lower among patients, particularly those with schizophrenia.</p><p><strong>Conclusions: </strong>This is the largest and most diverse sample in Brazil collected to investigate the genetic basis of schizophrenia and bipolar disorder. It will allow testing critical hypotheses within a socio-cultural and ethnic context underrepresented in large-scale genetic studies.</p>","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044535","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":"Antônio Austregésilo at 150: a legacy of science and humanism.","authors":"Marleide da Mota Gomes, Antonio Egidio Nardi","doi":"10.47626/1516-4446-2025-4759","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4759","url":null,"abstract":"","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042432","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":"Two Decades of Metaphorical Use of Schizophrenia in Brazilian Newspapers: A Machine Learning Approach.","authors":"Daniel Rabitzsch, Rogerio Otávio Mainardes da Silva, Ary Gadelha, Lucas Garcia Pedroso, Raffael Massuda","doi":"10.47626/1516-4446-2025-4536","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4536","url":null,"abstract":"<p><p>Media representation of mental illness has the potential to reinforce stigma. This phenomenon may arise from the perpetuation of stereotypes, the association of mental disorders with violent conduct, or the use of a diagnosis in a metaphorical application within text, often as an adjective. This study examined how Brazilian newspapers used schizophrenia (and its derivatives with the root schiz*) over time: as a metaphor or a non-metaphor. A database of news articles was compiled from 2001 to 2022. A multilayer neural network model with 95% accuracy was trained to categorize the use of schizophrenia and its derivatives as either metaphorical or non-metaphorical. A total of three national newspapers in Brazil were included in the analysis. From January 2001 to August 2022, a total of 7,272 texts were extracted. Of the total number of texts, 30.8% (2243) were identified as using schizophrenia and similar words in metaphorical language. There is no evidence of a significant increase or decrease in metaphorical use over the years, indicating that representations of schizophrenia in media discourse have persisted over time.</p>","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014181","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":"Artificial intelligence for depression: early detection and personalized treatment.","authors":"Naian Acá Oliveira Mathias, Filipe Paiva Rodrigues, Luiz Guilherme Coimbra de Brito, Antonio Egidio Nardi","doi":"10.47626/1516-4446-2025-4543","DOIUrl":"https://doi.org/10.47626/1516-4446-2025-4543","url":null,"abstract":"","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914565","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":"Emil Kraepelin a Century Later: A Historiographical Reappraisal for Modern Psychiatry.","authors":"Marleide da Mota Gomes, Lucas de Lima Najar, Antonio Egidio Nardi","doi":"10.47626/1516-4446-2025-4712","DOIUrl":"10.47626/1516-4446-2025-4712","url":null,"abstract":"","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914609","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":"Digital technologies for long-term management of bipolar disorder: advances and challenges.","authors":"Maria Cristiane Barbosa Galvão, Daniel Ribeiro Rodrigues, Bruno Pereira da Silva, Paulo Lucas Benchimol Villasboas, Oliver John Mason, Ivan Luiz Marques Ricarte","doi":"10.47626/1516-4446-2025-4253","DOIUrl":"10.47626/1516-4446-2025-4253","url":null,"abstract":"<p><p>Bipolar disorder is a severe and persistent mental health disorder characterized by recurrent fluctuations in mood, energy, and behavior. The global prevalence of bipolar disorder is estimated to be between 1% and 2%, not accounting for underdiagnosis. Given the importance of this condition and its management, we aimed to review the evidence as to whether mobile apps facilitate the management of bipolar disorder. Searches in PubMed, PsycINFO, Embase, Web of Science, and Scopus databases identified 33 studies, including 19 longitudinal studies, 11 cross-sectional studies, and two mixed-methods studies. We conclude that acceptance of mobile apps among health care professionals seems to depend on their reliability and efficient integration into the workflow. Patients are showing increasing interest in mobile apps for managing bipolar disorder, although digital literacy, economic limitations, and privacy and accessibility concerns still limit long-term adherence. In related research, methodological challenges, such as small sample sizes and the need for more robust study designs, indicate gaps in validating their effectiveness. When developing these apps, software companies need stronger scientific grounding, which shows the importance of collaboration among researchers, health care professionals, and industry to ensure that tools meet clinical demands.</p>","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":"e20254253"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986994","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":"Eating disorders in Brazil: linking scarce research to diagnostic errors in psychiatric practice.","authors":"Jônatas de Oliveira","doi":"10.47626/1516-4446-2025-4312","DOIUrl":"10.47626/1516-4446-2025-4312","url":null,"abstract":"","PeriodicalId":520767,"journal":{"name":"Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)","volume":" ","pages":"e20254312"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194362","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}