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Confiabilidade entre avaliadores da versão brasileira da escala Camberwell de Avaliação de Necessidades (CAN); Reliability of the Brazilian version of the Camberwell Assessment of Needs (CAN)

Schlithler, Ana Cristina Belizia
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 06/07/2006 PT
Relevância na Pesquisa
46.68%
Pessoas com transtornos psicóticos enfrentam mudanças e limitações na vida cotidiana. Suas necessidades podem ser complexas e envolver vários tipos e níveis de cuidados. A avaliação sistemática das necessidades de usuários dos serviços de saúde é importante para a organização dos serviços e para estabelecer propostas individualizadas de tratamento. A avaliação de necessidades de usuários de serviços de saúde mental tem sido utilizada em vários países, mas ainda não é rotineira no Brasil. A CAN avalia necessidades em 22 domínios que envolvem diversas necessidades de ajuda, como problemas com moradia, alimentação, sintomas psicóticos, saúde física e outros. OBJETIVOS: Traduzir e adaptar a versão brasileira da CAN para pesquisa (CAN-R), e avaliar a sua confiabilidade entre avaliadores, em uma amostra de casos incidentes de psicoses funcionais na cidade de São Paulo. MÉTODO: Foram selecionados aleatoriamente participantes do "Estudo de casos incidentes (primeiro contato com serviços de saúde) de psicoses funcionais no Brasil", no qual este estudo está inserido. Os critérios de inclusão foram: contato pela primeira vez com serviços de saúde no período do estudo, diagnóstico de esquizofrenia, outras psicoses do espectro da esquizofrenia...

Diagnóstico multiaxial e avaliação psicopatológica das psicoses associadas à epilepsia; Multiaxis diagnosis and psychopathological evaluation of psychotic disorders associated with epilepsy

Bismark, Mary Ann von
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 03/09/2010 PT
Relevância na Pesquisa
66.75%
A associação entre epilepsia e transtornos psicóticos é amplamente relatada na literatura. Características clínicas e do seu impacto, tais como suicídio, tentativas de suicídio, homicídio e alterações cognitivas são evidenciados em poucos estudos que associam epilepsia e psicose. Este estudo comparou o impacto clínico e funcionamento psicossocial dos pacientes com epilepsia e transtornos psicóticos, analisando ainda as diferenças entre pacientes com psicose interictal e pós-ictal. O estudo consiste de uma revisão de prontuário de todos os pacientes atendidos no PRONEPSI com epilepsia e transtornos mentais. Foram estudados 143 indivíduos, divididos em dois grupos: 82 pacientes com diagnóstico de epilepsia e transtornos psicóticos e 61 pacientes com epilepsia e outro transtorno mental. O grupo de pacientes psicóticos foi estudado comparando dados entre pacientes com psicose interictal (53) e pós-ictal (17). O grupo de pacientes com transtornos psicóticos apresentou menor escolaridade, mais história familiar de psicose, maior número de tentativas de homicídio, mais estados de mal epiléptico, mais internações psiquiátricas, história pregressa de insulto ao SNC e retardo mental. Além disso, a epilepsia foi considerada um fator causal importante para desenvolvimento da psicose. O grupo de pacientes com transtornos psicóticos também se diferenciou...

Classificação automatizada de padrões morfológicos cerebrais complexos em indivíduos com primeiro episódio psicótico: avaliação de desempenho diagnóstico; Automated classification of complex morphological brain patterns in individuals with first-episode psychosis: assessment of diagnostic performance

Zanetti, Marcus Vinicius
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 20/04/2012 PT
Relevância na Pesquisa
46.67%
INTRODUÇÃO: Os transtornos mentais psicóticos são condições frequentes na população em geral e estão associados à grande morbidade e elevadas taxas de comprometimento funcional, tornando-os um grave problema de saúde pública. O desenvolvimento de novos métodos de auxílio diagnóstico e prognóstico a pratica clínica psiquiátrica possibilitando que intervenções efetivas sejam feitas precocemente na história natural da doença são, dessa forma, desejáveis. A classificação de padrões neuroanatômicos é uma robusta técnica para processamento e análise de imagens médicas que permite tanto a realização de comparações voxel-a-voxel entre grupos com alta dimensionalidade de variáveis, como a classificação individualizada das imagens. OBJETIVOS: Avaliar o desempenho diagnóstico de um classificador de padrões morfológicos complexos baseado em support vector machine (SVM) na discriminação entre diferentes transtornos psicóticos no momento do primeiro episódio, utilizando-se uma abordagem epidemiológica para a seleção de casos e controles, bem como na determinação de prognóstico de 1 ano em pacientes com primeiro episódio de esquizofrenia. MÉTODOS: Uma amostra de 62 pacientes com primeiro episódio de esquizofrenia/ transtorno esquizofreniforme...

Predicting the revolving door phenomenon among patients with schizophrenic, affective disorders and non-organic psychoses

Gastal,Fábio L; Andreoli,Sérgio B; Quintana,Maria Inês S; Gameiro,Maurício Almeida; Leite,Sérgio O; McGrath,John
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2000 EN
Relevância na Pesquisa
56.37%
OBJECTIVE: The aim of the study was to identify the variables that predict the revolving door phenomenon in psychiatric hospital at the moment of a second admission. METHODS: The sample consisted of 3,093 patients who have been followed during 5 to 24 years after their first hospital admission due to schizophrenia, and affective or psychotic disorders. Those who had had four or more admissions during the study period were considered as revolving door patients. Logistic regression analyses were used to assess the impact of gender, age, marital status, urban conditions, diagnosis, mean period of stay on the first admission, interval between the first and second admissions on the patterns of hospitalization. RESULTS: The variables with the highest predictive power for readmission were the interval between first and second admissions, and the length of stay in the first admission. CONCLUSIONS: These data may help public health planners in providing optimal care to a small group of patients with more effective utilization of the available services.

Predictors of Psychosis Remission in Psychotic Disorders That Co-occur With Substance Use

Caton, Carol L. M.; Hasin, Deborah S.; Shrout, Patrick E.; Drake, Robert E.; Dominguez, Boanerges; Samet, Sharon; Schanzer, Bella
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
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Objective: To examine rates and predictors of psychosis remission at 1-year follow-up for emergency admissions diagnosed with primary psychotic disorders and substance-induced psychoses. Method: A total of 319 patients with comorbid psychosis and substance use, representing 83% of the original referred sample, were rediagnosed at 1 year postintake employing a research diagnostic assessment. Remission of psychosis was defined as the absence of positive and negative symptoms for at least 6 months. Likelihood ratio chi-square tests and multivariate logistic regression were the main means of analysis. Results: Of those with a baseline diagnosis of primary psychotic disorder, 50% were in remission at 1 year postintake, while of those with a baseline diagnosis of substance-induced psychosis, 77% were in remission at this time point. Lower Positive and Negative Syndrome Scale (PANSS) symptom levels at baseline, better premorbid functioning, greater insight into psychosis, and a shorter duration of untreated psychosis predicted remission at 1 year in both diagnostic groups. No interaction effects of baseline predictors and diagnosis type were observed. A stepwise multivariate logistic regression holding baseline diagnosis constant revealed the duration of untreated psychosis (odds ratio [OR] = 0.97; 95% confidence interval [CI] = 0.95...

Serotonin Transporter Gene Polymorphism, Childhood Trauma, and Cognition in Patients With Psychotic Disorders

Aas, Monica; Djurovic, Srdjan; Athanasiu, Lavinia; Steen, Nils Eiel; Agartz, Ingrid; Lorentzen, Steinar; Sundet, Kjetil; Andreassen, Ole A.; Melle, Ingrid
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
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Objective: The functional polymorphism in the promoter region of the SLC6A4/5-HTT serotonin transporter gene (5-HTTLPR) has been linked to altered stress response. Carriers of the short (s-) allele have increased negative psychological reactions and stress hormone release compared with carriers of the long (l-) allele, interacting with severe life events including childhood trauma. High stress levels are associated with cognitive impairments in a variety of clinical and experimental studies. Patients with psychotic disorders are characterized both by more childhood traumatic events and abnormal stress responses and by significant but highly variable cognitive dysfunction. We hypothesize that 5-HTTLPR variations and long-term effects of childhood trauma interact and contribute to some of the variation in cognitive dysfunction seen in patients with psychotic disorders. Methods: Patients with psychotic disorders (schizophrenia and affective spectrums) were recruited from a catchment area–based treatment organization. History of childhood abuse was obtained by the Childhood Trauma Questionnaire. Cognitive function was assessed through a comprehensive, standardized neuropsychological test battery. 5-HTTLPR genotypes were analyzed using standard polymerase chain reaction. Results: We observed a significant interaction between 5-HTTLPR variants and childhood trauma across cognitive domains; here...

Alcohol and Cannabis Use and Mortality in People with Schizophrenia and Related Psychotic Disorders

Koola, Maju Mathew; McMahon, Robert P.; Wehring, Heidi J.; Liu, Fang; Mackowick, Kristen M.; Warren, Kimberly R.; Feldman, Stephanie; Shim, Joo-Cheol; Love, Raymond C.; Kelly, Deanna L.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
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The impact of co-morbid substance use on mortality is not well studied in psychotic disorders. The objective of this study was to examine the impact of substance use on mortality in people with psychotic disorders and alcohol and/or drug use. We examined the rate of substance use and the risk of substance use on mortality risk over a 4–10 year period in 762 people with psychotic disorders. Deceased patients were identified from the Social Security Death Index and the Maryland Division of Vital Records. Substance use was defined as regular and heavy use or abuse or dependence. Seventy seven percent had co-morbid lifetime substance use, with co-morbid cannabis and alcohol use occurring most commonly. Out of 762 subjects, 62 died during follow up. In a Cox model, predicted mortality risk was higher in age group 35–55 compared to <35 years and in males, but reduced in cannabis users. Overall five- (3.1% vs 7.5%) and ten-year mortality risk (5.5% vs. 13.6%) was lower in cannabis users than in non-users with psychotic disorders (p=0.005) in a survival model. Alcohol use was not predictive of mortality. We observed a lower mortality risk in cannabis-using psychotic disorder patients compared to cannabis non-users despite subjects having similar symptoms and treatments. Future research is warranted to replicate these findings and to shed light on the anti-inflammatory properties of the endocannabinoid system and its role in decreased mortality in people with psychotic disorders.

Non-adherence to medication in patients with psychotic disorders: epidemiology, contributing factors and management strategies

Kane, John M; Kishimoto, Taishiro; Correll, Christoph U
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
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Although non-adherence is common across all branches of medicine, psychotic disorders pose additional challenges that increase its risk. Despite the importance of non-adherence, clinicians generally spend too little time on assessing and addressing adherence attitudes and behaviors. Importantly, how adherence is measured significantly impacts the findings, and the most frequently employed methods of asking patients or judging adherence indirectly based on efficacy or tolerability information have poor validity. Novel technologies are being developed that directly assess adherence and that can also be used to both provide real-time feedback to clinicians and serve as an intervention with patients. Several treatments are available that can positively impact adherence. Among psychosocial interventions, those combining multiple approaches and involving multiple domains seem to be most effective. Although long-acting injectable antipsychotics are theoretically a very powerful tool to assure adherence and signal non-adherence, recent results from randomized controlled trials failed to show superiority compared to oral antipsychotics. These data are in contrast to nationwide cohort studies and mirror-image studies, which arguably include more representative patients receiving long-acting antipsychotics in clinical practice. This disconnect suggests that traditional randomized controlled trials are not necessarily the best way to study interventions that are thought to work via reducing non-adherence. Clearly...

Generalized and Specific Neurocognitive Deficits in Psychotic Disorders: Utility for Evaluating Pharmacological Treatment Effects and as Intermediate Phenotypes for Gene Discovery

Reilly, James L.; Sweeney, John A.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.56%
A growing body of research suggests that schizophrenia and bipolar disorder share overlapping clinical, neurobiological, and genetic features, raising important questions about the boundaries and distinctiveness of these 2 major psychiatric disorders. A generalized cognitive impairment has long been understood to be a core feature of schizophrenia. More recently, it has become apparent that cognitive impairment also occurs in bipolar disorder, particularly in those patients with a history of psychotic symptoms. Whether a generalized deficit exists across a spectrum of psychotic disorders is less clearly established. Additionally, in the context of a broad impairment, it remains a significant challenge to identify deficits in specific cognitive processes that may have distinct neurochemical or regional brain substrates and linkages to particular risk-associated genetic factors. In this article, we review the findings from neuropsychological studies across a spectrum that includes schizophrenia, schizoaffective and bipolar disorders, and conclude the available evidence strongly supports that a generalized deficit is present across psychotic disorders that differs in severity more so than form. We then consider the implications of generalized and specific deficits in psychosis for 2 areas of research—the evaluation of pharmacological treatments targeting cognitive deficits...

Association between Genetic Variation in the Oxytocin Receptor Gene and Emotional Withdrawal, but not between Oxytocin Pathway Genes and Diagnosis in Psychotic Disorders

Haram, Marit; Tesli, Martin; Bettella, Francesco; Djurovic, Srdjan; Andreassen, Ole Andreas; Melle, Ingrid
Fonte: Frontiers Media S.A. Publicador: Frontiers Media S.A.
Tipo: Artigo de Revista Científica
Publicado em 23/01/2015 EN
Relevância na Pesquisa
46.64%
Social dysfunction is common in patients with psychotic disorders. Oxytocin is a neuropeptide with a central role in social behavior. This study aims to explore the relationship between oxytocin pathway genes and symptoms related to social dysfunction in patients with psychotic disorders. We performed association analyses between four oxytocin pathway genes (OXT, OXTR, AVP, and CD38) and four areas of social behavior-related psychopathology as measured by Positive and Negative Syndrome Scale. For this purpose, we used both a polygenic risk score (PGRS) and single OXTR candidate single nucleotide polymorphism previously reported in the literature (rs53576, rs237902, and rs2254298). A total of 734 subjects with DSM-IV psychotic spectrum disorders and 420 healthy controls were included. Oxytocin pathway PGRSs were calculated based on the independent Psychiatric Genomics Consortium study sample. There was a significant association between symptom of Emotional Withdrawal and the previously reported OXTR risk allele A in rs53576. No significant associations between oxytocin pathway gene variants and a diagnosis of psychotic disorder were found. Our findings indicate that while oxytocin pathway genes do not appear to contribute to the susceptibility to psychotic disorders...

Primary and substance-induced psychotic disorders in methamphetamine users

Hides, Leanne; Dawe, Sharon; McKetin, Rebecca; Kavanagh, David J.; Young, Ross McD.; Teesson, Maree; Saunders, John B.
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
46.68%
This study investigates the rates of primary psychotic disorders (PPD) and substance-induced psychotic disorders (SIPDs) in methamphetamine (MA) users accessing needle and syringe programs (NSPs). The aim was to determine if there are systematic differences in the characteristics of MA users with PPDs and SIPDs compared to those with no psychotic disorder. Participants were 198 MA users reporting use in the previous month. Diagnosis was determined using the Psychiatric Research Interview for DSM-IV Substance and Mental Disorders (PRISM-IV). Current psychiatric symptoms and substance use were also measured. Just over half (n=101) of participants met DSM-IV criteria for a lifetime psychotic disorder, including 81 (80%) with a SIPD and 20 (20%) with a PPD. Those with a younger age of onset of weekly MA use were at increased risk of a lifetime SIPD. A current psychotic disorder was found in 62 (39%), comprising 49 SIPDs (79%) and 13 PPDs (21%). MA users with a current PPD were more likely to have received psychiatric treatment in the past month than those with a current SIPD, despite a similar level of psychotic symptom severity. A high proportion of MA users accessing NSPs have psychotic disorders, the majority of which are substance-induced.; This project was funded by an Australian National Health and Medical Research Council Project Grant (APP326220). Leanne Hides is supported by an Australian Research Council Future Fellowship (FT120100780).

Dose-related psychotic symptoms in chronic methamphetamine users: evidence from a prospective longitudinal study

McKetin, R.; Lubman, D.; Baker, A.; Dawe, S.; Ali, R.
Fonte: American Medical Association Publicador: American Medical Association
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
46.56%
CONTEXT Methamphetamine is associated with psychotic phenomena, but it is not clear to what extent this relationship is due to premorbid psychosis among people who use the drug. OBJECTIVE To determine the change in the probability of psychotic symptoms occurring during periods of methamphetamine use. DESIGN Longitudinal prospective cohort study. A fixed-effects analysis of longitudinal panel data, consisting of 4 noncontiguous 1-month observation periods, was used to examine the relationship between changes in methamphetamine use and the risk of experiencing psychotic symptoms within individuals over time. SETTING Sydney and Brisbane, Australia. PARTICIPANTS A total of 278 participants 16 years of age or older who met DSM-IV criteria for methamphetamine dependence on entry to the study but who did not meet DSM-IV criteria for lifetime schizophrenia or mania. MAIN OUTCOME MEASURES Clinically significant psychotic symptoms in the past month, defined as a score of 4 or more on any of the Brief Psychiatric Rating Scale items of suspiciousness, hallucinations, or unusual thought content. The number of days of methamphetamine use in the past month was assessed using the Opiate Treatment Index. RESULTS There was a 5-fold increase in the likelihood of psychotic symptoms during periods of methamphetamine use relative to periods of no use (odds ratio [OR]...

Use of antipsychotic drugs. A multicentric study of inpatients with acute psychotic disorders.; Utilização de fármacos antipsicóticos. Estudo Multicêntrico de Indivíduos Hospitalizados por Perturbação Psicótica Aguda.

Xavier, Miguel; Serviço de Psiquiatria, Hospital São Francisco Xavier, Lisboa.; Barahona, B; Batalim, P; Matos, Cabeças J; Domingos, E; Freitas, F; Gamito, A; Gil, N; Laureano, C; Leuschner, A; Lopes, J; Luís, A; Matos, M; Piçarra, M J; Ramos, J; Tud
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 31/08/2004 POR
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46.6%
With the objective of determining the pattern and decision making process in using antipsychotic drugs in patients admitted to hospital for acute psychotic disorder we have made a retrospective analysis in 244 in-patients in 7 hospitals for mental disorders. We have selected two groups, IM and PO, that in the first three days of internment have received either intravenous antipsychotic medication or oral medication; the demographical, clinical and therapeutical differences have been considered (with a review of the cases at 6 and 12 months after discharge from hospital). Homogeneity was considered regarding age, race, gender, age at the onset of the disease and diagnosis; in the IM group there were a larger number of compulsive admissions. The most prevalent psychotic disorders in both groups were schizophrenia and bipolar disorder; with no association being made between the initial diagnosis and drug administration. The hospitalization period was the same for both groups, although in the patients in the IM group the need for special precautions was more frequent. Medication with anxiolytics was higher in the PO group on day 1 and 2 of the hospitalization and the same for the two groups on day 3 and on discharge. The number of new admissions...

Facteurs associés à l’alliance thérapeutique chez les patients ayant des troubles psychotiques

Cloutier, Geneviève
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Travail aux cycles supérieurs / Graduate student work
FR
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46.6%
Ce rapport de stage porte sur les facteurs associés à l’alliance thérapeutique chez les patients ayant des troubles psychotiques. Une recension des écrits portant sur les facteurs liés à l’alliance thérapeutique ainsi que sur les troubles psychotiques a été réalisée. Par la suite, une description du milieu de stage, le Centre d’Hébergement l’Entre-Toit a été réalisée. La présentation de la méthodologie utilisée afin d’effectuer les cinq études de cas précède la présentation des données, l’analyse ainsi que l’interprétation de ces dernières. Suite à l’analyse des données recueillies, il appert que certaines dimensions semblent jouer un rôle plus ou moins important dans la création et le maintien de l’alliance thérapeutique. D’autre part, certaines dimensions étudiées ne permettent pas d’obtenir de résultats probants. De plus, il s’avère que les facteurs associés à l’alliance thérapeutique ne semblent pas avoir le même impact pour toutes les personnes souffrant de troubles psychotiques. À la lumière des résultats obtenus, des recommandations sont formulées afin de guider les professionnels œuvrant auprès d’une clientèle présentant des troubles psychotiques afin de mettre l’emphase sur les éléments importants...

'Earning and learning' in those with psychotic disorders: the second Australian national survey of psychosis

Waghorn, G.; Saha, S.; Harvey, C.; Morgan, V.; Waterreus, A.; Bush, R.; Castle, D.; Galletly, C.; Stain, H.; Neil, A.; McGorry, P.; McGrath, J.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
66.73%
OBJECTIVE: Participation in mainstream education and employment facilitates both the recovery and the social inclusion of people with psychotic disorders. As part of the second Australian survey of psychosis, we assessed labour force activity and participation in formal education among working age adults with psychotic disorders. METHOD: Data were drawn from a large national community prevalence survey of adults with psychotic disorders. Known as the Survey of High Impact Psychosis (SHIP), it was conducted in seven Australian catchment areas during March to December 2010. Current and past year labour force activity, current employment, past year participation in formal education and vocational training, and key clinical and demographic characteristics were examined in a sample of 1825 participants. RESULTS: Only 22.4% of people with psychotic disorders were found to be employed (either full-time or part-time) in the month prior to the survey. In the previous 12 months, 32.7% were employed at some time. Of those in competitive employment, the majority worked part-time (63.9%), while a quarter worked 38 or more hours per week (23.4%). In terms of educational attainment, 18.4% reported difficulties with reading or writing, while 31.9% completed high school...

Religião, espiritualidade e transtornos psicóticos; Religion, spirituality and psychotic disorders

Koenig, Harold G.
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/01/2007 POR; ENG
Relevância na Pesquisa
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CONTEXTO: A religião é freqüentemente incluída nas crenças e experiências de pacientes psicóticos, tornando-se, assim, alvo de intervenções psiquiátricas. OBJETIVOS: Este artigo, primeiramente, examina a prevalência de crenças e atividades religiosas entre pessoas não-psicóticas nos Estados Unidos, Brasil e em outras áreas do mundo. Segundo, discute os fatores históricos que têm contribuído para a barreira que separa religião de psiquiatria na atualidade. Terceiro, revisa os estudos sobre a prevalência de delírios religiosos em pacientes com esquizofrenia, transtorno bipolar e outros transtornos mentais graves, discutindo como os clínicos podem distinguir o envolvimento religioso patológico do não-patológico. Quarto, explora a possibilidade de que pessoas com doença mental grave usem práticas e crenças religiosas não-patológicas para lidar com seus transtornos mentais. Quinto, examina os efeitos do envolvimento religioso no curso da doença, das exacerbações psicóticas e das hospitalizações. Finalmente, este artigo descreve intervenções religiosas ou espirituais que possam auxiliar no tratamento. MÉTODOS: Revisão da literatura. RESULTADOS: Enquanto cerca de um terço das psicoses têm conteúdo religioso...

Fatores preditores do fenômeno de reinternações de pacientes esquizofrênicos, com transtorno afetivo e psicose não orgânica; Predicting the revolving door phenomenon among patients with schizophrenic, affective disorders and non-organic psychoses

Gastal, Fábio L; Andreoli, Sérgio B; Quintana, Maria Inês S; Gameiro, Maurício Almeida; Leite, Sérgio O; McGrath, John
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/06/2000 ENG
Relevância na Pesquisa
56.37%
OBJETIVO: Identificar as variáveis preditoras do fenômeno de reinternações (recidividade) em hospital psiquiátrico no momento da segunda internação. MÉTODOS: A amostra consistiu em 3.093 pacientes com diagnósticos de esquizofrenia, transtorno afetivo e psicose não orgânica acompanhados durante um período de, no mínimo, 5 anos e, no máximo, 24 anos. Foram considerados pacientes recidivistas os que tiveram 4 ou mais internações no período do estudo. Foi utilizado o modelo de regressão logística para análise do impacto das variáveis sexo, idade, estado civil, cidade de residência, diagnóstico, tempo de permanência na primeira internação, tempo entre a primeira e a segunda internação, segundo o padrão de re-hospitalização. RESULTADOS: As variáveis com maior poder de predição foram tempo entre a primeira e a segunda internação, tempo de permanência na primeira internação e diagnóstico de esquizofrenia. CONCLUSÕES: Os resultados são importantes para o planejamento de saúde pública, com o intuito de promover melhores cuidados a um grupo de pacientes pequeno, mas com um alto impacto na utilização do serviço.; OBJECTIVE: The aim of the study was to identify the variables that predict the revolving door phenomenon in psychiatric hospital at the moment of a second admission. METHODS: The sample consisted of 3...

Condições de vida de portadores de transtornos psicóticos vivendo em cortiços em Santos, SP; Condiciones de vida de portadores de trastornos psicóticos viviendo en habitaciones colectivas en Santos, Sureste de Brasil; Living conditions of people with psychotic disorders living in slums in Santos, Southeastern Brazil

Martin, Denise; Andreoli, Sergio Baxter; Pinto, Rosa Maria Ferreiro; Barreira, Tânia Maria Hourneaux de Mendonça
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/08/2011 POR; ENG
Relevância na Pesquisa
66.67%
OBJETIVO: Descrever condições de vida e sociabilidade de portadores de transtornos mentais graves moradores de cortiços. PROCEDIMENTOS METODOLÓGICOS: Estudo qualitativo com moradores adultos de cortiços da região central de Santos, SP, realizado em 2004-2006. Foram realizadas observações etnográficas em quatro cortiços e entrevistas semi-estruturadas em profundidade com oito mulheres que conviviam com portadores de transtornos psicóticos. A forma de análise empregada foi a qualitativa fundamentada na Antropologia. ANÁLISE DOS RESULTADOS: Os cortiços apresentaram características específicas quanto à sociabilidade. As dificuldades com os pacientes psicóticos decorriam da quebra mínima das regras mínimas. Em um dos cortiços, uma moradora agia como cuidadora dos pacientes e mantinha contato próximo com o serviço de saúde. Apesar do convívio cotidiano com os portadores, as participantes não possuíam informações sobre o transtorno e os consideravam loucos, nervosos ou mentalmente fracos. Acreditavam que deveriam morar em outro local que não o cortiço. CONCLUSÕES: A população moradora de cortiços não trata os portadores de transtorno psicótico de forma diferente da população geral, devido a desconhecimento...

Medication adherence and glycemic control in patients with psychotic disorders in The Veterans Affairs healthcare system

Nelson,Leigh Anne; Graham,Maqual R.; Lindsey,Cameron C.; Rasu,Rafia S.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2011 ENG
Relevância na Pesquisa
66.57%
Objective: To compare antihyperglycemic medication adherence and glycemic control between individuals with schizophrenia and related psychotic disorders and a nonpsychiatric comparison group. Methods: This was a retrospective medical record review. A total of 124 subjects with diabetes (62 patients with schizophrenia or a related psychotic disorder and 62 randomly selected, age-matched patients without a psychiatric illness) receiving their medical and psychiatric care exclusively through the Kansas City Veterans Affairs healthcare system during 2008 were included in the study. Adherence to antihyperglycemic and antipsychotic medication was determined by refill records obtained through the computerized patient record system to calculate the cumulative mean gap ratio. Hemoglobin A1C values were utilized to compare glycemic control between groups and compared to glycemic goals established by diabetes treatment guidelines. Results: Antihyperglycemic medication adherence was poor for both groups as approximately 60% of the psychotic disorder group and 75% of the nonpsychiatric comparison group were without antihyperglycemic medication for greater than 30 days during the 12-month period but adherence did not differ between the groups (p=0.182). Antipsychotic adherent subjects (≥80% adherent) were more likely to be adherent to their antihyperglycemic medication (p=0.0003). There were no significant differences between groups in glycemic control. Conclusion: Antihyperglycemic medication adherence and glycemic control was less than optimal for both groups. There were no significant differences in antihyperglycemic medication adherence and glycemic control between patients with a psychotic disorder and those without a psychiatric illness.

Predicting the revolving door phenomenon among patients with schizophrenic, affective disorders and non-organic psychoses

Gastal,Fábio L; Andreoli,Sérgio B; Quintana,Maria Inês S; Gameiro,Maurício Almeida; Leite,Sérgio O; McGrath,John
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2000 EN
Relevância na Pesquisa
56.37%
OBJECTIVE: The aim of the study was to identify the variables that predict the revolving door phenomenon in psychiatric hospital at the moment of a second admission. METHODS: The sample consisted of 3,093 patients who have been followed during 5 to 24 years after their first hospital admission due to schizophrenia, and affective or psychotic disorders. Those who had had four or more admissions during the study period were considered as revolving door patients. Logistic regression analyses were used to assess the impact of gender, age, marital status, urban conditions, diagnosis, mean period of stay on the first admission, interval between the first and second admissions on the patterns of hospitalization. RESULTS: The variables with the highest predictive power for readmission were the interval between first and second admissions, and the length of stay in the first admission. CONCLUSIONS: These data may help public health planners in providing optimal care to a small group of patients with more effective utilization of the available services.