Archives of Clinical Psychiatry (São Paulo)

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List of Papers (Total 178)

Quality of life and spirituality

BACKGROUND: Spirituality has been considered as an important quality of life dimension. OBJECTIVES: To present a literature review about quality of life and spirituality, their association and measurement. METHODS: Search for title words in PsycINFO and PubMed/Medline database between 1979-2005. RESULTS: Quality of life is a new concept, that embraces and transcends the concept...

Developmental and acquired dysexecutive syndromes in clinical practice: three case-reports

Dysexecutive syndromes are often observed in several neuropsychiatric conditions, such as attention deficit hyperactivity disorder (ADHD), traumatic brain injuries (TBI) or schizophrenia, and usually associate with significant impairments, including familial, academic and professional areas. The present paper aims at presenting three cases of executive functions (EFs) deficits...

Antipanic drugs and pulmonary function in panic disorder patients

BACKGROUND: Studies suggest an association between panic disorder (PD) and impairment of lung function. OBJECTIVES: To evaluate lung function in 11 asymptomatic PD patients and to investigate antipanic drug effects on respiratory function. METHOD: Lung function was evaluated on two different occasions (with antipanic drugs and after drug washout). It was comprised of a...

Schizophrenia: do men and women suffer from the same disease?

This article reviews the literature on normal brain development and behavioural development in men and women as well as on aetiological risk factors for schizophrenia, such as pre-, peri- and postnatal complications. The male-female comparisons of age and type of onset, symptomatology, course and outcome were based on a population-based sample of 232 first illness episodes - the...

Triexifenidila: caracterização de seu consumo abusivo por um grupo de usuários na cidade de São Paulo

The abuse of anticholinergic drugs to induce mental alterations as hallucinations and delirium is widely known. Trihexyphenidyl (Artane®), among these drugs, seems to be the most abused. In Brazil, its use has been already observed among psychotic patients, first and second grade students, street children and crack-cocaine addicts. Faced to the lack of Brazilian reports...

Episódio depressivo grave ou demência de Pick?

The authors describe the case of a woman of 72 years old who killed her husband and showed symptoms either of depressien as well as dementia.

Demência frontotemporal

The authors describe a case of frontotemporal dementia establishing the differential diagnosis with other types of dementia.

Estimulação magnética transcraniana na esquizofrenia

Transcranial magnetic stimulation (TMS) is a new technique capable of stimulating the brain through a painless, non-invasive and simple method. Its use in patients with schizophrenia has been the target of some studies. This article reviews these studies. Initially a brief discussion is offered about phisiopathologic basis that could explain its efficacy and its possible...

Estimulação magnética transcraniana de baixa freqüência no tratamento da depressão

This article describes neurophysiological and clinical aspects of repetitive transcranial magnetic stimulation (rTMS), especially low frequency rTMS. Neuroimaging techniques and hypothesis about long term actions of rTMS are discussed. Some results of low frequency rTMS on the treatment of depression are mentioned, especially one study in the University of Brasilia using low...

Estimulação magnética transcraniana de repetição associada a antidepressivo: início e intensidade da resposta antidepressiva

OBJECTIVE: Transcranial magnetic stimulation has been developed as a noninvasive method to stimulate the cortex, and the treatment of depression is one of its potential therapeutic applications. This report makes a review about add-on trials (hf-rTMS plus antidepressants) discuss whether rTMS does accelerate the onset of action, and increase the therapeutic effects of...

Neurofisiologia e plasticidade no córtex cerebral pela estimulação magnética transcraniana repetitiva

An old biological dogma states that a potencial for cortical reorganization (neuroplasticity) exists nly in young animals, being lost in adlt life. Here we review studies carried out both in animals and humans, whixh demonstrate cortical reorganization in sensory and motor systems in adult subjects. We particulary emphasiza human studies carried out with the aid of transcranial...

Cirurgia bariátrica: aspectos psicológicos e psiquiátricos

Bariatric surgery is the only proven effective therapy for long-term control of morbid obesity. This surgery can be broadly divided into procedures that limit the stomach's capacity, that interfere with digestion or a combination of both the techniques. The best way to classify the obesity is the Body Mass Index (BMI). Obesity becomes a serious disease when it is morbid, that is...

Aspectos psiquiátricos do tratamento da obesidade

Obesity is a condition that has deserved studies of different areas, particularly psychiatry and psychology, because of its multifactorial etiology. The emotional problems generally are perceived as a consequence of obesity, but psychological conflicts and problems can precede the development of obesity. Depression and anxiety are common symptoms and depression syndrome can be...

Binge eating disorder

Binge eating disorder was first described in 1955. However, its upgrade to a diagnostic category only occurred in 1994, when it was included in appendix B of DSM IV, with provisory criteria. It is characterized by recurrent episodes of binge eating, without any compensatory behavior to prevent a possible weight gain. Uncertainties about the diagnostic criteria like the amount of...

Peculiaridades do tratamento da anorexia e da bulimia nervosa na adolescência: a experiência do PROTAD

The particular aspects of eating disordes in adolescents are reviwed. This article presents the multidisciplinary approach used in this population.

Epidemiologia, curso e evolução dos transtornos alimentares

Eating disorders use to affect young women and have a chronic and variable course, with high levels of morbidity and mortality. The objective of this article is to demonstrate the epidemiological findings that support such clinical impressions.

Transtornos alimentares: classificação e diagnóstico

This article presents the current diagnostic criteria for eating disorders: anorexia nervosa and bulimia nervosa. The controversial aspects of anorexia nervosa are discussed.

Determinantes fisiológicos do controle do peso e apetite

Obesity is currently one of the main problems of public health, presenting multifactorial etiology. The main involved factors in the control of weight and appetite are neuronal, endocrine, adipocity and intestinal. Leptine and insuline are hormones produced proportionally to adipose mass and act stimulating the catabolism. In the central nervous system, insuline and leptine...

Mediumship seen by some pioneers of mental health

Experiences regarded as mediumistic have been found in most civilizations and have exerted an important influence over the societies. Despite few academic studies nowadays, mediumship was a subject of serious investigations by some Psychiatry and Psychology pioneers. Research developed by Janet, James, Myers, Freud and Jung concerning mediumship was revised, two points were...

Transtorno de déficit de atenção/hiperatividade na infância e na adolescência: considerações clínicas e terapêuticas

OBJECTIVE: Attention-Deficit/Hyperactivity Disorder is a very prevalent disorder in children and adolescents determining important impairments in those affected. This review aims to discuss some clinical and therapeutic dilemmas found by clinical psychiatrists in the treatment of the disorder. METHODS: This is a comprehensive, non-systematic review of the literature addressing...

Psychosocial interventions for bipolar disorder

In this paper, the authors review the status of psychosocial interventions within the general treatment for bipolar disorder. They have verified the scantiness of studies performed with adequate methodology to obtain scientific information of good quality. The more relevant studies are briefly described.

Interações farmacológicas entre medicações clínicas e psiquiátricas

BACKGROUND/JUSTIFICATION: Studies point up the serious adverse reactions (ADR) as one of the six main causes of death of hospitalized patients in the United States. The most frequent ADR include the drug interaction. METHODS: twenty most used medications were compared, in a certain period of time, at the clinical sector of São Lucas Universitary Hospital of PUC-RS, to the...

Sonhos e craving em alcoolistas na fase de desintoxicação

The objective of this research is to evaluate the existence of a possible connection between dreams of alcohol-addicted patients and the craving they have during the first three days of detoxication at hospital ward units. The aim was to verify if those who had increased craving reported dreams where the theme "alcohol" was present, as well as to analyze the subjects'quality of...

Filhos de dependentes químicos com fatores de risco bio-psicossociais: necessitam de um olhar especial?

CONTEXT: Alcoholism and other drug addictions tend to run in the families. Children of addicted parents are more at risk of addiction and psychiatric disorders than other children. OBJECTIVE: The aim of this study was to investigate the profile of children, adolescents and families in a selective prevention service offered to the children of addicted parents, and to discuss...