Coronary arterial disease after electroconvulsive therapy: a case report
Conclusions Unipolar depression (UPD) and cardiovascular disease are often coexistent conditions, especially among the elderly. In the current case, myocardial ischemia was detected lately during ECT therapy and its treatment allowed the UPD treatment to be completed adequately. Objetivos Depressão unipolar é uma das principais causas de sobrecarga global de doenças, particularmente entre os idosos, cujo tratamento pode ser desafiador. Nesses casos, a eletroconvulsoterapia (ECT) é frequentemente indicada, por causa de sua segurança e eficácia. Este relato apresenta o caso de um paciente de 67 anos internado e que de...
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Epilepsy, psychosis and religiosity – A case report
Os autores apresentam o caso de uma paciente de 61 anos, com antecedentes depressivos e história de síncopes, que desenvolve, no espaço de meio ano, alterações de comportamento pautadas por hiper-religiosidade, ideias delirantes de grandiosidade e fenômenos compatíveis com déjà vu. Nesse contexto, foi referenciada pelo médico de família para a urgência de psiquiatria, tendo sido realizada investigação orgânica e identificada epilepsia do lobo temporal após realização de eletroencefalograma. Foi medicada com valproato de sódio, na dose de 750 mg/dia, com esbatimento progressivo da sintomatologia psicótic...
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

The cognitive-behavior therapies in the treatment of bulimia nervosa: a review
Conclusion Treatment of bulimia nervosa have enough evidences to be performed with the cognitive-behavioral therapy. Beyond, innovative psychotherapeutic interventions based on classical CBT have good indicators of effectiveness. Future research on these different interventions are needed. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Cognitive processes affect the gait of subjects with Parkinson’s and Alzheimer’s disease in dual tasks
Conclusion Dual task activities affect gait pattern in subjects with PD and AD. Differences between groups reflect peculiarities of each disease and show a direct interference of cognitive processes on complex tasks. Objetivo Investigar a relação entre parâmetros da marcha e comprometimento cognitivo em sujeitos com doença de Parkinson (DP) e doença de Alzheimer (DA) durante tarefas duplas. Métodos Este estudo consistiu em uma pesquisa transversal envolvendo 126 sujeitos, divididos em três grupos: grupo Parkinson (n = 43), grupo Alzheimer (n = 38) e grupo controle (n = 45). Os sujeitos foram submetidos ao teste Tim...
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Nutritional status and food habits of drug addicts in an ambulatory treatment
Conclusion The study reveals a high prevalence of overweight and obesity, as well as altered waist circumference, increased food intake and daily and weekly consumption of ultra-processed foods. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Labour market and drug use among schoolchildren of two medium size cities in southern Brazil
Conclusions Data show that among adolescents yet linked to school, enter the job market and use of those substances in the year expand similarly, but much more influenced by advancing age, according to gender specificities and according to patterns of care at home. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Development and evaluation of psychometric properties of the Brazilian version of Addiction Severity Index 6 (ASI-6) Light
Conclusion Good evidence of validity of the area “alcohol” and “drugs” were presented. This new version has become an instrument for easy handling and quick application, containing the items that best assess the severity of problems. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Prevalence of depressive symptoms and associated factors among elderly in northern Minas Gerais: a population-based study
Conclusions The high prevalence of depressive symptoms among community-dwelling elders identified alert to the need for better care of the elderly population. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Psychometric properties of Cocaine Selective Severity Assessment (CSSA) in crack users
Conclusions Our findings were beyond the translation and adaptation, providing the reliability and validity of CSSA regarding the evaluation of withdrawal symptoms in crack cocaine abstinence. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Motivational stages to behavioral change in beginners of weight loss treatment
Conclusion These results suggest that individuals who seek treatment for weight loss do not make it with the necessary motivation, and that if professional advice on the weight loss importance occurred before the associated with obesity pathologies were installed, more motivated individuals could seek treating and preventing these complications. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Binge eating prevalence according to obesity degrees and associated factors in women
Conclusion The prevalence of BE in severe obese women was high. Association with the “snacking habit” can be a BE marker that should be monitored in the severely obese individuals that fit this profile. Objetivo Investigar a prevalência de compulsão alimentar periódica (CAP) em mulheres conforme grau de obesidade e avaliar os fatores associados. Métodos Estudo transversal realizado com adultas e índice de massa corporal (IMC) ≥ 35 kg/m2. Variáveis analisadas: sociodemográficas, condições de saúde, história de obesidade, estilo de vida, comportamento alimentar e grau de obesidade. Para análise da CAP, foi...
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Association of depressive and anxiety symptoms with migraine severity
Conclusion Despite the elevated frequency of sleep disorders, the main factor associated with migraine impact was the severity of depressive symptoms. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 29, 2015 Category: Psychiatry Source Type: research

Relationship between the professional of reference and the permanence of ADHD patients in a psychosocial care center for children and adolescents in Minas Gerais
We present the use of forensic neuropsychological assessment in a case of retirement reversal. Incapacity was attested due to disability resulting from depression of a 35-year-old attorney, and the case was forwarded from the courts to the Forensic Psychiatry and Psychology Unit at the USP Clinical Hospital. A clinical interview and application of cognitive tests was conducted. Despite the depression, significant cognitive losses that would prevent return to his professional assignments were not detected. The neuropsychological assessment has been shown to be an important tool in the forensic context, as it assists with di...
Source: Jornal Brasileiro de Psiquiatria - May 16, 2015 Category: Psychiatry Source Type: research

Forensic neuropsychological assessment: clinical case of depression and working incapacity
We present the use of forensic neuropsychological assessment in a case of retirement reversal. Incapacity was attested due to disability resulting from depression of a 35-year-old attorney, and the case was forwarded from the courts to the Forensic Psychiatry and Psychology Unit at the USP Clinical Hospital. A clinical interview and application of cognitive tests was conducted. Despite the depression, significant cognitive losses that would prevent return to his professional assignments were not detected. The neuropsychological assessment has been shown to be an important tool in the forensic context, as it assists with di...
Source: Jornal Brasileiro de Psiquiatria - May 16, 2015 Category: Psychiatry Source Type: research

Antidepressant induced excessive yawning and indifference
Conclusion Induction of indifference and excessive yawning may be modulated by serotonergic and noradrenergic mechanisms. One proposal to unify these side effects would be enhancement of serotonin in midbrain, especially paraventricular and raphe nucleus. Introdução Alguns relatos de caso descrevem pacientes com bocejos excessivos induzidos por antidepressivos. Também é relatada a capacidade dos antidepressivos induzirem uma síndrome de indiferença. A frequência desses efeitos colaterais é desconhecida, assim como seus mecanismos fisiopatológicos. Ambos os efeitos são considerados benignos e costumam ser revers...
Source: Jornal Brasileiro de Psiquiatria - May 16, 2015 Category: Psychiatry Source Type: research