Possible outcomes of cumulative trauma in mental-health: a case report
ABSTRACT To discuss the resilience factors that may have prevented a patient from developing post-traumatic stress disorder (PTSD) after exposure to a variety of severe potentially traumatic events. A thirty-eight-year-old civilian has been exposed to at least ten dramatic situations of violence in his work and personal life. He developed only a few mild post-traumatic symptoms after being exposed to a particularly gruesome incident during work. Even though the number and severity of potentially traumatic events may be alarming, this does not determine that the patient will inexorably develop PTSD, or other disorders. The ...
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Alleged amnesia in sexual crime
ABSTRACT The current article describes the case of a man who claimed amnesia in relation to a sexual crime he had allegedly committed. Psychiatric examination concluded that the individual was feigning amnesia. Claimed amnesia of a criminal offense is one of the most commonly feigned symptoms in the forensic medical setting. It is thus necessary to rule out organic or psychogenic causes of amnesia and always consider feigned amnesia in the presence of psychopathological alterations that do not reflect classically known syndromes.RESUMO O presente artigo descreve o caso de um homem que alegou amn ésia ao fato da denúncia ...
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Association of body image dissatisfaction with body mass index trajectory: the Adolescent Nutritional Assessment Longitudinal Study cohort
Conclusion BID may be related to the BMI trajectory in girls from private schools and in boys from public schools.RESUMO Objetivo Examinar a associa ção da insatisfação com a imagem corporal (IIC) com a trajetória do índice de massa corporal (IMC) entre estudantes de uma região metropolitana do Rio de Janeiro. Métodos Oitocentos e nove alunos do ensino fundamental foram acompanhados entre 2010 e 2013, e 1.131 alunos do ensino médio fo ram acompanhados de 2010 a 2012. A IIC foi avaliada por meio da escala de silhuetas corporais. O tipo de escola (pública e privada) foi utilizado como proxy do status socioecon...
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Generalized anxiety disorder among university-entrance preparation course students
Conclusions Anxiety regarding the test was the factor most strongly associated with symptomatology of GAD, which suggests that the emotions and concerns specific to the context of evaluations may predispose the individual to a higher risk of developing this disorder. Based on these results, we suggest the inclusion of mental health professionals in the context of university-entrance preparation courses, as well as interventions aiming the development of a healthy relationship between the student and their academic demands. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Eating behavior in obesity and its correlation with nutritional treatment
Conclusions The most frequent type of eating behavior in the sample was cognitive restriction and was not correlated with the total adherence score. AE was associated with greater consumption of fats, like national and international studies. There is a gap in studies that relate to eating behavior with adherence to nutritional treatment. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Profile of female hospitalizations in a psychiatric unit: a critical analysis
Conclusion Knowing the epidemiological profile of female psychiatric hospitalizations provides an opportunity for a differential treatment to be established, since the mental health care of women is multifaceted, complex and intersectional and requires scientific knowledge, as well as an integrated approach to health services. Mental disorders also affect adolescents and pregnant women, and it is essential to know the needs of these populations in order to develop specialized care. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Dissatisfaction with body image and associated factors in university students
Conclusion It is concluded that the prevalence of dissatisfaction with body image in university students was low, however, sociodemographic factors, lifestyle, health status and clinical and anthropometric conditions were shown to be associated with the prevalence of dissatisfaction with body image. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Autism: impact of the diagnosis in the parents
Conclusion The diagnosis of autism is often delayed due to doctors ’ unpreparedness. Awareness of their child ’ s diagnosis exerts a negative emotional impact on parents, which can be softened using coping strategies and diagnosis communication that offers technical information, offers emotional support and provides hope regarding the child ’ s development. Parents need to be cared for in order to provide for the needs of their children at the moment of diagnosis and throughout the entire process of caring for individuals with ASD.RESUMO Objetivo Conhecer como os pais reagem ao diagn óstico de autismo em seu fil...
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Decision criteria in the concave mask illusion in schizophrenia
Conclusions The hypothesis of top-down inhibition on bottom-up processes does not seem to be a plausible explanation. Perhaps, decision making or decision criteria better explain the results found in this study. Further studies are needed to better elucidate the phenomenon of the concave mask illusion in individuals with schizophrenia. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

COVID-19 and its implications for individuals with severe mental disorders and dementia
(Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - November 9, 2020 Category: Psychiatry Source Type: research

Metacognition in bipolar disorder: a systematic review
Conclusion Studies on metacognition in BD are scarce, but the existing literature indicates potential clinical and sociodemographic factors associated with poorer metacognition in the disorder, also suggesting that metacognitive therapeutic interventions may be clinically relevant for the management of BD. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 14, 2020 Category: Psychiatry Source Type: research

Prevalence and correlates of generalized anxiety disorder among elderly people in primary health care
Conclusions We estimate a high prevalence of GAD in this population. Associations were found between GAD and health self-perceived as regular, cohabitation with four or more peopl e, history of falls and more than one hospitalization in the last year. These epidemiological data from the Family Health Strategy are important to develop further strategies for this age group that could improve the health care practice.RESUMO Objetivo Examinar a preval ência do transtorno de ansiedade generalizada (TAG) em idosos e suas associações com fatores sociodemográficos e de saúde. Métodos Estudo transversal, composto por uma...
Source: Jornal Brasileiro de Psiquiatria - July 14, 2020 Category: Psychiatry Source Type: research

Orthorexia nervosa and body image in adolescents and adults
Conclusion The results of the present study indicate a high frequency of risk behavior for Orthorexia. We suggest investigating the frequency in the various population segments and the factors associated with the development of orthorexic attitudes. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 14, 2020 Category: Psychiatry Source Type: research

Cell phone use before bedtime: a risk factor for excessive sleepiness in adolescents from military schools
Conclusion EDS was strongly associated with cell phone use before bedtime. Other associated factors are insufficient sleep and studying full-time. Educational, administrative and health measures are needed to improve sleep in ad olescents. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 14, 2020 Category: Psychiatry Source Type: research

Adolescents users of mental health services: assessment of the perception of improvement with treatment Assessment of perceived improvement
Conclusion The evaluation of health care offered by public mental health services is an important indicator of quality and resoluteness of actions, making it possible to identify the aspects to be improved or reinforced in work processes, in order to favor better care practices in childhood and adolescence. (Source: Jornal Brasileiro de Psiquiatria)
Source: Jornal Brasileiro de Psiquiatria - July 14, 2020 Category: Psychiatry Source Type: research