Brazilian Journal of Psychiatry

Satisfactory Levels of Functionality and Quality of Life in Caregivers of Patients with Bipolar Disorder: Is this Possible?
Troesch M, Prates S, Sarmento S, Cerqueira-Silva T, Léda-Rêgo G, Dallalana C, Casqueiro JS, Studart-Bottó P and Miranda-Scippa Â
To measure the levels of functionality and QoL of caregivers of patients with BD, investigating the association between them, as well as the relationship with clinical and sociodemographic data of these caregivers.
Adventures of Psychiatry in a General Hospital: A tale of C-L psychiatry origins and resistance in Brazil
Luna JV and Carvalho JA
Virtual reality, social intelligence, mirror neurons and bipolar spectrum a new perspective
Carta MG and Nardi AE
Costs of dementia in Brazil
da Mata FAF, Ramos AA, Bertola L, Suarez T, Ferri CP and de Oliveira Júnior HA
Given the increasing number of people with dementia in Brazil, there is an urgency for health and social systems to plan strategies to meet the needs of this population and their families. Therefore, research on dementia costs is essential. This study estimated direct and indirect costs related to dementia in Brazil.
A rare event of late agranulocytosis during clozapine use in schizophrenia and the importance of monitoring vitamin B12 levels in patients with severe psychiatric conditions: a case report
Mocellin AF, Lapa CO and Gama CS
Signal Mining and Risk Analysis of Olanzapine Adverse Events in the FAERS Database
Dong A, Shi L, Du Z, Zhou Q, Jiang Y, Zhu H and Zhu A
This study aims to assess the safety profile of Olanzapine by analyzing adverse events (AEs) reported in the FAERS database, particularly focusing on newly identified risks.
Manipulating levels of uncertainty in a decision making task for obsessive-compulsive disorder
Ganesh UM, Sharma L, Kashyap H, Arumugham SS and Reddy J
The study aims to investigate whether manipulating levels of uncertainty would influence performance in a decision-making task in obsessive-compulsive disorder (OCD).
Seeking psychiatric emergency care by individuals who died by suicide in Fortaleza in 2022
Asfor AC and Melo M
Suicide represents 1% of all deaths in the world. It's more prevalent in underdeveloped countries. Suicide mortality in Brazil has been growing in recent years. We Evaluated whether patients who committed suicide in Fortaleza sought the only psychiatric emergency service in the State before the act during the year 2022.
Are we correctly diagnosing and screening bipolar depression?
Carneiro AM, Fernandes FDS, Moreno RA and Moreno DH
Brazilian Psychiatric Association guidelines for the treatment of Social Anxiety Disorder
Baldaçara L, Almeida TM, Dos Santos DC, Paschoal AB, Pinto AF, Antonio LAVG, Veiga DL, Loureiro FF, Malloy-Diniz LF, Oliveira RL, Cordeiro Q, Nardi AE, Sanches M, da Silva AG and Uchida RR
Social anxiety disorder (SAD) is one of the most prevalent anxiety disorders, often not well recognized. In most of the cases, SAD follows an unremitted and chronic course, affecting several areas of the individual functioning (i.e.: relationship, academic, work). Due to its relevance, there is a need for guideline-based treatments for SAD treatment adapted to the Brazilian social and economic reality.
A randomized, double-blind, placebo-controlled trial of N-acetylcysteine as an adjuvant treatment for alcohol use disorder
Schuch JB, Hansen F, Hartmann T, Benzano D, Gomes HM, Moreira JCF, Pechansky F, Kessler FHP, Galland F, Silvello D, Sordi AO and von Diemen L
We aimed to assess the effect of N-acetylcysteine (NAC), as an adjuvant treatment, on treatment adherence (primary outcome), in peripheral biomarkers and clinical improvement (secondary outcomes) in alcohol use disorders (AUD) patients.
Risks of Hyperopia, Myopia, Astigmatism, and Strabismus in Children With Autism Spectrum Disorder: A Nationwide, Population-Based Cohort Study
Chen YL, Yen CF, Lai YH, Hsiao RC and Chou WP
In this population-based cohort study, we compared the risks of incident hyperopia, myopia, astigmatism, and strabismus between children with autism spectrum disorder (ASD) and children without ASD.
Brazil has a problem: Where is the research about eating disorders in Brazil?
de Oliveira J, Santos T, Ferro J and Stelmo I
Effect of home-based transcranial direct current stimulation combined with nutritional counseling therapy on binge eating disorder symptoms: A randomized pilot trial
Elkfury JL, Antunes LC, Tocchetto BF, Menegassi LN, Sanches P, Pereira D, Medeiros LF, Cardinal TM, da Silva IL, Fregni F and Caumo W
To examine the effect of nutritional counseling therapy (NCT) combined with transcranial direct current stimulation (tDCS) on Binge Eating Disorder (BED) symptoms.
Mental health predictors of Internet Gaming Disorder: a longitudinal study
Borges G, Orozco R, Gutierrez-Garcia R, Albor Y, Pérez ALJ, Valdés-García KP, Mansur PMB, Díaz-Couder MAC and Benjet C
We aim to evaluate whether a wide range of baseline mental disorders predict Internet Gaming Disorder (IGD) one to three years later, among university students.
Download to Heal: Navigating the Pixelated Path of Digital Therapeutics in Psychiatric Care
Ahuja J, Jaka S, Saeed S and Gunturu S
Digital therapeutics have evolved rapidly with technological advances in healthcare. Despite their increasing use, gaps remain in understanding their regulatory frameworks, integration, and efficacy for conditions like substance use disorder, insomnia, attention deficit hyperactivity disorder, and post-traumatic stress disorder. This study evaluates FDA-approved digital therapeutics and explores their potential to revolutionize psychiatric treatments amid ongoing technological and regulatory changes. We conducted a comprehensive review of major databases, focusing on articles published up to January 2024 on FDA-approved digital therapeutics. We excluded non-English articles and those lacking empirical data or focusing on non-FDA-approved therapeutics. Our analysis covered regulatory compliance, clinical outcomes, and integration with traditional treatments. The review of nine FDA-cleared digital therapeutics revealed benefits like improved treatment accessibility and potential reductions in healthcare costs. For example, Somryst, a cognitive-behavioral therapy-based treatment for insomnia, showed that over 40 percent of users overcame chronic insomnia, and 60 percent experienced improvements without adverse effects. However, challenges remain, including low provider adoption, inadequate insurance coverage, and high user dropout rates. While digital therapeutics enhance accessibility, they face regulatory challenges, reimbursement issues, and the need for robust clinical evidence. Success depends on collaboration among stakeholders to demonstrate value, ensure safety, and integrate them into existing healthcare systems.
Narrative therapy online intervention improves post-traumatic stress disorder symptoms, perceived stress, anxiety, and depression in nurses: A randomized controlled trial
Xue M, Yu P, Gu Z and Sun Y
Clinical nurses have symptoms of post-traumatic stress disorder (PTSD), anxiety and depression, which seriously affect their physical and mental health. Narrative therapy (NT), a therapy for trauma-related psychological disorders, may be an effective intervention.
Parenthood and All-cause Mortality in Older Adults with Schizophrenia: A Multicenter 5-Year Prospective Study
Rezaei K, Kassm SA, Garcés-González MS, Sánchez-Rico M, Olfson M, Ouazana-Vedrines C, Scheer V, Fayad M, Meneton P, Limosin F, Hoertel N and
The large body of literature examining the association between parenthood and mortality in the general population contrasts with a lack of studies among older adults with schizophrenia. Identifying potential protective factors of premature death in this population is important to help guide prevention measures. Here, we examined whether all-cause and cause-specific mortality rates significantly differ between older adults with schizophrenia with and without children, during a 5-year follow-up.
Risk of Suicide in Association with Major Depressive Disorder among Patients with Dementia: A Population-based Nested Case-Control Study
Wang JY, Hsu YT, Lin CY, Liu CH, Chang KC and Liu CC
This study aimed to explore the association between major depressive disorder (MDD) and suicide risk in dementia patients.
Moral Harassment and Mental Health in Medical Residents: A Longitudinal Study
Tokeshi AB, Dos Santos RA, Martins LAN, Nunes MDPT and Fidalgo TM
This study investigates if moral harassment contributes to anxiety, depression and burnout among medical residents.
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