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1.
Ciênc. Saúde Colet ; 26(12): 5997-6004, Dez. 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1350513

ABSTRACT

Resumo Os Agentes Comunitários de Saúde possuem papel fundamental para o atendimento à população. Devido à complexidade de funções e situações que são expostos podem apresentar problemas emocionais. O objetivo deste artigo foi verificar a prevalência dos sintomas de ansiedade e a associação com os fatores sociodemográficos e ocupacionais entre agentes comunitários de saúde. Estudo transversal, populacional, no qual utilizou-se o Inventário de Ansiedade Traço Estado (IDATE- Traço e IDATE-Estado) e um questionário sobre as condições sociodemográficas e ocupacionais. Realizou-se análises descritivas e de regressão múltipla de Poisson com variância robusta, considerando um nível de significância de 5% (p<0,05) para o modelo final. Foram avaliados 673 agentes comunitários de saúde, a prevalência dos sintomas de ansiedade no IDATE-estado foi de 47,4% e no IDATE-traço, 42,4%. O tempo de trabalho acima de cinco anos esteve associado ao IDATE-estado (p<0,001) e ao IDATE-traço (p=0,018), o sexo feminino ficou associado ao IDATE-traço (p=0,011). Verificou-se alta prevalência de sintomas de ansiedade entre os agentes comunitários da saúde. Há necessidade de estratégias que visem a promoção, proteção, monitoramento da saúde mental desses trabalhadores, reduzindo os transtornos de ansiedade.


Abstract Community Health Agents (CHAs) play a crucial role in assisting the population. Due to the complexity of functions and situations to which they are exposed, they can present with emotional problems. The aim of this article was to verify the prevalence of anxiety symptoms and the association with sociodemographic and occupational factors in community health agents. It is a cross-sectional and populational study that used a questionnaire to collect data on the sociodemographic, economic and occupational conditions and the State Trait Anxiety Inventory (STAI). Descriptive analyses and multiple Poisson regression were performed with robust variation, considering a 5% significance level (p <0.05) for the final model. A total of 673 community health agents were evaluated. The prevalence of anxiety symptoms in the STAI-State was 47.4% and in the STAI-trait, 42.4%. The time working as a CHA longer than five years was associated with the STAI-state (p<0.001) and the STAI-trait (p=0.018), where as the female gender was associated with the STAI-trait (p=0.011). A high prevalence of anxiety symptoms in community health agents was verified. Health promotion strategies aimed at improving and monitoring the mental health of these workers by reducing anxiety disorders is required.


Subject(s)
Humans , Female , Anxiety/epidemiology , Public Health , Anxiety Disorders/epidemiology , Prevalence , Cross-Sectional Studies
2.
Rev. Nac. (Itauguá) ; 13(2): 18-28, DICIEMBRE, 2021.
Article in Spanish | LILACS, BDNPAR | ID: biblio-1344187

ABSTRACT

RESUMEN Introducción: la pandemia de COVID-19 ha incrementado los casos de ansiedad y causado grandes modificaciones en la forma de prestar atención médica. Objetivo: describir las características epidemiológicas de los trastornos de ansiedad atendidos a través de telepsiquiatría en un Hospital Universitario. Metodología: estudio observacional, descriptivo, de corte transversal. Se realizó un muestreo no aleatorio intencional. Se utilizaron fichas electrónicas de pacientes tratados en el Servicio de Psiquiatría del Hospital de Clínicas, Paraguay, entre febrero y mayo de 2021. Se realizó estadística descriptiva de todas las variables. Se calcularon medidas de tendencia central y dispersión para las variables cuantitativas. Las cualitativas se resumieron en frecuencias y porcentajes. Resultados: el análisis incluyó 804 pacientes. El 71,5 % (575) de los pacientes procedían del ámbito rural. De todos los pacientes con diagnóstico de algún trastorno de ansiedad (20,49 % n = 165), el 69,1 % (114) correspondían a mujeres y el 49,7 % (82) presentaron trastorno de pánico (ansiedad paroxística episódica), 28,5 % (47) fueron diagnosticados con trastorno de ansiedad generalizada, y 21,8 % (36) tuvieron un trastorno de ansiedad no especificado. Conclusión: más del 20 % de los pacientes que consultaron a través de la modalidad de telepsiquiatría presentó algún cuadro del espectro ansioso. La presentación de casos se dio tanto en el ámbito rural como en el urbano y de preferencia en mujeres. El trastorno de pánico emergió como el trastorno de más alta frecuencia en la población accesible, representando casi la mitad de todos los casos de ansiedad diagnosticados.


ABSTRACT Introduction: the COVID-19 pandemic has increased anxiety cases and caused big modifications in the way medical care is provided. Objective: to describe the epidemiological characteristics of anxiety disorders treated through telepsychiatry in a University Hospital. Methodology: observational, descriptive, cross-sectional study. A non-random purposive sampling was performed. Electronic records of patients treated in the Psychiatry Department of the "Hospital de Clínicas", Paraguay, between February and May 2021 were used. Descriptive statistics were performed for all variables. Measures of central tendency and dispersion were calculated for quantitative variables. Qualitative variables were summarized in frequencies and percentages. Results: the analysis included 804 patients. Out of the patients, 71,5 % (575) were from rural areas. Out of all patients diagnosed with an anxiety disorder (20,49 % n = 165), 69,1 % (114) were female and 49,7 % (82) had panic disorder (episodic paroxysmal anxiety), 28,5 % (47) were diagnosed with generalized anxiety disorder, and 21,8 % (36) had an unspecified anxiety disorder. Conclusion: more than 20 % of the patients who consulted through the telepsychiatry modality presented with an anxiety spectrum disorder. Cases were presented in both rural and urban areas and preferably in females. Panic disorder emerged as the most frequent disorder in the accessible population, representing almost half of all diagnosed anxiety cases.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Young Adult , Anxiety/epidemiology , Anxiety Disorders/epidemiology , Pandemics , Telepsychiatry , Paraguay/epidemiology , Mental Health/trends , Panic Disorder/epidemiology , Remote Consultation/methods , Age and Sex Distribution , COVID-19
3.
J. bras. psiquiatr ; 70(2): 99-107, abr.-jun. 2021. tab, graf
Article in English | LILACS | ID: biblio-1279313

ABSTRACT

OBJECTIVE: The aim was to evaluate the prevalence and factors associated with anxiety disorders among university students of health sciences at Federal University of Ouro Preto, Brazil. METHODS: A cross-sectional study between March to June 2019. Data were collected through a self-administered questionnaire including sociodemographic, academic, family and behavioral issues. The Beck Anxiety Inventory was used to assess anxiety. Estimates were obtained through the prevalence ratio and Poisson multivariate analysis. RESULTS: Four hundred and ninety-three students participated with a mean age of 23.1 and predominantly women (79.9%). All students had some degree of anxiety, with the frequency of the severe, moderate and mild forms being 28.0%, 29.8% and 27.0%, respectively. The factors associated with anxiety included having suffered psychological and/or physical violence in childhood, having suicidal thoughts, having a deceased parent, living with parents, being dissatisfied with the course and being in the exam period. CONCLUSIONS: The prevalence of anxiety was high in our study and family problems prior to entering university seem to significantly influence the degree of anxiety, which may compromise the student's academic and social performance.


OBJETIVO: O objetivo foi avaliar a prevalência e os fatores associados aos transtornos de ansiedade em estudantes universitários de ciências da saúde da Universidade Federal de Ouro Preto, Brasil. MÉTODOS: Estudo transversal, entre março e junho de 2019. Os dados foram coletados por meio de questionário autoaplicável, incluindo questões sociodemográficas, acadêmicas, familiares e comportamentais. O Inventário de Ansiedade de Beck foi usado para avaliar a ansiedade. As estimativas foram obtidas por meio da razão de prevalência e análise multivariada de Poisson. RESULTADOS: Participaram 493 alunos com idade média de 23,1 anos e predominância do sexo feminino (79,9%). Todos os alunos apresentaram algum grau de ansiedade, sendo a frequência da forma grave, moderada e leve de 28,0%, 29,8% e 27,0%, respectivamente. Os fatores associados à ansiedade foram: ter sofrido violência psicológica e/ou física na infância, ter pensamentos suicidas, ter pai falecido, morar com os pais, ter insatisfação com o curso e estar em período de provas. CONCLUSÕES: A prevalência de ansiedade foi elevada em nosso estudo e os problemas familiares anteriores ao ingresso na universidade parecem influenciar significativamente no grau de ansiedade, podendo comprometer o desempenho acadêmico e social do discente.


Subject(s)
Humans , Male , Female , Young Adult , Anxiety Disorders/psychology , Anxiety Disorders/epidemiology , Students, Health Occupations/psychology , Anxiety Disorders/diagnosis , Stress, Psychological , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Family Conflict
5.
Arq. bras. oftalmol ; 84(1): 31-36, Jan.-Feb. 2021. tab
Article in English | LILACS | ID: biblio-1153098

ABSTRACT

ABSTRACT Purpose: Our goal was to analyze the prevalence of depression and anxiety among patients with glaucoma and to identify risk factors related to these disorders. Methods: A cross-sectional study was carried out between August 2016 and August 2017 at the Hospital das Clínicas of Universidade Estadual de Campinas and at the Hospital Oftalmológico de Brasília to evaluate the prevalence of depressive and anxiety disorders among patients diagnosed with glaucoma. All patients underwent a complete ophthalmologic examination with standard automated perimetry to confirm the diagnosis of glaucoma. All participants were asked to complete the Hospital Anxiety and Depression Scale questionnaire. Results: One hundred and twenty-nine patients were included in the study. Seventy-four were men (57.36%) and 55 (42.64%) were women. The mean age of the patients was 70.14 ± 15.8 years. Ninety participants were white (69.77%) and 38 (29.46%) were black. The study demonstrated a prevalence of depression and/or anxiety at 10.08%. Logistic regression revealed that women were at higher risk for anxiety and/or depression (OR: 5.25, p=0.015) and patients with a larger number of comorbidities also were at higher risk for anxiety and/or depressive disorders (OR: 2.82, p=0.038). Conclusion: A significant proportion of patients with glaucoma present with depression and/or anxiety. Females and patients with comorbidities are at greater risk for these disorders.


RESUMO Objetivo: Avaliar a prevalência de transtornos de depressão e ansiedade em pacientes com glaucoma e identificar fatores de riscos associados. Métodos: Estudo transversal em pacientes com glaucoma, avaliados durante Agosto de 2016 e Agosto de 2017 no Hospital das Clínicas da Universidade de Campinas e no Hospital Oftalmológico de Brasília. Todos pacientes foram submetidos à exame oftalmológico completo para confirmar o diagnóstico de glaucoma. Todos pacientes preencheram o questionário "Hospital Anxiety and Depression Scale". Resultados: Foram incluídos 129 pacientes no estudo, sendo 74 homens (57.36%) e 55 (42.64%) mulheres, 90 pacientes eram brancos (69.77%) e 38 (29.46%) eram negros. A idade média foi de 70.14 ± 15.8 anos. O estudo demonstrou uma prevalência de 10.08% de transtornos depressivo e/ou ansiedade. A regressão logística demonstrou que mulheres apresentam maior risco de desenvolver transtornos depressivos e/ou ansiedade (Risco relativo: 5.25, p=0.015), assim como pacientes com maior número de comorbidades clínicas (Risco relativo: 2.82, p=0.038). Conclusão: Uma proporção significativa dos pacientes com glaucoma podem apresentar transtornos de depressão e/ou ansiedade. Pacientes com glaucoma do sexo feminino e que apresentem maiores comorbidades clínicas apresentam maior risco de apresentar esses transtornos.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Glaucoma , Depressive Disorder , Anxiety/epidemiology , Anxiety Disorders/epidemiology , Glaucoma/complications , Glaucoma/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Depression/etiology , Depression/epidemiology , Depressive Disorder/epidemiology
6.
Rev. bras. educ. méd ; 45(2): e061, 2021. tab
Article in English | LILACS | ID: biblio-1180906

ABSTRACT

Abstract: Introduction: Generalized anxiety disorder (GAD) is a common pathology in modern life. Furthermore, Brazil ranks among one of the countries in Latin America with the highest increase in the number of suicides. Objective: The goal of this study is to evaluate the prevalence of GAD and suicide risk and their association in medical students from Belém - PA. Methods: The observational, cross-sectional and quantitative study included undergraduate medical students attending the 1st, 3rd and 5th years of Universidade do Estado do Pará as subjects of this research, totaling 153 students. It used a protocol created by the authors and the Mini International Neuropsychiatric Interview. The software BioEstat® 5.3 was used to perform the statistical analysis. Results: 52 (32,7%) of the 159 students have GAD and 48 (30,2%) pose a suicide risk, of which 18 have a mild risk (11,3%), 17 a moderate risk (10,7%) and 13 a high risk (8,2%). 46,7% and 50% of the 1st and 3rd-year students, respectively, have higher risk of suicide, which could be related to the competition faced during the University admission process and also during the first years of the clinical cycle. Of the 5th year students who pose a suicide risk, only 21,7% have high risk. Conclusion: It can be observed that GAD and suicide risk show high prevalence among medical students, which has to be investigated and treated aiming to reduce the impacts of those disorders on health professionals and students.


Resumo: Introdução: O transtorno de ansiedade generalizada (TAG) é uma patologia comum da modernidade. Além disso, o Brasil figura entre um dos países da América Latina com o maior aumento do número de suicídios. Objetivo: Este estudo teve como objetivo avaliar a prevalência de TAG e risco de suicídio e a associação entre eles em estudantes de Medicina de Belém, no Pará. Métodos: O estudo observacional, transversal e quantitativo teve como sujeitos da pesquisa graduandos do curso de Medicina que estavam matriculados no primeiro, terceiro e quinto anos na Universidade do Estado do Pará, totalizando 159. Utilizaram-se questionário de autoria dos pesquisadores e o Mini International Neurophsychiatric Interview, sendo a análise estatística feita com o software BioEstat® 5.3. Resultados: Dos 159 estudantes, 52 (32,7%) apresentaram TAG; e 48 (30,2%), risco de suicídio, dos quais 18 tiveram risco leve (11,3%); 17, risco moderado (10,7%); e 13, risco elevado (8,2%). Dos alunos, 46,7% e 50%, respectivamente do primeiro e terceiro anos, apresentaram risco elevado de suicídio, fato que pode estar associado com a pressão do vestibular e do início do ciclo clínico. Dos alunos do quinto ano com risco de suicídio, somente 21,7% apresentaram risco elevado. Conclusão: Percebe-se uma importante taxa de TAG e de risco de suicídio entre os estudantes de Medicina, o que precisa ser investigado e trabalhado para minimizar os impactos desses transtornos nos discentes.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Anxiety Disorders/epidemiology , Suicide, Attempted/statistics & numerical data , Anxiety Disorders/psychology , Socioeconomic Factors , Suicide, Attempted/psychology , Brazil/epidemiology , Sex Factors , Prevalence , Cross-Sectional Studies , Age Factors
7.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 42(6): 621-629, Nov.-Dec. 2020. tab, graf
Article in English | LILACS | ID: biblio-1132143

ABSTRACT

Objective: This study investigated the prevalence of generalized anxiety disorder (GAD) in Taiwanese patients with type 2 diabetes mellitus (T2DM). Methods: This retrospective observational study was conducted with a random sample of patients from the entire population of National Health Insurance enrollees during 2000-2010 and used ICD-9-CM diagnostic codes to identify T2DM patients and GAD. The prevalence of GAD was compared between T2DM patients and the general population. Results: Between 2000 and 2010, the prevalence of GAD was significantly greater in the T2DM patients than the general population, while the increase of GAD was higher in the general population (from 0.25 to 0.63%) than among T2DM patients (from 0.81 to 1.03%). In T2DM patients, GAD was associated with female gender, a Charlson Comorbidity Index ≥ 1, diabetes mellitus duration > 9 years, and the following comorbidities: congestive heart failure, peripheral vascular disease, and depressive disorder. The prevalence of GAD among T2DM patients was negatively associated with rapid-acting insulin injection therapy and with the use of metformin and sulfonylureas. Conclusion: Since the prevalence of GAD was greater among T2DM patients than the general population, public health initiatives are needed to prevent and treat GAD in T2DM patients, specifically those with the above mentioned risk factors.


Subject(s)
Humans , Female , Diabetes Mellitus, Type 2/epidemiology , Anxiety Disorders/epidemiology , Comorbidity , Prevalence , Risk Factors
8.
Arch. Clin. Psychiatry (Impr.) ; 47(1): 19-24, Jan.-Feb. 2020. tab, graf
Article in English | LILACS | ID: biblio-1088743

ABSTRACT

Abstract Background Sleep disorders are common in psychiatric diseases. Panic disorder (PD) and generalized anxiety disorder (GAD) are two major anxiety disorders that are associated with sleep disorders. Objective We hypothesized that poor sleep quality continues in PD and GAD during remission. Therefore, in this study we aimed to compare the sleep quality of patients with PD and GAD to that of healthy controls. Methods The study included patients with PD (n = 42) and GAD (n = 40) who had been in remission for at least 3 months and healthy control volunteers (n = 45). The patients were administered the Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). Results The total PSQI scores of the GAD group were significantly increased in comparison to those of the PD (p = 0.009) and control (p < 0.001) groups. The rate of poor sleep quality in GAD during remission (77.5%) was greater than that of the PD (47.6%) and control (51.1%) groups (p = 0.011). Discussion GAD is a chronic and recurrent disease. In this study, it was found that the deterioration in sleep quality of patients with GAD may continue during remission. In the follow-up and treatment of patients, it is appropriate to question about sleep symptoms and to plan interventions according to these symptoms.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Young Adult , Anxiety Disorders/complications , Panic Disorder/complications , Sleep Initiation and Maintenance Disorders/etiology , Anxiety Disorders/drug therapy , Anxiety Disorders/epidemiology , Tobacco Use Disorder/complications , Remission Induction , Case-Control Studies , Chronic Disease , Cross-Sectional Studies , Follow-Up Studies , Panic Disorder/drug therapy , Panic Disorder/epidemiology , Serotonin Uptake Inhibitors/therapeutic use , Disease-Free Survival , Serotonin and Noradrenaline Reuptake Inhibitors/therapeutic use , Sleep Initiation and Maintenance Disorders/epidemiology
9.
An. bras. dermatol ; 94(6): 704-709, Nov.-Dec. 2019. tab
Article in English | LILACS | ID: biblio-1054884

ABSTRACT

Abstract Background: Rosacea may result in emotional distress and anxiety. However, data on the presence of generalized anxiety disorder in rosacea patients are scarce. Objective: The aim of the study was to detect the frequency and level of anxiety and depression in patients with rosacea. Methods: A total of 194 consecutive rosacea patients and 194 age- and sex-matched controls were enrolled. Severity of rosacea was assessed in patients according to the criteria of the National Rosacea Society Ethics Committee. Both patients and controls were evaluated by the Generalized Anxiety Disorder 7-item scale, and severity was measured by the Generalized Anxiety Disorder-Adult. Results: Individuals who were diagnosed with an anxiety and/or depressive disorder were more common in patient group (24.7% vs. 7.2%, p < 0,01). Female patients were particularly at risk for having generalized anxiety disorder (OR = 2.8; 95% CI 1.15-7.37; p = 0.02). Study limitations: Single center study and limited sample size. Conclusions: Rosacea patients show greater risk of having anxiety disorders, including generalized anxiety disorder. Female patients, those with lower educational levels, those with phymatous subtype, untreated patients, and patients with prior psychiatric morbidity may be at particular risk for anxiety. It is essential to consider the psychological characteristics of patients to improve their well-being.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety Disorders/etiology , Anxiety Disorders/epidemiology , Rosacea/complications , Rosacea/epidemiology , Depressive Disorder/etiology , Depressive Disorder/epidemiology , Psychiatric Status Rating Scales , Quality of Life , Case-Control Studies , Logistic Models , Prevalence , Cross-Sectional Studies , Analysis of Variance , Educational Status
10.
Trends psychiatry psychother. (Impr.) ; 41(4): 369-374, Oct.-Dez. 2019. tab
Article in English | LILACS | ID: biblio-1059183

ABSTRACT

Abstract Objective To explore and describe sociodemographic characteristics, crack consumption patterns, and psychiatric comorbidities of female crack users receiving treatment at therapeutic communities. Methods This was a cross-sectional, descriptive, quantitative study. Forty-six women who abstained from crack use were assessed using a sociodemographic questionnaire, the Mini-Mental State Examination (MMSE), the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), and a profile of crack use questionnaire. Descriptive statistical analyses were conducted. Results Participants had a mean age of 31.02 years (standard deviation [SD] = 7.73), most were single (76.1%), white (67.4%) and had complete or incomplete elementary education (43.5%). Before treatment, 65.2% of the women reported using crack every day; 46.3% smoked between 10 to 30 crack rocks per week. Mean treatment time was 63.56 days (SD = 75.85), with a mean of 80.41 days of abstinence (SD = 74.52) and 3.37 previous treatments (SD = 5.49). Mean age upon crack use initiation was 22.61 years (SD = 8.06), and the most frequent motivation to start using crack was curiosity (78.3%). The mean lifetime duration of crack use was 82.26 months (SD = 74.76), and the physical complications most frequently reported were weight loss (93.5%), followed by sleep problems (87%). In this study, the most prevalent psychiatric diagnoses were major depressive episode (60.87%), followed by post-traumatic stress disorder (52.17%) and generalized anxiety disorder (13.07%). Conclusions Overall, a pattern of high consumption of crack was observed. The results show a high frequency of mood and anxiety disorders, with the highest frequencies found for major depressive episode and post-traumatic stress disorder.


Resumo Objetivo Explorar e descrever características sociodemográficas, padrão de consumo e comorbidades psiquiátricas em mulheres usuárias de crack recebendo tratamento em comunidades terapêuticas. Método Estudo transversal, descritivo e quantitativo. Quarenta e seis mulheres abstinentes de crack responderam a um questionário sociodemográfico, ao Mini-Exame do Estado Mental (MEEM), à Entrevista Estruturada do DSM-IV para Transtornos do Eixo I (SCID-I) e a um questionário sobre padrão de consumo de crack. Foram realizadas análises estatísticas descritivas dos dados. Resultados As participantes tinham média de 31,02 anos [desvio padrão (DP) = 7,73], eram na maioria solteiras (76,1%), brancas (67,4%) e tinham ensino fundamental completo ou incompleto (43,5%). Antes do tratamento, 65,2% das mulheres relataram usar crack todos os dias; 46,3% fumavam entre 10 e 30 pedras de crack por semana. O tempo médio de tratamento foi de 63,56 dias (DP = 75,85), com média de 80,41 dias em abstinência (DP = 74,52) e 3,37 (DP = 5,49) tratamentos anteriores. A idade média de início do uso de crack foi de 22,61 anos (DP = 8,06), e a motivação mais frequente para iniciar o uso de crack foi a curiosidade (78,3%). A duração média de uso de crack na vida foi de 82,26 meses (DP = 74,76), e as complicações físicas mais frequentemente relatadas foram perda de peso (93,5%), seguida por problemas de sono (87%). Neste estudo, os diagnósticos mais prevalentes foram episódio depressivo maior (60,87%), seguido por transtorno de estresse pós-traumático (52,17%) e transtorno de ansiedade generalizada (13,07%). Conclusões Em geral, observamos um padrão de alto consumo de crack. Os resultados mostram alta frequência de transtornos de humor e ansiedade, com maiores frequências para episódio depressivo maior e transtorno de estresse pós-traumático.


Subject(s)
Humans , Female , Adult , Young Adult , Cocaine Smoking/epidemiology , Anxiety Disorders/epidemiology , Sleep Wake Disorders/epidemiology , Stress Disorders, Post-Traumatic/epidemiology , Brazil/epidemiology , Weight Loss , Comorbidity , Cross-Sectional Studies , Surveys and Questionnaires , Crack Cocaine , Marital Status , Depressive Disorder, Major/epidemiology , Educational Status , Cocaine Smoking/psychology , Cocaine Smoking/therapy , Mental Status and Dementia Tests , Interview, Psychological
11.
Salud pública Méx ; 61(4): 514-523, Jul.-Aug. 2019. tab
Article in Spanish | LILACS | ID: biblio-1099328

ABSTRACT

Resumen: Objetivo: Identificar posibles cambios en la frecuencia de manifestaciones sindromáticas sugerentes de problemas de salud mental en población infantil mexicana empleando el Cuestionario Breve de Tamizaje y Diagnóstico (CBTD), a lo largo de 15 años. Material y métodos: Se analiza información de diferentes estudios en población general, escuelas y práctica médica. La estimación obtenida en la Ciudad de México fue utilizada como población de referencia para comparación. Resultados: Se apreciaron incrementos notables respecto a la prevalencia de síndromes como el déficit de atención e hiperactividad, y conducta oposicionista y explosiva, así como manifestaciones de ansiedad y depresivas. Estas últimas resultaron más frecuentes en la edad escolar tardía. Las alteraciones en el lenguaje y la epilepsia también mostraron incremento en diferentes grupos de edad. Conclusiones: Se discuten los hallazgos a la luz de estudios longitudinales en la literatura, así como de reportes de población adolescente en nuestro país.


Abstract: Objective: To identify possible changes in the frequency of psychopathological syndromes in Mexican children population over a 15-year period using the Brief Screening and Diagnostic Questionnaire (CBTD in Spanish). Materials and methods: Information gathered from different studies on the general population, schools and medical general practice are analyzed. Results from the Mexico City study were used as base rates for comparisons. Results: Higher prevalence of externalizing syndromes such as attention deficit and hyperactivity, oppositional and explosive conduct were very evident. Also, anxiety and depressive syndromes showed a notable increase. Prevalence of abnormal language and probable epilepsy were also increased on different age-groups. Conclusions: Findings are discussed in light of longitudinal reports in the literature as well as on reports in adolescent population in Mexico.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Anxiety Disorders/epidemiology , Mental Health , Attention Deficit and Disruptive Behavior Disorders/epidemiology , Depressive Disorder/epidemiology , Health Priorities , Attention Deficit Disorder with Hyperactivity/epidemiology , Prevalence , Health Surveys/methods , Sex Distribution , Conduct Disorder/epidemiology , Epilepsy/epidemiology , Language Disorders/epidemiology , Mexico/epidemiology
12.
Rev. Assoc. Med. Bras. (1992) ; 65(6): 801-809, June 2019. tab, graf
Article in English | LILACS | ID: biblio-1012991

ABSTRACT

SUMMARY BACKGROUND: Depression and anxiety disorders (DAD) are the most prevalent mental health conditions worldwide. Among the adult population served in basic care, it is estimated that depression affects about 14.3% of these individuals worldwide, and between 21.4% and 31% in Brasil. Anxiety affects up to 33.7% of the population during their lifetimes. OBJECTIVES: estimate the prevalence proportions of DAD among patients in a municipality in Northeast Brasil and study the association between DAD and cardiovascular risk factors. METHODS: a cross-sectional study with the medical records of patients from primary care centers in Jaboatão dos Guararapes, Pernambuco. Patients aged ≥ 18 years and regularly followed-up were included. Exclusion criteria: a history of traumatic brain injury, alcohol or drug abuse, previous stroke, medical conditions or medications that mimic DAD symptoms. Subjects were divided into two groups depending on the presence or absence of DAD, and cardiovascular risk factors were compared between groups. RESULTS: A total of 1030 subjects were initially included, of whom 215 (20%) were excluded. No-DAD subjects had more history of myocardial infarction and alcoholism. The prevalence of depression was 10.3%, anxiety disorder was 27.1%, and mixed DAD represented 4.5%. There was a significant association between DAD and hypertension (OR = 2.11; 95%CI: 1.16 -3.84; p=0.01), obesity (OR = 4.47; 95%CI: 1.74 -11.46; p=0.002), and hyperlipidemia (OR = 3.88; 95%CI: 1.81-8.3; p<0.001). CONCLUSION: DAD were associated with an increased risk for arterial hypertension, obesity, and hyperlipidemia.


RESUMO INTRODUÇÃO: Transtornos de ansiedade e depressão (TAD) são os distúrbios psiquiátricos mais comuns no mundo. Dentre a população adulta atendida na atenção básica, estima-se que a depressão afete cerca de 14,3% desses indivíduos mundialmente, podendo este valor ir de 21,4% a 31% no Brasil. A ansiedade afeta até 33,7% da população durante sua vida. OBJETIVO: Estimar a prevalência de TAD em pacientes da atenção primária em um município do Nordeste brasileiro e associar sua ocorrência com fatores de risco cardiovasculares. MÉTODOS: Um estudo de coorte transversal com análise de prontuário de pacientes atendidos em unidades de saúde da família de Jaboatão dos Guararapes, Pernambuco. Foram incluídos pacientes ≥18 anos e acompanhados regularmente. Critérios de exclusão: história de trauma crânio encefálico, abuso de álcool e drogas, acidente vascular cerebral prévio, doenças ou medicações que mimetizem sintomas de TAD. Os indivíduos foram divididos em dois grupos, a depender da presença ou não de TAD, e os fatores de risco cardiovascular foram comparados entre os grupos. RESULTADOS: De um total de 1.030 indivíduos recrutados, 215 (20%) foram excluídos. O grupo não TAD apresentou mais história de infarto do miocárdio e etilismo. A prevalência de depressão foi de 10,3%, a de ansiedade foi de 27,1% e a associação entre os dois foi de 4,5%. Houve associação significativa entre TAD e hipertensão (OR = 2,11; IC95: 1,16-3,84; p=0,01), obesidade (OR = 4,47; IC95%: 1,74-11,46; p=0,002) e dislipidemia (OR = 3,88; IC95%: 1,81-8,3; p<0,001). CONCLUSÃO: TAD estão associados com maior risco de hipertensão arterial, obesidade e dislipidemia.


Subject(s)
Humans , Male , Female , Adult , Aged , Anxiety Disorders/complications , Anxiety Disorders/epidemiology , Primary Health Care/statistics & numerical data , Cardiovascular Diseases/psychology , Cardiovascular Diseases/epidemiology , Depressive Disorder/complications , Depressive Disorder/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Risk Factors , Sex Distribution , Age Distribution , Statistics, Nonparametric , Middle Aged
13.
Rev. Assoc. Med. Bras. (1992) ; 65(6): 864-869, June 2019. tab
Article in English | LILACS | ID: biblio-1012988

ABSTRACT

SUMMARY OBJECTIVE: This study aims to verify the association between risk factors for the onset of SUI and transobturator suburethral sling surgical treatment outcomes. PATIENTS AND METHODS: A retrospective study was conducted with 57 patients operated by the Pelvic Floor Surgery Service. Demographic data were compiled from the sample, the body mass index (BMI) was calculated, and the patients were divided according to the response to the surgical treatment. RESULTS: A total of 77.2% of the sample was cured or improved after surgical treatment. Out of the total sample, 75.4% of the women were postmenopausal, and 73.7% denied current or past smoking. The median age was 61 years, the median number of births was 4.0, the median BMI was 28.6 kg/m2, and 50.9% of the sample was classified as pre-obese. BMI, menopausal status, age, smoking, and sexual activity were not factors associated with the surgical outcome. However, parity equal to or greater than 5 was associated with worse postoperative results (p = 0.004). CONCLUSIONS: among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.


RESUMO OBJETIVO: O estudo pretende verificar a associação entre fatores de risco relacionados ao surgimento da IUE com resultado do tratamento cirúrgico com sling suburetral transobturador. PACIENTES E MÉTODOS: Foi realizado estudo retrospectivo com 57 pacientes operadas pelo serviço de Cirurgia do Assoalho Pélvico da FMJ. Foram compilados dados demográficos da amostra, calculado o índice de massa corpórea (IMC) e as pacientes foram divididas de acordo com a resposta ao tratamento cirúrgico. RESULTADOS: 77,2% da amostra apresentou-se curada ou melhorada após o tratamento cirúrgico, 75,4% das mulheres se encontravam na pós-menopausa e 73,7% negaram tabagismo atual ou passado. A mediana de idade foi de 61 anos, a mediana do número de partos foi de 4,0 e a mediana do IMC foi de 28,6 kg/m2; 50,9% da amostra foi classificada como pré-obesa. O IMC, o status menopausal, a idade, o tabagismo e a manutenção da atividade sexual não foram fatores associados ao resultado cirúrgico. Porém, a paridade igual ou superior a 5 associou-se a piores resultados pós-operatórios (p=0,004). CONCLUSÕES: Entre os fatores de risco associados ao surgimento da IUE, apenas a paridade maior que 4 influenciou negativamente as taxas de melhora após cirurgia de sling transobturador.


Subject(s)
Humans , Male , Female , Adult , Aged , Anxiety Disorders/complications , Anxiety Disorders/epidemiology , Primary Health Care/statistics & numerical data , Cardiovascular Diseases/psychology , Cardiovascular Diseases/epidemiology , Depressive Disorder/complications , Depressive Disorder/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Risk Factors , Sex Distribution , Age Distribution , Statistics, Nonparametric , Middle Aged
14.
Ciênc. Saúde Colet ; 24(5): 1865-1874, Mai. 2019. tab, graf
Article in English | LILACS | ID: biblio-1001816

ABSTRACT

Abstract This study investigates the suicidal ideation and the possible causes for suicidal behaviour in the elderly. Subjects were 150 patients aged 65 and older who were evaluated using the sociodemographic data collection forms, Geriatric Depression Scale (GDS), Suicidal Ideation Scale (SIS), Reasons for Living Inventory (RLI), and Beck Hopelessness Scale (BHS). Of 150 patients, 72.7% were women and 27.3% were men, ages ranged from 65 to 88 years. Suicidal ideation was noted in 30.7% of patients. When the mean of BHS total score between patients with and without suicidal ideation and the mean of BHS subscale's feelings and expectations regarding the future and loss of motivation and hope in terms of subscales were evaluated between the groups with and without suicidal ideation, the scores had a significant difference. When RLI was evaluated in terms of total scores, the suicidal ideation mean score was 243.74 ± 32.28, while the non-suicidal ideation mean score was 267.27 ± 24.36. There was a significant relationship between the two groups. We found low level of education, low level of reasons for living and higher psychiatric morbidity (generalized anxiety disorder and comorbid depressive disorder) in with suicidal ideation in the elderly.


Resumo Este estudo tem por objetivo investigar os fatores que levam à ideação suicida e às possíveis causas para o comportamento suicida em idosos. Foram estudados 150 pacientes com idade igual ou superior a 65 anos, que foram avaliados utilizando os formulários de coleta de dados sociodemográficos, Escala de Depressão Geriátrica (EDG), Escala de Ideação Suicida (EIS), Inventário de Razões para Viver (IRV) e Escala de Desesperança de Beck (EDB). De 150 pacientes, 72,7% eram mulheres e 27,3% homens , com idades de 65 a 88 anos. A ideação suicida foi observada em 30,7% dos pacientes . Ao se avaliar a média da pontuação total de EBD entre pacientes com e sem ideação suicida e a média dos sentimentos e expectativas da subescala EBD em relação ao futuro e perda de motivação e esperança em termos de subescalas entre os grupos com e sem ideação suicida, a pontuação teve uma diferença significativa. Quando o IRV foi avaliado em termos de pontuações totais, o escore médio de ideação suicida foi de 243,74 ± 32,28, enquanto o escore médio de ideação não suicida foi de 267,27 ± 24,36. Houve uma relação significativa entre os dois grupos. Fatores de risco para ideação suicida em idosos foram desesperança, baixo nível de educação, baixo nível de razões para viver, distúrbio de ansiedade generalizada e transtorno depressivo comórbido.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Anxiety Disorders/epidemiology , Suicide/psychology , Depressive Disorder/epidemiology , Suicidal Ideation , Psychiatric Status Rating Scales , Turkey , Cross-Sectional Studies
15.
Braz. j. otorhinolaryngol. (Impr.) ; 85(2): 199-205, Mar.-Apr. 2019. tab
Article in English | LILACS | ID: biblio-1001543

ABSTRACT

Abstract Introduction: Speech delay in a child could be the cause and/or result of the emotional disorder. The child rearing attitude that the parents have accepted could have both positive and negative effects on the personality of the child. Objective: The current study aimed to investigate the sociodemographic features and the mothers' anxiety of children with speech delay. Methods: One hundred five mothers with children aged between 3 and 6 years with speech delays were included in the patient group, and 105 mothers who have children aged between 3 and 6 years with normal speech and language development were included in the control group. An information form questionnaire including demographic characteristics, the Family Life and Childrearing Attitude Scale (PARI - Parental Attitude Research Instrument) and Beck anxiety scale were requested from all mothers in the patient and the control groups. Results: In the current study, there was a significant difference between the groups in terms of gender (p = 0.001). According to Parental Attitude Research Instrument, the mean of mothers of the children with speech delays was higher than the mean of mothers of normal children in terms of the answers to overprotective mother aspect (p < 0.01). The mothers of children with speech delays had more overprotective motherhood attitudes; however, the difference in terms of the answers to the aspects of democratic attitude and provision of equality, refusal to be a housewife, husband-wife conflict, and suppression and discipline were not statistically significant. The Beck anxiety scale, a significant difference was detected between the two groups (p < 0.01). It was found that the mothers of children with speech delays had more severe levels of anxiety. Conclusion: The social structure of the family, the attitudes and the behaviors of the mother, and the anxiety levels of the mothers have important effects on child development. Thus, it is necessary to perform further studies related to speech delays, in which many factors play a role in the etiology.


Resumo Introdução: O atraso da fala em uma criança pode ser a causa e/ou o resultado de distúrbio emocional. As atitudes tomadas pelos pais na educação da criança podem ter efeitos positivos e negativos sobre a personalidade infantil. Objetivo: Investigar as características sociodemográficas e a ansiedade das mães de crianças com atraso na fala. Método: Foram incluídas no grupo de pacientes 105 mães com crianças entre 3 e 6 anos de idade e atrasos na fala e no grupo controle 105 mães com crianças na mesma faixa etária e desenvolvimento normal da fala e da linguagem. Foi solicitado às mães de ambos os grupos o preenchimento de informações em um formulário, incluindo características demográficas, o instrumento Family Life and Child Rearing Attitude Scale (PARI - Parental Attitude Research Instrument) e o inventário de ansiedade Beck. Resultados: No estudo atual, houve diferença significativa entre os grupos em relação ao gênero (p = 0,001). De acordo com o instrumento Parental Attitude Research Instrument, a média das mães das crianças com atrasos na fala foi maior do que a média das mães de crianças normais em relação às respostas sobre superproteção materna (p < 0,01). As mães de crianças com atrasos na fala apresentaram mais atitudes de proteção materna excessiva; no entanto, a diferença das respostas sobre atitudes democráticas e igualitarismo, recusa do papel de dona de casa, conflito marital e disciplina rígida não foram estatisticamente significantes. No inventário de ansiedade de Beck foi encontrada uma diferença significativa entre os dois grupos (p < 0,01). Verificou-se que as mães de crianças com atrasos na fala apresentavam níveis mais graves de ansiedade. Conclusão: A estrutura social da família, as atitudes, o comportamento e os níveis de ansiedade das mães têm efeitos importantes no desenvolvimento da criança. Conclui-se, portanto, a necessidade de realizar estudos adicionais relacionados aos atrasos na fala, nos quais diversos fatores desempenham um papel etiológico.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Anxiety Disorders/epidemiology , Child Rearing/psychology , Language Development Disorders/psychology , Language Development Disorders/epidemiology , Mothers/psychology , Psychiatric Status Rating Scales , Socioeconomic Factors , Severity of Illness Index , Case-Control Studies , Child Behavior/psychology , Surveys and Questionnaires , Risk Factors
16.
Int. j. odontostomatol. (Print) ; 13(1): 97-102, mar. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-990072

ABSTRACT

RESUMEN: El bruxismo corresponde a una actividad parafuncional de apretamiento dentario por acción de los músculos masticatorios. Dentro de los factores etiológicos del bruxismo, se encuentran estados emocionales como la ansiedad, depresión y situaciones de estrés, entre otros. Los estudiantes de Odontología, especialmente aquellos que se encuentran en su ciclo clínico, se someten a situaciones de alta exigencia que les generan estados de depresión, estrés y ansiedad. El objetivo de este estudio es medir la prevalencia de trastornos psicológicos como depresión, ansiedad y estrés y bruxismo en estudiantes de Odontología de 4to y 5to año de la Pontificia Universidad Católica de Chile. Mediante el uso de cuestionarios y exámenes clínicos, utilizando el cuestionario de la Asociación Americana de Medicina del Sueño y la Escala de Depresión-Ansiedad y Estrés (DAS-21), se determinó que el 62 % de los estudiantes presentaron bruxismo, con predominio en mujeres. Todos los alumnos que presentaron bruxismo manifestaron niveles de depresión, ansiedad y estrés. Estas cifras son importantes a considerar como señal de alerta y para generar medidas preventivas y terapéuticas para disminuir el bruxismo y los trastornos psicológicos asociados.


ABSTRACT: Bruxism corresponds to a parafunctional activity of dental tightening due to the action of masticatory muscles. Within the etiological factors of bruxism, there are emotional states such as anxiety, depression and stress situations, among others. Dental students, especially those who are in their clinical cycle, are subjected to high demand situations that generate states of depression, stress and anxiety. The aim of this study is to measure the prevalence of psychological disorders such as depression, anxiety and stress and bruxism in 4th and 5th year of dentistry students of the Pontificia Universidad Católica de Chile. Through the use of questionnaires and clinical examinations, using the questionnaire of the American Association of Sleep Medicine and the Depression-Anxiety and Stress Scale (DAS-21), it was determined that 62 % of the students presented bruxism, with predominance in women. All of the students that presented bruxism, manifested levels of depression, anxiety and stress. These numbers are important to consider as a warning signal and to generate preventive and therapeutic measures that contribute to the reduction of bruxism and associated psychological disorders.


Subject(s)
Humans , Male , Female , Stress, Psychological/epidemiology , Students/psychology , Students, Dental/psychology , Bruxism/epidemiology , Anxiety Disorders/epidemiology , Students, Dental/statistics & numerical data , Bruxism/psychology , Chile/epidemiology , Prevalence , Surveys and Questionnaires
17.
Rev. bras. psiquiatr ; 40(4): 349-353, Oct.-Dec. 2018. tab
Article in English | LILACS | ID: biblio-959250

ABSTRACT

Objective: To evaluate the association between abuse of and dependence on different psychoactive substances and the presence of anxiety disorders in a sample of young adults from a city in southern Brazil. Methods: Between 2007 and 2009, we carried out a cross-sectional, population-based study of individuals aged 18-24 years who lived in Pelotas, a city in southern Brazil. We evaluated anxiety disorders using the Mini International Neuropsychiatric Interview 5.0 (MINI), and use of psychoactive substances with the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST 2.0/0MS). We used Fisher's exact test for univariate analysis, and Poisson regression models with robust variance for multivariable analysis. Results: The sample consisted of 1,560 young adults. The overall prevalence of abuse/dependence was 26.9% for alcohol, 24.9% for tobacco, and 7.3% for illicit substances. Individuals with agoraphobia had a 32% higher prevalence of tobacco abuse/dependence (prevalence ratio [PR] = 1.32 [95%CI 1.01-1.74]). Individuals with posttraumatic stress disorder (PTSD) or generalized anxiety disorder (GAD) had a 2.41-fold (95%CI 1.22-4.77) and 1.76-fold (95%CI 1.00-3.11) higher prevalence of illicit substance abuse/dependence, respectively. Conclusion: In this population-based sample, we found associations between GAD, PTSD, and increased prevalence of illicit substance abuse/dependence. In addition, individuals with agoraphobia seem to have increased tobacco abuse/dependence.


Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Anxiety Disorders/epidemiology , Psychotropic Drugs/adverse effects , Stress Disorders, Post-Traumatic/epidemiology , Tobacco Use Disorder/epidemiology , Alcohol-Related Disorders/epidemiology , Anxiety Disorders/complications , Anxiety Disorders/etiology , Brazil/epidemiology , Cluster Analysis , Cross-Sectional Studies , Alcohol-Related Disorders/complications , Agoraphobia/complications , Agoraphobia/etiology , Agoraphobia/epidemiology , Interview, Psychological , Obsessive-Compulsive Disorder/complications , Obsessive-Compulsive Disorder/epidemiology
18.
Braz. j. otorhinolaryngol. (Impr.) ; 84(5): 553-559, Sept.-Oct. 2018. graf
Article in English | LILACS | ID: biblio-974366

ABSTRACT

Abstract Introduction: Misophonia is a recently described, poorly understood and neglected condition. It is characterized by strong negative reactions of hatred, anger or fear when subjects have to face some selective and low level repetitive sounds. The most common ones that trigger such aversive reactions are those elicited by the mouth (chewing gum or food, popping lips) or the nose (breathing, sniffing, and blowing) or by the fingers (typing, kneading paper, clicking pen, drumming on the table). Previous articles have cited that such individuals usually know at least one close relative with similar symptoms, suggesting a possible hereditary component. Objective: We found and described a family with 15 members having misophonia, detailing their common characteristics and the pattern of sounds that trigger such strong discomfort. Methods: All 15 members agreed to give us their epidemiological data, and 12 agreed to answer a specific questionnaire which investigated the symptoms, specific trigger sounds, main feelings evoked and attitudes adopted by each participant. Results: The 15 members belong to three generations of the family. Their age ranged from 9 to 73 years (mean 38.3 years; median 41 years) and 10 were females. Analysis of the 12 questionnaires showed that 10 subjects (83.3%) developed the first symptoms during childhood or adolescence. The mean annoyance score on the Visual Analog Scale from 0 to 10 was 7.3 (median 7.5). Individuals reported hatred/anger, irritability and anxiety in response to sounds, and faced the situation asking to stop the sound, leaving/avoiding the place and even fighting. The self-reported associated symptoms were anxiety (91.3%), tinnitus (50%), obsessive-compulsive disorder (41.6%), depression (33.3%), and hypersensitivity to sounds (25%). Conclusion: The high incidence of misophonia in this particular familial distribution suggests that it might be more common than expected and raises the possibility of having a hereditary etiology.


Resumo Introdução: A misofonia é uma condição recentemente descrita, mal compreendida e negligenciada. É caracterizada por fortes reações negativas de ódio, raiva ou medo quando os indivíduos precisam enfrentar alguns sons repetitivos seletivos e de baixa intensidade. Os mais comuns que desencadeiam tais reações aversivas são aqueles provocados pela boca (mascar goma ou mastigar comida, estalar os lábios) ou nariz (respirando, cheirando e soprando) ou pelos dedos (digitando, amassando papel, clicando a caneta, tamborilando na mesa). Artigos anteriores citam que esses indivíduos geralmente conhecem pelo menos um parente próximo com sintomas semelhantes, sugerindo um possível componente hereditário. Objetivo: Encontramos e descrevemos uma família com 15 membros com misofonia, detalhando suas características comuns e o padrão de sons que desencadeiam um desconforto tão forte. Método: Todos os 15 membros concordaram em nos fornecer seus dados epidemiológicos e 12 concordaram em responder a um questionário específico que investigou os sintomas, sons de gatilho específicos, principais sentimentos evocados e atitudes adotadas por cada participante. Resultados: Os 15 membros pertencem a três gerações da família. A idade variou de 9 a 73 anos (média de 38,3 anos, mediana de 41 anos) e 10 eram mulheres. A análise dos 12 questionários mostrou que 10 indivíduos (83,3%) desenvolveram os primeiros sintomas durante a infância ou a adolescência. A média do escore de irritação na Escala Visual Analógica de 0 a 10 foi de 7,3 (mediana 7,5). Os indivíduos relataram sentimentos de ódio/raiva, irritabilidade e ansiedade em resposta a sons, e enfrentaram a situação pedindo para interromper o som, deixando/evitando o lugar e até mesmo discutindo. Os sintomas associados auto-relatados foram ansiedade (91,3%), zumbido (50%), transtorno obsessivo-compulsivo (41,6%), depressão (33,3%) e hipersensibilidade aos sons (25%). Conclusão: A alta incidência de misofonia nessa distribuição familiar em particular sugere que possa ser mais comum do que o esperado e suscita a possibilidade de haver uma etiologia hereditária.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Young Adult , Anxiety Disorders/genetics , Anxiety Disorders/psychology , Emotions , Hearing Disorders/genetics , Hearing Disorders/psychology , Anger , Anxiety Disorders/diagnosis , Anxiety Disorders/epidemiology , Quality of Life , Sound , Syndrome , Family , Surveys and Questionnaires , Depression/diagnosis , Depression/genetics , Depression/psychology , Depression/epidemiology , Hearing Disorders/diagnosis , Hearing Disorders/epidemiology , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/genetics , Obsessive-Compulsive Disorder/psychology , Obsessive-Compulsive Disorder/epidemiology
19.
Rev. bras. psiquiatr ; 40(3): 284-289, July-Sept. 2018. tab
Article in English | LILACS | ID: biblio-959231

ABSTRACT

Objectives: To study the prevalence of psychiatric disorders in adolescents with and without type 1 diabetes, the factors associated with its presence, and to test the reliability of a screening tool for use in clinical settings. Methods: Eighty-one adolescents were enrolled in this case-control study, including 36 diabetic participants and 45 controls. Clinical and sociodemographic data were collected and psychiatric symptoms and diagnoses were obtained from adolescents and their parents using a screening tool (Strengths & Difficulties Questionnaire) and a semi-structured interview (Development and Well-Being Assessment). Results: Psychiatric disorders were identified in 22.2% of the sample (30.56% among diabetic adolescents vs. 15.56% of controls: OR = 2.39, 95%CI 0.82-6.99; p = 0.11). Overweight (body mass index percentile ≥ 85) was the only factor associated with psychiatric disorder (OR = 3.07; 95%CI 1.03-9.14; p = 0.04). Compared to the semi-structured interview, the screening instrument showed 80% sensitivity, 96% specificity, 88.9% positive predictive value and 92.3% negative predictive value for the presence of psychiatric diagnoses in adolescents. Conclusion: Psychiatric morbidity was high in this sample of adolescents, especially among those with diabetes. Routine use of the Strengths and Difficulties Questionnaire can help with early detection of psychiatric disorders in this at-risk group.


Subject(s)
Humans , Male , Female , Child , Adolescent , Mass Screening/methods , Diabetes Mellitus, Type 1/psychology , Mental Disorders/epidemiology , Anxiety Disorders/diagnosis , Anxiety Disorders/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Case-Control Studies , Mass Screening/psychology , Prevalence , Surveys and Questionnaires , Depressive Disorder/diagnosis , Depressive Disorder/epidemiology , Interview, Psychological , Mental Disorders/psychology
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