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Archives of Clinical Psychiatry (São Paulo), Volume: 44, Número: 3, Publicado: 2017
  • A new editorial board for new challenges Editorial

    Gattaz, Wagner F.; Crippa, José A. S.
  • Current alcohol dependence and emotional facial expression recognition: a cross-sectional study Original Articles

    Donadon, Mariana Fortunata; Osório, Flávia De Lima

    Resumo em Inglês:

    Abstract Background Several studies have demonstrated that chronic and excessive alcohol use causes social cognition deficits. Objectives Thus, the aim of the current study is to assess the associations between emotional facial expression recognition and current alcohol dependence. Methods The sample consisted of two groups: one was composed by current alcohol dependent individuals (AG = 110); and a control group, composed of healthy individuals (CG = 110) assessed by the Structured Clinical Interview DSM-IV. The instrument to assess the recognition of facial expressions of emotion was a dynamic task at computer. Results The AG showed low accuracy in recognizing emotions as a whole and especially fear and disgust. In addition, the group needed greater emotional intensity to recognize joy, fear, disgust and surprise. It also showed increased reaction time for all emotions (p < 0.01). The logistic regression showed the response time for surprise (ODDS = 1.01) and the ability to recognize emotions such as fear (ODDS = 0.68) and disgust (ODDS = 0.70) was significantly associated with alcohol dependence. Discussion These specific associations are of great value to a more refined understanding of alcoholism, and they concern relapse and treatment.
  • Translation, cultural adaptation, and content validity index of the Juvenile Love Scale to the Brazilian context Original Articles

    Soares, Lorrayne Stephane; Paula, Jonas Jardim De; Malloy-diniz, Leandro Fernandes; Miranda, Débora Marques De; Costa, Danielle De Souza

    Resumo em Inglês:

    Abstract Background Passionate love involves physiological, emotional, and cognitive features that greatly changes behavior. This phenomenon seems universal or near universal. Even other animal species choose partners. An intense state of passionate love is associated with activity in dopamine pathways of the brain ‘reward system’, and recently has been regarded as a ‘natural addiction’. Instruments or tools to evaluate romantic love during childhood is still scarce. Objective To perform the translation and cultural adaptation of the Juvenile Love Scale (JLS) for use in the Brazilian context targeted for adolescents between 14 and 18 years old. Methods The translation and cultural adaptation of JLS followed international recommendations, and its content validity was analyzed by a panel of experts in different areas of knowledge. Results The final version of the JLS for use in the Brazilian context showed high content validity (> 90%). Discussion To our knowledge, this is the first scale for measuring romantic or passionate love in adolescents adapted to the Brazilian context. This instrument is a significant contribution to the study of the dimensions of love, as well as to understand the impact of love on the psychiatric phenomena that pervade life in this stage of development.
  • Pain-related quality of life related to mental health and sociodemographic indicators in adolescents Original Articles

    LEE, PERL HAN; YEH, YI-CHUN; HSIAO, RAY C.; YEN, CHENG-FANG; HU, HUEI-FAN

    Resumo em Inglês:

    Abstract Background A total of 6150 junior and senior high school students aged 11–18 years participated in this study. Their level of pain-related QOL was assessed using the pain subscale of the Taiwanese QOL Questionnaire for Adolescents. The severities of depression, suicidality, anxiety, and alcohol abuse were also examined. Objectives This study examined the associations between pain-related quality of life (QOL) and sociodemographic characteristics and those between pain-related QOL and mental health problems such as depression, suicidality, anxiety, and alcohol abuse. Methods The association of sociodemographic factors with pain-related QOL was examined through multiple regression analysis. The association of pain-related QOL with mental health problems was examined through logistic regression analysis. Results The boys exhibited a higher level of satisfaction with pain-related QOL than did the girls. Older age was significantly associated with a lower level of satisfaction with pain-related QOL. Residential background, parental marital status, and parental education levels were not significantly associated with the level of satisfaction with pain-related QOL. Increased risks of depression, suicidality, anxiety, and alcohol abuse were significantly associated with a low level of satisfaction with pain-related QOL. Discussion A low level of satisfaction with pain-related QOL is significantly associated with the risk of poor mental health. Adolescents with the correlates of low satisfaction with pain-related QOL should be monitored for the risk of mental health problems.
  • Paraoxonase (PON1) L55M and Q192R polymorphisms in major depression and bipolar affective disorder Original Articles

    YILDIZ, MESUT; ÇELIKEL, FERYAL ÇAM; ATEŞ, ÖMER; TAYCAN, SERAP ERDOĞAN; BENLI, İSMAIL; DEMIR, OSMAN

    Resumo em Inglês:

    Abstract Background Oxidative and nitrosative stress pathways, along with immune-inflammatory response, might play an important role in the pathogenic mechanisms underlying major depression and bipolar disorder. Objective The aim of the present study is to investigate paraoxonase 1 polymorphisms and its correlations with disease parameters in patients with major depression and bipolar affective disorder. Methods PON1 L55M and Q192R single nucleotide polymorphisms were analyzed in a group consisted of 100 patients with major depression, and 100 patients with bipolar affective disorder and 96 healthy controls. Polymorphisms were analyzed by using polymerase chain reaction. Results Our findings reported no association between Q192R and L55M polymorphisms of PON1 and major depression and bipolar disorder. Additionally, there was no association between the PON1 genotypes and disease variables in both depressed and bipolar patients. Discussion Evaluating the different stages of patients with affective disorders and and investigating the connection between PON1 polymorphisms and treatment outcomes will help us to clarify the relationship between PON1 and mood disorders.
  • Patterns of psychiatric diagnoses in inpatient and outpatient psychiatric settings in Saudi Arabia Original Articles

    ALOSAIMI, FAHAD D.; ALZAIN, NASSER; ASIRI, SAEED; FALLATA, EBTIHAJ; ABALHASSAN, MOHAMMED; QRMLI, ABDULAZIZ; ALHABBAD, ABDULHADI

    Resumo em Inglês:

    Abstract Objective This study aimed to explore the current patterns of psychiatric diagnoses in inpatient and outpatient psychiatric settings in Saudi Arabia. Methods Cross-sectional study was conducted on patients seeking psychiatric advice at six hospitals in the five main regions of Saudi Arabia. The data were primarily obtained by reviewing patient charts. Results Total of 1,205 patients were recruited. The majority was unemployed (71.4%), had a low level of education (85.5%), and had low income (61.9%). The most common psychiatric diagnoses among inpatients were schizophrenia (55.8%), bipolar disorder (23.3%) and major depressive disorder (7.2%). The most common psychiatric diagnoses among outpatients were major depressive disorder (29.3%), schizophrenia (28.9%), generalized anxiety disorder (15.6%) and bipolar disorder (11.5%). Primary psychotic disorders and secondary psychiatric disorders were significantly more frequent among men whereas primary bipolar disorders and depressive disorders were significantly more frequent among women in both inpatient and outpatient settings. Psychotic and bipolar disorders were significantly more frequent among younger patients whereas depressive disorders were significantly more frequent among older patients; anxiety disorders were of similar frequency in all age groups. Discussion The most common psychiatric diagnoses among inpatients were schizophrenia and bipolar disorder whereas the most common psychiatric diagnoses among outpatients were major depressive disorder and schizophrenia.
  • Severe orthostatic hypotension after adding low-dose aripiprazole to clozapine Letter To The Editor

    LIN, YUN-SHIH; HO, PEI-SHEN; LIANG, CHIH-SUNG
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