Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000400002
A. F. Lima, M. Fleck
Depressive symptoms are highly prevalent, mainly in primary health care services, causing serious impairments in those subjects that are not treated. The objective of this study was to review the impact of the association between depressive disorder and quality of life. Our review included articles published between 1990 and 2007 and it was based on the following keywords: quality of life, depression, depressive symptoms, primary care services, well-being, happiness, and predictors of remission. The presence of depressive symptoms affects all dimensions of the quality of life, and depending on the severity of these symptoms, it might cause equivalent or more severe impairment than other chronic diseases. The findings suggest that the presence of depressive symptoms causes a serious impact on the quality of life of individuals. Such impact is not limited to the clinical characteristics of the disorder. However, there is still a lack of theoretical models and longitudinal v31n3a02s1
{"title":"Quality of life and depression: a review of the literature","authors":"A. F. Lima, M. Fleck","doi":"10.1590/S0101-81082009000400002","DOIUrl":"https://doi.org/10.1590/S0101-81082009000400002","url":null,"abstract":"Depressive symptoms are highly prevalent, mainly in primary health care services, causing serious impairments in those subjects that are not treated. The objective of this study was to review the impact of the association between depressive disorder and quality of life. Our review included articles published between 1990 and 2007 and it was based on the following keywords: quality of life, depression, depressive symptoms, primary care services, well-being, happiness, and predictors of remission. The presence of depressive symptoms affects all dimensions of the quality of life, and depending on the severity of these symptoms, it might cause equivalent or more severe impairment than other chronic diseases. The findings suggest that the presence of depressive symptoms causes a serious impact on the quality of life of individuals. Such impact is not limited to the clinical characteristics of the disorder. However, there is still a lack of theoretical models and longitudinal v31n3a02s1","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"402 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78993043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100002
C. Eizirik
“Apos alguns anos de silencio, surge uma nova Revista de Psiquiatria em nosso meio. Partindo da experiencia adqui-rida nos ultimos numeros da Revista de Psiquiatria Dinâmi-ca, a ultima que circulou entre nos, parte dos membros do Conselho Editorial daquela publicacao, acrescida da adesao de novos colegas e estimulados todos pelo apoio da diretoria da Sociedade de Psiquiatria do Rio Grande do Sul, decidiram aceitar o desafi o de publicar uma revista desta natureza.”
{"title":"Um ponto de encontro que frutificou","authors":"C. Eizirik","doi":"10.1590/S0101-81082009000100002","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100002","url":null,"abstract":"“Apos alguns anos de silencio, surge uma nova Revista de Psiquiatria em nosso meio. Partindo da experiencia adqui-rida nos ultimos numeros da Revista de Psiquiatria Dinâmi-ca, a ultima que circulou entre nos, parte dos membros do Conselho Editorial daquela publicacao, acrescida da adesao de novos colegas e estimulados todos pelo apoio da diretoria da Sociedade de Psiquiatria do Rio Grande do Sul, decidiram aceitar o desafi o de publicar uma revista desta natureza.”","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"108 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87595015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100009
Mário Sérgio Ribeiro, M. Alves, Priscila Matthiesen Silva, Eveline Maria de Melo Vieira
INTRODUCAO: O objetivo deste estudo foi comparar o perfil de assistencia em saude mental realizado por unidade basica de saude (UBS) com equipe de Programa de Saude da Familia (PSF) e sem equipe de PSF. METODO: Estudo observacional, avaliando pacientes encaminhados por UBS da area de abrangencia de um servico especializado de saude mental no periodo de abril de 2003 a marco de 2006. RESULTADOS: A UBS com equipe de PSF apresentou melhor padrao global de registros de dados, maior responsabilidade exclusiva do medico em suas referencias ao nivel especializado (p = 0,000), menor capacidade de retencao dos usuarios na UBS (p = 0,099), maiores taxas de abandono de tratamento em nivel secundario (p = 0,060) e menor percentual de contrarreferencia pela equipe especializada (p = 0,028). A taxa de concordância diagnostica global foi semelhante entre os dois modelos de UBS, com razoavel nivel de concordância (indice kappa de 44,5 e 43,0%, respectivamente, para UBS com e sem equipe PSF). CONCLUSAO: A UBS com equipe de PSF nao apresentou resultados compativeis com o que seria de se esperar, em funcao de sua hipotetica melhor qualidade de estrutura.
{"title":"Comparação da assistência em saúde mental em unidades básicas de saúde com ou sem equipe do Programa de Saúde da Família","authors":"Mário Sérgio Ribeiro, M. Alves, Priscila Matthiesen Silva, Eveline Maria de Melo Vieira","doi":"10.1590/S0101-81082009000100009","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100009","url":null,"abstract":"INTRODUCAO: O objetivo deste estudo foi comparar o perfil de assistencia em saude mental realizado por unidade basica de saude (UBS) com equipe de Programa de Saude da Familia (PSF) e sem equipe de PSF. METODO: Estudo observacional, avaliando pacientes encaminhados por UBS da area de abrangencia de um servico especializado de saude mental no periodo de abril de 2003 a marco de 2006. RESULTADOS: A UBS com equipe de PSF apresentou melhor padrao global de registros de dados, maior responsabilidade exclusiva do medico em suas referencias ao nivel especializado (p = 0,000), menor capacidade de retencao dos usuarios na UBS (p = 0,099), maiores taxas de abandono de tratamento em nivel secundario (p = 0,060) e menor percentual de contrarreferencia pela equipe especializada (p = 0,028). A taxa de concordância diagnostica global foi semelhante entre os dois modelos de UBS, com razoavel nivel de concordância (indice kappa de 44,5 e 43,0%, respectivamente, para UBS com e sem equipe PSF). CONCLUSAO: A UBS com equipe de PSF nao apresentou resultados compativeis com o que seria de se esperar, em funcao de sua hipotetica melhor qualidade de estrutura.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"15 1","pages":"40-50"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87671600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000400003
Dênio Lima, J. Zagalo-Cardoso
In this article, we provide a picture of the so-called natural history of the Kline-Levin syndrome by means of a critical review and discussion of the scientific literature published so far about this topic. We focused special attention on the psychiatric correlates of this neuropsychiatric syndrome, addressing the diagnostic dilemmas raised from them. We also discuss the difficulties and show the profile that the knowledge about the state of the art in this area allows us to outline for the natural history of this syndrome.
{"title":"História natural da síndrome de Kleine-Levin: revisão e discussão","authors":"Dênio Lima, J. Zagalo-Cardoso","doi":"10.1590/S0101-81082009000400003","DOIUrl":"https://doi.org/10.1590/S0101-81082009000400003","url":null,"abstract":"In this article, we provide a picture of the so-called natural history of the Kline-Levin syndrome by means of a critical review and discussion of the scientific literature published so far about this topic. We focused special attention on the psychiatric correlates of this neuropsychiatric syndrome, addressing the diagnostic dilemmas raised from them. We also discuss the difficulties and show the profile that the knowledge about the state of the art in this area allows us to outline for the natural history of this syndrome.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"1 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83063980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100001
F. Shansis, Paulo Oscar Teitelbaum
{"title":"Thirty years is a long time","authors":"F. Shansis, Paulo Oscar Teitelbaum","doi":"10.1590/S0101-81082009000100001","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100001","url":null,"abstract":"","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"31 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85647691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100012
Luiz Fernando Ribeiro da Silva Paulin, Regina Caeli Guerra Poças
In the last few years, medical education has been going through curricular and pedagogical changes with the purpose of educating a new health professional. One of the pedagogical alternatives is the education based on problem-solving, which works essentially with the construction of knowledge using significant experiences. Such learning model has enabled curricular changes, which, in the field of psychiatry, reflect the conquest of significant space for the development of a more humane and integral medical practice This article aims to discuss the experience of the Medical School of Universidade Sao Francisco (USF), in Braganca Paulista, concerning the implementation of the psychiatry internship using the problem-based learning (PBL) methodology since 2003. The psychiatry internship is undertaken in the fifth year of Medical School, and it consists of 320 hours, which correspond to 40 hours a week for 8 weeks. Activities are developed at the day hospital, at the outpatient clinic and at the general hospital during delivery of consultation-liaison psychiatry service. There was significant increase in the knowledge acquired by the students who, upon completing the internship, were able to develop clinical reasoning skills and had consolidated concepts and psychiatric practices adequate to the general medical education and compatible with the purposes of the undergraduate program. The reported experience can serve as a model for the implementation of a learning methodology regarding mental health based on the principles of the psychiatric reformation in Brazil, trying to develop community and interdisciplinary practices.
{"title":"A experiência da Universidade São Francisco com o internato médico de psiquiatria utilizando a metodologia da aprendizagem baseada em problemas","authors":"Luiz Fernando Ribeiro da Silva Paulin, Regina Caeli Guerra Poças","doi":"10.1590/S0101-81082009000100012","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100012","url":null,"abstract":"In the last few years, medical education has been going through curricular and pedagogical changes with the purpose of educating a new health professional. One of the pedagogical alternatives is the education based on problem-solving, which works essentially with the construction of knowledge using significant experiences. Such learning model has enabled curricular changes, which, in the field of psychiatry, reflect the conquest of significant space for the development of a more humane and integral medical practice This article aims to discuss the experience of the Medical School of Universidade Sao Francisco (USF), in Braganca Paulista, concerning the implementation of the psychiatry internship using the problem-based learning (PBL) methodology since 2003. The psychiatry internship is undertaken in the fifth year of Medical School, and it consists of 320 hours, which correspond to 40 hours a week for 8 weeks. Activities are developed at the day hospital, at the outpatient clinic and at the general hospital during delivery of consultation-liaison psychiatry service. There was significant increase in the knowledge acquired by the students who, upon completing the internship, were able to develop clinical reasoning skills and had consolidated concepts and psychiatric practices adequate to the general medical education and compatible with the purposes of the undergraduate program. The reported experience can serve as a model for the implementation of a learning methodology regarding mental health based on the principles of the psychiatric reformation in Brazil, trying to develop community and interdisciplinary practices.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"34 1","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78073411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/s0101-81082009000100011
Monica Carolina Miranda, Elaine Girão Sinnes, S. Pompeia, Orlando Francisco Amodeo Bueno
INTRODUCTION: This study investigated the performance of a sample of Brazilian children aged 4-5 years on the Conners' Kiddie CPT (K-CPT), a computer-based task used to assess attention and inhibitory control in children. METHODS: Scores of Brazilian children pre-screened for attention disorders were obtained using the K-CPT, and data were compared with North American norms. RESULTS: Age and gender effects on the Brazilian sample were similar to those previously described. However, the lack of screening for attention deficits might have distorted normative scores of the K-CPT in the USA because Brazilian boys and girls had better scores than the North American children in almost all measures. CONCLUSION: The screening procedures used in Brazil, in addition to the previously described age and gender effects on sustained attention, indicate that the results described in the present study constitute appropriate local performance scores and, as such, are useful in the evaluation of pre-school children in Brazil until national norms are established.
{"title":"O K-CPT em uma amostra brasileira: descrição do desempenho e comparação com as normas norte-americanas","authors":"Monica Carolina Miranda, Elaine Girão Sinnes, S. Pompeia, Orlando Francisco Amodeo Bueno","doi":"10.1590/s0101-81082009000100011","DOIUrl":"https://doi.org/10.1590/s0101-81082009000100011","url":null,"abstract":"INTRODUCTION: This study investigated the performance of a sample of Brazilian children aged 4-5 years on the Conners' Kiddie CPT (K-CPT), a computer-based task used to assess attention and inhibitory control in children. METHODS: Scores of Brazilian children pre-screened for attention disorders were obtained using the K-CPT, and data were compared with North American norms. RESULTS: Age and gender effects on the Brazilian sample were similar to those previously described. However, the lack of screening for attention deficits might have distorted normative scores of the K-CPT in the USA because Brazilian boys and girls had better scores than the North American children in almost all measures. CONCLUSION: The screening procedures used in Brazil, in addition to the previously described age and gender effects on sustained attention, indicate that the results described in the present study constitute appropriate local performance scores and, as such, are useful in the evaluation of pre-school children in Brazil until national norms are established.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"3 1","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76248195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000400006
Franklin Escobar Córdoba, Marcelo Andrés Hernández-Yasnó, Jahir Pedreros-Velásquez
The objective of the present study is to contribute rules for the evaluation and treatment of an aggressive patient by means of seclusion. We searched the literature in the MEDLINE, Ovid, SciELO, HINARI, LILACS, IMBIOMED and Latindex databases, using the combination of the following words: "seclusion" and/or "patient seclusion" and/or "restraint, physical" and/or "mentally ill persons". Twelve out of 8,418 articles were selected for their application in Colombia according to the following limits of the search: clinical trial, meta-analysis, randomized controlled trial, review of the literature, adults, both genders, published between 2002 and 2007 in the English and Spanish languages. There is wide knowledge about the treatment of aggressive patient. The seclusion v31n3a06s1 file:///C:/Documents%20and%20Settings/User/Desktop/RPRS/2009%2... 1 de 13 30/4/2010 14:13 indications do not differ from those of restriction, with these important aspects: risk of violence and damage to the facility. The contraindications and ethical, medical, and legal implications of the seclusion procedures are clear and should be accepted in the clinical practice. The appropriate uses of the seclusion in mental health units should make part of a convenient therapeutic plan taking into consideration the national context.
{"title":"Seclusion of psychiatric patients","authors":"Franklin Escobar Córdoba, Marcelo Andrés Hernández-Yasnó, Jahir Pedreros-Velásquez","doi":"10.1590/S0101-81082009000400006","DOIUrl":"https://doi.org/10.1590/S0101-81082009000400006","url":null,"abstract":"The objective of the present study is to contribute rules for the evaluation and treatment of an aggressive patient by means of seclusion. We searched the literature in the MEDLINE, Ovid, SciELO, HINARI, LILACS, IMBIOMED and Latindex databases, using the combination of the following words: \"seclusion\" and/or \"patient seclusion\" and/or \"restraint, physical\" and/or \"mentally ill persons\". Twelve out of 8,418 articles were selected for their application in Colombia according to the following limits of the search: clinical trial, meta-analysis, randomized controlled trial, review of the literature, adults, both genders, published between 2002 and 2007 in the English and Spanish languages. There is wide knowledge about the treatment of aggressive patient. The seclusion v31n3a06s1 file:///C:/Documents%20and%20Settings/User/Desktop/RPRS/2009%2... 1 de 13 30/4/2010 14:13 indications do not differ from those of restriction, with these important aspects: risk of violence and damage to the facility. The contraindications and ethical, medical, and legal implications of the seclusion procedures are clear and should be accepted in the clinical practice. The appropriate uses of the seclusion in mental health units should make part of a convenient therapeutic plan taking into consideration the national context.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"32 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74611583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200002
G. Salum, Carolina Blaya, Gisele Gus Manfro
OBJETIVOS: Revisar o transtorno do pânico (TP), considerando seus aspectos clinicos, epidemiologicos, diagnosticos e etiologicos, bem como os avancos no tratamento, uma vez que o TP e uma entidade nosologica acompanhada de importante prejuizo psiquico e funcional. METODO: Foi realizada uma revisao narrativa da literatura nas principais bases de dados existentes (MEDLINE, PsychINFO e SciELO) e em livros-textos atualizados. RESULTADOS: Devido a sintomatologia predominantemente fisica desse transtorno, os pacientes geralmente procuram varios atendimentos clinicos ate que o diagnostico seja feito. Em funcao desses aspectos e da sua cronicidade, o TP esta associado a elevados custos economicos. O tratamento do TP pode ser feito com psicoterapia e/ou psicofarmacos. As diversas abordagens terapeuticas sao apresentadas com o nivel de evidencia de cada recomendacao. Em virtude da cronicidade e morbidade do TP, pesquisas tem se voltado para o estudo de estrategias de prevencao ja na infância. CONCLUSOES: O TP e um transtorno cronico e com baixas taxas de remissao dos sintomas em longo prazo. Sendo assim, sugere-se que sejam delineados novos estudos para tratamento precoce dos transtornos de ansiedade ou mesmo para prevencao em criancas de risco.
{"title":"Transtorno do pânico","authors":"G. Salum, Carolina Blaya, Gisele Gus Manfro","doi":"10.1590/S0101-81082009000200002","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200002","url":null,"abstract":"OBJETIVOS: Revisar o transtorno do pânico (TP), considerando seus aspectos clinicos, epidemiologicos, diagnosticos e etiologicos, bem como os avancos no tratamento, uma vez que o TP e uma entidade nosologica acompanhada de importante prejuizo psiquico e funcional. METODO: Foi realizada uma revisao narrativa da literatura nas principais bases de dados existentes (MEDLINE, PsychINFO e SciELO) e em livros-textos atualizados. RESULTADOS: Devido a sintomatologia predominantemente fisica desse transtorno, os pacientes geralmente procuram varios atendimentos clinicos ate que o diagnostico seja feito. Em funcao desses aspectos e da sua cronicidade, o TP esta associado a elevados custos economicos. O tratamento do TP pode ser feito com psicoterapia e/ou psicofarmacos. As diversas abordagens terapeuticas sao apresentadas com o nivel de evidencia de cada recomendacao. Em virtude da cronicidade e morbidade do TP, pesquisas tem se voltado para o estudo de estrategias de prevencao ja na infância. CONCLUSOES: O TP e um transtorno cronico e com baixas taxas de remissao dos sintomas em longo prazo. Sendo assim, sugere-se que sejam delineados novos estudos para tratamento precoce dos transtornos de ansiedade ou mesmo para prevencao em criancas de risco.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"15 1","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78872937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000400001
Sarah Laxhmi Chellappa
A sonolencia excessiva diurna (SED) e frequentemente associada a depressao, e as possiveis relacoes entre as duas afeccoes sao numerosas. A SED pode ocorrer devido a insonia ou hiperssonia. A sintomatologia da depressao inclui, notadamente, a insonia e a consequente SED, que podem ser, em alguns casos, sintomas residuais apos a resposta ao tratamento antidepressivo. Paralelamente, a insonia e a sonolencia diurna podem, inclusive, ser efeitos colaterais de curta ou longa duracao do manejo terapeutico antidepressivo. Independente de a SED ser um sintoma de um quadro depressivo atual, sintoma residual de depressao previa ou efeito colateral de medicacao antidepressiva, faz-se necessaria uma adequada avaliacao clinica da SED na depressao. A fim de discorrer sobre as atuais evidencias das investigacoes da SED na depressao, foi feito um levantamento da literatura medica nos bancos de dados ISI, MEDLINE e SciELO, compreendendo-se o periodo de 1990 a 2007. Apesar de os mecanismos responsaveis pela relacao entre a sonolencia diurna e a depressao serem complexos e entrelacados, a avaliacao compreensiva desse transtorno do sono desempenha um papel fundamental na predicao de respostas ao manejo terapeutico, recaidas e modelos etiologicos da depressao.
{"title":"Sonolência excessiva diurna e depressão: causas, implicações clínicas e manejo terapêutico","authors":"Sarah Laxhmi Chellappa","doi":"10.1590/S0101-81082009000400001","DOIUrl":"https://doi.org/10.1590/S0101-81082009000400001","url":null,"abstract":"A sonolencia excessiva diurna (SED) e frequentemente associada a depressao, e as possiveis relacoes entre as duas afeccoes sao numerosas. A SED pode ocorrer devido a insonia ou hiperssonia. A sintomatologia da depressao inclui, notadamente, a insonia e a consequente SED, que podem ser, em alguns casos, sintomas residuais apos a resposta ao tratamento antidepressivo. Paralelamente, a insonia e a sonolencia diurna podem, inclusive, ser efeitos colaterais de curta ou longa duracao do manejo terapeutico antidepressivo. Independente de a SED ser um sintoma de um quadro depressivo atual, sintoma residual de depressao previa ou efeito colateral de medicacao antidepressiva, faz-se necessaria uma adequada avaliacao clinica da SED na depressao. A fim de discorrer sobre as atuais evidencias das investigacoes da SED na depressao, foi feito um levantamento da literatura medica nos bancos de dados ISI, MEDLINE e SciELO, compreendendo-se o periodo de 1990 a 2007. Apesar de os mecanismos responsaveis pela relacao entre a sonolencia diurna e a depressao serem complexos e entrelacados, a avaliacao compreensiva desse transtorno do sono desempenha um papel fundamental na predicao de respostas ao manejo terapeutico, recaidas e modelos etiologicos da depressao.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"8 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90405929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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