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- A auto-estima na pessoa portadora de ostomia de eliminação intestinalPublication . Sampaio, FM
- Avaliação das propriedades psicométricas do questionário de saúde mental positiva em estudantes portugueses do ensino superiorPublication . Sequeira, C; Carvalho, JC; Sampaio, F; Sá, L; Lluch-Canut, T; Roldán-Merino, J
- Caracterização dos antecedentes psiquiátricos nos doentes com demência: relação da depressão com a demênciaPublication . Fonseca, L; Machado, A; Duarte, JDepression has been reported as the most frequent neuropsychiatric diagnostic on the clinical background of demented patients, mainly with Alzheimer dementia (AD). Several studies have showed that this relation is not occasional. In this work we present the results of the statistical analysis made on the characterization of the psychiatric background of demented patients from the memory consultation of the Braga Hospital.
- Ciproterone Effect on Compulsive Masturbation in a Frontotemporal Dementia PatientPublication . Fonseca, L; Simões, S; Ferreira, P; Mesquita, J; Machado, A
- Compreender a Sintomatologia Depressiva após a Cirurgia Bariátrica: o Papel do Peso, da Alimentação e da Imagem CorporalPublication . Sousa, P; Bastos, AP; Venâncio, C; Vaz, AR; Brandão, I; Costa, JM; Machado, P; Conceição, EINTRODUCTION: Depressive symptoms have been reported as prevalent after bariatric surgery. This study aims to analyze the role of weight, eating behaviors and body image in depressive symptomatology in bariatric surgery patients assessed post-operatively. MATERIAL AND METHODS: This is a cross-sectional study including 52 bariatric surgery patients assessed post-operatively with a follow-up time ranging from 22 to 132 months. Psychological assessment included a clinical interview (Eating Disorder Examination) to assess eating disorders psychopathology, and three self-report measures: Outcome Questionnaire 45 - general distress; Beck Depression Inventory - depressive symptoms; and Body Shape Questionnaire - body image. RESULTS: Our data show that depressive symptoms after surgery are associated with loss of control over eating, increased concerns with body image, and body mass index regain. Multiple linear regressions was tested including these variables and showed that body mass index regain after surgery, loss of control over eating and concerns with body image significantly explained 50% of the variance of post-operative depressive symptoms, being the concern with body image the most significant variable: greater dissatisfaction with body image was associated with more depressive symptoms. DISCUSSION: The results of this study showed that a subgroup of patients presents a significant weight gain after bariatric surgery, which is associated with episodes of loss of control over eating, concerns with body image and depressive symptoms. CONCLUSION: These results stress the relevance of body image concerns after surgery and the importance of clinically addressing these issues to optimize psychological functioning after bariatric surgery.
- Delayed Huntington's disease diagnosis in two alcoholic patients with a family history of "Parkinson's disease"Publication . Mesquita, J; Silva, L; Machado, A
- Ekbom's syndrome as the first manifestation of diabetes mellitusPublication . Mesquita, J; Simões, S; Machado, A; Silva, L
- Evaluation of the Psychometric Properties of the Mental Vulnerability Questionnaire in Undergraduate StudentsPublication . Sequeira, CA; Barbosa, EM; Nogueira, MJ; Sampaio, FMPURPOSE: Translate, adapt the language, and assess the psychometric properties of the Mental Vulnerability Questionnaire (MVQ) in a Portuguese population sample of young adults. DESIGN AND METHODS: A psychometric validation study was performed. The sample comprised 166 undergraduate students. Factor analysis was applied to extract three indicators. FINDINGS: The MVQ showed divergent validity with the Positive Mental Health Questionnaire (p < .001) and convergent validity with the Mental Health Inventory including five items (p < .001). Reliability was verified through the assessment of internal consistency, evidencing positive outcomes (Cronbach's α = 0.81). PRACTICE IMPLICATIONS: The MVQ shows psychometric properties enabling its adaptation to clinical practice and research, essential to an effective screening of mental vulnerability.
- Hoarding Disorder: A Case ReportPublication . Vilaverde, D; Gonçalves, J; Morgado, PHoarding disorder is characterized by a persistent difficulty discarding items, the desire to save items to avoid negative feelings associated with discarding them, significant accumulation of possessions that clutter active living areas and significant distress or impairment in areas of functioning. We present a case of a 52-year-old married man who was referred to the psychiatry department for collecting various objects that were deposited unorganized in the patient's house. He reported to get anxious when someone else discarded some of these items. This behavior had started about 20 years earlier and it worsened with time. The garage, attic, and surroundings of his house were cluttered with these objects. On admission, in the mental status examination, it was observed that the patient was vigil, calm, and oriented; his mood was depressed; his speech was organized, logic, and coherent; and there were no psychotic symptoms. A psychotherapeutic plan was designed for the patient, including psychoeducation, cognitive restructuring, and exposure to discarding objects. A pharmacological treatment with fluvoxamine 100 mg tid and quetiapine 200 mg was added to the therapeutic plan, with the progressive improvement of the symptoms. Nine months later, the patient was able to sell/recycle most of the items. Studies evaluating treatment for HD are necessary to improve the quality of life of the patients and to reduce the hazards associated with the disorder.
- Hypochondriacal symptoms as the first sign of frontotemporal dementiaPublication . Machado, A; Simões, S
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