64 results match your criteria: "and Psychiatric Service Hospital de Clínicas de Porto Alegre (HCPA)[Affiliation]"

Assessing Mental Health During an Extreme Weather Event in Southern Brazil.

Trends Psychiatry Psychother

November 2024

Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, RS, Brazil. Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, RS, Brazil.

Objective: This study aimed to evaluate mental health factors in individuals affected by the floods in Rio Grande do Sul from May 10 to June 6, 2024.

Methods: A real-time survey was conducted with 1,552 participants. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Acute Stress Disorder (ASD) symptom checklist were used to assess mental health outcomes.

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Subjective sleep parameters: A marker to PTSD symptoms evolution? A 4-year longitudinal study.

J Psychiatr Res

October 2024

Chronobiology and Sleep Laboratory, Hospital de Clínicas de Porto Alegre (HCPA), 2350 Ramiro Barcelos St., 90035-903, Porto Alegre, RS, Brazil; Sleep Disorders Center, Pulmonary Service, HCPA, Porto Alegre, RS, Brazil.

Disturbed sleep is a common feature after exposure to a traumatic event, especially when PTSD develops. However, although there is evidence suggesting a potential role of sleep disturbance in the progression of PTSD symptoms, the interrelationship between sleep and PTSD symptoms has yet to be determined. In order to address this knowledge gap, we have investigated the influence of initial sleep characteristics on the evolution of post-traumatic stress disorder (PTSD) symptoms over 4 years of follow-up among individuals exposed to the Brazilian Kiss nightclub fire.

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The S20 Brazilian Mental Health Report for Building a Just World and a Sustainable Planet: Part II.

Braz J Psychiatry

November 2024

Academia Brasileira de Ciências, Rio de Janeiro, RJ, Brazil. Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. Ambulatório de Depressão Resistente ao Tratamento, Instituto de Psiquiatria, UFRJ, Rio de Janeiro, RJ, Brazil.

This is the second part of the Brazilian S20 mental health report. The mental health working group is dedicated to leveraging scientific insights to foster innovation and propose actionable recommendations for implementation in Brazil and participating countries. In addressing the heightened mental health challenges in a post-pandemic world, strategies should encompass several key elements.

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The S20 Brazilian Mental Health Report for building a just world and a sustainable planet: Part I.

Braz J Psychiatry

November 2024

Instituto de Estudos Avançados, USP, São Paulo, SP, Brazil. Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brazil.

This is the first part of two documents prepared by experts for the Brazilian S20 mental health report. These reports outline strategies aimed at addressing the exacerbated mental health challenges arising from a post-pandemic world. Ongoing psychiatric epidemiology research has yielded evidence linking mental health with intricate social determinants, including gender, race/ethnicity, racism, socioeconomic status, social deprivation, and employment, among others.

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How are early-career dementia researchers considered and supported on a national level by dementia plans and organizations? An overview of global policy approaches.

Alzheimers Dement

July 2024

Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.

Introduction: Despite representing an essential workforce, it is unclear how global policy efforts target early-career dementia researchers (ECDRs). Thus, this study aimed to provide an overview of policies through which ECDRs are considered and supported by dementia plans and organizations.

Methods: G20 member states were evaluated for their national dementia plan alongside policies of leading dementia organizations.

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Personality dimensions, resilience, and depression during COVID-19 pandemic: A one-year longitudinal study.

Acta Psychol (Amst)

May 2024

Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil; I-QOL Innovations and Interventions for Quality-of-Life Research Group, Brazil; Center of Clinical Research, Center of Experimental Research, and Psychiatric Service Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. Electronic address:

Background: The onset of the COVID-19 pandemic has brought to light a significant surge in depression across diverse populations. While a considerable body of research has linked this upswing to lockdowns and restrictive measures, it is crucial to recognize that lockdowns alone cannot fully elucidate the observed increase in mental health disorders, given the vast array of individual psychological responses.

Objective: This study aims to test e whether personality dimensions (Extroversion, Neuroticism, and Psychoticism) and resilience play a role in shielding individuals from developing depression during the COVID-19 pandemic, as observed in a sample of Brazilian adults.

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Association between NKG2/KLR gene variants and epilepsy in Autism Spectrum Disorder.

J Neuroimmunol

August 2023

Laboratory of Immunobiology and Immunogenetics, Graduate Program in Genetics and Molecular Biology - PPGBM, Department of Genetics, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Brazil. Electronic address:

Autism Spectrum Disorder (ASD) is a set of neurodevelopmental disorders mainly characterized by repetitive, restrictive and stereotypical behaviors, and impaired communication skills. Several lines of evidence indicate that alterations of the immune system account for ASD development, including the presence of brain-reactive antibodies, abnormal T cell activation, altered cytokine levels in brain, cerebrospinal fluid and peripheral blood circulation, increased levels of circulating monocytes, and dysregulation in Natural Killer (NK) cells activity. Regarding NK cells, a lower cytotoxic activity, a higher level of activation and an increased number of these cells in individuals with ASD have been described.

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Background: The COVID-19 pandemic had a major impact on the mental health of healthcare workers (HCWs), especially in low and middle-income countries, which had to face additional political, social, and economic challenges. We thus aimed to assess the prevalence of mental health outcomes and the associated factors in HCWs treating COVID-19 patients in one of the most affected regions in Brazil.

Methods: We used the Respondent-Driven Sampling method to assess the risks of COVID-19 infection and symptoms of mental disorders in nurses, nursing technicians, and physicians who worked on the frontline in the metropolitan region of Recife.

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Background: Risk factors for dementia have distinct frequency and impact in relation to race. Our aim was to identify differences in modifiable risk factors of dementia related to races and estimate their population attributable fraction (PAF).

Methods: An epidemiological cohort was used to estimate the prevalence of 10 modifiable risk factors for dementia among five races-White, Black, Brown, Asian, and Indigenous.

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Background: Resting-state functional connectivity (rs-FC) may aid in understanding the link between pain-modulating brain regions and the descending pain modulatory system (DPMS) in fibromyalgia (FM). This study investigated whether the differences in rs-FC of the primary somatosensory cortex in responders and non-responders to the conditioned pain modulation test (CPM-test) are related to pain, sleep quality, central sensitization, and the impact of FM on quality of life.

Methods: This cross-sectional study included 33 females with FM.

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This umbrella review is the first to systematically examine psychological trauma as a transdiagnostic risk factor across psychiatric conditions. We searched Pubmed, Scopus, and PsycNET databases from inception until 01/05/2021 for systematic reviews/meta-analyses evaluating the association between psychological trauma and at least one diagnosed mental disorder. We re-calculated the odds ratio (OR), then classified the association as convincing, highly suggestive, suggestive, or weak, based on the number of cases and controls with and without psychological trauma, random-effects p value, the 95% confidence interval of the largest study, heterogeneity between studies, 95% prediction interval, small-study effect, and excess significance bias.

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Digitalized transcranial electrical stimulation: A consensus statement.

Clin Neurophysiol

November 2022

Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Article Synopsis
  • * A study investigated the readiness and barriers of tES for digital trials by gathering insights from specialists and companies, resulting in Delphi-based recommendations with a strong agreement on the benefits of tES, like safety and affordability, but also highlighting concerns about supervision and regulatory clarity.
  • * Overall, while tES holds potential for broader application in digital trials, there is a lack of consensus on addressing specific methodological biases, leading to the proposal of a framework to better integrate mobile health technologies with the
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Mental health, functioning, and quality of life in employees who worked in the office vs. from home during the first wave of COVID-19 in Brazil.

Trends Psychiatry Psychother

August 2024

Laboratório de Psiquiatria Molecular, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. Departamento de Farmacologia, UFRGS, Porto Alegre, RS, Brazil. Programa de Pós-Graduação em Farmacologia e Terapêutica, UFRGS, Porto Alegre, RS, Brazil.

Objective: Coronavirus disease 2019 (COVID-19) was declared a global pandemic early in 2020, followed by a period during which governments imposed strict social distancing measures to slow transmission. However, most essential services remained open, and those working in offices faced a higher risk of infection compared to those working at home. We compare the occurrence and potential determinants of mental health outcomes, functioning, and quality of life (QoL) in a subset of a sample of Brazilian individuals who worked from home and a subset who worked in the office during the first wave of COVID-19.

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Selecting a course of treatment in psychiatry remains a trial-and-error process, and this long-standing clinical challenge has prompted an increased focus on predictive models of treatment response using machine learning techniques. Electroencephalography (EEG) represents a cost-effective and scalable potential measure to predict treatment response to major depressive disorder. We performed separate meta-analyses to determine the ability of models to distinguish between responders and non-responders using EEG across treatments, as well as a performed subgroup analysis of response to transcranial magnetic stimulation (rTMS), and antidepressants (Registration Number: CRD42021257477) in Major Depressive Disorder by searching PubMed, Scopus, and Web of Science for articles published between January 1960 and February 2022.

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Introduction: Antipsychotics (APs) can cause weight gain. Little is known about changes in weight when APs are combined with other psychotropics. This study examines the weight change in patients undergoing long-term treatment with APs or with AP combined with other psychotropics.

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Post-traumatic stress disorder prevalence and sleep quality in fire victims and rescue workers in southern Brazil: a cross-sectional study.

Public Health

August 2022

Chronobiology and Sleep Laboratory, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil; Sleep Disorders Center, Pulmonary Service, HCPA, Porto Alegre, RS, Brazil.

Objectives: This survey was conducted to evaluate the prevalence of post-traumatic stress disorder (PTSD) and the sleep quality in victims and rescue team of the third deadliest nightclub fire in the world.

Study Design: A cross-sectional study.

Methods: Participants were victims and rescue workers exposed to a fire at a nightclub, which occurred in January 2013 in Southern Brazil.

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Gender, age and geographical representation over the past 50 years of schizophrenia research.

Psychiatry Res

January 2022

Department of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Chile; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. Electronic address:

Previous studies have suggested that subjects participating in schizophrenia research are not representative of the demographics of the global population of people with schizophrenia, particularly in terms of gender and geographical location. We here explored if this has evolved throughout the decades, examining changes in geographical location, gender and age of participants in studies of schizophrenia published in the last 50 years. We examined this using a meta-analytical approach on an existing database including over 3,000 studies collated for another project.

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Background: Dentatorubral-pallidoluysian atrophy (DRPLA) is a rare autosomal dominant spinocerebellar ataxia caused by pathological expansion of CAG trinucleotide repeats in the ATN1 gene. Most cases were described in patients from Japanese ancestry who presented with adult-onset progressive cerebellar ataxia associated with cognitive impairment, choreoathetosis and other movement disorders. DRPLA has been rarely described in Brazilian patients.

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Corrigendum: Descriptive Study of Transgender Youth Receiving Health Care in the Gender Identity Program in Southern Brazil.

Front Psychiatry

July 2021

Programa de Identidade de Gênero, Departamento de Psiquiatria e Medicina Legal, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

[This corrects the article DOI: 10.3389/fpsyt.2021.

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Oxytocin Receptor Exon III Methylation in the Umbilical Cord Blood of Newborns With Prenatal Exposure to Crack Cocaine.

Front Cell Dev Biol

June 2021

Developmental Cognitive Neuroscience Lab, School of Medicine, Brain Institute of the Rio Grande do Sul (InsCer), Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.

Article Synopsis
  • - Prenatal cocaine exposure (PCE) can lead to long-term behavioral and cognitive issues in children, but research on its epigenetic impact, especially in humans, is limited.
  • - This study analyzed DNA methylation of the Oxytocin Receptor gene in umbilical cord blood from 28 newborns with PCE and 30 non-exposed newborns to see if there were significant differences.
  • - Findings showed no significant differences in methylation levels between the two groups, but highlighted that the severity of the mother's cocaine addiction influenced DNA methylation in newborns, pointing to the need for larger studies to further explore these effects.
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Resilience in severe mental disorders: correlations to clinical measures and quality of life in hospitalized patients with major depression, bipolar disorder, and schizophrenia.

Qual Life Res

February 2022

Graduation Program in Psychiatry and Behavior Science, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Purpose: To evaluate resilience in severe mental disorders and correlate it with clinical measures and quality of life.

Methods: Resilience (Resilience Scale, RS) and quality of life (WHOQOL-BREF questionnaire) were prospectively evaluated in a sample of 384 hospitalized patients diagnosed with severe mental disorders (depression, bipolar disorder and schizophrenia). Clinical outcomes were measured using the Global Assessment of Functioning Scale (GAF), Clinical Global Impression (CGI), Cumulative Illness Rating Scale (CIRS), Hamilton Scale-Depression (HAM-D), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS).

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Background: The main symptoms of fibromyalgia comprise diffuse pain, disability, depressive symptoms, catastrophizing, sleep disruption and fatigue, associated with dysfunction of the descending pain-modulating system (DPMS).

Objectives: We aimed to identify patterns of main symptoms of fibromyalgia and neuroplasticity biomarkers (i.e.

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