Cardiovascular risk factors in patients with first-episode psychosis in São Paulo, Brazil

OBJECTIVE: To translate and adapt the Brazilian version of the Camberwell Assessment of Needs schedule for research, and to assess its inter-rater reliability in a sample of first-episode psychosis cases in São Paulo, Brazil. METHOD: A sub-sample of participants included in a study of first-episode psychosis in São Paulo was assessed utilizing the 22 domains of the Brazilian version of the Camberwell Assessment of Needs. The Camberwell Assessment of Needs was applied, tape-recorded and rated by research assistants. An independent rater gave scores to the same participants, based on the recorded interviews. The kappa coefficient and the intraclass correlation coefficient were used to assess inter-rater reliability. RESULTS: Fifty-two subjects were included. For seven domains the inter-rater reliability was almost perfect to total (range: 0.81 to 1.0). The domains with the lowest agreement were transport and benefits. The inter-rater reliability for the total number of needs was excellent (ICC = 0.95). CONCLUSIONS: The inter-rater reliability of the Camberwell Assessment of Needs was similar to what has been found in previous studies. The Camberwell Assessment of Needs showed to be easy to use and reliable with first-episode psychosis individuals. The use of standardized instruments to assess needs of care in Brazil will contribute to the assessment of the effectiveness of treatment and to the planning of individualized care for individuals with mental illnesses.

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Cognitive deficits in first-episode psychosis: A population-based study in São Paulo, Brazil

Schizophrenia Research ◽

10.1016/j.schres.2006.09.026 ◽

2007 ◽

Vol 90 (1-3) ◽

pp. 338-343 ◽

Cited By ~ 43

Author(s):

A AYRES ◽

G BUSATTO ◽

P MENEZES ◽

M SCHAUFELBERGER ◽

L COUTINHO ◽

...

Keyword(s):

Cognitive Deficits ◽

Population Based ◽

First Episode Psychosis ◽

Sao Paulo ◽

First Episode ◽

São Paulo ◽

Population Based Study ◽

Episode Psychosis

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Association of cardiovascular risk factors with the different presentations of acute coronary syndrome

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3389.2449 ◽

2014 ◽

Vol 22 (4) ◽

pp. 538-546 ◽

Cited By ~ 7

Author(s):

Evelise Helena Fadini Reis Brunori ◽

Camila Takáo Lopes ◽

Agueda Maria Ruiz Zimmer Cavalcante ◽

Vinicius Batista Santos ◽

Juliana de Lima Lopes ◽

...

Keyword(s):

Risk Factors ◽

Acute Coronary Syndrome ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Low Density Lipoprotein ◽

Density Lipoprotein ◽

Sao Paulo ◽

Low Density ◽

São Paulo ◽

Coronary Syndrome

OBJECTIVE: to identify the relationship between different presentations of acute coronary syndrome and cardiovascular risk factors among hospitalized individuals.METHOD: cross-sectional study performed in a teaching hospital in São Paulo, in the State of São Paulo (SP). Socio-demographic, clinical and anthropometric data of 150 individuals hospitalized due to acute coronary syndrome were collected through interviews and review of clinical charts. Association between these data and the presentation of the syndrome were investigated.RESULTS: there was a predominance of ST segment elevation acute myocardial infarction. There was significant association of systemic hypertension with unstable angina and high values of low density lipoprotein with infarction, without influence from socio-demographic characteristics.CONCLUSION: arterial hypertension and high levels of low-density lipoprotein were associated with different presentations of coronary syndrome. The results can provide support for health professionals for secondary prevention programs aimed at behavioural changing.

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Changes in prevalence of cognitive impairment and associated risk factors 2000–2015 in São Paulo, Brazil

BMC Geriatrics ◽

10.1186/s12877-021-02542-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fabiana Silva Ribeiro ◽

Yeda Aparecida de Oliveira Duarte ◽

Jair Lício Ferreira Santos ◽

Anja K. Leist

Keyword(s):

Risk Factors ◽

Cognitive Impairment ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Formal Education ◽

Population Based ◽

Sao Paulo ◽

São Paulo ◽

Logistic Regression Models ◽

Associated Risk Factors

Abstract Introduction Decreases in prevalence of cognitive impairment and dementia over the last two decades have been observed in different countries for cohorts entering older age. This study aimed to assess the cognitive impairment prevalence and explore associated factors among subjects aged >60 living in São Paulo, Brazil. Method Data came from a population-based Health, Welfare and Aging survey conducted in 2000, 2006, 2010, and 2015. Cognitive impairment was detected using the abbreviated Mini-Mental State Exam corrected by formal education years. In total, there were 5922 respondents in the statistical analyses. Results Logistic regression models adjusted for age group, income, race, cardiovascular risk factors, and depression were used to estimate cognitive impairment prevalence. Between 2015 and 2000, respondents were more likely to report formal education, hypertension, diabetes, and overweight/obesity. Moreover, the weighted analyses showed that cognitive impairment prevalence was higher in 2015, even adjusting for sociodemographic and socioeconomic characteristics, cardiovascular risk factors, and depression. Conclusion In contrast to decreases in cognitive impairment prevalence in other countries and despite increases in educational years, our findings suggest no secular improvements in cognitive health for the 2015 wave of older adults residing in São Paulo.

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Incidence of first-contact psychosis in São Paulo, Brazil

The British Journal of Psychiatry ◽

10.1192/bjp.191.51.s102 ◽

2007 ◽

Vol 191 (S51) ◽

pp. s102-s106 ◽

Cited By ~ 47

Author(s):

Paulo R. Menezes ◽

Marcia Scazufca ◽

Geraldo F. Busatto ◽

Letícia M. S. Coutinho ◽

Philip K. Mcguire ◽

...

Keyword(s):

At Risk ◽

Census Data ◽

First Episode Psychosis ◽

Sao Paulo ◽

First Episode ◽

São Paulo ◽

Middle Income ◽

Middle Income Countries ◽

Episode Psychosis ◽

First Contact

BackgroundLittle is known about the incidence of first-episode psychosis in urban centres of low- or middle-income countriesAimsTo estimate the incidence of psychosis in São Paulo, a large metropolis of BrazilMethodProspective survey of first-episode psychosis among residents aged 18–64 years resident in a defined area of São Paulo, over a 30-month period (July 2002- December 2004). Assessments were carried out with the SCID–I, and diagnoses given according to DSM – IV criteria. Population at risk was drawn from the 2000 Census dataResultsThere were 367 first-episode cases identified (51% women), and almost 40% fulfilled criteria for schizophrenia or schizophreniform disorder. The incidence rate for any psychosis was 15.8/100 000 person-years at risk (95% CI 14.3–17.6). Incidence of non-affective psychoses was higher among younger malesConclusionsIncidence of psychosis in São Paulo was lower than expected for a large metropolis

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No Association between Low Birth Weight and Cardiovascular Risk Factors in Early Adulthood: Evidence from São Paulo, Brazil

PLoS ONE ◽

10.1371/journal.pone.0066554 ◽

2013 ◽

Vol 8 (6) ◽

pp. e66554 ◽

Cited By ~ 7

Author(s):

Filumena Maria Gomes ◽

S. V. Subramanian ◽

Ana Maria de Ulhôa Escobar ◽

Maria Helena Valente ◽

Sandra Josefina Ferraz Ellero Grisi ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Birth Weight ◽

Low Birth Weight ◽

Cardiovascular Risk Factors ◽

Early Adulthood ◽

Sao Paulo ◽

São Paulo

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Risk factors associated with treatment-resistant schizophrenia in first-episode psychosis

Revista Debates em Psiquiatria ◽

10.25118/2236-918x-7-4-1 ◽

2017 ◽

Vol Ano 7 ◽

pp. 8-12

Author(s):

Ana Beatriz de Oliveira Assis ◽

Jayse Gimenez Pereira Brandão ◽

Pedro Otávio Piva Espósito ◽

Osmar Tessari Junior ◽

Bruno Berlucci Ortiz

Keyword(s):

Risk Factors ◽

First Episode Psychosis ◽

First Episode ◽

Treatment Resistant ◽

Factors Associated ◽

Syndrome Scale ◽

Episode Psychosis ◽

Negative Syndrome

Objetivo: Ainda não está claro quais são os fatores de risco para a esquizofrenia resistente ao tratamento (ERT) em primeiro episódio psicótico (PEP). O objetivo deste trabalho é investigar indicadores de risco para ERT em PEP. Métodos: Foram selecionados 53 pacientes em primeiro episódio psicótico, com diagnóstico de esquizofrenia, que deram entrada à enfermaria de psiquiatria do Hospital das Clínicas Luzia de Pinho Melo entre 2011 e 2015. Ao ser admitido na enfermaria, o paciente era avaliado com a Escala de Sintomas para as Síndromes Positiva e Negativa (Positive and Negative Syndrome Scale – PANSS) e recebia tratamento inicial por 4 semanas. Caso sua resposta fosse inferior a 40% de redução na PANSS, o antipsicótico era trocado, e as escalas eram aplicadas novamente após mais 4 semanas. Após a falha com dois antipsicóticos, em doses plenas, por 4 semanas cada, a clozapina era introduzida, e o paciente era considerado ERT. Uma regressão logística foi aplicada onde sexo, idade de início, tempo de doença não tratada, uso de substâncias, avaliação global do funcionamento inicial e PANSS inicial total foram inseridos como variáveis independentes, e ERT foi inserida como variável dependente. Resultados: Tempo de doença não tratada apresentou significância de p = 0,038 e Exp (B) = 4,29, enquanto que PANSS total apresentou p = 0,012 e Exp (B) = 1,06. Conclusão: Identificar os fatores associados à resistência precoce ao tratamento poderia permitir aos clínicos evitar o atraso na introdução da clozapina e prevenir um pior prognóstico para esses pacientes.

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