scholarly journals A depressão nas mulheres de meia-idade: Estudo sobre as utentes dos cuidados de saúde primários

Psicologia ◽  
2018 ◽  
Vol 19 (1/2) ◽  
pp. 39-56 ◽  
Author(s):  
Bruno Gonçalves ◽  
Teresa Fagulha ◽  
Ana Ferreira
Keyword(s):  
Depression Scale ◽  
Epidemiologic Studies ◽  
Axis I Disorders ◽  
Axis I ◽  
Dsm Iv

É estudada a prevalência de perturbações depressivas numa amostra de mulheres com idades compreendidas entre os 35 e os 65 anos, utentes dos cuidados de saúde primários. Todas as mulheres (n = 179) responderam à versão portuguesa da Center for Epidemiologic Studies Depression Scale (CES-D) e, as que aceitaram (n = 127), participaram numa entrevista clínica estruturada adaptada do módulo de avaliação das perturbações do humor da Structured Clinical Interwiew for DSM-IV Axis I Disorders (SCID-I), a fim de avaliar a presença de várias formas de depressão segundo os critérios do DSM-IV. Verificou-se que 13% destas mulheres satisfaziam os critérios para o diagnóstico de episódio depressivo major, 19% satisfaziam os critérios para perturbação distímica e 5,5% satisfaziam os critérios propostos para episódio depressivo minor. São analisadas as relações da idade, nível de instrução, estatuto conjugal, ter filhos, ter filhos em casa, ter filhos a cargo e outras variáveis sociodemográficas com a ocorrência de perturbações depressivas. DOI: http://dx.doi.org/10.17575/rpsicol.v19i1/2.397

scholarly journals The genetic epidemiology of personality disorders

2010 ◽  
Vol 12 (1) ◽  
pp. 103-114 ◽  
Keyword(s):  
Personality Disorders ◽  
Genetic Factors ◽  
Association Studies ◽  
Molecular Genetic ◽  
Cluster Structure ◽  
Epidemiologic Studies ◽  
Axis Ii ◽  
Candidate Gene Association ◽  
Axis I ◽  
Dsm Iv

Genetic epidemiologic studies indicate that all ten personality disorders (PDs) classified on the DSM-IV axis II are modestly to moderately heritable. Shared environmental and nonadditive genetic factors are of minor or no importance. No sex differences have been identified, Multivariate studies suggest that the extensive comorbidity between the PDs can be explained by three common genetic and environmental risk factors. The genetic factors do not reflect the DSM-IV cluster structure, but rather: i) broad vulnerability to PD pathology or negative emotionality; ii) high impulsivity/low agreeableness; and iii) introversion. Common genetic and environmental liability factors contribute to comorbidity between pairs or clusters of axis I and axis II disorders. Molecular genetic studies of PDs, mostly candidate gene association studies, indicate that genes linked to neurotransmitter pathways, especially in the serotonergic and dopaminergic systems, are involved. Future studies, using newer methods like genome-wide association, might take advantage of the use of endophenotypes.

scholarly journals Menopausa, sintomas de menopausa e depressão: Influência do nível educacional e de outras variáveis sociodemográficas

Psicologia ◽  
2014 ◽  
Vol 19 (1/2) ◽  
pp. 19 ◽  
Author(s):  
Teresa Fagulha ◽  
Bruno Gonçalves
Keyword(s):  
Axis I Disorders ◽  
Axis I ◽  
Dsm Iv

Este estudo descreve a sintomatologia relacionada com a menopausa nos períodos pré-menopausa, menopausa e pós-menopausa, em relação com a sintomatologia depressiva, nível educacional, estatuto conjugal e outras variáveis sociodemográficas, numa amostra de 127 mulheres com idades compreendidas entre os 35 e os 65 anos, que compareceram a uma consulta com o médico de família num Centro de Saúde dos arredores de Lisboa. As mulheres responderam a um questionário com questões relativas ao estatuto percebido de menopausa e à presença de sintomas com ela relacionados, e participaram numa entrevista clínica estruturada adaptada do módulo de avaliação das perturbações do humor da Structured Clinical Interwiew for DSM-IV Axis I Disorders (SCID-I). Descreve-se a frequência da sintomatologia relacionada com a menopausa e analisa-se a sua variação em relação com o nível educacional e outras variáveis sociodemográficas. A relação entre o estatuto percebido de menopausa e a sintomatologia depressiva é também analisada, tomando em consideração o nível educacional.DOI: http://dx.doi.org/10.17575/rpsicol.v19i1/2.396

VALIDATION OF ZUNG'S SELF-RATING DEPRESSION SCALE AMONG THE COLOMBIAN GENERAL POPULATION

2006 ◽  
Vol 34 (1) ◽  
pp. 87-94 ◽  
Author(s):  
Adalberto Campo-Arias ◽  
Luis Alfonso Díaz-Martínez ◽  
German Eduardo ◽  
Rueda Jaimes ◽  
Laura Del Pilar Cadena ◽  
...  
Keyword(s):  
Depressive Disorders ◽  
Major Depressive Episode ◽  
Depression Scale ◽  
Kappa Coefficient ◽  
Major Depressive ◽  
Self Rating ◽  
Area Under Roc Curve ◽  
Axis I ◽  
Dsm Iv ◽  
General Community

This study aimed to validate Zung's Self-rating Depression Scale (SDS; 1965) among Colombian people living in Bucaramanga, Colombia. Although used frequently in Colombian investigations to identify depressive disorders, the SDS had not been validated formally among the general Colombian population. Participants were a random sample of people dwelling in an urban area, mean age was 37.4 years (SD 12.7). Participants filled out the SDS, and were then interviewed by psychiatrists using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I; First, Spitzer, Gibbon, & Williams, 1999) to diagnosis a major depressive episode (MDE) during the last month. Forty was taken as a cut-off point. SDS scores ranged from 21 to 62 (M 36.5, SD 9.1). Using the SDS, 95 (35.7%) persons reported clinically meaningful depressive symptoms. The SCID-I interview identified 44 (16.5%) persons with MDE. Cronbach’s alpha was 0.832. The sensitivity was 88.6% (95%CI 74.6–95.7), the specificity 74.8% (95%CI 68.4–80.2), the positive predictive value 41.1% (95%CI 31.2–51.6), the negative predict value 97.1% (95%CI 92.9–98.9), half Cohen's kappa coefficient 0.433 (95%CI 0.327–0.539), and area under ROC curve 0.901 (95%CI 0.857–0.945). The SDS was found to be a useful tool for screening MDE among the general community.

scholarly journals Sintomas obsessivo-compulsivos na depressão pós-parto: relatos de casos

2008 ◽  
Vol 30 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Carla Fonseca Zambaldi ◽  
Amaury Cantilino ◽  
Everton Botelho Sougey
Keyword(s):  
Clinical Interview ◽  
Axis I Disorders ◽  
Axis I ◽  
Dsm Iv

A depressão pós-parto é o transtorno afetivo mais prevalente no puerpério. O seu quadro clínico apresenta algumas peculiaridades sintomatológicas, podendo uma delas ser a presença mais freqüente de obsessões e compulsões. Relatamos seis casos identificados pela análise de prontuários de puérperas atendidas no Programa de Saúde Mental da Mulher do Hospital das Clínicas da Universidade Federal de Pernambuco. Todas elas tinham diagnóstico de depressão através do Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) e apresentavam concomitantemente sintomas obsessivo-compulsivos. Nos relatos, abordamos o período de aparecimento desses sintomas nas mulheres deprimidas, assim como o seu conteúdo, duração e resposta ao tratamento. Em duas mulheres, os sintomas obsessivo-compulsivos precederam os depressivos, e em outras duas, deu-se o inverso. Houve exacerbação de obsessões e compulsões preexistentes em duas puérperas. O conteúdo mais freqüente foi de pensamentos agressivos contra o bebê. Os sintomas tenderam a diminuir juntamente com a melhora da depressão.

scholarly journals Validation of a new diagnostic procedure for DSM IV axis I disorders

2002 ◽  
Vol 11 (3) ◽  
pp. 134-141 ◽  
Author(s):  
Jean-Yves Loze ◽  
Bruno Falissard ◽  
Frederic Limosin ◽  
Christophe Recasens ◽  
Anne-Sophie Horreard ◽  
...  
Keyword(s):  
Diagnostic Procedure ◽  
Axis I Disorders ◽  
Axis I ◽  
Dsm Iv

Content Validity of the Psychiatric Symptom Index, CES-Depression Scale, and State-Trait Anxiety Inventory from the Perspective of DSM-IV

1996 ◽  
Vol 79 (3) ◽  
pp. 1059-1069 ◽  
Author(s):  
Alex Okun ◽  
Ruth E. K. Stein ◽  
Laurie J. Bauman ◽  
Ellen Johnson Silver
Keyword(s):  
Trait Anxiety ◽  
Psychiatric Symptom ◽  
Major Depressive Episode ◽  
Narrow Band ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
State Trait Anxiety Inventory ◽  
Major Depressive ◽  
Symptom Index ◽  
Dsm Iv

We compared the item content of three commonly used scales of psychiatric symptoms [the broad-band Psychiatric Symptom Index (Ilfeld) and two narrow-band scales, the Center for Epidemiologic Studies-Depression Scale (Radloff) and the State-Trait Anxiety Inventory (Spielberger)], with diagnostic criteria and criterion-based symptoms for Major Depressive Episode and Generalized Anxiety Disorder as they appeared in DSM-IV. The Psychiatric Symptom Index and the Center for Epidemiologic Studies—Depression Scale each measured 7 of 9 criterion-based symptoms of Major Depressive Episode. The Psychiatric Symptom Index and State-Trait Anxiety Inventory each measured 5 of 8 domains for Generalized Anxiety Disorder. The Psychiatric Symptom Index had comparable content validity to the narrow-band measures. All met a majority of DSM-IV criteria for depression and anxiety, supporting their applicability for current research.

scholarly journals DSM-IV personality disorders in Mexico: results from a general population survey

2008 ◽  
Vol 30 (3) ◽  
pp. 227-234 ◽  
Author(s):  
Corina Benjet ◽  
Guilherme Borges ◽  
Maria Elena Medina-Mora
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Multiple Imputation ◽  
Adult Population ◽  
The United States ◽  
Imputation Method ◽  
Axis I Disorders ◽  
Axis I ◽  
Dsm Iv ◽  
Multiple Imputation Method

OBJECTIVE: This paper reports the first population estimates of prevalence and correlates of personality disorders in the Mexican population. METHOD: Personality disorders screening questions from the International Personality Disorder Examination were administered to a representative sample of the Mexican urban adult population (n = 2,362) as part of the Mexican National Comorbidity Survey, validated with clinical evaluations conducted in the United States. A multiple imputation method was then implemented to estimate prevalence and correlates of personality disorder in the Mexican sample. RESULTS: Multiple imputation method prevalence estimates were 4.6% Cluster A, 1.6% Cluster B, 2.4% Cluster C, and 6.1% any personality disorder. All personality disorders clusters were significantly comorbid with DSM-IV Axis I disorders. One in every five persons with an Axis I disorder in Mexico is likely to have a comorbid personality disorder, and almost half of those with a personality disorder are likely to have an Axis I disorder. CONCLUSIONS: Modest associations of personality disorders with impairment and strong associations with treatment utilization were largely accounted for by Axis I comorbidity suggesting that the public health significance of personality disorders lies in their comorbidity with, and perhaps effects upon, Axis I disorders rather than their direct effects on functioning and help seeking.

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