Resultados de pesquisa

The published bibliography about neuropsychiatric adverse events related to the treatment with interferon alpha in patients suffering from viral hepatitis is reviewed. The authors pointed out adverse events such as mood disorders, anxiety disorders, suicide and deliberate self-harm, manic symptoms and psychotic disturbance. The onset of these psychiatric disorders may be a cause for poor, non-compliance or discontinuation with medical treatment. A good response to psychiatric treatment is observed so that it’s many times possible to maintain medical treatment. A multidisciplinary team in order to facilitate early assessment and treatment of this conditions may contribute for a better prognosis of patients with viral hepatitis.

Based on the clinical case of a female in-patient of the Psychiatric Departement of the Fernando Fonseca Hospital, who was admitted due to bipolar disorder relapse and to whom arterial hypertension was diagnosed during her stay in the ward, the authors review the interactions between mood stabilizer therapy with lithium and anti-hypertensive therapy (emphasizing on angiotensin-converting enzyme – ACE – inhibitors and diuretics), both necessary to her clinical stabilization.

Eating disorders should be understood in a multidimensional perspective, emphasizing a biopsicossocial context. In these pathologies it`s the body, in the first instance, that reveals the disease, being in this way the target of the conflict, revealing a disturbed body experience and as a consequence a weak conception of their personal body image. The body image is conceptualised as a subjective image that the individuals form in their own mind, about their body, in relation with differ- ent contexts of life. The intent of the studies is to comprehend the level of body image disturbance, which have concluded that in the majority of the cases, significant changes on perceptive capacity of the patients do not exist. In this way it`s important to study in a more effective and qualitative way the affective and personal factors. The authors...

Introduction:   Decision   Capacity   Assessment is one of the functions of consultation psychiatry.  It  involves  the  ability  to  make choices autonomously and arises in a relevant way in clinical practice as a precondition to informed consent.Aims:  The  authors  pretend  to  review  the process underlying decision capacity assessment, as well as other relevant information published in this regard.Methods: Non systematic review of the literature, through electronic search in Medline/Pubmed.Results: The ability to decide can only be assessed  in  relation  to  a  particular  decision,  and  its  outcome  is  not  necessarily stable  over  time.  Similarly,  there  is  no single  diagnosis  that  allows  concluding for  incapacity,  nor  dispensing  its  proper evaluation.  It  depends  on  various  factors like  the  thought  conte...

Takotsubo syndrome is a good prognosis acute cardiac syndrome more frequently occurring in postmenopausal women, usually preceded by psychological or physical stress. The authors collected demographic and clinical data and evaluated psychiatric and psychological aspects of a seven-patient- sample diagnosed with this syndrome. Patient Health Questionnaire and Minnesota Multiphasic Personality Inventory (MMPI) were applied. Four of the participants were medicated with psychotropic medication and a depressive disorder was diagnosed in two of them. MMPI results revealed psychopathic deviate and paranoia characteristics in the evalu- ated patients.