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Repositório do Hospital Prof. Doutor Fernando Fonseca (3.582 recursos)

The Hospital Prof. Dr. Fernando Fonseca E.P.E. (HFF) institutional repository collects, preserves and disseminates the intellectual output of its professionals in digital format. Its aims are to increase the HFF’s investigation visibility and citation impact, to foster scientific communication and to preserve the HFF’s intellectual memory.

PSIQ - Artigos

Mostrando recursos 1 - 20 de 61

  1. Characteristics of frequent users of an acute psychiatric inpatient unit: a five-year study in Portugal.

    Graça, J; Klut, C; Trancas, B; Borja-Santos, N; Cardoso, G
    OBJECTIVE: This study examined demographic and clinical characteristics of frequent users of a psychiatric inpatient unit in Portugal. METHODS: Data (2004-2008) for 1,348 consecutive psychiatric inpatients were reviewed. Frequent users (N=137), who had at least three admissions in the study period, were compared with nonfrequent users (N=1,211) on age, gender, race-ethnicity, diagnosis, and compulsory admissions. Data were analyzed with chi square and Student's t tests. RESULTS: Frequent users accounted for 29% of admissions. They were significantly younger than nonfrequent users (39±14 versus 44±17, p<.001), and a larger proportion had compulsory admissions (28% versus 14%, p<.001). The frequent user group also had significantly...

  2. To whom is "problemas de nervos" meaningful?

    Neto, A; Tavares, J; Coutinho, R

  3. Kraepelinian systematic paraphrenia as a recognizable disorder

    Borja-Santos, N; Trancas, B; Ferreira, B; Parente, J; Gamito, A; Almeida, S; Vieira, C; Luengo, A; Xavier, S; Klut, C; Graça, J; Ramos, J; Martins, M; Ribeiro, J; Neto, A; Palma, M; Luis, A; Cardoso, G
    Objectives: To demonstrate that systematic paraphrenia as defined by Kraepelin (the most consistent prototypic paraphrenia subtype) can be recognized and diagnosed. Subjects and methods: All patients admitted to a Portuguese psychiatric inpatient unit between September 2006 and October 2011, meeting the criteria for systematic paraphrenia based on Kraepelin’s definition, Munro’s operational criteria and the authors’ criteria, were evaluated by two senior psychiatrists. Results: Out of 27 evaluated patients, 16 (10 women and 6 men) were confirmed as having systematic paraphrenia, accounting for 0.83% of the total number of inpatients (1921). The mean age of onset was 34.3 years (SD = 8.9) and the mean duration...

  4. Formação em Psiquiatria Forense: aspectos comparativos para uma reflexão sobre o modelo português

    Trancas, B; Vieira, F; Santos, J
    Contexto e Objectivos: A psiquiatria forense tem registado um grande desenvolvimento nas últimas décadas, fruto de múltiplos factores, entre os quais avultam a desinstitucionalização dos doentes mentais e os notáveis avanços no domínio das neurociências, imagiologia e psicologia. Estes factores têm contribuído para reforçar a necessidade da formação e treino nesta área diferenciada da psiquiatria. É esta a razão que justifica a presente revisão sobre a formação em psiquiatria forense em diversos países europeus, E.U.A. e Brasil, levando a cabo um exercício comparativo com a prática que tem vindo a ser seguida no nosso país. Métodos: Foi utilizada uma metodologia mista: a) revisão sistemática da literatura (pesquisa...

  5. Empatia na relação médico-doente: evolução em alunos do primeiro ano de Medicina e contribuição para a validação da escala Jefferson em Portugal

    Loureiro, J; Gonçalves-Pereira, M; Trancas, B; Caldas-de-Almeida, J; Castro-Caldas, A
    Introdução e Objectivos: A empatia é um elemento fundamental da relação médico-doente, havendo evidência da sua associação a melhores resultados clínicos. Contudo, alguns estudos têm sugerido uma diminuição dos níveis de empatia, no decurso da formação pré-graduada em Medicina ou da prática clínica continuada. Neste estudo pretendemos analisar, em alunos do primeiro ano de um curso de Medicina, a evolução das atitudes face à empatia ao longo de um semestre lectivo (correspondendo à frequência de Psicologia Médica, cujo programa aborda a empatia em Medicina mediante ensino de conteúdos e treino elementar de competências). Pretendemos, igualmente, explorar as relações entre atitudes face à...

  6. Shyness, social anxiety, and impaired self-esteem in Turner syndrome and premature ovarian failure

    Schmidt, P; Cardoso, G; Ross, J; Haq, N; Rubinow, D; Bondy, C

  7. Shyness, social anxiety, and impaired self-esteem in Turner syndrome and premature ovarian failure

    Schmidt, P; Cardoso, G; Ross, J; Haq, N; Rubinow, D; Bondy, C

  8. Current and lifetime psychiatric illness in women with Turner syndrome

    Cardoso, G; Daly, R; Haq, N; Hanton, L; Rubinow, D; Bondy, C; Schmidt, P
    Abnormalities in quality of life and cognitive measures have been observed in women with Turner syndrome (TS), and a relationship between these phenomena and chromosomal constitution has been suggested. In contrast, few studies have systematically evaluated the presence of mood and behavioral syndromes in these women. In this study, 100 TS women were administered the Structured Clinical Interview for DSM IV after a two-week period during which their hormone replacement had been discontinued. The majority of women who met criteria for a psychiatric condition had a mood or anxiety disorder. Overall, 52 (52%) of the TS women met criteria for...

  9. European guidelines for training in consultation-liaison psychiatry and psychosomatics: report of the EACLPP Workgroup on Training in Consultation-Liaison Psychiatry and Psychosomatics

    Sollner, W; Creed, F; European Association of Consultation–Liaison Psychiatry; Psychosomatics Workgroup on Training in Consultation–Liaison; Cardoso, G
    OBJECTIVE: The European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) has organized a workgroup to establish consensus on the contents and organization of training in consultation-liaison (C-L) for psychiatric and psychosomatic residents. METHODS: Initially, a survey among experts has been conducted to assess the status quo of training in C-L in different European countries. In several consensus meetings, the workgroup discussed aims, core contents, and organizational issues of standards of training in C-L. Twenty C-L specialists in 14 European countries participated in a Delphi procedure answering a detailed consensus checklist, which included different topics under discussion. RESULTS: Consensus on the following issues...

  10. Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study

    Jonge, P; Zomerdijk, M; Huyse, F; Fink, P; Herzog, T; Lobo, A; Slaetz, J; Harolt, V; Balogh, N; Cardoso, G; Rigatelli, M
    AIMS AND OBJECTIVES: The relationship between mental disturbances - anxiety and depression, somatization and alcohol abuse - on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturbances to select patients for case-management on admission. DESIGN: The study had a cohort design: patients were included on admission and followed through their hospital stay until discharge. The study was conducted within the framework of the European Biomed 1 Risk Factor study. RESEARCH METHODS AND INSTRUMENTS: In the first 3 days...

  11. Consultation-Liaison psychiatric service delivery: results from a European study

    Huyse, F; Herzog, T; Lobo, A; Malt, U; Opmeer, B; Stein, B; Jonge, P; Dijck, R; Creed, F; Crespo, MD; Cardoso, G
    The reported findings of the European Consultation-Liaison Workgroup (ECLW) Collaborative Study describe consultation-liaison service delivery by 56 services from 11 European countries aggregated on a C-L service level. During the period of 1 year (1991), the participants applied a standardized, reliability tested method of patient data collection, and data were collected describing pertinent characteristics of the hospital, the C-L service, and the participating consultants. The consultation rate of 1% (median; 1.4% mean) underscores the discrepancy between epidemiology and the services delivered. The core function of C-L services in general hospitals is a quick, comprehensive emergency psychiatric function. Reasons to see...

  12. European Consultation-Liaison Psychiatric Services: the ECLW Collaborative Study

    Huyse, F; Herzog, T; Lobo, A; Malt, U; Opmeer, B; Stein, B; Creed, F; Crespo, MD; Cardoso, G; Guimarães-Lopes, R; Mayou, R; van Moffaert, M; Rigatelli, M; Sakkas, P; Tienari, P
    OBJECTIVE: To describe the patterns of organization of consultation-liaison (C-L) services in 11 European countries in relation to hospital characteristics and national approaches to C-L psychiatry. METHOD: Cross-sectional survey. RESULTS: Services can best be described in terms of their size and seniority of their staff and whether or not they are multidisciplinary. Single-discipline services are based upon the standard medical consultant model, whereas those with multidisciplinary teams work in a way that is comparable with community mental health teams. German psychosomatic C-L services belonged to either model. National differences were found. CONCLUSION: This first international study provides empirical evidence for the wide variation...

  13. The European Consultation-Liaison Workgroup (ECLW) Collaborative Study. I. General outline.

    Huyse, F; Herzog, T; Malt, U; Lobo, A; ECLW Coordination Center; Cardoso, G
    Previous C-L psychiatric service research is seriously limited by its parochial nature; very few results can be generalized outside of the hospital in which the original study was performed because of differences in the nature of the hospital and the type of C-L service. This article presents the general outline and methodology of a European multicentered C-L service delivery study effected by the European Consultation-Liaison Workgroup for General Hospital Psychiatry and Psychosomatics (ECLW). The study is unique in its kind as it allows the comparison of very different C-L services; for example, some services are run by C-L psychiatrists, others...

  14. The ECLW Collaborative Study: III. Training and reliability of ICD-10 psychiatric diagnoses in the general hospital setting--an investigation of 220 consultants from 14 European countries. European Consultation Liaison Workgroup

    Malt, U; Huyse, F; Herzog, T; Lobo, A; Rijssenbeek, A; ECLW Coordination Center; Cardoso, G
    A comprehensive training program for reliable use of the ICD/10 in Consultation-Liaison (C-L) psychiatry was conducted with 220 psychiatrists and psychologists from 14 European countries. The training included rating of written test cases and development of a coding manual to avoid diagnostic pitfalls not addressed in the ICD-10 manual. Following this training, all consultants rated 13 written case histories. One hundred sixty-seven consultants (76%) had a kappa (kappa) of at least 0.70. Only 13 (6%) had a kappa 0.40. The percentage of high reliability raters was evenly distributed among the different countries. Consultants had some problems in the differentiation between...

  15. The ECLW Collaborative study II: patient registration form (PRF) instrument, training and reliability. European Consultation/Liaison Work group.

    Lobo, A; Huyse, F; Herzog, T; Malt, U; Opmeer, B; ECLW Coordination Center; Cardoso, G
    This paper describes the development and testing of the Patient Registration Form (PRF), a standardized instrument for the description of patients seen by consultation-liaison (C-L) psychiatrists and psychosomatists in general hospitals, the referral patterns, the C-L interventions and their outcomes. The PRF study is part of a large multi-centre. European investigation on the effectiveness of mental health service delivery, conducted by the European C-L Workgroup for General Hospital Psychiatry and Psychosomatics (ECLW) and performed in the framework of the of the E.C. 4th Medical and Health Research Program. The final version of the PRF consists of 68 items. It was...

  16. Heranças familiares: transfusão ou transformação

    Pinheiro, C
    No presente artigo é reflectido o tema das heranças familiares numa perspectiva psicanalítica. São destacados conceitos de três autores: a transmissão psíquica (R. Kaes), a telescopagem de gerações (H. Faimberg), e o objecto transgeracional (A. Eiguer). São interrogadas perspectivas clínicas sobre a filiação, nomeadamente aquelas que resultam de uma prática com a instituição, o indivíduo, a família e o grupo.

  17. Tratamento de dependências – perspectivas clínica e jurídica: breve reflexão a propósito de dois casos clínicos

    Fonseca, S; Morins, M; Fraga, M; Pereira, J
    O consumo de substâncias psicoactivas, conhecidas vulgarmente por drogas, incluindo o consumo de álcool, de modo esporádico ou crónico, está directamente relacionado com alterações na conduta do consumidor e pode espoletar estados psicopatológicos de evolução subaguda ou crónica. O consumo excessivo de álcool ou consumo de substâncias ilícitas por indivíduos sem doença mental, são actos praticados de livre vontade, o que os torna criminalmente responsáveis pelos seus actos, mesmo quando optam voluntariamente por um estado de intoxicação e durante esse estado praticam uma acção criminosa. Da prática clínica reconhece-se que qualquer tipo de tratamento em doentes que sofram destas patologias só é eficaz quando o...

  18. Um caso de mania crónica numa doente com diagnóstico duplo de doença bipolar tipo I e perturbação delirante

    Martins, M; Gracias, MJ; Melo, J
    Os autores descrevem o caso de uma doente de 62 anos, sem antecedentes psiquiátricos pessoais ou familiares até aos 52 anos, altura em que inicia ideias delirantes de conteúdo somático e hipocondríaco em que acredita ter ficado doente com um “problema na cabeça” após um pequeno traumatismo no local de trabalho. É internada pela primeira vez dois anos depois do referido traumatismo com o diagnóstico de perturbação delirante tipo somático, tendo tido alta com o delírio enquistado e sem crítica para o estado patológico. Inicia acompanhamento em consulta externa de psiquiatria, com má adesão terapêutica em ambulatório, com novo internamento cerca de 1 ano depois, por...

  19. Era uma vez uma cidade chamada Amadora...

    Morais, A
    O presente artigo vai debruçar‑se sobre a História da Amadora enquanto localidade e a sua evolução sócio demográfica até se tornar cidade, bem como acerca do tipo de população que aí se instalou, principalmente a partir dos anos 50. Apresenta‑se uma história de vida de uma família de um bairro degradado. Caracteriza‑se através de dois testemunhos de Assistentes Sociais da vivência dos cabo‑verdianos noutro bairro degradado. Por último descreve‑se o que deu origem à exclusão social de uma franja da população e uma conclusão sobre o Concelho.

  20. Serviços psiquiátricos na comunidade com base no hospital geral: um modelo português

    Cardoso, G; Maia, T
    As autoras descrevem o contexto que precedeu o planeamento, implementação e desenvolvimento do Serviço de Psiquiatria do Hospital Fernando Fonseca, enfatizando os valores e princípios gerais orientadores de um Serviço marcadamente comunitário. Realçam a forma como se foram estreitando laços com os cuidados de saúde primários e outras estruturas de saúde e sociais existentes na comunidade. Descrevem a organização actual do serviço, os projectos em desenvolvimento e, finalmente, abordam os projectos e as linhas gerais de orientação para o futuro.

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