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[PMID]:28459763
[Au] Autor:Pappas D; Fogler J; Sargado S; Welchons L; Augustyn M
[Ad] Endereço:*Division of Developmental Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA; †Children's Physicians of South Texas, Driscoll Children's Hospital, Corpus Christi, Texas; ‡The Kelberman Center, Utica, NY; §Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA.
[Ti] Título:International/Institutional Trauma in Developmental Pediatric Practice.
[So] Source:J Dev Behav Pediatr;38(4):292-293, 2017 May.
[Is] ISSN:1536-7312
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: "Aabis" is a school-aged boy from a predominantly conservative Muslim nation who presented to a tertiary developmental-behavioral pediatric (DBP) clinic to seek "expert opinion" for significant social and learning difficulties in the context of a history of frequent falling and "clumsiness." He was seen by a psychiatrist in his home country, who ordered an electroencephalogram and "brain map" (both normal), and received occupational and physical therapies. Frequent tantrums and intense emotional reactions to minor events-revealed to be related to a history of repeated physical beatings from groups of his "friends"-prompted referral to the DBP clinic. When asked why he did not fight back, Aabis said that he did not want to lose his friends. He and his parents further explained that this kind of organized aggression is considered part of normative development in their country and that Aabis needed to "toughen up."Aabis was described by his parents as being very "sensitive" when others raised their voices, shivering when reprimanded and profusely apologizing for real and imagined mistakes. He bit his nails until they bled, washed his hands repetitively, and changed his clothes several times per day. On witnessing his parents arguing, Aabis threatened to harm himself with a decorative knife.The assessment presented with several procedural complications specifically the use of an interpreter and the cultural differences regarding many of the topics discussed. Aabis spoke very little English, and an interpreter was not available in person on the initial day of the assessment. Telephonic phone translation services were attempted, but there were concerns that Aabis would not feel comfortable with sharing his emotions over the phone with an unidentified individual. As feared, Aabis was resistant to discuss emotionally charged topics (e.g., feeling sad, being bullied, hearing or seeing things) and grew impatient and irritated with the phone interpreter. After some unsuccessful experimentation with a Google-based translation system (implemented at Aabi's request to help build comfort and rapport), a second telephonic interpreter was brought into the session, who Aabis later described to his parents as "mean." (Aabis clarified that the second interpreter had been brusque and insensitive to his tentative attempts to express his feelings, e.g., by telling him to "Speak up. Spit it out.")Toward the end of the interview, Aabis seemed to dissociate and insisted anxiously that he did not want to relay certain information without his parents present in the room. What would you do next in this situation?Details about this case, including name and age, have been altered to protect the child's identity.
[Mh] Termos MeSH primário: Árabes/psicologia
Bullying
Transtornos Dissociativos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/diagnóstico
[Mh] Termos MeSH secundário: Criança
Cultura
Transtornos Dissociativos/etnologia
Transtornos Dissociativos/psicologia
Seres Humanos
Masculino
Transtornos de Estresse Pós-Traumáticos/etnologia
Transtornos de Estresse Pós-Traumáticos/psicologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1097/DBP.0000000000000443


  2 / 3178 MEDLINE  
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[PMID]:28471335
[Au] Autor:Gobin RL; Freyd J
[Ad] Endereço:a Department of Psychology , University of Oregon , Eugene , Oregon , USA.
[Ti] Título:Do Participants Detect Sexual Abuse Depicted in a Drawing? Investigating the Impact of Betrayal Trauma Exposure on State Dissociation and Betrayal Awareness.
[So] Source:J Child Sex Abus;26(3):233-245, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:An inability to identify betrayal may increase risk for victimization. Harm perpetrated by close others early in life may impair the ability to identify betrayal and develop trust. Dissociation may facilitate impaired betrayal awareness. The present study examined the impact of high betrayal trauma on state dissociation and betrayal awareness in a college sample (N = 216). Self-report measures were used to assess trauma history and state dissociation. Awareness for betrayal was measured using a drawing depicting an ambiguous interpersonal interaction between an adult and a child. We hypothesized that high betrayal trauma would be associated with both more state dissociation and lower awareness for betrayal. Participants with histories of high betrayal trauma reported high levels of state dissociation. Contrary to our second hypothesis, high betrayal trauma did not directly predict impaired betrayal awareness. State dissociation contributed significantly to betrayal awareness. Implications of findings for theory and practice are discussed.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Eventos Adversos na Infância/psicologia
Conscientização
Abuso Sexual na Infância/psicologia
Confiança/psicologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Transtornos Dissociativos/psicologia
Feminino
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1283650


  3 / 3178 MEDLINE  
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[PMID]:28449364
[Au] Autor:Thompson-Hollands J; Jun JJ; Sloan DM
[Ad] Endereço:National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, Massachusetts, USA.
[Ti] Título:The Association Between Peritraumatic Dissociation and PTSD Symptoms: The Mediating Role of Negative Beliefs About the Self.
[So] Source:J Trauma Stress;30(2):190-194, 2017 Apr.
[Is] ISSN:1573-6598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Peritraumatic dissociation, a term used to describe a complex array of reactions to trauma, including depersonalization, derealization, and emotional numbness, has been associated with posttraumatic stress disorder (PTSD) symptoms across a number of studies. Cognitive theory suggests that interpretations of traumatic events and reactions underlie the persistence of PTSD. The present study examined the associations among peritraumatic dissociation, posttraumatic cognitions, and PTSD symptoms in a group of trauma-exposed adults (N = 169). Results indicated that, after accounting for overall symptom severity and current dissociative tendencies, peritraumatic dissociation was significantly predictive of negative beliefs about the self (R = .06, p < .001). Other categories of maladaptive posttraumatic cognitions did not show a similar relationship (R = .01 to .02, nonsignificant). Negative thoughts about the self partially mediated the association between peritraumatic dissociation and PTSD severity (completely standardized indirect effect = .25). These findings lend support to cognitive theories of PTSD and point to an important area for clinical intervention.
[Mh] Termos MeSH primário: Transtornos Dissociativos/psicologia
Autoimagem
Transtornos de Estresse Pós-Traumáticos/psicologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Transtornos Dissociativos/complicações
Feminino
Seres Humanos
Masculino
Meia-Idade
Escalas de Graduação Psiquiátrica
Índice de Gravidade de Doença
Transtornos de Estresse Pós-Traumáticos/complicações
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1002/jts.22179


  4 / 3178 MEDLINE  
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[PMID]:29386449
[Au] Autor:Sugiyama T
[Ad] Endereço:Research Center for Child Mental Development, University of Fukui.
[Ti] Título:[Ego-state Therapy: Psychotherapy for Multiple Personality Disorders].
[So] Source:Nihon Eiseigaku Zasshi;73(1):62-66, 2018.
[Is] ISSN:1882-6482
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:The author describes ego-state therapy. This psychotherapy is used for treating multiple personality disorders. The author mentions the theoretical background of this method, and practical points. Initially, ego-state therapy was developed as a type of hypnotherapy, but it evolved as a safe therapeutic method in combination with trauma processing therapies. The author presents a case study, and discusses the clinical significance of this treatment.
[Mh] Termos MeSH primário: Ego
Hipnose/métodos
Transtorno de Personalidade Múltipla/psicologia
Transtorno de Personalidade Múltipla/terapia
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Transtornos Dissociativos/psicologia
Transtornos Dissociativos/terapia
Feminino
Seres Humanos
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Pós-Traumáticos/terapia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1265/jjh.73.62


  5 / 3178 MEDLINE  
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[PMID]:28451707
[Au] Autor:Kapfhammer HP
[Ad] Endereço:Klinik für Psychiatrie und Psychotherapeutische Medizin, Medizinische Universität Graz, Auenbruggerplatz 31, 8036, Graz, Österreich. Hans-peter.kapfhammer@klinikum-graz.at.
[Ti] Título:[Factitious disorders].
[Ti] Título:Artifizielle Störungen..
[So] Source:Nervenarzt;88(5):549-570, 2017 May.
[Is] ISSN:1433-0407
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Patients with factitious disorders intentionally fabricate, exaggerate or feign physical and/or psychiatric symptoms for various open and covert psychological reasons. There are many issues regarding the diagnostic state and classification of factitious disorders. Both the categorical differentiation of and clinical continuum ranging from somatoform/dissociative disorders to malingering are being controversially debated. Epidemiological studies on the frequency of factitious disorder meet basic methodological difficulties. Reported rates of prevalence and incidence in the professional literature most probably have to be considered underestimations. Illness deception and self-harm as core features of the abnormal illness behaviour in factitious disorder may refer to various highly adverse and traumatic experiences during early development in a subgroup of patients. Chronic courses of illness prevail; however, there are also episodic variants.
[Mh] Termos MeSH primário: Transtornos Dissociativos/diagnóstico
Transtornos Autoinduzidos/diagnóstico
Transtornos Autoinduzidos/psicologia
Simulação de Doença/diagnóstico
Comportamento Autodestrutivo/diagnóstico
Transtornos Somatoformes/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Transtornos Dissociativos/psicologia
Transtornos Dissociativos/terapia
Medicina Baseada em Evidências
Transtornos Autoinduzidos/terapia
Seres Humanos
Simulação de Doença/psicologia
Simulação de Doença/terapia
Comportamento Autodestrutivo/prevenção & controle
Comportamento Autodestrutivo/psicologia
Transtornos Somatoformes/psicologia
Transtornos Somatoformes/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s00115-017-0337-8


  6 / 3178 MEDLINE  
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[PMID]:29173740
[Au] Autor:Choi KR; Seng JS; Briggs EC; Munro-Kramer ML; Graham-Bermann SA; Lee RC; Ford JD
[Ad] Endereço:University of California-Los Angeles. Electronic address: krchoi@ucla.edu.
[Ti] Título:The Dissociative Subtype of Posttraumatic Stress Disorder (PTSD) Among Adolescents: Co-Occurring PTSD, Depersonalization/Derealization, and Other Dissociation Symptoms.
[So] Source:J Am Acad Child Adolesc Psychiatry;56(12):1062-1072, 2017 Dec.
[Is] ISSN:1527-5418
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to examine the co-occurrence of posttraumatic stress disorder (PTSD) and dissociation in a clinical sample of trauma-exposed adolescents by evaluating evidence for the depersonalization/derealization dissociative subtype of PTSD as defined by the DSM-5 and then examining a broader set of dissociation symptoms. METHOD: A sample of treatment-seeking, trauma-exposed adolescents 12 to 16 years old (N = 3,081) from the National Child Traumatic Stress Network Core Data Set was used to meet the study objectives. Two models of PTSD/dissociation co-occurrence were estimated using latent class analysis, one with 2 dissociation symptoms and the other with 10 dissociation symptoms. After model selection, groups within each model were compared on demographics, trauma characteristics, and psychopathology. RESULTS: Model A, the depersonalization/derealization model, had 5 classes: dissociative subtype/high PTSD; high PTSD; anxious arousal; dysphoric arousal; and a low symptom/reference class. Model B, the expanded dissociation model, identified an additional class characterized by dissociative amnesia and detached arousal. CONCLUSION: These 2 models provide new information about the specific ways PTSD and dissociation co-occur and illuminate some differences between adult and adolescent trauma symptom expression. A dissociative subtype of PTSD can be distinguished from PTSD alone in adolescents, but assessing a wider range of dissociative symptoms is needed to fully characterize adolescent traumatic stress responses.
[Mh] Termos MeSH primário: Despersonalização/diagnóstico
Transtornos Dissociativos/diagnóstico
Modelos Psicológicos
Transtornos de Estresse Pós-Traumáticos/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Criança
Despersonalização/classificação
Despersonalização/psicologia
Transtornos Dissociativos/classificação
Transtornos Dissociativos/psicologia
Feminino
Seres Humanos
Masculino
Modelos Estatísticos
Escalas de Graduação Psiquiátrica
Transtornos de Estresse Pós-Traumáticos/classificação
Transtornos de Estresse Pós-Traumáticos/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  7 / 3178 MEDLINE  
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[PMID]:28458436
[Au] Autor:Jha VN; Singh PK
[Ad] Endereço:Department of Psychiatry, Institute of Human Behaviour and Allied Sciences, New Delhi, India.
[Ti] Título:Response to eperisone in patients of therapy-resistant dissociative convulsions: A report of two cases.
[So] Source:Indian J Pharmacol;49(1):121-123, 2017 Jan-Feb.
[Is] ISSN:1998-3751
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Dissociative convulsions or pseudoseizures are a difficult to treat common psychiatric condition. In a subset of these patients, the chief complaint is clenching of teeth with apparent nonresponsiveness alone. Neither drugs nor psychotherapeutic interventions have been found to be of much help in its management. Report of two such subsets of cases is presented, in which patients with dissociative convulsions showed sudden, dramatic, and sustained good response to the addition of a muscle relaxant eperisone.
[Mh] Termos MeSH primário: Anticonvulsivantes/uso terapêutico
Transtornos Dissociativos/tratamento farmacológico
Propiofenonas/uso terapêutico
Convulsões/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Transtornos Dissociativos/complicações
Feminino
Seres Humanos
Relaxantes Musculares Centrais/uso terapêutico
Convulsões/etiologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticonvulsants); 0 (Muscle Relaxants, Central); 0 (Propiophenones); 2M2P0551D3 (eperisone)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.4103/0253-7613.201033


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[PMID]:28915146
[Au] Autor:Dorahy MJ; Gorgas J; Seager L; Middleton W
[Ad] Endereço:*Department of Psychology, University of Canterbury, Christchurch, New Zealand; and †The Cannan Institute, Belmont Private Hospital, Brisbane, Australia.
[Ti] Título:Engendered Responses to, and Interventions for, Shame in Dissociative Disorders: A Survey and Experimental Investigation.
[So] Source:J Nerv Ment Dis;205(11):886-892, 2017 Nov.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined shame and responses to it in adult dissociative disorder (DD; n = 24) and comparison psychiatric (n = 14) samples. To investigate how helpful different therapeutic responses are after shame disclosures in therapy, participants heard two vignettes from "mock" patients disclosing a) shame and b) surprise. Participants rated the helpfulness of five potential responses. Interventions covered withdrawing from the affect (withdrawal focused) to feeling it (feeling focused), with other interventions on cognitions (cognitive focused), management strategies (management focused), and previous experiences (history focused). The DD sample reported higher characterological and bodily shame, and more shame avoidance and withdrawal. There was no difference across groups for intervention ratings. For shame, interventions focused on feelings, cognitions, or previous shame experiences were deemed most helpful, but this was qualified by experiencing dissociation while hearing the script, where the history intervention was reported less helpful. Exposure to shame while monitoring dissociation should accompany therapy for DDs.
[Mh] Termos MeSH primário: Transtornos Dissociativos/psicologia
Vergonha
[Mh] Termos MeSH secundário: Adolescente
Adulto
Transtornos Dissociativos/terapia
Feminino
Seres Humanos
Masculino
Transtornos Mentais/parasitologia
Transtornos Mentais/terapia
Meia-Idade
Escalas de Graduação Psiquiátrica
Testes Psicológicos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000740


  9 / 3178 MEDLINE  
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[PMID]:28604418
[Au] Autor:Maraldi EO; Krippner S; Barros MCM; Cunha A
[Ad] Endereço:*Inter Psi-Laboratory of Anomalistic Psychology and Psychosocial Processes, Department of Social and Work Psychology, Institute of Psychology, University of São Paulo, Brazil; †Department of Humanistic and Clinical Psychology, Saybrook University, Oakland, California; and ‡Program of Health, Spirituality and Religiosity (ProSER), and §LIM23, Institute of Psychiatry, Faculty of Medicine, University of São Paulo, Brazil.
[Ti] Título:Dissociation From a Cross-Cultural Perspective: Implications of Studies in Brazil.
[So] Source:J Nerv Ment Dis;205(7):558-567, 2017 Jul.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A major issue in the study of dissociation concerns the cross-cultural validity of definitions and measurements used to identify and classify dissociative disorders. There is also extensive debate on the etiological factors underlying dissociative experiences. Cross-cultural research is essential to elucidate these issues, particularly regarding evidence obtained from countries in which the study of dissociation is still in its infancy. The aim of this article was to discuss Brazilian research on the topic of dissociation, highlighting its contributions for the understanding of dissociative experiences in nonclinical populations and for the validity and relevance of dissociative disorders in the contexts of psychiatry, psychology, and psychotherapy. We also consider the ways in which dissociative experiences are assimilated by Brazilian culture and religious expressions, and the implications of Brazilian studies for the sociocultural investigation of dissociation. We conclude by addressing the limitations of these studies and potential areas for future research.
[Mh] Termos MeSH primário: Comparação Transcultural
Despersonalização/etnologia
Transtornos Dissociativos/etnologia
Trauma Psicológico/etnologia
Religião e Psicologia
[Mh] Termos MeSH secundário: Brasil/etnologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000694


  10 / 3178 MEDLINE  
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[PMID]:28598955
[Au] Autor:Somer E; Soffer-Dudek N; Ross CA
[Ad] Endereço:*School of Social Work, University of Haifa, Haifa; †Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel; and ‡The Colin A. Ross Institute, Richardson, Texas.
[Ti] Título:The Comorbidity of Daydreaming Disorder (Maladaptive Daydreaming).
[So] Source:J Nerv Ment Dis;205(7):525-530, 2017 Jul.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To determine the comorbidity profile of individuals meeting criteria for a proposed new disorder, daydreaming disorder (more commonly known as maladaptive daydreaming [MD]), the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and the Structured Clinical Interview for DSM-IV Dissociative Disorders were administered to 39 participants who met criteria for MD on a structured interview. We determined high rates of comorbidity: 74.4% met criteria for more than three additional disorders, and 41.1% met criteria for more than four. The most frequent comorbid disorder was attention deficit hyperactivity disorder (76.9%); 71.8% met criteria for an anxiety disorder, 66.7% for a depressive disorder, and 53.9% for an obsessive-compulsive or related disorder. Notably, 28.2% have attempted suicide. Individuals meeting criteria for MD have complex psychiatric problems spanning a range of DSM-5 disorders. This finding provides evidence that MD is different than normal daydreaming and that these individuals experience considerable distress and impairment.
[Mh] Termos MeSH primário: Transtornos de Adaptação
Transtornos Dissociativos
Fantasia
Transtornos Mentais
[Mh] Termos MeSH secundário: Transtornos de Adaptação/classificação
Transtornos de Adaptação/epidemiologia
Transtornos de Adaptação/fisiopatologia
Adolescente
Adulto
Transtornos de Ansiedade/epidemiologia
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia
Comorbidade
Transtorno Depressivo/epidemiologia
Transtornos Dissociativos/classificação
Transtornos Dissociativos/epidemiologia
Transtornos Dissociativos/fisiopatologia
Feminino
Seres Humanos
Masculino
Transtornos Mentais/epidemiologia
Meia-Idade
Transtorno Obsessivo-Compulsivo/epidemiologia
Tentativa de Suicídio/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000685



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