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[PMID]:28457162
[Au] Autor:Richmond-Rakerd LS; Belsky DW
[Ad] Endereço:From the Department of Psychological Sciences, University of Missouri, Columbia, M.O.; and the Department of Medicine, Duke University School of Medicine, the Center for the Study of Aging and Human Development, Duke University, and Duke University Population Research Institute, Durham, N.C.
[Ti] Título:Swedish Register Analysis of Divorce and Alcohol Use Disorder Highlights Social Relationships as a Target for Preventive Psychiatry and Genetic Research.
[So] Source:Am J Psychiatry;174(5):411-413, 2017 05 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Divórcio
Psiquiatria Preventiva
[Mh] Termos MeSH secundário: Alcoolismo
Pesquisa em Genética
Seres Humanos
Suécia
[Pt] Tipo de publicação:EDITORIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17020170


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[PMID]:28877316
[Au] Autor:Moreno-Peral P; Conejo-Cerón S; Rubio-Valera M; Fernández A; Navas-Campaña D; Rodríguez-Morejón A; Motrico E; Rigabert A; Luna JD; Martín-Pérez C; Rodríguez-Bayón A; Ballesta-Rodríguez MI; Luciano JV; Bellón JÁ
[Ad] Endereço:Research Unit, Primary Care District of Málaga-Guadalhorce, Málaga, Spain.
[Ti] Título:Effectiveness of Psychological and/or Educational Interventions in the Prevention of Anxiety: A Systematic Review, Meta-analysis, and Meta-regression.
[So] Source:JAMA Psychiatry;74(10):1021-1029, 2017 Oct 01.
[Is] ISSN:2168-6238
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: To our knowledge, no systematic reviews or meta-analyses have been conducted to assess the effectiveness of preventive psychological and/or educational interventions for anxiety in varied populations. Objective: To evaluate the effectiveness of preventive psychological and/or educational interventions for anxiety in varied population types. Data Sources: A systematic review and meta-analysis was conducted based on literature searches of MEDLINE, PsycINFO, Web of Science, EMBASE, OpenGrey, Cochrane Central Register of Controlled Trials, and other sources from inception to March 7, 2017. Study Selection: A search was performed of randomized clinical trials assessing the effectiveness of preventive psychological and/or educational interventions for anxiety in varying populations free of anxiety at baseline as measured using validated instruments. There was no setting or language restriction. Eligibility criteria assessment was conducted by 2 of us. Data Extraction and Synthesis: Data extraction and assessment of risk of bias (Cochrane Collaboration's tool) were performed by 2 of us. Pooled standardized mean differences (SMDs) were calculated using random-effect models. Heterogeneity was explored by random-effects meta-regression. Main Outcomes and Measures: Incidence of new cases of anxiety disorders or reduction of anxiety symptoms as measured by validated instruments. Results: Of the 3273 abstracts reviewed, 131 were selected for full-text review, and 29 met the inclusion criteria, representing 10 430 patients from 11 countries on 4 continents. Meta-analysis calculations were based on 36 comparisons. The pooled SMD was -0.31 (95% CI, -0.40 to -0.21; P < .001) and heterogeneity was substantial (I2 = 61.1%; 95% CI, 44% to 73%). There was evidence of publication bias, but the effect size barely varied after adjustment (SMD, -0.27; 95% CI, -0.37 to -0.17; P < .001). Sensitivity analyses confirmed the robustness of effect size results. A meta-regression including 5 variables explained 99.6% of between-study variability, revealing an association between higher SMD, waiting list (comparator) (ß = -0.33 [95% CI, -0.55 to -0.11]; P = .005) and a lower sample size (lg) (ß = 0.15 [95% CI, 0.06 to 0.23]; P = .001). No association was observed with risk of bias, family physician providing intervention, and use of standardized interviews as outcomes. Conclusions and Relevance: Psychological and/or educational interventions had a small but statistically significant benefit for anxiety prevention in all populations evaluated. Although more studies with larger samples and active comparators are needed, these findings suggest that anxiety prevention programs should be further developed and implemented.
[Mh] Termos MeSH primário: Ansiedade/prevenção & controle
Técnicas Psicológicas
[Mh] Termos MeSH secundário: Seres Humanos
Educação de Pacientes como Assunto/métodos
Psiquiatria Preventiva/métodos
Ensaios Clínicos Controlados Aleatórios como Assunto
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.1001/jamapsychiatry.2017.2509


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[PMID]:27629355
[Au] Autor:Jin HM; Khazem LR; Anestis MD
[Ad] Endereço:Department of Psychology, University of Southern Mississippi, 118 College Drive, Box #5025, Hattiesburg, MS, 39406, USA.
[Ti] Título:Recent Advances in Means Safety as a Suicide Prevention Strategy.
[So] Source:Curr Psychiatry Rep;18(10):96, 2016 Oct.
[Is] ISSN:1535-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Despite advances in theory and the development and implementation of evidence-based treatments, the United States suicide rate has been rising continuously for over a decade. Although this does not indicate that traditional treatment approaches should be abandoned, it does highlight the need to supplement such approaches with alternatives. One seemingly highly valuable option is means safety, defined as the reduced access to and/or increased safe storage of potentially lethal methods for suicide. This paper provides a review of the current literature on the prevalence of six methods for suicide and preventative efforts aimed to reduce suicide rates. The majority of means safety interventions seem promising given that these methods are common and highly lethal. However, cultural and practical barriers will need to be taken into consideration when implementing these plans. Overall, means safety efforts and preventative measures seem to be promising ways to reduce the national suicide rate if implemented.
[Mh] Termos MeSH primário: Psiquiatria Preventiva
Segurança
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160916
[St] Status:MEDLINE
[do] DOI:10.1007/s11920-016-0731-0


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[PMID]:27303755
[Au] Autor:Rowe K
[Ti] Título:The burden of drug overdose on critical care units in East London, South Africa.
[So] Source:S Afr Med J;106(3):225-6, 2016 Mar.
[Is] ISSN:0256-9574
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Mh] Termos MeSH primário: Efeitos Psicossociais da Doença
Overdose de Drogas
Unidades de Terapia Intensiva/estatística & dados numéricos
Tentativa de Suicídio
[Mh] Termos MeSH secundário: Adolescente
Adulto
Overdose de Drogas/epidemiologia
Overdose de Drogas/psicologia
Overdose de Drogas/terapia
Feminino
Seres Humanos
Incidência
Masculino
Determinação de Necessidades de Cuidados de Saúde
Psiquiatria Preventiva/métodos
Estudos Retrospectivos
África do Sul/epidemiologia
Tentativa de Suicídio/prevenção & controle
Tentativa de Suicídio/estatística & dados numéricos
Tentativa de Suicídio/tendências
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160614
[Lr] Data última revisão:
160614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160616
[St] Status:MEDLINE


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[PMID]:26337039
[Au] Autor:Brady KT; McCauley JL; Back SE
[Ad] Endereço:From the Addiction Sciences Division, Institute of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston; and the Ralph H. Johnson Veterans Affairs Medical Center, Charleston.
[Ti] Título:Prescription Opioid Misuse, Abuse, and Treatment in the United States: An Update.
[So] Source:Am J Psychiatry;173(1):18-26, 2016 Jan.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Prescription opioid abuse and dependence have escalated rapidly in the United States over the past 20 years, leading to high rates of overdose deaths and a dramatic increase in the number of people seeking treatment for opioid dependence. The authors review the scope of the abuse and overdose epidemic, prescription practices, and the assessment, treatment, and prevention of prescription opioid misuse and dependence. METHOD: The authors provide an overview of the literature from 2006 to the present, with the twin goals of highlighting advances in prevention and treatment and identifying remaining gaps in the science. RESULTS: A number of policy and educational initiatives at the state and federal government level have been undertaken in the past 5 years to help providers and consumers, respectively, prescribe and use opioids more responsibly. Initial reports suggest that diversion and abuse levels have begun to plateau, likely as a result of these initiatives. While there is a large body of research suggesting that opioid substitution coupled with psychosocial interventions is the best treatment option for heroin dependence, there is limited research focusing specifically on the treatment of prescription opioid dependence. In particular, the treatment of chronic pain in individuals with prescription opioid use disorders is underexplored. CONCLUSIONS: While policy and educational initiatives appear to be effective in decreasing prescription opioid abuse and misuse, research focusing on the development and evaluation of treatments specific to prescription opioid dependence and its common comorbidities (e.g., chronic pain, depression) is critically needed.
[Mh] Termos MeSH primário: Transtornos Relacionados ao Uso de Opioides
Uso Indevido de Medicamentos sob Prescrição
Detecção do Abuso de Substâncias/métodos
[Mh] Termos MeSH secundário: Conhecimentos, Atitudes e Prática em Saúde
Política de Saúde
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Transtornos Relacionados ao Uso de Opioides/diagnóstico
Transtornos Relacionados ao Uso de Opioides/epidemiologia
Transtornos Relacionados ao Uso de Opioides/etiologia
Transtornos Relacionados ao Uso de Opioides/prevenção & controle
Uso Indevido de Medicamentos sob Prescrição/efeitos adversos
Uso Indevido de Medicamentos sob Prescrição/prevenção & controle
Uso Indevido de Medicamentos sob Prescrição/estatística & dados numéricos
Psiquiatria Preventiva/métodos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; REVIEW
[Em] Mês de entrada:1605
[Cu] Atualização por classe:170516
[Lr] Data última revisão:
170516
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:150905
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2015.15020262


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[PMID]:26329114
[Au] Autor:Leggett A; Burgard S; Zivin K
[Ad] Endereço:Department of Psychiatry, University of Michigan Medical School, Ann Arbor. leggetta@med.umich.edu.
[Ti] Título:The Impact of Sleep Disturbance on the Association Between Stressful Life Events and Depressive Symptoms.
[So] Source:J Gerontol B Psychol Sci Soc Sci;71(1):118-28, 2016 Jan.
[Is] ISSN:1758-5368
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Sleep problems are common across the adult life span and may exacerbate depressive symptoms and the effect of common risk factors for depressive symptoms such as life stress. We examine sleep disturbance as a moderator of the association between stressful life events and depressive symptoms across five waves (25 years) of the nationally representative, longitudinal American Changing Lives Study. METHOD: The sample includes 3,597 adults aged 25 years or older who were surveyed up to five times over 25 years. Multilevel models were run to examine between- and within-person variability in sleep disturbance and life event stress as predictors of depressive symptoms, and an interaction to test sleep disturbance as a moderator is included in a second step. RESULTS: Life events and sleep disturbance were associated with elevated depressive symptoms at the between- and within-person levels. A significant sleep disturbance by interaction of life events was found, indicating that when individuals experienced an above average number of life events and slept more restlessly than usual, they had a higher risk for depressive symptoms than individuals who experienced above average stress but slept well. DISCUSSION: Sleeping restfully may allow individuals the rejuvenation needed to manage stress adaptively and reduce depressive symptom burden.
[Mh] Termos MeSH primário: Depressão
Acontecimentos que Mudam a Vida
Transtornos do Sono-Vigília/complicações
Estresse Psicológico/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Depressão/diagnóstico
Depressão/epidemiologia
Depressão/etiologia
Depressão/prevenção & controle
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Psiquiatria Preventiva/métodos
Prognóstico
Escalas de Graduação Psiquiátrica
Fatores de Risco
Transtornos do Sono-Vigília/diagnóstico
Transtornos do Sono-Vigília/epidemiologia
Transtornos do Sono-Vigília/psicologia
Estresse Psicológico/diagnóstico
Estresse Psicológico/epidemiologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1604
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:150903
[St] Status:MEDLINE
[do] DOI:10.1093/geronb/gbv072


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[PMID]:27132732
[Au] Autor:Mani MK
[Ad] Endereço:-
[Ti] Título:Letter from Chennai.
[So] Source:Natl Med J India;28(4):201-2, 2015 Jul-Aug.
[Is] ISSN:0970-258X
[Cp] País de publicação:India
[La] Idioma:eng
[Mh] Termos MeSH primário: Psiquiatria Preventiva/métodos
Estudantes/psicologia
Suicídio
[Mh] Termos MeSH secundário: Seres Humanos
Índia
Serviços de Saúde Mental
Organizações sem Fins Lucrativos
Suicídio/prevenção & controle
Suicídio/psicologia
Suicídio/tendências
Adulto Jovem
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160502
[Lr] Data última revisão:
160502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160503
[St] Status:MEDLINE


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[PMID]:26995853
[Au] Autor:Kanchika M; Iwasaki S; Konish A; Deguchi Y; Kobayashi Y; Nakada A; Inoue K
[Ti] Título:Aggression in Teachers is Related to Role Conflict and Role Ambiguity as Occupational Stress.
[So] Source:Osaka City Med J;61(2):93-104, 2015 Dec.
[Is] ISSN:0030-6096
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Aggression in the workplace is increasingly recognized as a serious problem, but there are few studies about worker aggression toward outsiders in the workplace. We investigated the association between aggression and occupational stress among teachers. METHODS: This was a cross-sectional study of 1583 teachers, principals, and vice-principals. Aggression was measured using the Japanese version of the Buss-Perry Aggression Questionnaire (BAQ). The survey respondents were classified into tertiles according to the BAQ score. The high BAQ group was defined as the upper tertile for the BAQ total score (BAQ total score 625). Occupational stress was measured using the Japanese version of the Generic Job Stress Questionnaire. Comparisons among the groups were performed using multiple logistic regression analysis. RESULTS: Of the 1583 respondents, 488 were included in the high BAQ group. After adjusting for demographic and occupational variables, high role conflict and role ambiguity were significantly associated with belonging to the high BAQ group. In subscales of the BAQ, high role conflict and role ambiguity related to high levels of hostility, and physical aggression. CONCLUSIONS: Occupational stress such as role conflict and role ambiguity was associated with aggression among teachers. It is necessary to reduce problems which relates to role conflict and role ambiguity for preventing teachers' aggression.
[Mh] Termos MeSH primário: Agressão/psicologia
Esgotamento Profissional
Depressão
Docentes
Estresse Psicológico
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adulto
Ira
Sintomas Comportamentais/diagnóstico
Sintomas Comportamentais/epidemiologia
Sintomas Comportamentais/etiologia
Esgotamento Profissional/complicações
Esgotamento Profissional/epidemiologia
Esgotamento Profissional/psicologia
Depressão/complicações
Depressão/psicologia
Autoavaliação Diagnóstica
Feminino
Hostilidade
Seres Humanos
Japão/epidemiologia
Masculino
Saúde do Trabalhador
Psiquiatria Preventiva/métodos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:160321
[Lr] Data última revisão:
160321
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160322
[St] Status:MEDLINE


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[PMID]:26384339
[Au] Autor:Westfall NC; Nemeroff CB
[Ad] Endereço:Department of Psychiatry and Behavioral Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, 33136, USA. nils.westfall@jhsmiami.org.
[Ti] Título:The Preeminence of Early Life Trauma as a Risk Factor for Worsened Long-Term Health Outcomes in Women.
[So] Source:Curr Psychiatry Rep;17(11):90, 2015 Nov.
[Is] ISSN:1535-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Early life trauma (ELT) comprises an array of disturbingly common distressing experiences between conception and the beginning of adulthood with numerous and significant potential long-term, even transgenerational, health consequences of great public health concern, including depression, cardiovascular disease, and other psychiatric and medical disorders, and neurobiological, psychological, and behavioral effects which are sufficiently robust to confound many types of biomedical research. The impact of ELT on a woman's health trajectory appears to vary with the specific characteristics of the ELT (e.g., type, number of different types, severity, and timing), the individual (e.g., age, genetics, epigenetics, personality, and cognitive factors), and the individual's environment (e.g., level of social support and ongoing stressors) and to be mediated to a significant extent by persistent changes in a number of biological systems, dysregulation of those governing the stress response chief among them. Growing knowledge of the risk factors and pathophysiological mechanisms by which ELT confers diathesis to various poor health outcomes and the unique treatment-response profiles of women with ELT will lead to much needed improvements in prevention, diagnostic, and therapeutic efforts, including more effective psychotherapy and pharmacotherapy approaches, hopefully making strides toward improvements in the lives of women everywhere and ending countless cycles of intergenerational trauma-associated pathology. This article attempts to broadly summarize the current state of knowledge about the long-term sequelae of ELT for women's health.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/psicologia
Transtornos Mentais
Trauma Psicológico
Sobreviventes/psicologia
Saúde da Mulher
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Transtornos Mentais/etiologia
Transtornos Mentais/prevenção & controle
Psiquiatria Preventiva/métodos
Trauma Psicológico/complicações
Trauma Psicológico/psicologia
Psicopatologia
Fatores de Risco
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150919
[St] Status:MEDLINE
[do] DOI:10.1007/s11920-015-0625-6


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[PMID]:26281792
[Au] Autor:Greif R; Becker CB; Hildebrandt T
[Ad] Endereço:Psychiatry, Icahn School Of Medicine, New York, New York.
[Ti] Título:Reducing eating disorder risk factors: A pilot effectiveness trial of a train-the-trainer approach to dissemination and implementation.
[So] Source:Int J Eat Disord;48(8):1122-31, 2015 Dec.
[Is] ISSN:1098-108X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Impediments limit dissemination and implementation of evidence-based interventions (EBIs), including lack of sufficient training. One strategy to increase implementation of EBIs is the train-the-trainer (TTT) model. The Body Project is a peer-led body image program that reduces eating disorder (ED) risk factors. This study examined the effectiveness of a TTT model at reducing risk factors in Body Project participants. Specifically, this study examined whether a master trainer could train a novice trainer to train undergraduate peer leaders to administer the Body Project such that individuals who received the Body Project (i.e., participants) would evidence comparable outcomes to previous trials. We hypothesized that participants would evidence reductions in ED risk factors, with effect sizes similar to previous trials. METHOD: Utilizing a TTT model, a master trainer trained a novice trainer to train undergraduate peer leaders to administer the Body Project to undergraduate women. Undergraduate women aged 18 years or older who received the Body Project intervention participated in the trial and completed measures at baseline, post-treatment, and five-month follow-up. Primary outcomes included body dissatisfaction, thin ideal internalization, negative affect, and ED pathology. RESULTS: Participants demonstrated significant reductions in thin ideal internalization, ED pathology and body dissatisfaction at post-treatment and 5-month follow-up. At 5 months, using three different strategies for managing missing data, effect sizes were larger or comparable to earlier trials for 3 out of 4 variables. DISCUSSION: Results support a TTT model for Body Project implementation and the importance of utilizing sensitivity analyses for longitudinal datasets with missing data.
[Mh] Termos MeSH primário: Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle
Grupo Associado
Psiquiatria Preventiva/educação
Ensino/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Imagem Corporal/psicologia
Transtornos da Alimentação e da Ingestão de Alimentos/psicologia
Feminino
Seres Humanos
Projetos Piloto
Psiquiatria Preventiva/métodos
Fatores de Risco
Estudantes/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160115
[Lr] Data última revisão:
160115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150819
[St] Status:MEDLINE
[do] DOI:10.1002/eat.22442



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