Aspectos cognitivos do transtorno obsessivo-compulsivo

This paper describes the most important cognitive models for obsessive-compulsive disorder, i. e., the inference processes (thoughts and believes) underlying the patients'feelings and behaviors. The major models formulated in this area emphasize the following aspects: exacerbated perception of danger (risk evaluation), overimportance of intrusive thoughts, excessive sense of personal responsibility (blame for harm self and others), perfectionism, psychological fusion of thought and action, and illogical inference processes involving confusion between imagination and reality. The knowledge of cognitive aspects brings new perspectives for the psychological treatment of this disorder.

Prevalence and associated factors for suicidal ideation and behaviors in obsessive-compulsive disorder

Introduction: Patients with obsessive-compulsive disorder (OCD) have historically been considered at low risk for suicide, but recent studies are controversial. Objective: To study the prevalence of suicidal thoughts and attempts in OCD patients and to compare those with and without suicidality according to demographic and clinical variables. Methods: Fifty outpatients with primary OCD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) from a Brazilian public university were evaluated. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used to assess OCD severity, the Beck Depression Inventory to evaluate depressive symptoms and the Alcohol Use Disorders Identification Test to assess alcohol problems. Results: All patients had obsessions and compulsions, 64% a chronic fluctuating course and 62% a minimum Y-BOCS score of 16. Half of the patients presented relevant depressive symptoms, but only three had a history of alcohol problems. Seventy percent reported having already thought that life was not worth living, 56% had wished to be dead, 46% had suicidal ideation, 20% had made suicidal plans, and 10% had already attempted suicide. Current suicidal ideation occurred in 14% of the sample and was significantly associated with a Y-BOCS score ≥16. Previous suicidal thoughts were associated with a Beck Depression Inventory score ≥19. Conclusion: Suicidally has been underestimated in OCD and should be investigated in every patient, so that appropriate preventive measures can be taken.

A Renovação do Currículo do Ensino Secundário no Brasil: as últimas batalhas pelo humanismo (1920-1960

The text analyzes the debates put forward in the defense for a humanist curriculum in the Brazilian secondary schools me the period from 1920 and 1960. Basing on the articles published in the periodic of national circulating and texts by educators who problematize the question f humanism as the orientation guide for the curriculum, the text highlights the positions of the intellectuals connected to the Catholic Churcho beside the thoughts of the secondary school teachers and the intellectuals of the progressive tendency. The analyses also show how the humanism notion is going to be transformed along the twentieth century and how this notion was enrooted in the Brazilian culture.

e-Health in Latin America and the Caribbean: progress and challenges

Includes bibliography

The Role of Tax Policy in the Context of the Global Crisis: consequences and prospects

Includes bibliography

The history and challenges of Latin American development

Foreword Alicia Bárcena and introduction by Jorge Máttar

Some considerations on the possible effects of the failure of the United States Congress to renew the ATPDEA

Includes bibliography

New contributions to the analysis of poverty: methodological and conceptual challenges to understanding poverty from a gender perspective

Includes bibliography

Coping strategies among brazilian professional and amateur football players

To identify coping strategies used among professional and amateur Brazilian football players. The Ways of Coping Scale (WOCS) was completed by 134 male football players (71 professionals: mean age = 22.77 ± 3.98 years; 63 amateurs: mean age = 17.18 ± 0.84 years) from three teams that participated in the Campeonatos Estaduais da Primeira Divisão (the state championships for the first division of football). There was no significant difference between the two groups in the type of coping strategy they used (e.g., problem-focused, emotion-focused, fantasy thoughts, religious practices and social support). Problem-focused coping was the most frequently used strategy by all of the players and social support was the least frequently used strategy. Both professional and amateur players failed to focus on the development of adequate coping strategies. Further studies are needed to better understand the impact that Brazilian athletes experience has on their choice of coping strategies during pre-competitive and competitive phases of their sport. © JPES.

Economic relations between Latin America and the European Union

Includes bibliography

Symptom dimensions are associated with age of onset and clinical course of obsessive-compulsive disorder

Meta-analysis of the heterogeneous symptoms of obsessive-compulsive disorder (OCD) has found a four-factor structure of symptom dimensions consisting of cleaning, forbidden thoughts, symmetry, and hoarding. Research into age of onset of symptom dimensions has yielded inconsistent results, and it is unknown whether symptoms along these dimensions differ in their clinical course. We assessed age of onset and clinical course of different OCD symptom dimensions in a large cohort of adult patients. Nine-hundred fifty-five subjects were assessed using the Dimensional Yale-Brown Obsessive-Compulsive Scale. For age of onset analysis, we tested across three methods of classification: (1) primary (more severe) symptom dimension (2) clinically significant symptoms within a dimension or (3) any symptoms within a dimension. Age of onset was defined as the earliest age of onset reported for any individual item within a symptom dimension. For analysis of different types of clinical course, we used chi-square tests to assess for differences between primary symptom dimensions. OCD symptoms in the symmetry dimension had an earlier age of onset than other OCD symptom dimensions. These findings remained significant across all three methods of classification and controlling for gender and comorbid tics. No significant differences were found between the other dimensions. Subjects with primary OCD symptoms in the forbidden thoughts dimension were more likely to report a waxing-and-waning course, whereas symmetry symptoms were less likely to be associated with a waxing-and-waning course. © 2013.

Clinical features of pure obsessive-compulsive disorder

Objective Psychiatric comorbidity is the rule in obsessive-compulsive disorder (OCD); however, very few studies have evaluated the clinical characteristics of patients with no co-occurring disorders (non-comorbid or pure OCD). The aim of this study was to estimate the prevalence of pure cases in a large multicenter sample of OCD patients and compare the sociodemographic and clinical characteristics of individuals with and without any lifetime axis I comorbidity. Method A cross-sectional study with 955 adult patients of the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders (C-TOC). Assessment instruments included the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Yale-Brown Obsessive-Compulsive Scale, The USP-Sensory Phenomena Scale and the Brown Assessment of Beliefs Scale. Comorbidities were evaluated using the Structured Clinical Interview for DSM-IV Axis I Disorders. Bivariate analyses were followed by logistic regression. Results Only 74 patients (7.7%) presented pure OCD. Compared with those presenting at least one lifetime comorbidity (881, 92.3%), non-comorbid patients were more likely to be female and to be working, reported less traumatic experiences and presented lower scores in the Y-BOCS obsession subscale and in total DY-BOCS scores. All symptom dimensions except contamination-cleaning and hoarding were less severe in non-comorbid patients. They also presented less severe depression and anxiety, lower suicidality and less previous treatments. In the logistic regression, the following variables predicted pure OCD: sex, severity of depressive and anxious symptoms, previous suicidal thoughts and psychotherapy. Conclusions Pure OCD patients were the minority in this large sample and were characterized by female sex, less severe depressive and anxious symptoms, less suicidal thoughts and less use of psychotherapy as a treatment modality. The implications of these findings for clinical practice are discussed. © 2013 Elsevier Inc. All rights reserved.

As inversões sujeito-verbo e a concordância verbal: um estudo sobre a influência da posposição do sujeito em gêneros escritos de imprensa do português brasileiro

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Artemídia movente: processos e procedimentos artísticos em animação

Pós-graduação em Artes - IA

Anamnese e associação livre como estruturas dramatúrgicas na peça As folhas do cedro

Pós-graduação em Artes - IA