Kelly Robis

This article continues our presentation of the Brazilian Psychiatric Association guidelines for the management of patients with suicidal behavior, with a focus on screening, intervention, postvention, prevention, and promotion. For the development of these guidelines, we conducted a systematic review of the MEDLINE (via PubMed), Cochrane Database of Systematic Reviews, Web of Science, and SciELO databases for research published from 1997 to 2020. Systematic reviews, clinical trials, and cohort/observational studies on screening, intervention, and prevention in suicidal behavior were included. This project involved 14 Brazilian psychiatry professionals and 1 psychologist selected by the Psychiatric Emergencies Committee of the Brazilian Psychiatric Association for their experience and knowledge in psychiatry and psychiatric emergencies. Publications were evaluated according to the 2011 Oxford Center for Evidence-Based Medicine (OCEBM) Levels of Evidence Classification. Eighty-five ar...

Objetivo: Descrever o impacto neurobiológico, cognitivo e psicopatológico da atividade física nos indivíduos com esquizofrenia. Revisão Bibliográfica: A evolução da esquizofrenia está relacionada às alterações neuropatológicas do sistema nervoso central, tanto em relação à estrutura, quanto em relação ao seu funcionamento. As alterações corticais refletem os aspectos clínicos da doença, como o comprometimento cognitivo, os sintomas positivos e negativos. A atividade física regular exerce um efeito neuroprotetor e neurogênico no cérebro, que parece ser capaz de retardar a neurodegeneração característica da doença com potencial para melhoria dos sintomas psicopatológicos e do desempenho cognitivo desses pacientes. Considerações Finais: Atividade física se mostrou benéfica em relação aos efeitos neurobiológicos, cognitivos e no controle de sintomas negativos. Todavia, não existem evidências da melhora do funcionamento psicossocial através da atividade física. Dessa forma há a necessida...

Health professionals may be a vulnerable group to posttraumatic stress symptoms (PTSS) during the Coronavirus disease 2019 (COVID-19) pandemic. To investigate how health professionals who experienced a traumatic event are expressing PTSS and factors related to risk for higher PTSS symptomatology can inform how health professionals are facing their role in this crisis. This was an Internet cross-sectional survey. Participants were 49,767 Brazilian health professionals who have ever faced a traumatic event, which was about 25.9% of an initial sample of health professionals. PTSS symptoms were assessed using the Impact of Event Scale-Revised (IES-R) and latent profile analysis (LPA) explored subpopulations within participants based on their scores. Distinct profiles were compared for psychological distress (e.g., depression and anxiety) and quality of life. Multinomial logistic regression analysis was conducted to investigate the relationship between IES-R profiles and COVID-19 related...