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Depression and anxiety symptoms following cancer diagnosis: a cross-sectional s...

Cardoso, G; Graça, J; Klut, C; Trancas, B; Papoila, A

INTRODUCTION: The aims of the present study were to assess demographic and clinical characteristics of patients after receiving a cancer diagnosis, and to determine possible risk factors for anxiety and depression. METHODS: All consecutive patients aged 18 or above, were assessed before starting intravenous chemotherapy for the first time with the Hospital Anxiety and Depression Scale (HADS), the Distress Therm...


Causes of Death in an Acute Psychiatric Inpatient Unit of a Portuguese General ...

Barbosa, S; Sequeira, M; Castro, S; Manso, RT; Klut, C; Trancas, B; Santos, NB; Maia, T

INTRODUCTION: Psychiatric patients are at increased risk of death from a number of natural and unnatural causes. This study examines the mortality causes of all psychiatric inpatients of an acute psychiatric unit at a general hospital in Portugal for sixteen years (1998 to 2013). MATERIAL AND METHODS: Twenty-one inpatients died at the inpatient unit between 1998 and 2013 (average 1.3 per year). A retrospective ...


Characteristics of frequent users of an acute psychiatric inpatient unit: a fiv...

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 admission...


O estigma da doença mental: que caminho percorremos?

Xavier, S; Klut, C; Neto, A; Ponte, G; Melo, J

O estigma da doença mental tem sido alvo de crescente atenção nos últimos anos, com um aumento exponencial de publicações sobre o tema. Este fenómeno constitui para os doen- tes uma fonte de sofrimento, representando um obstáculo à concretização de projectos pessoais e à integração social plena, objectivo principal da prática psiquiátrica actual. Neste artigo, os autores fazem uma revisão selectiva do tema do e...


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

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 aut...


Psychoeducation for bipolar disorders’ patients: the “Porta Aberta” programme

Klut, C; Xavier, S; Graça, J; Carreteiro, G; Melo, J

Psychoeducation is currently considered to be a fundamental intervention in the management of bipolar disorders. A psychoeducation group programme for patients with bipolar disorders, aimed at euthymic patients just prior to their discharge from the acute psychiatric inpatient unit, named “Porta Aberta” (Open Door), has been implemented since 2007 at the day-hospital of our psychiatric department (Amadora, Port...



An OCD patient presenting with a cerebellum venous variant in a family with a s...

Palma, M; Borja-Santos, N; Trancas, B; Klut, C; Cardoso, G

The role of cerebellar pathology in psychiatric symptoms has long been recognized. Cerebellar pathology has been associated with obsessive-compulsive disorder pathophysiology, particularly with compulsive hoarding. Likewise, some cerebellum abnormalities have been described in schizophrenia, as well as in comorbidity between obsessive-compulsive disorder and schizophrenia. The authors report the case of a 32-ye...


Alucinações musicais e esquizofrenia: a propósito de um caso clínico

Klut, C; Xavier, S; Graça, J; Cardoso, G

As alucinações musicais são um tipo de alucinações auditivas complexas. Trata-se de um fenómeno relativamente raro e etiologicamente heterogéneo. Como principais etiologias, têm sido apontadas a hipoacúsia, a patologia cerebral orgânica, a epilepsia, e as doenças psiquiátricas, incluindo a esquizofrenia. A propósito de um caso clínico, os autores revêem e discutem a etiologia e a psicopatologia das alucinações ...


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