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Schizophrenia misdiagnosis after dysmorphophobia in a patient with macrocephaly

Marques, João Gama; Finsterer, Josef

The association of schizophrenia and hydrocephalus emerged in the literature decades ago (Lying-Tunell, 1979; Margolis et al., 1952; Maurizi, 1987; Price & Tucker, 1977). On the one hand, schizophrenia seems to occur three times more frequently among patients with idiopathic normal pressure hydrocephalus (Vanhala et al., 2019). On the other hand, patients with schizophrenia possibly experience idiopathic normal...


Homeless people: a review of personality disorders

Henriques-Calado, Joana; Marques, João Gama

Personality disorders in homeless people pose a challenge to the medical community and society, requiring specialized approaches for these super-difficult patients. The prevalence of personality disorders is higher in homeless populations than in the general population. However, there is a knowledge gap regarding personality disorders among people experiencing homelessness, and the implications of this lack of ...


The European Portuguese version of the Brief Negative Symptom Scale

Castro Santos, Henrique; Rodrigues, Alexandra; Ferreira, Sara; Martins, João Malhadas; Baptista, Tiago; Marques, João Gama; Kirkpatrick, Brian

Negative symptoms reflect a currently much-untreated loss of normal functioning and are frequently found in psychotic disorders. We present the first translation of the Brief Negative Symptom Scale (BNSS) to European Portuguese and evaluate its validity in a sample of Portuguese male patients with a psychotic spectrum disorder. The Portuguese BNSS showed excellent internal consistency, high convergent validity ...


Psychotic spectrum features in borderline and bipolar disorders within the scop...

Henriques-Calado, Joana; Pires, Rute; Paulino, Marco; Marques, João Gama; Gonçalves, Bruno

Background Psychotic spectrum features in borderline personality disorder (PD) are a long-standing phenomenon, but remarkably, to date, they have not been the focus of many empirical studies. Moreover, the comparative studies that acknowledge their links to afective psychoses are even more scarce. Likewise, the contributions of empirical research on the DSM-5 dimensional approach to this topic are also uncommon...


Bridging the ICD11 and the DSM-5 personality disorders classification systems: ...

Pires, Rute; Henriques-Calado, Joana; Sousa Ferreira, Ana; Marques, João Gama; Ribeiro Moreira, Ana; Barata, Bernardo C.; Paulino, Marco

Introduction: In both the ICD-11 Classification of Personality Disorders and the DSM-5 Alternative Model of Personality Disorders (AMPD) personality disorders (PD) are characterized by impairments in self- and interpersonal functioning which distinguish the various levels of dysfunction. Moreover, pathological traits are used by these classification systems to define the stylistic expression of personality dysf...


Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): one year o...

Marques, João Gama; Chesi, Daniela; Coelho, Raquel Oliveira; Castanheira Costa, Inês; Santos Antão, Celso; Pedro, Carlos Alberto; Silva Santos, Paulo

Background: In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa. Aims: The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa...


Psychotic spectrum features in borderline and bipolar disorders within the scop...

Henriques-Calado, Joana; Pires, Rute; Paulino, Marco; Marques, João Gama; Gonçalves, Bruno

Background: Psychotic spectrum features in borderline personality disorder (PD) are a long-standing phenomenon, but remarkably, to date, they have not been the focus of many empirical studies. Moreover, the comparative studies that acknowledge their links to affective psychoses are even more scarce. Likewise, the contributions of empirical research on the DSM-5 dimensional approach to this topic are also uncomm...


The Self-Administered Version of the Structured Interview for Disorders of Extr...

Pires, Rute; Ferreira, Ana Sousa; Paulino, Marco; Marques, João Gama; Henriques-Calado, Joana; Gonçalves, Bruno

Disorders of Extreme Stress Not Otherwise Specified (DESNOS) refers to a constellation of symptoms deriving from chronic interpersonal trauma, inflicted by caregivers or in the context of intimate relationships. The Structured Interview for Disorders of Extreme Stress—Self-Report (SIDES-SR) was designed for the assessment of DESNOS. This study aimed to validate the Portuguese version of the SIDES-SR in the comm...


Healthcare professionals' views on the management of medication complexities in...

Aguiar, João Pedro; Marques, João Gama; Leufkens, Hubert G. M.; Costa, Filipa Alves da

Background: Many challenges in elderly pharmacotherapy are identified, including the use of Potentially Inappropriate Medications (PIMs) which may increase the odds of adverse events, especially in elderly patients with mental health disorders (e. g., behavioral, and psychological symptoms of dementia–BPSD, schizophrenia, bipolar disorder). However, information on the knowledge and practice of healthcare profes...


In light of the DSM-5 dimensional model of personality: Borderline personality ...

Henriques-Calado, Joana; Gonçalves, Bruno; Marques, Catarina; Paulino, Marco; Marques, João Gama; Grácio, Jaime; Pires, Rute

Background. State-of-the-art research highlights that borderline personality disorder (PD) and bipolar spectrum disorders have clinical characteristics in common, which imply uncertainty in differential diagnoses. Although there is a growing body of literature on the DSM-5 dimensional model of personality disorder, its discriminative features between these clinical samples are still understudied. In this study,...


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