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Search Results: 1 - 10 of 5654 matches for " Aristides Volpato;Gonzalez "
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A terapia cognitivo-comportamental no transtorno obsessivo-compulsivo
Cordioli, Aristides Volpato;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000600003
Abstract: objective: to describe the cognitive-behavioral therapy in the treatment of the symptoms of obsessive-compulsive disorder. method: through the revision of text books and articles the origins and fundamentals of cognitive-behavioral therapy in the treatment of the symptoms of obsessive-compulsive disorder are presented. through the review of randomized clinical trials and meta-analysis in medline the evidences of effectiveness of cognitive-behavioral therapy in obsessive-compulsive disorder are highlighted. results and conclusions: the cognitive-behavioral therapy is effective in reducing symptoms of obsessive-compulsive disorder by approximately 70% of patients who adhere to treatment. the challenges ahead are to clarify the reasons why many patients do not respond to this kind of treatment and develop new strategies to increase its effectiveness.
Aristides Volpato Cordioli responde
Cordioli Aristides Volpato
Revista Brasileira de Psiquiatria , 2003,
Aristides Volpato Cordioli responde
Cordioli Aristides Volpato
Revista Brasileira de Psiquiatria , 2003,
Qualidade de vida em indivíduos com transtorno obsessivo-compulsivo: revis?o da literatura
Niederauer, Kátia Gomes;Braga, Daniela Tusi;Souza, Fernanda Pasquoto de;Meyer, Elizabeth;Cordioli, Aristides Volpato;
Revista Brasileira de Psiquiatria , 2007, DOI: 10.1590/S1516-44462006005000050
Abstract: objective: obsessive-compulsive disorder affects between 1.6 and 3.1% of the population. due to the distress caused by obsessive-compulsive disorder leading to disability as well as the prevalence of the disease, there has been an increase in the number of studies focusing on the general well-being of patients by assessing quality of life. method: a literature review of the studies that investigated the quality of life of patients with obsessive-compulsive disorder was performed. the search was carried out in the following database: medline, scielo and psychoinfo, and the following key-words were used "quality of life" and "obsessive-compulsive disorder". twenty-seven articles about the topic were selected. the results from this study describe the areas most severely affected by the disorder as well as the relationship between obsessive-compulsive disorder and quality of life. in addition, the effects of the treatment on the patients' quality of life are presented. results: the social and familial relationships and the occupational performance (capacity to work and study) were the areas most severely affected by the disorder, and, although there was an improvement with the treatment, these areas remain at a poor level of performance. the obsessions were associated with the most significant impairment of the quality of life if compared to the compulsions (rituals). conclusions: results from the selected studies suggest that obsessive-compulsive disorder patients have an impairment of quality of life. the level of impairment is similar to that of schizophrenic patients. future studies with different designs are necessary so that more consistent results can be established.
Terapia cognitivo-comportamental no transtorno de panico
Manfro, Gisele Gus;Heldt, Elizeth;Cordioli, Aristides Volpato;Otto, Michael W;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000600005
Abstract: objective: panic disorder is a chronic and recurrent condition that impairs an individual's psychosocial functioning and quality of life. despite the efficacy of psychopharmacological treatment in reducing panic attacks, many patients fail to respond adequately to these interventions. cognitive behavioral therapy provides an alternative and efficacious method for treating panic disorder and agoraphobic avoidance. the objective of the study is to describe the use of cognitive behavioral therapy for panic disorder. method: narrative review of data collected from medline, scielo and psycinfo and specialized textbooks. results: we describe the cognitive-behavioral model for the treatment of panic disorder, and review both short and long-term efficacy findings. we also discuss the role of combined treatment (cognitive behavioral therapy and psychopharmacology). conclusions: cognitive behavioral therapy, either individual or in group, can be used as first-line therapy for panic disorder. this treatment modality can also be indicated as a next step for patients failing to respond to other treatments.
Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up
Braga, Daniela Tusi;Manfro, Gisele Gus;Niederauer, Kátia;Cordioli, Aristides Volpato;
Revista Brasileira de Psiquiatria , 2010, DOI: 10.1590/S1516-44462010000200012
Abstract: objective: the aim of this study was to assess whether the results obtained with 12 sessions of cognitive-behavioral group therapy with obsessive-compulsive patients were maintained after two years, and whether the degree of symptom remission was associated with relapse. method: forty-two patients were followed. the severity of symptoms was measured at the end of cognitive-behavioral group therapy and at 18 and 24 months of follow-up. the assessment scales used were the yale-brown obsessive-compulsive scale, clinical global impression, beck depression inventory, and beck anxiety inventory. results: the reduction in symptom severity observed at the end of treatment was maintained during the two-year follow-up period (f = 57.881; p < 0.001). at the end of the treatment, 9 (21.4%) patients presented full remission, 22 (52.4%) presented partial remission, and 11 (26.2%) had unchanged scores in the yale-brown obsessive-compulsive scale. after two years, 13 patients (31.0%) presented full remission, 20 (47.6%) had partial remission, and 9 (21.4%) had unchanged yale-brown obsessive-compulsive scalescores. the full remission of symptoms at the end of the treatment was a protective factor against relapse (χ2 = 4,962; df = 1; p = 0.026). conclusion: our findings underscore the importance of attaining full remission of obsessive-compulsive symptoms during treatment and the need for new therapeutic strategies to achieve this.
Fatores preditores de resultados no tratamento do transtorno obsessivo-compulsivo com as terapias comportamental e cognitivo-comportamental: uma revis?o sistemática
Raffin, Andréa Litvin;Ferr?o, Ygor Arzeno;Souza, Fernanda Pasquoto de;Cordioli, Aristides Volpato;
Revista de Psiquiatria do Rio Grande do Sul , 2008, DOI: 10.1590/S0101-81082008000200006
Abstract: introduction: behavioral and cognitive-behavioral therapies reduce symptoms of obsessive-compulsive disorder in over 70% of patients. however, about 30% do not show any improvement. the knowledge of factors associated with these outcomes may inform better treatment indications and improve treatment efficacy. method: review of studies that investigated predictors of obsessive-compulsive disorder treatment results in pubmed, psychoinfo and lilacs databases. terms used in the search were predictive factors or prediction and obsessive-compulsive disorder and exposure response prevention or ritual prevention or behav* therapy or cognitive behav* therapy." the search retrieved 104 studies. the references of retrieved studies were also analyzed to ensure that all relevant studies were included. studies that used only pharmacotherapy or did not discuss the topic under analysis were excluded, and 29 studies met inclusion criteria. discussion: demographic variables seem to play an indirect role in treatment results; male sex and not having partner are factors associated with poor prognosis. greater severity and early symptom onset also indicate poor outcomes. comorbid schizotypal disorder is potentially negative. symptoms associated with hoarding and sexual/religious obsessions predict poor prognosis. greater insight, motivation and collaboration with treatment are favorable characteristics. greater improvement and complete remission of symptoms are predictors of no relapse. conclusion: the identification of outcome predictors is still far from complete. multiple factors may contribute to results, and their associations are complex. results may depend on unspecific factors not yet investigated. definite conclusions are difficult to reach because of the heterogeneity of obsessive-compulsive disorder and of the studies investigating it and the combined use of drugs.
Translation and adaptation into Brazilian Portuguese of the Obsessional Beliefs Questionnaire (OBQ-44)
Bortoncello, Cristiane Fl?res;Vivan, Analise;Gomes, Juliana Braga;Cordioli, Aristides Volpato;
Trends in Psychiatry and Psychotherapy , 2012, DOI: 10.1590/S2237-60892012000100007
Abstract: introduction: the obsessional beliefs questionnaire (obq-44) is a self-administered instrument comprised of 44 items, designed to assess the beliefs of patients with obsessive compulsive disorder (ocd). the objective of this study was to describe the process of translation and adaption of the questionnaire into brazilian portuguese. method: for the translation and adaptation of the obq-44, we first obtained authorization from the authors of the original scale to use the instrument. subsequently, the scale was independently translated from english into brazilian portuguese by two health professionals with proficiency in english. following comparison of the two translations, a preliminary version was obtained and tried out on a sample of 20 patients with a primary diagnosis of ocd. this pretest aimed to assess the patients' understanding of the items and to make any necessary language adaptations. then, the scale was independently back-translated by two psychiatrists, also with proficiency in english. following comparison of the two back-translations, a final version in english was developed; this version was evaluated and approved by the authors of the original instrument. results: the brazilian portuguese version of the obq-44, after the process of translation and adaptation here described, showed to be of easy interpretation by patients with different educational levels. the instrument can therefore be used to assess patients from different brazilian socioeconomic contexts. conclusion: obq-44 is a self-administered instrument of easy application. therefore, it can be useful in the identification of dysfunctional beliefs in ocd patients, contributing toward a better understanding of the role played by such beliefs in the onset and maintenance of the disorder.
The Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders: recruitment, assessment instruments, methods for the development of multicenter collaborative studies and preliminary results
Miguel, Euripedes Constantino;Ferr?o, Ygor Arzeno;Rosário, Maria Concei??o do;Mathis, Maria Alice de;Torres, Albina Rodrigues;Fontenelle, Leonardo Franklin;Hounie, Ana Gabriela;Shavitt, Roseli Gedanke;Cordioli, Aristides Volpato;Gonzalez, Christina Hojaij;Petribú, Kátia;Diniz, Juliana Belo;Malavazzi, Dante Marino;Torresan, Ricardo C;Raffin, Andréa Litvin;Meyer, Elisabeth;Braga, Daniela T;Borcato, Sonia;Valério, Carolina;Gropo, Luciana N;Prado, Helena da Silva;Perin, Eduardo Alliende;Santos, Sandro Iêgo;Copque, Helen;Borges, Manuela Corrêa;Lopes, Angélica Prazeres;Silva, Elenita D da;,;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000300003
Abstract: objective: to describe the recruitment of patients, assessment instruments, implementation, methods and preliminary results of the brazilian research consortium on obsessive-compulsive spectrum disorders, which includes seven university sites. method: this cross-sectional study included a comprehensive clinical assessment including semi-structured interviews (sociodemographic data, medical and psychiatric history, disease course and comorbid psychiatric diagnoses), and instruments to assess obsessive-compulsive (yale-brown obsessive-compulsive scale and dimensional yale-brown obsessive-compulsive scale), depressive (beck depression inventory) and anxious (beck anxiety inventory) symptoms, sensory phenomena (universidade de s?o paulo sensory phenomena scale), insight (brown assessment beliefs scale), tics (yale global tics severity scale) and quality of life (medical outcome quality of life scale short-form-36 and social assessment scale). the raters' training consisted of watching at least five videotaped interviews and interviewing five patients with an expert researcher before interviewing patients alone. the reliability between all leaders for the most important instruments (structured clinical interview for dsm-iv, dimensional yale-brown obsessive-compulsive scale, universidade de s?o paulo sensory phenomena scale) was measured after six complete interviews. results: inter-rater reliability was 96%. by march 2008, 630 obsessive-compulsive disorder patients had been systematically evaluated. mean age (±se) was 34.7 (±0.51), 56.3% were female, and 84.6% caucasian. the most prevalent obsessive compulsive symptom dimensions were symmetry and contamination. the most common comorbidities were major depression, generalized anxiety and social anxiety disorder. the most common dsm-iv impulsive control disorder was skin picking. conclusion: the sample was composed mainly by caucasian individuals, unmarried, with some kind of occupational activity, mean age of 35 years, on
Obsessive-compulsive inventory and obsessive-compulsive inventory-revised scales: translation into brazilian portuguese and cross-cultural adaptation
Souza, Fernanda Pasquoto de;Foa, Edna B;Meyer, Elisabeth;Niederauer, Kátia Gomes;Raffin, Andréa Litvin;Cordioli, Aristides Volpato;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462006005000065
Abstract: objective: the present study describes the process of translation into brazilian portuguese and the cross-cultural adaptation of the obsessive-compulsive inventory and the obsessive-compulsive inventory-revised scales. the obsessive-compulsive inventory was developed with the purpose of measuring the intensity of the various symptoms that characterize the obsessive-compulsive disorder, assessing their frequency and the distress they caused during the previous month, as well as estimating the overall severity of the disorder. thus, different levels of severity among different obsessions and compulsions can be assessed and compared. method: the scales were initially translated into brazilian portuguese by two bilingual psychiatrists and then independently back-translated by other two bilingual psychiatrists. the scales were then applied to 15 obsessive-compulsive disorder patients, deliberately chosen from different educational levels, to make language adjustments. the author accepted the final version of the obsessive-compulsive inventory and the obsessive-compulsive inventory-revised scales after their back translation. results: the scales were easily understood and filled in by individuals and may be used with obsessive-compulsive disorder patients of different socioeconomic levels. conclusion: the obsessive-compulsive inventory and the obsessive-compulsive inventory-revised scales, in their brazilian portuguese version, can help health professionals to screen potential obsessive-compulsive disorder patients, assess the severity of obsessive-compulsive symptoms and reduce these symptoms using different treatments.
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