Despite the high number of studies on family caregivers, there is little research on the impact of religiosity on formal caregiving (paid providers). We examine the role of religiousness in the mental health, quality of life and stress of nurse aides (NA) who provide care for patients in a nursing home. NA in a Brazilian nursing home were invited to participate. Because of its coping function, we hypothesized that religiousness was related to better mental health and quality of life. Linear regression was used to test this hypothesis and control for confounders. Compared with the Brazilian general population, NA scored higher on measures of religious involvement. Intrinsic religiosity was associated with better mental health and quality of life. Organizational religiosity was associated with better social functioning, better general mental health and fewer anxiety symptoms. Non-organizational religiosity (prayer), however, was associated with negative outcomes, such as higher stress, poorer general health perceptions and more anxiety symptoms. Most NA indicated that they had prayed for and with their patients. In conclusion, paid caregivers (NA) have a strong sense of religiousness, which plays an important role in many ways, including the type of care they provide, their mental health and their quality of life.
Objectives: This study intends to characterize the habits of screen time exposure in a sample of infants, toddlers, and preschoolers and to assess if there’s a relationship between the proportion of early childhood excessive exposure to screen time and the presence of psychopathology and parental concerns. Methods: A cross-sectional cohort study of patients in a Child and Adolescent Psychiatric outpatient unit and children followed exclusively in Primary Health Care in the same geographic area was carried out. The information was collected from a self-report filled questionnaire by the caregiver, between October 1, 2018 and June 30, 2019. The exposure time was defined according to the American Academy of Pediatrics recommendations regarding the average daily exposure time. Results: The need for a Child and Adolescent Psychiatry follow-up consultation and behavior concerns during early childhood are significantly associated with screen time, with a greater proportion within the group with an average daily exposure time higher than recommended (p=0,006 and p=0,032 respectively). Conclusion: The study found an association between screen time exposure, parent behavior concerns and the need for follow-up in Child and Adolescence Psychiatry outpatient. Further studies are needed in order to better understand this subject.
Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental disorder characterized by pervasive deficits in communication and social interaction and patterns of repetitive, restrictive interests and/or stereotyped behaviors. Female sex/gender is not represented in the current conceptualization of ASD, and there is emerging evidence of a female phenotype. The etiology of ASD and borderline personality disorder (BPD) is not fully understood. Clinical observations suggest that ASD and BPD can overlap in clinical presentation and diagnostic characteristics, especially in female ASD cases. We report two clinical cases of two adolescent girls presenting overlap symptoms between ASD and BPD, raising questions about the female ASD phenotype and the potential misdiagnosis of ASD characteristics with BPD, as well as its impact on diagnosis and management. Diagnostic differentiation is crucial for targeted therapeutic interventions (psychopharmacological and psychosocial). Further studies are needed to enlighten the clinical similarities and diagnostic overlap between ASD females and BPD.
A síndrome de Gilles de La Tourette é uma doença neuropsiquiátrica que afeta cerca de 1% da população. Tem início frequente na infância ou adolescência precoce. Os tiques, manifestação central, tendem a diminuir em frequência e gravidade durante a adolescência, existindo uma pequena percentagem de casos que evolui para doença grave. A propósito de um caso clínico de uma doente com 28 anos, com diagnóstico tardio aos 18 anos, doença grave e sem resposta ao tratamento, apresenta‑se uma revisão de fatores de prognóstico, manutenção e indicações para alternativa cirúrgica na doença resistente. A fisiopatologia não está definida, não existindo tratamento eficaz comprovada para estes indivíduos. Existem alternativas quando o tratamento com psicofármacos não é eficaz e considera‑se proposta cirúrgica neste caso. Destaca‑se a importância de uma boa articulação entre a Psiquiatria da Infância e Adolescência, a Psiquiatria e os Cuidados Primários. Conclui‑se que serão necessários mais estudos para definir e individualizar o tratamento em casos de doença resistente.
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