Expectativa de desempenho social de pacientes psiquiátricos internados em hospital geral

Moreira, Maria Stela Setti; Crippa, José Alexandre de Souza; Zuardi, Antônio Waldo

doi:10.1590/s0034-89102002000700012

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…The educational level of the patients was not assessed. However, in a previous study, we have found that psychiatric patients attending this hospital usually have less than four years of education (17). The Research Ethics Committee of the University Hospital of Ribeirão Preto approved the study and the subjects and relatives responsible for the subjects signed a consent form after being informed of the research procedure.…”

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confidence: 99%

Factor structure of Bech's version of the Brief Psychiatric Rating Scale in Brazilian patients

Crippa

Sanches

Hallak

et al. 2002

Braz J Med Biol Res

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The objective of the present study was to evaluate the factor structure of Bech's version of the Brief Psychiatric Rating Scale (BPRS), translated into Portuguese. The BPRS was administered to a heterogeneous group of psychiatric inpatients (N = 98) and outpatients (N = 62) in a University Hospital. Each patient was evaluated from one to eight times. The interval between consecutive interviews was one week for the inpatients and one month for the outpatients. The results were submitted to factorial analysis. The internal consistency of the total scale and of each factor was also estimated. Factorial analysis followed by normalized orthogonal rotation (Varimax) yielded four factors: Withdrawal-Retardation, Thinking Disorder, Anxious-Depression and Activation. Internal consistency measured by Cronbach's a coefficient ranged from 0.766 to 0.879. The data show that the factor structure of the present instrument is similar to that of the American version of the BPRS which contains 18 items, except for the absence of the fifth factor of the latter scale, Hostile-Suspiciousness.

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confidence: 99%

Factor structure of Bech's version of the Brief Psychiatric Rating Scale in Brazilian patients

Crippa

Sanches

Hallak

et al. 2002

Braz J Med Biol Res

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“…Ziedonis DM, Kosten TR, Glazer WM, Frances RJ (1994) Nicotine dependence and schizophrenia. Hospital Community Psychiatry 45: 204-206.…”

Section: Consistency Between Studies Conducted In Developed Countriesmentioning

confidence: 99%

"Transtornos mentais graves na comunidade: um estudo em São Paulo"

Ratto¹

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To investigate the conditions of severe mental illnesses individuals by clinical characteristics, social adjustment, violent behavior, psychoactive substance use, and services use. The study had a cross-sectional design, followed by prospective cohort, with a one-year follow-up. Twenty mental health services (emergency, inpatient and outpatient services) were scrutinized to identify all patients aged 18 to 65 years old, with a clinical diagnosis of functional psychosis, who were resident in one of 7 administrative districts chosen for the study, and had had at least one contact with such services between 1 st September and 30 th November 1997. Assessments included psychiatric symptoms, social adjustment, violent behavior, patterns of alcohol, tobacco, drug use, and services use, using standardized instruments, at the baseline and 1 year after. Out of 620 patients identified, 404 were randomly selected to be interviewed. One hundred and ninety two patients (47.9%) were directly interviewed. The sample was then composed by 102 (52.3%) men, mean age was 41.5 years (s.d. = 11.4), predominantly single, not born in the city of Sao Paulo, with 8 years or less of formal education. The prevalence of substance abuse was 10,4% (95%CI: 6.5 to 15.6%), being 7,3% for alcohol abuse and 4,7% for drug abuse. The proportion of subjects showing any degree of impairment in social adjustment was very high, with almost 92% of the individuals with global scores of 1 to 5, but only 12.8% of the sample with scores 4 or 5. The most used health service was the psychiatry consultation. One hundred fifteen (59.9%; IC 95%: 52.6 to 66.9%) used tobacco in regular basis in the last year. Thirty-seven (19.4%, 95%CI 14-25.7%) subjects reported at least one episode of aggression in the 12 months prior to the interview, only 9 (4.7%) individuals reported more serious episodes of aggression, and just 2 (1%) episodes were considered severe. When analysing moderate and severe episodes together, male gender, being single and younger ages were characteristics associated to episodes of violent behaviour. At 1-year follow-up, 149 (77.6%) were reassessed. One hundred twenty (81.6%) had had no psychiatric admissions in the 1-year follow-up, 53.8% of the individuals who abused alcohol at index assessment had stopped using it, and 42.9% maintained the same pattern of index for abuse of illegal or nonprescribed substances. None individual started to smoke last year, and 9 (9.9%) stopped to smoke. Prevalence of substance abuse founded in Cohort study was still lower then the found in international studies, but tobacco use and nicotine addiction were similar to developed countries. The results point to the need of creation and implementation of a bigger and better mental health care system in the community, with a multidisciplinary approach.

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Caracterização clínica-demográfica das internações psiquiátricas na região de Ribeirão Preto - SP entre 1998 e 2004

Barros¹

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At the beginning of the 1990s, psychiatric hospitalization costs were the secondlargest source of all hospitalization costs in Brazil. Since 1992, as a result of the Ministry of Heath guidelines, there have been changes in the characteristics of these hospitalizations. Psychiatric hospitals have progressively ceased to be a part of the core health care system, and there has been an increase in the outpatient service network. The 13th Regional Health Authority (DRS XIII), headquartered in Ribeirão Preto, followed these guidelines, which led it to reorganize its mental health care. At the beginning of the 1990s, DRS XIII had 685 beds for the treatment of acute psychiatric patients: their occupancy rate was as high as 96%, the length of stay was high and there was a high number of readmissions. The guidelines, however, resulted in a reduction in the number of beds for acute patients to 114, whilst there was a simultaneous expansion in the mental health care outpatient services. These measures led to a drop in the number of hospital admissions, and the occupancy rate fell to 60-70%. Nevertheless, since 2003, it has been more difficult to provide fulltime hospitalization due to lack of beds. The aim of this project is to evaluate these changes in the hospitalization policy. A central database was created using the data stored in the databases of each of the hospitals involved in the study. All hospitalizations between 1998 and 2004 were taken into account. The following variables were analyzed: age, gender, marital status, occupation, diagnosis, origin, health district (for patients that live in Ribeirão Preto), length of stay, readmissions, bed turnover rate and occupancy rate. 5,362 patients were hospitalized a total of 11,208 times according to the following breakdown: Psychiatric Hospital (47.8%), General Hospital (14.1%) and Emergency Psychiatric Unit (38.1%). The occupancy rate for full-time hospitalization services has increased over the last few years in spite of the bed turnover rate remaining relatively high. There are no significant differences between services as far as the demographic characteristics of the hospitalized patients are concerned: patients are still predominantly young unemployed males, who are not in stable partnerships, and come from the Ribeirão Preto region. Shortstay hospitalizations are predominant, with a higher proportion of longer hospitalizations in the General Hospital, which was probably due to the serious nature of these cases. The largest proportion of hospitalizations comes from Ribeirão Preto, especially from the district served by the Núcleo de Saúde Mental do Centro de Saúde Escola (Mental Health Unit of the Learning Health Center). The most common diagnoses were disorders brought on by psychoactive substance abuse, mood disorders, psychotic disorders and personality disorders, with there being some differences in the proportions from one service to another. Around 1/4 of the hospitalizations each year are readmissions. The psychiatric hospitalization increasing may be dual ...

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Expectativa de desempenho social de pacientes psiquiátricos internados em hospital geral

Cited by 3 publications

References 20 publications

Factor structure of Bech's version of the Brief Psychiatric Rating Scale in Brazilian patients

Factor structure of Bech's version of the Brief Psychiatric Rating Scale in Brazilian patients

"Transtornos mentais graves na comunidade: um estudo em São Paulo"

Caracterização clínica-demográfica das internações psiquiátricas na região de Ribeirão Preto - SP entre 1998 e 2004

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