Early interventions to prevent mental disorders - learning lessons from the field of psychosis

Moriyama, Tais; Miguel, Eurípedes C.; Leckman, James F.

doi:10.1590/s1516-44462011000600001

Cited by 2 publications

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Approximately 20% of the subjects who responded by mail were given follow-up telephone calls in order to clarify ambiguous responses or to complete unanswered questions. Range 0-30 0-27 0-30 a N=98 for nonclinic subjects and 134 for total; b N=96 for nonclinic subjects and 132 for total; c Sum of motor and phonic tic scores (6). N=90 for nonclinic subjects and 126 for total; and d N=33 for clinic subjects, 81 for nonclinic subjects, and 114 for total.…”

Section: Methodsmentioning

confidence: 99%

Fenomenologia e história natural da síndrome de Tourette: breve resumo da pesquisa

Leckman¹

View full text Add to dashboard Cite

The phenomenology of Tourette syndrome is complex. Although overt motor and vocal tics are the defining features of Tourette syndrome, many individuals report experiencing sensory "urges," which are often difficult to describe. The natural history of this condition is also variable, with some individuals experiencing a marked reduction in tics by the end of the second decade of life while others go on to have a lifelong condition. The aim of this thesis was threefold: (1) to develop a valid and reliable clinical rating instrument; (2) to investigate the sensory phenomena associated with Tourette syndrome; and (3) to document the course of tic severity over the course of the first two decades of life. Each of these three studies involved groups of patients with Tourette syndrome or a chronic tic disorder and each of these studies has been published in a peer-reviewed journal. The Yale Global Tic Severity Scale (YGTSS) has excellent psychometric properties that have been independently replicated. It has also emerged as the most widely used clinician-rated tic severity scale in randomized clinical trials around the world. Sensory phenomena, particularly premonitory urges, are commonly reported among individuals with Tourette syndrome by the age of 10 years. There is considerable overlap with the sensory phenomena described by individuals with Obsessive-Compulsive Disorder. Tics usually have their onset in the first decade of life. They then follow a waxing and waning course and a changing repertoire of tics. As documented in the third study, for a majority of patients the period of worst tic severity usually falls between the ages of 7 and 15 years of age, after which tic severity gradually declines. This falloff in tic symptoms is consistent with available epidemiological data that indicate a much lower prevalence of Tourette syndrome among adults than children. This decline in tic severity has been confirmed in subsequent studies. In summary, incremental progress is being made in our efforts to characterize the phenomenology and natural history of Tourette syndrome. Revisions to the YGTSS should be considered. Significant advances have been made in measuring the premonitory urges associated with Tourette syndrome. The neurobiological underpinnings of the phenomenology and natural history of Tourette syndrome are currently underway in an effort to identify prognostic indicators.

show abstract

Section: Methodsmentioning

confidence: 99%

Fenomenologia e história natural da síndrome de Tourette: breve resumo da pesquisa

Leckman¹

View full text Add to dashboard Cite

show abstract

Prevenção primária em psiquiatria: possibilidade ou utopia?

Machado¹,

Souza²,

Cantilino³

2017

Debates em Psiquiatria

View full text Add to dashboard Cite

ResumoA psiquiatria é o ramo da medicina que se dedica ao estudo dos transtornos mentais, com o objetivo de diagnosticar, classificar, tratar e prevenir. Entretanto, diferentemente das outras áreas médicas, pensar em uma abordagem preventiva na psiquiatria é algo relativamente novo. Somente na década de 1970 é que começaram a ser implementadas as primeiras iniciativas de prevenção em saúde mental. Os primeiros esforços tiveram como foco indivíduos em risco para psicose. Nas últimas décadas, os principais avanços no campo preventivo dentro da psiquiatria se deram nas prevenções secundária e terciária. Entretanto, seria possível fazer prevenção primária em psiquiatria? As publicações parecem dizer que sim. Cerca de 1.000 estudos controlados já foram publicados sobre prevenção primária em psiquiatria, sendo a maior parte em crianças e adolescentes. Em geral, esses estudos mostraram a capacidade da prevenção de reduzir fatores de riscos para adoecimento psíquico, de fortalecer fatores protetores e de gerar um impacto econômico positivo. Além disso, embora em um número muito menor, esses trabalhos conseguiram demonstrar que estratégias preventivas também são capazes de diminuir a incidência de transtornos mentais comuns, como depressão e transtornos de ansiedade.Palavras-chave: Prevenção primária, psiquiatria preventiva. AbstractPsychiatry is the branch of medicine that deals with the study of mental disorders with the aim of diagnosing, classifying, treating, and preventing such disorders. However, unlike other medical areas, thinking of preventive approaches in psychiatry is relatively new.

show abstract

Early interventions to prevent mental disorders - learning lessons from the field of psychosis

Cited by 2 publications

References 1 publication

Fenomenologia e história natural da síndrome de Tourette: breve resumo da pesquisa

Fenomenologia e história natural da síndrome de Tourette: breve resumo da pesquisa

Prevenção primária em psiquiatria: possibilidade ou utopia?

Contact Info

Product

Resources

About