Diretrizes da Associação Médica Brasileira para o diagnóstico e diagnóstico diferencial do transtorno de ansiedade social

Chagas, Marcos Hortes Nisihara; Nardi, Antônio Egídio; Manfro, Gisele Gus; Hetem, Luiz Alberto B.; Andrada, Nathalia Carvalho de; Levitan, Michelle N.; Salum, Giovanni Abrahão; Isolan, Luciano; Ferrari, Maria Cecília Freitas; Crippa, José Alexandre de Souza

doi:10.1590/s1516-44462010005000029

Cited by 17 publications

(4 citation statements)

References 60 publications

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“…This indicates that the symptomatological groups present a higher prevalence regarding SAD related fear and avoidance, as expected. Similarly, those individuals who had been diagnosed with generalized SAD, which is characterized by the presence of fear and avoidance in various social situations, presented higher scores than those patients with circumscribed SAD, who show symptoms of the disorder in specific situations, reinforcing previously encountered data [ 29 ].…”

Section: Discussionsupporting

confidence: 73%

Can the Liebowitz Social Anxiety Scale - Self-Report Version Be Used to Differentiate Clinical and Non-Clinical SAD Groups among Brazilians?

Santos¹,

Loureiro

Crippa

et al. 2015

PLoS ONE

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BackgroundThe Liebowitz Social Anxiety Scale (LSAS) was the first evaluation instrument developed for screening for the signs and symptoms of Social Anxiety Disorder (SAD) and is currently still the most used worldwide. The aim of this study is to evaluate the ability of the LSAS - self-report version (LSAS-SR) to discriminate different Social Anxiety Disorder (SAD) clinical groups.MethodThe sample was composed of Brazilians university students, allocated into three different groups, i.e., cases (C=118), non-cases (NC=95) and subclinical cases (SC=39). To achieve the aim, calculations of the ROC Curve and ANOVA were performed.ResultsThe results found were excellent regardless of the technique used, highlighting the discriminatory capacity of the LSAS-SR. The score equal to or greater than 32 is suggested as a cutoff score for the Brazilian population, since this presented balance between the standards evaluated and the ability to differentiate both clinical and subclinical SAD cases from non-cases.ConclusionDespite the specific sample used in this study being composed only of university students, the use of the LSAS-SR can be indicated, in the Brazilian setting, for SAD screening in both clinical and research contexts.

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Section: Discussionsupporting

confidence: 73%

Can the Liebowitz Social Anxiety Scale - Self-Report Version Be Used to Differentiate Clinical and Non-Clinical SAD Groups among Brazilians?

Santos¹,

Loureiro

Crippa

et al. 2015

PLoS ONE

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“…One typical feature of SAD is the high rate of co-occurring psychiatric conditions, the most common of which is depression [23]. It seems beyond doubt that depression is associated with hippocampal atrophy [24], [25] and a relatively recent meta-analysis has shown that unmedicated depression is linked with amygdalar atrophy [26].…”

Section: Discussionmentioning

confidence: 99%

Increased Amygdalar and Hippocampal Volumes in Young Adults with Social Anxiety

et al. 2014

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BackgroundFunctional neuroimaging studies have consistently shown abnormal limbic activation patterns in socially anxious individuals, but structural data on the amygdala and hippocampus of these patients are scarce. This study explored the existence of structural differences in the whole brain, amygdala, and hippocampus of subjects with clinical and subthreshold social anxiety compared to healthy controls. We hypothesized that there would be volumetric differences across groups, without predicting their direction (i.e. enlargement or reduction).MethodsSubjects classified as having social anxiety disorder (n = 12), subthreshold social anxiety (n = 12) and healthy controls (n = 14) underwent structural magnetic resonance imaging scans. The amygdala and hippocampus were defined a priori as regions of interest and volumes were calculated by manual tracing. Whole brain volume was calculated using voxel-based morphometry.ResultsThe bilateral amygdala and left hippocampus were enlarged in socially anxious individuals relative to controls. The volume of the right hippocampus was enlarged in subthreshold social anxiety participants relative to controls. No differences were found across groups in respect to total brain volume.ConclusionsOur results show amygdalar and hippocampal volume alterations in social anxiety, possibly associated with symptom severity. The time course of such alterations and the cellular and molecular bases of limbic plasticity in social anxiety should be further investigated.

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“…En este ámbito, el presente estudiotiene como objetivo analizar si existe una correlación entre depresión, ansiedad y obesidad, enlo que respecta al tratamientomultidisciplinario de estas patologías. Se realizó una revisión bibliográfica integradora utilizando artículos de los últimos 10 años (2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020) de las bases de datos de Literatura Latinoamericana y del Caribe enCiencias de laSalud -LILACS, PubMed, Cochrane y ElectronicScientific Library Online -SciELO, conlosdescriptores: "Obesidad"; "Desordenes mentales"; "Ansiedad"; "Depresión"; "Comorbilidades". La literatura muestradesacuerdosenlaasociación entre obesidad, ansiedad y depresión.…”

Section: Introductionunclassified

Comorbidade entre depressão, ansiedade e obesidade e complicações no tratamento

Casselli

Silva

Figueira

et al. 2021

RSD

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Os transtornos mentais, como o Transtorno Depressivo Maior e os Transtornos de Ansiedade, juntamente da obesidade, têm crescido, substancialmente, no último século. O aumento do consumo de alimentos ricos em gorduras e em açúcares e do sedentarismo, assim como fatores genéticos e cotidianos parecem explicar, até certo grau, a incidência de doenças metabólicas e da obesidade. Não obstante, o melhor entendimento dos fatores de risco relacionados ao aparecimento de desordens psíquicas, em certas populações, acarreta mudanças no tratamento destas patologias, favorecendo um cuidado integral e multidisciplinar. Dentro deste escopo, o presente estudo pretende analisar se há correlação entre depressão, ansiedade e obesidade, quando se trata do tratamento multidisciplinar destas patologias. Fez-se uma revisão bibliográfica integrativa usando-se artigos dos últimos 10 anos (2010-2020) das bases de dados da Literatura Latino-Americana e do Caribe em Ciências da Saúde - LILACS, PubMed, Cochrane e Biblioteca Eletrônica Científica Online - SciELO, com os descritores: “Obesidade”; “Transtornos Mentais”; “Ansiedade”; “Depressão”; “Comorbidades”.A literatura apresenta discordâncias na associação entre obesidade, ansiedade e depressão. Alguns estudos demonstram que não há correlação estatística significativa entre IMC, depressão e ansiedade. Do mesmo modo, outros estudos demonstram que a correlação entre obesidade e transtornos de humor é influenciada pela utilização de psicofármacos empregados no tratamento psiquiátrico, com potencial de influenciar no ganho de peso. As relações de causalidade envolvendo depressão, ansiedade e obesidade ainda são controversas e requerem mais pesquisa.

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Diretrizes da Associação Médica Brasileira para o diagnóstico e diagnóstico diferencial do transtorno de ansiedade social

Abstract: The guidelines are intended to serve as references to the general practitioner and the specialist as well, facilitating the diagnosis of social anxiety disorder.

Cited by 17 publications

References 60 publications

Can the Liebowitz Social Anxiety Scale - Self-Report Version Be Used to Differentiate Clinical and Non-Clinical SAD Groups among Brazilians?

Can the Liebowitz Social Anxiety Scale - Self-Report Version Be Used to Differentiate Clinical and Non-Clinical SAD Groups among Brazilians?

Increased Amygdalar and Hippocampal Volumes in Young Adults with Social Anxiety

Comorbidade entre depressão, ansiedade e obesidade e complicações no tratamento

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