Brazilian Journal of Psychiatry

Why is Electroconvulsive Therapy Underutilized in Brazil?
Pereira-Soares EL, Nascimento AL and Nardi AE
Family and community violence: implications on executive dysfunction, attention problems and epigenetic age acceleration in childhood and youth
Ramos RQ, da Silva CMFP, Serpeloni F, Lacerda NR, Evangelista AF, Avanci JQ and de Assis SG
Cognitive changes in individuals who have experienced stress and trauma have gained increasing prominence in literature. This study aims to examine the associations between executive dysfunction and attention problems with experiences of family violence - both psychological and physical - and community violence throughout childhood development, as well as to explore the relationship between these factors and epigenetic acceleration in youth.
The prevalence of Schizophrenia in Brazil: Social Vulnerability as a Key Consideration for Care and Policy
Gadelha A, Ziebold C, Lorencetti PG, da Silva NR, Faisal-Cury A, Rodrigues D, Correll CU, Mari J, Margolis R and Massuda R
Recent studies highlight variability in schizophrenia prevalence influenced by sociodemographic and environmental factors. Brazil lacks updated, nationally representative data. This study aimed to estimate the lifetime prevalence of schizophrenia in Brazil using a representative national sample and examine associations with sociodemographic factors such as sex, age, income, education, and geographic region.
Ensuring clinical validity: the case for reconsidering "several days" in the PHQ-9 Brazilian version
Piccolo M
Temperament and personality profile of youth with attention-deficit/hyperactivity disorder: a meta-analysis
de Medeiros MV, Blumrich L, Farhat LC and Polanczyk GV
This study aimed to determine the temperament and personality profile of children and adolescents with attention-deficit/hyperactivity disorder (ADHD) through systematic review and meta-analyses of published data.
BETs in Brazil
Weber CAT and da Silva AG
Association between domain-based physical activity and C-reactive protein in adults with moderate to severe depressive symptoms
Cristovão CMT, do Espirito Santo LA, de Oliveira GCM, Werneck AO, Yoshida HM and de Oliveira DCX
To evaluate the association between domain-based physical activity and C-reactive protein (CRP) in people with moderate to severe depressive symptoms.
Serum 25-Hydroxyvitamin D Levels did not improve with N-Acetylcysteine administration nor with abstinence in Adults Treated for Alcohol Use Disorder: A Secondary Analysis of a Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Piazza FRG, Schuch JB, Ferreira DNSDS, Gabiatti MP, Kessler FHP, von Diemen L and Hansen F
N-acetylcysteine (NAC) is a medication known for its hepatoprotective properties and potential to reduce cravings and psychoactive substance use. Vitamin D is metabolized in the liver, and individuals with alcohol abuse often have lower levels. This study aims to evaluate the effect of NAC administration on vitamin D levels (25(OH)D) in adults with alcohol use disorder (AUD) undergoing treatment.
Effects of Repetitive Transcranial Magnetic Stimulation on Obsessive-Compulsive Disorder: A Systematic Review, Meta-Analysis, and Meta-Regression
Figueiredo MMC, Fonseca RMA, de Oliveira DR, Queiroz MHBS, da Cruz GN, Laurentino RA, Alves BA and Andrade SMMDS
The objective of this study was to provide updated evidence on the efficacy of rTMS in OCD, to assess its sustained effects, and to identify moderators of treatment response.
The Effects of Transcranial Direct Current Stimulation Over the Prefrontal Cortex on Reactive Aggressive Behavior in Healthy Volunteers: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Sikembi PT, Batista AD, Monteiro WS, Medina PAV, Yu L, de Oliveira AJM and de Amorim RLO
tDCS effects over the prefrontal cortex on reactive aggressive behavior are unclear. We aimed to perform an updated systematic review and meta-analysis of randomized controlled trials (RCTs) comparing anodal tDCS versus sham stimulation on reactive aggressive behavior in healthy volunteers experimentally induced to aggressive behavior.
Group-Based Trajectory Analysis of Depressive Symptoms in Patients Treated with Antidepressants in Chinese Cohort Studies
Zhou J, Wang X, Feng L, Feng Y, Xiao L, Chen X, Feng Z, Wang G and Zhou J
This study aimed to characterize response trajectories in MDD patients and identify clinical and demographic predictors for symptom alleviation.
Al-Detected Auditory Findings of Depression and Suicide Risk
Özden S, Sert M, Gica Ş, Çınar O, Bayar IU, Acar AY and Ak M
Suicide is a major global health concern and one of the leading causes of preventable death. Objective data to assess suicide risk in individuals with depression is currently lacking. This study explores the potential of voice analysis as an objective tool for suicide risk assessment and improved diagnostic accuracy.
A small step, giant savings: the impact of physical activity on dementia cases and economic costs in Brazil
Feter N, Raichlen D, Feter J, Caputo E, Umpierre D and Rombaldi A
To estimate the potential impact of physical activity (PA) on the forecast prevalence and economic cost of dementia among Brazilian adults.
Brain Functional Connectivity and Inhibitory Control in Tourette Syndrome with and without Comorbid Attention-Deficit/Hyperactivity Disorder
Zhang W, Wang X, Liu Z, Zhang A, Li H, Zhao Q, Jiang Z, Wang J, Yang K, Men W, Hong X, Lei T and Cui Y
Tourette syndrome (TS) is often comorbid with attention-deficit/hyperactivity disorder (ADHD) and is associated with inhibitory control deficits. However, the differences in whole-brain functional connectivity (FC) between TS with and without ADHD and their neural basis for inhibitory control remain unclear. This study examines FC differences between these groups and their association with inhibitory control.
Reliability, Item Functioning, and Gender Bias of the CES-D Scale in Community-Dwelling Elderly: Findings from the ELSA Cohort
de Sá-Junior AR, Petrilli-Mazon VA, Schneider I, Wang YP and Oliveira C
To evaluate the item performance of the Center for Epidemiologic Studies Depression (CES-D) scale.
Temporal Trends and Spatial Analysis of Self-Reported Autism Spectrum Disorder in Brazil: A Decade of School Census Insights (2014-2023)
Fontenele LGS, Amorim GSB, Dos Santos PB, Martins RC, Ribeiro VEA, Almeida MHF and Oliveira GDP
Autism spectrum disorder (ASD) is a growing neurodevelopmental condition worldwide. Data addressing in Brazil are scarce and identifying regional differences in ASD reporting is crucial for shaping policies that ensure equity and accessibility.
Pioneering Psychopharmacology in Brazil: Marcio Versiani and 40 Years of the Anxiety and Depression Program at UFRJ
Junkes L, da Silva JAR and Nardi AE
Promoting Holistic Well-being in Addiction Treatment: Effects of the Flourishing Intervention in Hospitalized Patients
Gonçalves JPB, Alvarenga WA, Cowden RG, Gorenstein C, Lucchetti G and Vallada H
This study investigated the effects of the Flourishing Intervention (FI) versus usual care (UC) on craving symptoms, mental health, and quality of life among hospitalized crack/cocaine users.
Real-world use of classic and non-classic psychedelics in Hispanic/Latino adults with Obsessive-Compulsive Disorder: International findings from the LATINO Study
Mathai DS, Robinson JO, Wagner K, Neitzke-Spruill L, Berrones D, Anderberg JL, Frederick RM, Cruz VZ, Muñoz JS, , , Rodriguez CI, Averill LA, Crowley JJ, Storch EA and McGuire AL
Despite growing research on the potential mental health benefits of psychedelics, there has been limited study of these drugs in populations with obsessive-compulsive disorder (OCD) and with Hispanic and Latin American (H/L) ancestry.
Brazilian Psychiatric Association guidelines for the treatment of panic disorder. An overview of systematic reviews
Baldaçara L, Veiga DL, Gaiotto LAV, Paschoal AB, Pinto AF, Almeida TM, Dos Santos DC, Loureiro FF, Malloy-Diniz LF, Lacerda ALT, Nardi AE, da Silva AG and Uchida RR
To develop national evidence-based treatment guidelines for panic disorder (PD) in Brazil through an overview of systematic reviews.
Discharge location as a predictor of prolonged length of stay in an inpatient psychiatric hospital: A retrospective study
Giri YR, Dahal P, Fogel J, Azubuogu C and Giri BB
This study examines discharge location as a predictor for prolonged length of stay (LOS) in a psychiatric inpatient hospital.
Acute Suicidal Behavior Following Ayahuasca Ingestion in a Clinical Trial Setting: A Case Report
Reis JAS, Rossi GN, Zacharias ABV, Hallak JEC and Dos Santos RG
Global temporal and regional trends in cannabis use among medical students: A systematic review and meta-analysis
Karpovisch E, Alves GG, Folgierini VF, Braun LE, Porto IM, Hoffmann MS and Pacheco JPG
Given the interest in the potential effects of cannabis on medical students, this study aims to establish the prevalence of recreational use within this population.
Association between B cell activating factor (BAFF) and future depressive symptoms in hemodialysis patients
Lee DY, Jang W, Kim B, Lee JH, Lee Y, Lee YH, Ahn SY, Kim JS, Kim YG, Hwang HS, Moon JY, Ryoo JH, Teopiz KM, Mansur RB, Rosenblat JD and McIntyre RS
B-cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL) are cytokines that play critical roles in maturation, homeostasis, and differentiation of B cells, and are associated with mental disorders. The link between inflammation and depression is well-established. Patients undergoing hemodialysis (HD), who commonly experience depression, exhibit a state of immune dysfunction. We hypothesize that BAFF and APRIL may influence future depressive symptoms in HD patients.
From Seizures to Neuroscientific Legacy: Marking the Bicentennial of Dom Pedro II
Gomes MM and Nardi AE
120 Years Since the Birth of Nise da Silveira - The Legacy of the Humanization of Psychiatry
Dutra PEP and Nardi AE
Behavioral and psychological symptoms of dementia associated with vascular impairment: a systematic review and meta-analysis
Santos AP, Lôbo AOM, Santos CBAL, Carvalho MGNC, Ribeiro MMC, Rodrigues AEO, Santos SM, Costa BHC, Welkovic S, de Melo ES and Barbosa BJAP
Vascular cognitive impairment (VCI) is a major cause of cognitive decline associated with vascular brain injury. Behavioral and psychological symptoms of dementia (BPSD) are common, but their prevalence across VCI subtypes remains unclear. This study examines the prevalence of BPSD in different VCI subtypes.
Assessment of Insulin Resistance in Different Phases of Bipolar Disorder with Triglyceride Glucose Index (TyG), Triglyceride Glucose-Body Mass Index (TyG-BMI) and Metabolic Score Index for Insulin Resistance (METS-IR)
Cokunlu Y, Yucel K, Sımsek F and Inanlı I
The aim of this study was to determine whether there are differences in the parameters Triglyceride Glucose Index (TyG), Triglyceride Glucose-Body Mass Index (TyG-BMI) and Metabolic Score Index for Insulin Resistance (METS-IR) between the groups of patients diagnosed with Bipolar disorder (BD) in euthymic, manic and depressive states and healthy controls.
Effects of Sodium Nitroprusside on the Default Mode Network of Schizophrenia Patients and Healthy Controls
Garcia GJ, Rossi GN, Dias ICDS, Arcoverde E, Palhano-Fontes F, Onias H, de Sousa JPM, de Oliveira JPM, Araújo DB, Lacerda ALT, Dos Santos RG, Baker GB, Dursun SM and Hallak JEC
Schizophrenia patients present poorer social cognition skills related to altered default mode network (DMN) functioning. In this context, glutamate NMDA receptors is relevant, alongside the supplementation with a nitric oxide (NO) donor such as sodium nitroprusside.
Clarifications and Perspectives on Mental Health Assessment During the Pandemic
Fernandes CJ, Neto F and Costa P