FERNANDO DOS SANTOS FERNANDES

(Fonte: Lattes)
Índice h a partir de 2011
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Lattes
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Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina - Médico

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  • article 57 Citação(ões) na Scopus
    Hamilton depression rating scale and montgomery-asberg depression rating scale in depressed and bipolar I patients: psychometric properties in a Brazilian sample
    (2015) CARNEIRO, Adriana Munhoz; FERNANDES, Fernando; MORENO, Ricardo Alberto
    Background: The Hamilton Depression Rating Scale (HAM-D) and the Montgomery-Asberg Depression Scale (MADRS) are used worldwide and considered standard scales for evaluating depressive symptoms. This paper aims to investigate the psychometric proprieties (reliability and validity) of these scales in a Brazilian sample, and to compare responses in bipolar and unipolar patients. Methods: The sample comprised 91 patients with either bipolar I or major depressive disorder from a psychiatric institute at Sao Paulo, Brazil. Participants were recruited and treated by clinicians through the Structured Interview for DSM-IV criteria, and had previously been interviewed by a trained, blind tester. Results: Both scales indicated good reliability properties; however, the MADRS reliability statistics were higher than those of the HAM-D for detecting initial symptoms of unipolar depression. Correlation between the tests was moderate. Despite demonstrating adequate validity, neither test achieved the levels of sensitivity and specificity required for identification of a cutoff score to differentiate bipolar I and unipolar patients. Conclusions: Both scales demonstrate adequate reliability and validity for assessing depressive symptoms in the Brazilian sample, and are good options to complement psychiatric diagnosis, but are not appropriate for distinguishing between the two affective disorder types.
  • article 0 Citação(ões) na Scopus
    Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
    (2023) CARNEIRO, Adriana Munhoz; PEREIRA, Danilo Assis; FERNANDES, Fernando; BAPTISTA, Makilim Nunes; BRUNONI, Andre Russowsky; MORENO, Ricardo Alberto
    BackgroundDistorted thoughts are common in Major Depressive Disorder (MDD), and can impact patients' perceptions of depression severity, and predict chronicity and treatment response. This study aimed to investigate whether distorted thoughts mediate depressive symptoms in MDD over a 6-month period.MethodThese are secondary results from a study that followed 119 patients diagnosed with moderate to severe MDD for 6 months. Diagnoses were confirmed by the Structured Interview for DSM-IV (SCID-CV). The analysis was composed of results from the Hamilton Depression Rating Scale (HAMD-17), the Montgomery-Asberg Depression Rating Scale (MADRS), the second edition of the Beck Depression Inventory (BDI-II), and the Depression Thoughts Scale (DTS) collected at weeks 1, 8, 12 and 24.ResultsResults showed that the DTS mediated the relationship between depressive symptoms experienced approximately 3 months after starting antidepressant treatment.ConclusionCognitive distortions were linked as a mediator to depressive symptoms, highlighting the importance of early psychological interventions in patients with MDD who exhibit these distortions.