LUCIANA DE ANDRADE CARVALHO
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
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- Ensino em psiquiatria cultural: rumo a uma atitude decolonial(2023) SEABRA, Danilo Silveira; VIEIRA, Lívia Ciaramello; CARVALHO, Luciana Andrade; MACEDO, Lucas NaufalAbstract: Introduction: This essay is based on the teaching experience of theTranscultural Psychiatry Program at the University of São Paulo (ProSol,Programa de Psiquiatria Transcultural da Universidade de São Paulo) and on theoretical foundations in the field of cultural psychiatry. Objective: To highlight the importance of teaching cultural psychiatry for the training of psychiatry residents. Results: Brazilian psychiatry, throughout its history, was marked by the incorporation of knowledge from developed countries with little concern for the Brazilian reality. The teaching of cultural aspects, in the psychiatric field, makes it possible to reactivate the importance of Brazilian reality and specificity for the teaching of residents. Conclusion: The central thesis of this essay is that the teaching of cultural psychiatry is a form of decolonization of teaching, insofar as it makes psychiatrists more apt to face the different clinical scenarios in a diverse country full of contradictions such as Brazil.
bookPart Influência da cultura sobre a psiquiatria(2021) CARVALHO, Luciana; WANG, Yuan-Pang; SANTANA, Carmen Lúcia Albuquerque de; MARCHETTI, Liliana; LOTUFO NETO, FranciscobookPart Psiquiatria cultural(2019) CARVALHO, Luciana de Andrade; CRUZ, Janaína Alves Sampaio; SAMPAIO, Leonardo Augusto Negreiros Parente CapelabookPart A Bioética e suas relações com culturas e crenças(2020) CARVALHO, Luciana de Andrade; SANTANA, Carmen Lúcia Albuquerque; LOTUFO NETO, Francisco- Perspectives on a psychiatric outpatient service for immigrants and refugees in Sao Paulo, Brazil over a 15-year period(2022) CARVALHO, Luciana de Andrade; ANDRADE, Laura Helena; ANG, Patricia Lin; SANTANA, Carmen Lucia Albuquerque de; NETO, Francisco Lotufo; BIAZOLI JUNIOR, Claudinei EduardoBackground: Immigrants and refugees have specific mental health needs. Studies of immigrant/refugee psychiatric patients in Latin America are scarce. Aims: Present the profile of patients from an outpatient psychiatric service in Sao Paulo (Brazil) to better inform mental health service planning for immigrants and refugees in the Global South. Methods: Exploratory study to characterize the sociodemographic and mental health profile of refugees and immigrants attending outpatient psychiatric service from 2003 to 2018. Chi-square tests and logistic regressions were used to examine the association of demographic variables, exposure to violence, and immigrant status with psychiatric diagnosis. Cluster analysis was used to identify subgroups within the sample. Results: A total of 162 immigrants and refugees referred to the service obtained treatment. Of these patients, 57.4% were men, 59.8% were refugees/asylum seekers, 51.9% were Black, 48.8% were single, 64.2% had 10 years of education, and 57.4% were unemployed; the mean age of the sample was 35.9. Half of the sample (52.5%) was exposed to violence. The most common diagnosis was depression (54.2%), followed by PTSD (16.6%). Approximately 34% of the participants sought psychiatric care within 6 months of arrival. Logistic regressions showed that men had lower odds of presenting with depression (OR = 0.34). Patients with PTSD were more likely to be refugees (OR = 3.9) and not have a university degree (OR = 3.1). In the cluster analysis, a cluster of patients with PTSD included almost all Black refugee men exposed to violence. Most patients diagnosed with psychotic disorders were also Black refugee men. Conclusion: Immigrants and refugees represent a vulnerable group. The majority of the sample was Black, refugee men, who were also more likely to present with PTSD. Future studies are needed to better understand issues in treatment adherence in relation to socioeconomic characteristics.
bookPart Redes de serviço de saúde e apoio social aos refugiados e imigrantes(2014) SANTANA, Carmen L. A.; CARVALHO, Luciana A.; SILVA, Renata T. da; LOTUFO NETO, FranciscobookPart Psiquiatria e cultura(2019) CARVALHO, Luciana de Andrade; CRUZ, Janaína Alves Sampaio; LOTUFO NETO, Francisco