HERMANO TAVARES
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Psiquiatria, Faculdade de Medicina - Docente
LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica, Hospital das Clínicas, Faculdade de Medicina
LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica, Hospital das Clínicas, Faculdade de Medicina
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article 4 Citação(ões) na Scopus Validation of scales for pathological love assessment(2011) BERTI, Marina Perito; ZILBERMAN, Monica Levit; SOPHIA, Eglacy Cristina; GORENSTEIN, Clarice; PEREIRA, Ana Paula; LORENA, Andrea; MELLO, Cidalia; CORDAS, Taki Athanassios; TAVARES, HermanoBackground: Several methodologies were developed to validate psychometric instruments. However, there are, in the scientific literature, a lack of instruments to evaluate romantic relationship. Objective: The present work aims at validating into Portuguese the content of the self-report Love Attitudes Scale (Escala de Atitudes do Amor - Hendrick et al., 1998), the Relationship Assessment Scale (Escala de Avaliacao do Relacionamento - Hendrick, 1988), and the Adult Attachment Types (Tipos de Apego do Adulto - Hazan et al., 1987), taking the Brazilian cultural context into consideration, thus rendering the study of pathological love in the Brazilian population feasible. Methods: Such process involved four stages: (1) translation into Portuguese, (2) back translation, (3) presentation of the translated version to mental health professionals and university students, and (4) application of the final version in a sample of the target population using a rating scale. Results: The scales were easily understood and significantly discriminated individuals with pathological love and healthy volunteers. Discussion: Our results show that the Brazilian version of these instruments is valid and may be used in investigations involving romantic relationships.- Body Dysmorphic Disorder in Patients Seeking Abdominoplasty, Rhinoplasty, and Rhytidectomy(2016) BRITO, Maria Jose Azevedo de; NAHAS, Fabio Xerfan; CORDAS, Taki Athanassios; TAVARES, Hermano; FERREIRA, Lydia MasakoBackground: Body dysmorphic disorder may negatively affect self-perception of body shape and lead patients to seek cosmetic surgery. This study estimates the level of body dissatisfaction and prevalence of body dysmorphic disorder symptoms in candidates for three plastic surgical procedures. Methods: Three hundred patients of both sexes divided into three groups (abdominoplasty, n = 90; rhinoplasty, n =151; and rhytidectomy, n =59) were classified as having (n =51, n =79, and n =25, respectively) or not having (n =39, n =72, and n =34, respectively) body dysmorphic disorder symptoms, based on the Body Dysmorphic Disorder Examination, which was administered preoperatively. Results: Prevalence rates of body dysmorphic disorder symptoms in the abdominoplasty, rhinoplasty, and rhytidectomy groups were 57, 52, and 42 percent, respectively. Significant between-group differences were observed regarding age (p < 0.001), body mass index (p = 0.001), and onset of body dysmorphic disorder symptoms (p < 0.001). Within-group differences in body dysmorphic disorder severity were observed in the abdominoplasty (p < 0.001), rhinoplasty (p < 0.001), and rhytidectomy (p = 0.005) groups. Body dysmorphic disorder severity was significantly associated with degree of body dissatisfaction (mean Body Dysmorphic Disorder Examination total scores; p < 0.001), avoidance behaviors (p< 0.001), sexual abuse (p = 0.026), suicidal ideation (p < 0.001), and suicide attempt (p = 0.012). Conclusions: Abdominoplasty candidates showed the highest prevalence; rhytidectomy candidates exhibited the highest percentage of severe cases, and rhinoplasty candidates had the lowest percentage of severe cases.
bookPart Transtorno dismórfico corporal(2021) BRITO, Maria José Azevedo de; TAVARES, Hermano; CORDáS, Táki Athanássios- Reply: The Continuous Nature of Body Dysmorphic Symptoms and Plastic Surgery(2016) BRITO, Maria Jose Azevedo de; NAHAS, Fabio Xerfan; CORDAS, Taki Athanassios; TAVARES, Hermano; FERREIRA, Lydia Masako
- Avaliação da equivalência semântica e consistência interna de uma versão em português do Internet Addiction Test (IAT)(2012) CONTI, Maria Aparecida; JARDIM, Adan Pelegrino; HEARST, Norman; CORDAS, Taki Athanassios; TAVARES, Hermano; ABREU, Cristiano Nabuco deObjective: The aim of this study was to cross-culturally adapt the Internet Addiction Test (IAT) to the Portuguese language. Methods: The translation and evaluation process consisted of five steps: (1) translation; (2) back-translation; (3) peer review and evaluation of semantic equivalency by experts; (4) instrument evaluation through a sample of students, by evaluating their understanding level; and (5) analysis of the instrument's internal consistency (Cronbach's alpha-coefficient). Results: The instrument was translated and adapted to Portuguese. As shown, the Portuguese version of the IAT was easily understood and the internal consistency value was 0.85. Discussion: The translated and adapted IAT displays a satisfactory internal consistency. In a further step, measurement and reproducibility analyses have to be conducted.
- Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty(2014) FELIX, Gabriel Almeida Arruda; BRITO, Maria Jose Azevedo de; NAHAS, Fabio Xerfan; TAVARES, Hermano; CORDAS, Taki Athanassios; DINI, Gal Moreira; FERREIRA, Lydia MasakoBody dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery. BDD is also a challenge for plastic surgeons because it is still an underdiagnosed mental disorder. The aims of this study were to prospectively investigate whether patients with mild to moderate BDD are suitable for rhinoplasty, and to assess BDD severity and patient satisfaction with the surgical outcome 1 year after the intervention. All women (n = 116) seeking rhinoplasty at a university hospital between September 2009 and August 2010 were recruited for the study and assessed for BDD. The final sample consisted of 31 patients aged 32 (standard deviation (SD), 10) years with mild to moderate BDD who underwent rhinoplasty. The participants were assessed preoperatively (baseline) and 1 year postoperatively with the Body Dysmorphic Disorder Examination (BDDE). Most patients (22/31, 71%) were of African descent. Socio-demographic variables and the extent of the nasal deformities had no effect on the severity of BDD symptoms and patient satisfaction with surgery outcome. At the 1-year postoperative follow-up, there was a significant decrease from baseline in BDDE scores and time spent by patients worrying about their appearance; 25 (25/31, 81%) patients experienced complete remission from BDD and 28 (28/31, 90%) were satisfied with the results of surgery. Rhinoplasty may be indicated in the treatment of female patients with mild to moderate BDD.
bookPart Tratamento do transtorno dismórfico corporal(2021) CORDáS, Táki Athanássios; BRITO, Maria José Azevedo de; TAVARES, Hermano- Treating kleptomania: cross-cultural adaptation of the Kleptomania Symptom Assessment Scale and assessment of an outpatient program(2015) CHRISTIANINI, Aparecida Rangon; CONTI, Maria Aparecida; HEARST, Norman; CORDAS, Taki Athanassios; ABREU, Cristiano Nabuco de; TAVARES, HermanoBackground: Kleptomania is characterized by repetitive stealing and has severe consequences for patients. Stigma, a lack of standardized therapy and a limited number of assessment tools hinder advances in treatment. This study provides preliminary data on the Portuguese-language version of the Kleptomania Symptom Assessment Scale (P-K-SAS) and preliminary data on an outpatient program. Methods: Experts in the field analyzed an initial P-K-SAS version, produced through translation/back-translation, in order to arrive at a final version. Eight patients currently on cognitive-behavioral therapy (CBT) and 10 patients under maintenance CBT were initially assessed, then re-assessed 6 months later. Results: The mean P-K-SAS score was higher among patients initiating CBT than among those under maintenance CBT (21.1 +/- 8.0 vs. 11.3 +/- 7.5; Mann-Whitney U= 15.0, P = .024). The final version of the P-K-SAS presented excellent reliability (Cronbach's alpha = 0.980; inter-item correlation, 0.638-0.907). Conclusions: The P-K-SAS presented solid psychometrics and seems ready for use in assessing the effectiveness of treatments for kleptomania. The findings suggest that kleptomania patients need follow-up treatment that goes beyond the traditional 12-session structure.
- Body dysmorphic disorder should not be considered an exclusion criterion for cosmetic surgery(2015) BRITO, Maria Jose Azevedo de; FELIX, Gabriel de Almeida Arruda; NAHAS, Fabio Xerfan; TAVARES, Hermano; CORDAS, Taki Athanassios; DINI, Gal Moreira; FERREIRA, Lydia Masako