FABIANA SAFFI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
bookPart Introdução ao conceito de transtornos do comportamento e prejuízos da empatia(2015) SERAFIM, Antonio de Pádua; SAFFI, Fabiana- Psychological evaluation of children victims of sexual abuse: development of a protocol(2020) MARQUES, Natali Maia; BELIZARIO, Gabriel Okawa; ROCCA, Cristiana Castanho de Almeida; SAFFI, Fabiana; BARROS, Daniel Martins de; SERAFIM, Antonio de PaduaSexual abuse (SA) is associated with significant psychological problems in childhood, making it increasingly important to develop evaluation protocols. This study examined clinical aspects and cognitive measures of 49 children (24 with SA history and 25 controls). It employed a SA assessment questionnaire, clinical evaluations of posttraumatic stress disorder, risk indicators and neuropsychological tests in order to elaborate a specific forensic psychological evaluation protocol for this population. Conflicting couples (80%), separated parents (68%) and parents' alcohol/drug abuse (76%) were revealed as major risk factors. Fathers represented the primary perpetrator (24%). The main cognitive complaint was difficulty concentrating. Regarding the association between clinical and cognitive variables, it was observed that children who were anxious or referred to having fear, difficulties with operational memory and difficulty sleeping, had more trouble performing tasks that required attention and memory (operational, immediate and late). Children with SA history demonstrated inferior performance in visual attention/task switching and memory; with an emphasis in the loss of set in the Wisconsin test. The findings suggest the possibility of a primary attention deficit in children with SA history, possibly influencing the performance of other cognitive functions.
bookPart Transtornos do comportamento e prejuízos da empatia: introdução ao conceito(2022) SERAFIM, Antonio de Pádua; SAFFI, Fabiana- Psychological demands of health professionals in the initial phase of the COVID-19 pandemic(2022) SILVA, Miryam Cristina Mazieiro Vergueiro da; IOSCHPE, Bruno; DINIZ, Fernanda Santos; OLIVEIRA, Graca Maria Ramos de; SAFFI, Fabiana; SOARES, Amanda Rafaella Abreu; ROCCA, Cristiana Castanho de Almeida; SERAFIM, Antonio de PaduaRecent literature emphasizes how the specific stressors of the COVID-19 outbreak affect the general population and frontline professionals, including those conducting support or backup activities in health units, which can lead to vicarious traumatization. Vicarious traumatization has been used to describe negative emotional reactions in mental health professionals who assist or treat victims of traumatic events. Thus, the aim of this article is to report the actions used in the face of the psychological demands of professionals in a hospital, who were not on the frontline of COVID-19. We collected their sociodemographic information and checked the psychological impact using the depression, anxiety, and stress scale (DASS-21), which was followed by a psychoeducational program (topics related to COVID-19 control and prevention), and individual psychological care for the most severe cases. A total of 118 professionals participated in this study; they were between 20 and 67 years old. Mild to moderate anxiety was observed in 36.5% of the medical teams, 83.3% of the administrative staff, and 65.7% of general service workers, while stress symptoms were observed in 80.2%, 83.3%, and 59.9%, respectively. Depressive symptoms (35.3%) were more frequent in general service workers. The medical teams reported the benefits of primary psychological care, while the other professionals demanded more institutional support services related to the prevention and use of personal protective equipment. This study highlights relevant psychological demands that have repercussions on the daily lives of professionals. The psychoeducational program was considered positive regarding clarification actions. However, it was not perceived as effective in reducing fear, which may result from vicarious traumatization and requires other intervention modalities.
- Exploratory study on the psychological impact of COVID-19 on the general Brazilian population(2021) SERAFIM, Antonio P.; DURAES, Ricardo S. S.; ROCCA, Cristiana C. A.; GONCALVES, Priscila D.; SAFFI, Fabiana; CAPPELLOZZA, Alexandre; PAULINO, Mauro; DUMAS-DINIZ, Rodrigo; BRISSOS, Sofia; BRITES, Rute; ALHO, Laura; LOTUFO-NETO, FranciscoThe COVID-19 pandemic has become one of the main international concerns regarding its impact on mental health. The present study aims to investigate the prevalence of depression, anxiety, and stress symptoms, and behavioral aspects amidst the COVID-19 pandemic in a Brazilian population. An online survey was administered from May 22 to June 5, 2020 using a questionnaire comprising of sociodemographic information, the Depression, Anxiety, and Stress Scale (DASS-21), and the Coping Strategies Inventory. Participants comprised 3,000 people from Brazil's 26 states and the Federal District, with an average age of 39.8 years, women (83%), married (50.6%), graduates (70.1%) and employees (46.7%). Some contracted the virus (6.4%) and had dead friends or relatives (22.7%). There was more consumption of drugs, tobacco, medication, and food (40.8%). Almost half of participants expressed symptoms of depression (46.4%), anxiety (39.7%), and stress (42.2%). These were higher in women, people without children, students, patients with chronic diseases, and people who had contact with others diagnosed with COVID-19. The existence of a group more vulnerable to situations with a high stress burden requires greater attention regarding mental health during and after the pandemic. That said, it should be emphasized that these findings are preliminary and portray a moment still being faced by many people amid the pandemic and quarantine measures. Therefore, we understand that the magnitude of the impacts on mental health will only be more specific with continuous studies after total relaxation of the quarantine.
- Differential Diagnosis Findings Between Alzheimer's Disease and Major Depressive Disorder: A Review(2022) DURAES, Ricardo Silva dos Santos; YOKOMIZO, Juliana Emy; SAFFI, Fabiana; ROCCA, Cristiana Castanho de Almeida; SERAFIM, Antonio de PaduaBackground: Differentiating diagnosis between Alzheimer's disease and major depressive disorder in the elderly is a great clinical challenge. This study aimed to identify the establishment of differential diagnosis protocols between Alzheimer's disease and major depressive disorder. Methods: We searched studies in the Ovid MEDLINE, EMBASE, PsycINFO, and Web of Science databases between 2009 and 2019. A total of 155 references were found for searching relevant articles using Boolean search. After exclusion of redundancies and assessing of title, abstract, and full text for eligibility, 11 articles were selected. The total sample size was 1077 distributed in 8 different countries. Results: Significant results were found for differential diagnosis between Alzheimer's disease and major depressive disorder, such as overall mental status, episodic memory, visuospatial construction, delayed recognition task, semantic verbal fluency, visual task in short-term memory, atrophy of the hippocampus, cortical activation in specific tasks, and cerebrospinal fluid biomarkers. Conclusion: These findings are good pathways for discriminating Alzheimer's disease from major depression in the elderly.
bookPart Perícias em direito de família(2015) SERAFIM, Antonio de Pádua; SAFFI, Fabiana; BARROS, Daniel Martinsarticle 15 Citação(ões) na Scopus Dados demográficos, psicológicos e comportamentais de crianças e adolescentes vítimas de abuso sexual(2011) SERAFIM, Antonio de Padua; SAFFI, Fabiana; ACHA, Maria Fernanda Faria; BARROS, Daniel Martins deBackground: There is a well known relationship between sexual abuse in children and mental health disorders, which is seen both in clinical practice as in the scientific literature. Objective: To describe demographic profile as well as behavioral and emotional features of a cohort of children and adolescents sexually abused. Metodo: 205 children and adolescent, ranging from 6 to 14 years old, 130 girls (age 9.6 +/- 3.4 yo) and 75 boys (age 7.2 +/- 2.9 yo) were evaluated due to being victims of sexual abuse between the years 2005 and 2009. Gender, age, relationship with the perpetrator, psychological and psychiatric symptoms, behavioral and affective-emotional features (blame, shame, fearfulness, male and female figures image and self perception) were all properly evaluated. Results: Girls were the main victims (63.4%). The riskier age ranging from 7 to 10 yo (48.5%) among then, and from 3 to 6 yo (54.6%) for the boys. Fathers are the major perpetrators (38%) followed by step-fathers (29%). Boys and girls show high risk for depression and Post-traumatic stress disorder (PTSD) symptoms. Girls tend to be more sexualized whilst boys tend to isolate themselves. Discussion: This research allowed to identify an important set of psychological, psychiatric and behavioral characteristics that affect the normal emotional development of children and adolescents.bookPart Avaliação multidisciplinar em psiquiatria forense(2021) SERAFIM, Antonio de Pádua; SAFFI, Fabiana; PAIVA, Henrique Soares; BARROS, Daniel Martins de- Forensic neuropsychological assessment: a review of its scope(2015) SERAFIM, Antonio De Pádua; SAFFI, Fabiana; SILVA, Thais Guerra Barbosa Da; ALMEIDA, Camila Viana De; HOKAMA, Erica; BARROS, Daniel Martins De; DIAS, Alvaro MachadoBackground Issues related to the field of mental health and justice require a multifactorial understanding of the possible causes of such issues. Objective To conduct an integrative literature review of controlled studies describing forensic neuropsychological assessment. Methods The articles were compiled and analyzed in two phases: 1) first, we retrieved all papers in PubMed by the keywords “Forensic Neuropsychology” and generated a growth curve for the subject and a cluster-based thematic distribution of publications. 2) We then conducted a curated analysis of all relevant papers indexed in Medline, PubMed and ISI, between 2000 and 2012. Results The evolution of the field during the last 15 years reveals an unstable growth pattern and three main thematic clusters. In terms of our curated analysis, a total of 390 articles were pre-selected, resulting in the selection of 44 fully-relevant studies, which comprise four main categories: cognitive damage in forensic psychiatric patients; imitation of cognitive damage; civil capacity, penal liability and violence risk; and validation of neuropsychological assessment tools. Discussion Two aspects appeared as the most relevant in this study: growth in the use of neuropsychological assessment as a diagnostic tool in the forensic context; and the necessity to enhance conformity in assessments.