FABIANA SAFFI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
5 resultados
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Agora exibindo 1 - 5 de 5
- Personality Characteristics of Children and Adolescents with Anxiety Disorder from a Maternal Perspective: A Brief Report(2023) SANTOS, Erica da Cruz; LOPES, Maria-Cecilia; ASBAHR, Fernando Ramos; RODRIGUES, Camila Luisi; SAFFI, Fabiana; SPRUYT, Karen; SERAFIM, Antonio de Padua; ROCCA, Cristiana Castanho de AlmeidaThe present study assessed the personality characteristics of children and adolescents with anxiety disorder from a maternal perspective. A total of 48 children and adolescents aged between 8 and 17 years participated in this study, which was organized as follows: a clinical group (24 children and adolescents with anxiety disorders and their respective mothers) and a control group (24 children and adolescents without psychiatric diagnosis and their mothers). The participants were submitted to the WASI, CBCL, MASC-2, and EPQ-J tests and their mothers to the SRQ-20 and PIC-2 tests. The results showed higher rates of internalizing symptoms in the clinical group. In addition, patients showed less interest in hobbies, less adherence to social organizations, impairment in social activities, and commitment to school performance compared to the control group. There was a positive correlation between the mothers' symptoms and each of the following PIC-2 domains: somatic concern (p < 0.01) and psychological discomfort (p < 0.01). In conclusion, youths with AD showed a withdrawn and reserved personality profile, involving distrust of impulses and avoidance of interactions with peers. Furthermore, psychoemotional problems of mothers adversely influenced the perception followed by anxiety and adjustment characteristics. More studies are needed to assess the maternal personality in youths with anxiety.
- 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.
- 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.
article 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.- Cognitive Processes and Legal Capacity in Patients With Bipolar Disorder: A Brief Research Report(2022) SAFFI, Fabiana; ROCCA, Cristiana C. A.; TOSCHI-DIAS, Edgar; DURAES, Ricardo S. S.; SERAFIM, Antonio P.The current study verified the association between cognitive process such as attention, executive functioning, and legal capacity in patients with bipolar disorder (BD). The sample consisted of 72 participants, assorted to episodic patients (n = 21), euthymic patients (n = 22), and healthy controls (HCs) (n = 29). We used the following neuropsychological measures: subtests of the Wechsler Abbreviated Intelligence Scale (WASI): vocabulary and matrix reasoning; Continuous Performance Test (CPT); Five Digit Test (FDT); and Rey-Osterrieth Complex Figure (ROCF). Euthymic patients expressed slower processing speed (FDT) compared to HC. They tended to make more errors with slightly worse discrimination, suggesting more impulsiveness (CPT, p < 0.01). On the contrary, episodic patients showed worse discrimination, committed more omissions, were more inconsistent with regard to response speed (CPT-3, p < 0.01), showed more difficulties in organizing their actions (ROCF: copy, p = 0.03), and were more rigid (FDT: flexibility, p = 0.03). The results suggest that bipolar patients in episode express more cognitive impairments that can compromise the quality of legal capacity. These results highlight the need for more protective support for episodic BD patients regarding legal capacity.