FABIANA SAFFI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
5 resultados
Resultados de Busca
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 In conclusion, youths with AD showed a withdrawn and reserved personality profile, involving distrust of impulses and avoidance of interactions with peers.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 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.
- 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.
- Assessment of a penitentiary relapse prevention program(2013) SAFFI, Fabiana; LOTUFO NETO, FranciscoTen structured meetings of cognitive-behavioral therapy for relapse prevention were applied with prison inmates. The project had the participation of 28 subjects, divided into a work group and control group (15 and 13 subjects respectively), who were evaluated before and after the intervention. There was no significant difference in reoffending. Despite this, the program reduced the fear of negative evaluation (especially among non-reoffenders) and the Social Stress and Escape Scale score. After one year, reoffenders had lower scores in the Social Stress and Escape Scale and a tendency to have higher scores in the Dysfunctional Attitude Scale.
- Cognitive performance of post-covid patients in mild, moderate, and severe clinical situations(2024) SERAFIM, Antonio de Padua; SAFFI, Fabiana; SOARES, Amanda Rafaella A.; MORITA, Alessandra Mara; ASSED, Mariana Medeiros; TOLEDO, Sandro de; ROCCA, Cristiana C. A.; DURAES, Ricardo S. S.Background Studying individuals with varying symptoms, from mild to severe, can provide valuable insights into the spectrum of cognitive outcomes after COVID-19. We investigated the cognitive performance of adults who recovered from the novel coronavirus disease (COVID-19) without prior cognitive complaints, considering mild (not hospitalized), moderate (ward), and severe (intensive care unit) symptoms.Methods This cross-sectional study included 302 patients who recovered from COVID-19 (mild, n = 102; moderate, n = 102; severe, n = 98). We assessed intellectual quotient (IQ), attention, memory, processing speed, visual-constructive ability, as well as symptoms of depression, anxiety, and stress, at least eighteen months after infection. The mean length of hospitalization was M days=8.2 (SD = 3.9) and M days=14.4 (SD = 8.2) in the moderate and severe groups, respectively.Results Cognitive difficulties were present in all three groups: mild (n = 12, 11.7%), moderate (n = 40, 39.2%), and severe (n = 48, 48.9%). Using Multinomial Logistic Regression and considering the odds ratio, our results indicated that a one-point increase in sustained attention, visual memory, and working memory might decrease the odds of being categorized in the severe group by 20%, 24%, and 77%, respectively, compared to the mild group.Conclusions Our findings provide empirical evidence regarding the long-term cognitive effects of COVID-19, particularly in individuals experiencing severe manifestations of the disease. We also highlighted the need for a comprehensive, multidimensional approach in rehabilitation programs to address the enduring cognitive impacts of COVID-19.