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
12 resultados
Resultados de Busca
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- Compulsive sexual behavior and psychopathology among treatment-seeking men in Sao Paulo, Brazil(2013) SCANAVINO, Marco de Tubino; VENTUNEAC, Ana; ABDO, Carmita Helena Najjar; TAVARES, Hermano; AMARAL, Maria Luiza Sant'Ana do; MESSINA, Bruna; REIS, Sirlene Caramello dos; MATTINS, Joao Paulo Lian Branco; PARSONS, Jeffrey T.This study examined compulsive sexual behavior (CSB) and psychopathology in a treatment-seeking sample of men in Sao Paulo, Brazil. Eighty-six men (26% gay, 17% bisexual, 57% heterosexual) who met diagnostic criteria for excessive sexual drive and sexual addiction completed assessments consisting of the Mini International Neuropsychiatric Interview, a structured clinical interview for DSM-IV Axis I Disorders Clinical Version (segment for Impulse Control Disorder), Sexual Compulsivity Scale (SCS), and questions about problematic CSB. The average SCS score for our sample was above the cut-off score reported in other studies, and 72% of the sample presented at least one Axis I psychiatric diagnosis. There were no differences among gay, bisexual, and heterosexual men on SCS scores and psychiatric conditions, but gay and bisexual men were more likely than heterosexual men to report casual sex and sex with multiple casual partners as problematic behaviors. SCS scores were associated with psychiatric co-morbidities, mood disorder, and suicide risk, but diagnosis of a mood disorder predicted higher SCS scores in a regression analysis. The study provides important data on the mental health needs of men with CSB in Sao Paulo, Brazil.
- Treatment effects and adherence of sexually compulsive men in a randomized controlled trial of psychotherapy and medication(2023) SCANAVINO, Marco D. T.; GUIRADO, Alia Garrudo; MARQUES, Joao Miguel; AMARAL, Maria Luiza Sant'Ana Do; MESSINA, Bruna; REIS, Sirlene Caramello Dos; BARROS, Vivian Boschesi; ABDO, Carmita Helena Najjar; TAVARES, Hermano; PARSONS, Jeffrey T.Background: Little attention has been given to efficacious treatment and adherence to treatment of compulsive sexual behavior (CSB). Aims: Randomized controlled trial investigated short-term psycho -dynamic group therapy followed by relapse prevention group (STPGP-RPGT) and pharmacological treatment (PT) for CSB men on sexual compulsivity and adherence. Method: 135 men, 38 (SD = 9) years old on average, were randomly assigned to 1) STPGP-RPGT; 2) PT; 3) Both. Participants completed measures at baseline, 25th, and 34th week. 57 (42.2%) participants dropped out between baseline and 25th week, and 68 (50.4%) between baseline and 34th week. 94 (69.6%) did not adhere (80% pills taken or attended 75% therapy sessions). Results: A significant interaction effect was found between time and group (F (4, 128) = 2.62, P = 0.038, ES = 0.08), showing who received PT improved less in sexual compulsivity than those who received STPGP-RPGT (t = 2.41; P = 0.038; ES = 0.60) and PT thorn STPGP-RPGT (t = 3.15; P = 0.007, ES = 0.74). Adherent participants improved more in sexual compulsivity than non-adherent at the 25th week (t = 2.82; P = 0.006, ES = 0.65) and 34th week (t = 2.26; P = 0.027, ES = 0.55), but there was no interaction effect, F (2, 130) = 2.88; P = 0.06; ES = 0.04). The most reported behavior (masturbation) showed greater risk of non-adherence (72.6%). Discussion and conclusions: Adherent participants improved better than non-adherent. Participants who received psychotherapy improved better than those who received PT. Methodological limitations preclude conclusions on efficacy.
conferenceObject COMPULSIVE SEXUAL BEHAVIOR AND PSYCHOPATHOLOGY AMONG TREATMENT-SEEKING MEN IN SAO PAULO, BRAZIL(2013) SCANAVINO, Marco de Tubino; VENTUNEAC, Ana; ABDO, Carmita Helena Najjar; TAVARES, Hermano; AMARAL, Maria Luiza Sant'Anna do; MESSINA, Bruna; REIS, Sirlene Caramello dos; MARTINS, Joao Paulo Lian Branco; PARSONS, Jeffrey T.- Sexual Compulsivity Scale, Compulsive Sexual Behavior Inventory, and Hypersexual Disorder Screening Inventory: Translation, Adaptation, and Validation for Use in Brazil(2016) SCANAVINO, Marco de T.; VENTUNEAC, Ana; RENDINA, H. Jonathon; ABDO, Carmita H. N.; TAVARES, Hermano; AMARAL, Maria L. S. do; MESSINA, Bruna; REIS, Sirlene C. dos; MARTINS, Joao P. L. B.; GORDON, Marina C.; VIEIRA, Julie C.; PARSONS, Jeffrey T.Epidemiological, behavioral, and clinical data on sexual compulsivity in Brazil are very limited. This study sought to adapt and validate the Sexual Compulsivity Scale (SCS), the 22-item version of the Compulsive Sexual Behavior Inventory (CSBI-22), and the Hypersexual Disorder Screening Inventory (HDSI) for use in Brazil. A total of 153 participants underwent psychiatric assessment and completed self-reported measures. The adaptation process of the instruments from English to Portuguese followed the guidelines of the International Society for Pharmacoeconomics and Outcomes Research. The reliability and validity of the HDSI criteria were evaluated and the construct validity of all measures was examined. For the SCS and HDSI, factor analysis revealed one factor for each measure. For the CSBI-22, four factors were retained although we only calculated the scores of two factors (control and violence). All scores had good internal consistency (alpha >.75), presented high temporal stability (>.76), discriminated between patients and controls, and presented strong (rho > .81) correlations with the Sexual Addiction Screening Test (except for the violence domain = .40) and moderate correlations with the Impulsive Sensation Seeking domain of the Zuckerman Kuhlman Personality Questionnaire (rho between .43 and .55). The sensitivity of the HDSI was 71.93 % and the specificity was 100 %. All measures showed very good psychometric properties. The SCS, the HDSI, and the control domain of the CSBI-22 seemed to measure theoretically similar constructs, as they were highly correlated (rho > .85). The findings support the conceptualization of hypersexuality as a cluster of problematic symptoms that are highly consistent across a variety of measures.
- Excessive Sexual Drive after Mercury Poisoning: A Case Report(2022) ASCIUTTI, Antonio P. R.; MESSINA, Bruna; TAVARES, Hermano; SCANAVINO, Marco D. T.Mercury poisoning induces neuropsychiatric symptoms. This study reports a clinical case of Excessive Sexual Drive (ESD) after mercury poisoning and its treatment. A 50-year-old man was referred to treatment because of persistent sexual urge after mercury poisoning. He took paroxetine under medical follow-up and received orientations addressing ESD. His mental status was accessed with neuropsychological test and using psychiatric scales. Sexual urge, impulsivity, and behavior became milder. Scores on neuropsychological test and on scales showed a decrease on anxiety, depression, and impulsivity. ESD can possibly occur after mercury poisoning. Paroxetine showed itself useful to control the sexual urge.
- Executive Functioning of Sexually Compulsive and Non-Sexually Compulsive Men Before and After Watching an Erotic Video(2017) MESSINA, Bruna; FUENTES, Daniel; TAVARES, Hermano; ABDO, Carmita H. N.; SCANAVINO, Marco de T.Introduction: Despite the serious behavioral consequences faced by individuals with sexual compulsivity, related neuropsychological studies are sparse. Aim: To compare decision making and cognitive flexibility at baseline and after exposure to an erotic video in sexually compulsive participants and non-sexually compulsive controls. Methods: The sample consisted of 30 sexually compulsive men and 30 controls. Cognitive flexibility was investigated through the Wisconsin Card Sorting Test and decision making was examined through the Iowa Gambling Task. Main Outcome Measures: Wisconsin Card Sorting Test categories, correct responses, and perseverative errors and Iowa Gambling Task general trends and blocks. Results: Sexually compulsive subjects and controls performed similarly at baseline. After watching an erotic video, controls performed better in block 1 of the Iowa Gambling Task (P = .01) and had more correct responses on the Wisconsin Card Sorting Test (P = .01). Conclusions: The controls presented fewer impulsive initial choices and better cognitive flexibility after exposure to erotic stimuli.
- Personality among Sexually Compulsive Men Who Practice Intentional Unsafe Sex in Sao Paulo, Brazil(2015) AMARAL, Maria Luiza S. do; ABDO, Carmita H. N.; TAVARES, Hermano; SCANAVINO, Marco de TubinoIntroductionThere is evidence of an association between the practice of intentional unsafe sex among men who have sex with men (MSM) and sensation seeking and impulsivity. However, other aspects of personality have been less frequently investigated. AimsThis study aims to investigate the association between the practice of intentional unsafe sex and personality traits in individuals who sought treatment and met the criteria for compulsive sexual behavior in SAo Paulo, Brazil. MethodsThe sample consisted of 69 sexually compulsive MSM. The participants underwent psychiatric evaluation and an interview to define intentional condomless sex and completed self-report instruments. Main Outcome MeasuresThe participants completed the following measures: the Temperament and Character Inventory and the Sexual Compulsivity Scale. ResultsTwenty-five participants (36%) reported intentional unsafe sex with casual partners, of whom 84% were gay and 16% bisexual (P<0.05). Fifteen (22%) individuals reported being HIV positive, and 11 (73%) of them practiced intentional unprotected anal intercourse (P<0.05). The mean of sexual compulsivity was associated with men who engaged in intentional unsafe sex (P=0.01). Men who reported intentional unsafe sex scored significantly higher on the novelty seeking temperament dimension (P<0.05) and scored significantly lower on the self-directedness character dimension (P<0.001). However, self-directedness predicted intentional unsafe sex in the multiple logistic regression (P=0.001). ConclusionsSexually compulsive individuals who practiced intentional unsafe sex presented lower self-directedness than the group who did not engage in intentional unsafe sex, which suggests less autonomy regarding life itself. To the best of our knowledge, this is the first study to consider intentional unsafe sex in sexually compulsive men. Amaral MLS, Abdo CHN, Tavares H, and Scanavino MdeT. Personality among sexually compulsive men who practice intentional unsafe sex in SAo Paulo, Brazil. J Sex Med 2015;12:557-566.
conferenceObject SEXUAL COMPULSIVITY, ANXIETY, DEPRESSION AND SEXUAL RISK BEHAVIOR AMONG TREATMENT-SEEKING MEN IN SAO PAULO, BRAZIL(2013) SCANAVINO, Marco de Tubino; VENTUNEAC, Ana; ABDO, Carmita Helena Najjar; TAVARES, Hermano; AMARAL, Maria Luiza Sant'Anna do; MESSINA, Bruna; REIS, Sirlene Caramello dos; MARTINS, Joao Paulo Lian Branco; PARSONS, Jeffrey T.- Five cases of sexual addiction under Short-term Psychodynamic Group Psychotherapy(2013) SCANAVINO, Marco de Tubino; KIMURA, Cintia Mayumi Sakurai; MESSINA, Bruna; ABDO, Carmita Helena Najjar; TAVARES, Hermano
- Demographic and psychiatric correlates of compulsive sexual behaviors in gambling disorder(2019) COWIE, Megan E.; KIM, Hyoun S.; HODGINS, David C.; MCGRATH, Daniel S.; SCANAVINO, Marco D. T.; TAVARES, HermanoBackground and aims: Gambling disorder (GD) and compulsive sexual behavior (CSB) may commonly co-occur. Yet, the psychiatric correlates of these co-occurring disorders are an untapped area of empirical scrutiny, limiting our understanding of appropriate treatment modalities for this dual-diagnosed population. This study examined the demographic and clinical correlates of CSB in a sample of treatment-seeking individuals with GD (N = 368) in Sao Paulo, Brazil. Methods: Psychiatrists and psychologists conducted semi-structured clinical interviews to identify rates of CSB and other comorbid psychiatric disorders. The Shorter PROMIS Questionnaire was administered to assess additional addictive behaviors. The TCI and BIS-11 were used to assess facets of personality. Demographic and gambling variables were also assessed. Results: Of the total sample, 24 (6.5%) met diagnostic criteria for comorbid CSB (GD + CSB). Compared to those without compulsive sexual behaviors (GD - CSB), individuals with GD + CSB were more likely to be younger and male. No differences in gambling involvement emerged. Individuals with GD + CSB tended to have higher rates of psychiatric disorders (depression, post-traumatic stress disorder, and bulimia nervosa) and engage in more addictive behaviors (problematic alcohol use, drug use, and exercise) compared to GD - CSB. Those with GD + CSB evidenced less self-directedness, cooperativeness, self-transcendence, and greater motor impulsivity. Logistic regression showed that the predictors of GD + CSB, which remained in the final model, were being male, a diagnosis of bulimia, greater gambling severity, and less self-transcendence. Discussion and conclusion: Given those with GD + CSB evidence greater psychopathology, greater attention should be allocated to this often under studied comorbid condition to ensure adequate treatment opportunities.