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
25 resultados
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bookPart Aspectos impulsivos da obesidade(2015) KAUFMAN, Arthur; TAVARES, Hermano; DURANTE, Cristiane Ruiz- Alcohol Abuse Management in Primary Care: An e-Learning Course(2015) PEREIRA, Celina Andrade; WEN, Chao Lung; TAVARES, HermanoBackground: The mental health knowledge gap challenges public health. The Alcohol Abuse Management in Primary Care (AAMPC) is an e-learning course designed to cover alcohol-related problems from the primary care perspective. The goal of this study was to verify if the AAMPC was able to enhance healthcare professionals' alcohol-related problems knowledge. Materials and Methods: One hundred subscriptions for the AAMPC were offered through the federal telehealth program. The course was instructor-led and had nine weekly classes, delivered synchronously or asynchronously, at the students' convenience, using a varied array of learning tools. At the beginning, students took a test that provided a positive score, related to critical knowledge for clinical management, and a negative score, related to misconceptions about alcohol-related problems. The test was repeated 2 months after course completion. Results: Thirty-three students completed the course. The positive score improved significantly (p<0.001), but not the negative score. Students with previous experience with e-courses presented greater improvement on the positive score (p<0.036). Eighty-percent of the students thought the course excelled in meeting its objectives. Web conferences and video and audio recordings were the most appreciated learning tools. Course satisfaction was negatively related to frequency of Internet access (Spearman's rho=-0.455, p=0.022). Conclusions: E-learning was highly appreciated as a learning tool, especially by students with the least frequency of Internet use. Nonetheless, it worked better for those previously familiar with e-courses. The AAMPC e-course provided effective knowledge transmission and retention. Complementary strategies to reduce misconceptions about alcohol-related problems must be developed for the training of primary care staff.
- Telemental health in Brazil: past, present and integration into primary care(2015) DIAS, Rodrigo Da Silva; MARQUES, Andrea De Fatima Horvath; DINIZ, Paula Rejane Bezerra; SILVA, Tatiana Araújo Bertilino Da; COFIEL, Luciana; MARIANI, Mirella Martins De Castro; SALGADO, Christiana Leal; OLIVEIRA, Ana Emilia Figueiredo De; MIGUEL FILHO, Euripedes Constantino; WEN, Chao Lung; NOVAES, Magdala De Araújo; TAVARES, HermanoBackground Telemental Health Care has reported very good results and is included within mental health priorities by the World Health Organization. Objective To provide an overview of the current situation of the integration of Brazilian telemedicine activities into primary health care. Methods Critical review based on MEDLINE database, using the keywords “telemedicine”, “primary health care” “mental health” and “telemental health”, on websites of the Brazilian Ministry of Health and Brazilian Telehealth Network Program, and on personal communication. Results The Brazilian Telehealth Network Program is well positioned and connects primary health care with academic centers. Regulations standards allow a broader scope of activities for psychologists, however, are more restrictive for physicians. In Brazil most of telemental health activities are focused on education and second opinion consulting. A huge challenge must be overcome considering the regional differences and the telehealth implementation experience. Research initiatives have been initiated both in the implementation and evaluation of the mental health assistance into primary health care. Discussion Brazilian Telemental Health initiatives into Primary Care are aligned with other examples around the world, have a great potential for improving mental health care service delivery, and access to proper mental health care, especially if articulated in a national program and coordinated research.
article 1 Citação(ões) na Scopus Cross-cultural comparison of compulsive stealing (kleptomania)(2015) GRANT, Jon E.; ODLAUG, Brian L.; MEDEIROS, Gustavo; CHRISTIANINE, Aparecida R.; TAVARES, HermanoconferenceObject Increased Insula Activity Is Associated with Improved Mood in Healthy Subjects on Clomipramine(2015) BUSATTO, Geraldo; PHILLIPS, Mary L.; CERQUEIRA, Carlos T.; ZILBERMAN, Monica; LOBO, Daniela; HENNA, Elaine; TAVARES, Hermano; AMARO, Edson; LEITE, Claudia C.; GORENSTEIN, Clarice; GENTIL, Valentim; ALMEIDA, Jorge R. C.bookPart Transtorno do controle do impulso e suas interfaces com transtorno de personalidade borderline e outros transtornos de personalidade(2015) BOTTURA, Henrique Moura Leite; RODRIGUES, Ricardo Asensio; TAVARES, HermanobookPart Psicopatologia e classificação diagnóstica da impulsividade(2015) MEDEIROS, Gustavo Costa; TAVARES, HermanobookPart Tricotilomania(2015) TOLEDO, Edson Luiz; MUNIZ, Enilde De Togni; TAVARES, Hermano- Gambling disorder in older adults: A cross-cultural perspective(2015) MEDEIROS, Gustavo Costa; LEPPINK, Eric; YAEMI, Ana; MARIANI, Mirella; TAVARES, Herman; GRANT, JonIntroduction: Gambling disorder (GD) in older adults is significantly increasing and became an important public health issue in different countries. However, little is known regarding GD in older adults. The prevalence and acceptance of gambling vary among different cultures and this raises the question of how and to what extent culture affects older gamblers. The majority of the important studies regarding GD in older adults have been conducted mainly in Anglo-Saxon cultures and little information is available regarding GD in other cultures. The objective of this paper is to perform the first standardized cross-cultural comparison regarding older adults presenting GD. Methods: The total studied sample involved 170 subjects: 89 from the Brazilian (BR) sample and 81 from the American (US) sample. It consisted of 67 men and 103 women (average age = 64.42, standard deviation = +/- 3.86). They were evaluated for socio-demographics, gambling behavior variables and psychiatric antecedents. Results: Overall, there were significant differences between BR and US older adult gamblers in marital status, onset of gambling activity, onset of GD and urge scores. Discussion: This study showed that there are important differences in gambling course, gambling behavior and personal antecedents between two samples of older adults presenting GD from countries with different social-cultural background. It weakens the possibility of generalization of results found in Anglo-Saxon countries to other cultures and reinforces for the need for development of research on GD in older adults outside the Anglo-Saxon culture.
- Group Treatment for Trichotillomania: Cognitive-Behavioral Therapy Versus Supportive Therapy(2015) TOLEDO, Edson Luiz; MUNIZ, Enilde De Togni; BRITO, Antonio Marcelo Cabrita; ABREU, Cristiano Nabuco de; TAVARES, HermanoObjective: Trichotillomania is a psychiatric condition characterized by the chronic pulling and plucking of one's own hair. Cognitive-behavioral therapy shows promise as a treatment for trichotillomania and might be preferable to pharmacotherapy. However, there have been no randomized, controlled studies of the efficacy of group cognitive-behavioral therapy. Method: We evaluated 44 subjects, recruited from April 2009 to May 2010, all of whom met DSM-IV criteria for a diagnosis of trichotillomania. Subjects were randomized to receive 22 sessions of either group cognitive-behavioral therapy or group supportive therapy (control). Treatment evaluation was non-blind and used self-report scales. The primary outcome measure was the improvement of hair-plucking behavior as assessed by the Massachusetts General Hospital Hairpulling Scale. Secondary measures included scores on the Beck Depression Inventory, the Beck Anxiety Inventory, and the Social Adjustment Scale-Self-Report. Results: Both groups showed significant posttreatment improvement in the scores from the Massachusetts General Hospital Hairpulling Scale (F = 23.762, P < .001) and the Beck Depression Inventory (F = 6.579, P = .003). The decrease in hair-plucking behavior over time was significantly greater in the study group than in the control group (F = 3.545, P < .038). There were no significant differences between the pretreatment and posttreatment time points or between the groups in the scores from the Beck Anxiety Inventory and the Social Adjustment Scale-Self-Report. Conclusions: We conclude that group cognitive-behavioral therapy is a valid treatment for trichotillomania. This treatment model should be further revised and expanded to address comorbidities such as anxiety and social maladjustment. (C) Copyright 2014 Physicians Postgraduate Press, Inc.
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