HERMANO TAVARES

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Departamento de Psiquiatria, Faculdade de Medicina - Docente
LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica, Hospital das Clínicas, Faculdade de Medicina

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  • article 25 Citação(ões) na Scopus
    N-acetylcysteine in the treatment of skin-picking disorder
    (2014) SILVA-NETTO, Regina; JESUS, Gustavo; NOGUEIRA, Marcelo; TAVARES, Hermano
  • article 9 Citação(ões) na Scopus
    Alcohol Abuse Management in Primary Care: An e-Learning Course
    (2015) PEREIRA, Celina Andrade; WEN, Chao Lung; TAVARES, Hermano
    Background: 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.
  • article 0 Citação(ões) na Scopus
    Impairments of kleptomania: what are they?
    (2017) KIM, Hyoun S.; CHRISTIANINI, Aparecida Rangon; HODGINS, David C.; TAVARES, Hermano
  • article 4 Citação(ões) na Scopus
    Validation of scales for pathological love assessment
    (2011) BERTI, Marina Perito; ZILBERMAN, Monica Levit; SOPHIA, Eglacy Cristina; GORENSTEIN, Clarice; PEREIRA, Ana Paula; LORENA, Andrea; MELLO, Cidalia; CORDAS, Taki Athanassios; TAVARES, Hermano
    Background: Several methodologies were developed to validate psychometric instruments. However, there are, in the scientific literature, a lack of instruments to evaluate romantic relationship. Objective: The present work aims at validating into Portuguese the content of the self-report Love Attitudes Scale (Escala de Atitudes do Amor - Hendrick et al., 1998), the Relationship Assessment Scale (Escala de Avaliacao do Relacionamento - Hendrick, 1988), and the Adult Attachment Types (Tipos de Apego do Adulto - Hazan et al., 1987), taking the Brazilian cultural context into consideration, thus rendering the study of pathological love in the Brazilian population feasible. Methods: Such process involved four stages: (1) translation into Portuguese, (2) back translation, (3) presentation of the translated version to mental health professionals and university students, and (4) application of the final version in a sample of the target population using a rating scale. Results: The scales were easily understood and significantly discriminated individuals with pathological love and healthy volunteers. Discussion: Our results show that the Brazilian version of these instruments is valid and may be used in investigations involving romantic relationships.
  • article 4 Citação(ões) na Scopus
    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, Hermano
    Background 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 23 Citação(ões) na Scopus
    Gender Differences in Compulsive Buying Disorder: Assessment of Demographic and Psychiatric Co-Morbidities
    (2016) MATTOS, Cristiana Nicoli de; KIM, Hyoun S.; REQUIAO, Marinalva G.; MARASALDI, Renata F.; FILOMENSKY, Tatiana Z.; HODGINS, David C.; TAVARES, Hermano
    Compulsive buying is a common disorder found worldwide. Although recent research has shed light into the prevalence, etiology and clinical correlates of compulsive buying disorder, less is known about gender differences. To address this empirical gap, we assessed potential gender differences in demographic and psychiatric co-morbidities in a sample of 171 compulsive buyers (20 men and 151 women) voluntarily seeking treatment in Sao Paulo, Brazil. A structured clinical interview confirmed the diagnosis of compulsive buying. Of the 171 participants, 95.9% (n = 164) met criteria for at least one co-morbid psychiatric disorder. The results found that male and female compulsive buyers did not differ in problem severity as assessed by the Compulsive Buying Scale. However, several significant demographic and psychiatric differences were found in a multivariate binary logistic regression. Specifically, male compulsive buyers were more likely to report being non-heterosexual, and reported fewer years of formal education. In regards to psychiatric co-morbidities, male compulsive buyers were more likely to be diagnosed with sexual addiction, and intermittent explosive disorder. Conversely, men had lower scores on the shopping subscale of the Shorter PROMIS Questionnaire. The results suggest that male compulsive buyers are more likely to present with co-morbid psychiatric disorders. Treatment planning for compulsive buying disorder would do well to take gender into account to address for potential psychiatric co-morbidities.
  • article 1 Citação(ões) na Scopus
    A scoping review of the association between loot boxes, esports, skin betting, and token wagering with gambling and video gaming behaviors
    (2023) KIM, Hyoun S.; LESLIE, R. Diandra; STEWART, Sherry H.; KING, Daniel L.; DEMETROVICS, Zsolt; ANDRADE, Andre Luiz Monezi; CHOI, Jung-Seok; TAVARES, Hermano; ALMEIDA, Brittany; HODGINS, David C.
    Background and aims: Many new digital gambling-like activities such as loot boxes, esports betting, skin betting, and token wagering have recently emerged and grown in popularity. This scoping review aimed to: (a) synthesize the existing empirical research literature on gambling-like activities and their associations with gambling and video gaming behaviors, including problem gambling and video gaming; (b) identify sociodemographic, psychological, and motivational factors associated with engagement in gambling-like activities; and (c) identify research gaps and areas for further research. Methods: A systematic search of Ovid, Embsco, and ProQuest databases and Google Scholar was conducted in May 2021 and last updated in February 2022. The search yielded a total of 2,437 articles. Articles were included in the review if they were empirical studies that contained quantitative or qualitative results regarding the relationship between gambling-like activities and gambling or gaming. Results: Thirtyeight articles met inclusion criteria and were included in the review. Overall, the review results suggest that all forms of gambling-like activities were positively associated with gambling and gaming with small to medium effects. Gambling-like activity participation was also positively associated with mental distress and impulsivity. Gaps identified included a lack of inquiry into skin betting and token wagering, a lack of diversity in the research methods (i.e., mainly cross-sectional surveys), and a paucity of research that includes more ethnically, culturally, and geographically diverse populations. Discussion: Longitudinal studies with more representative samples are needed to examine the causal link between gambling-like activities and gambling and video gaming.
  • article 1 Citação(ões) na Scopus
    Treatment of food addiction: preliminary results
    (2020) OLIVEIRA, Edgar Luis Lima de; LACROIX, Emilie; STRAVOGIANNIS, Andrea Lorena Costa; VASQUES, Maria de Fatima; DURANTE, Cristiane Ruiz; DURAN, Erica Panzani; PEREIRA, Daniela; CABRAL, Janice Rico; TAVARES, Hermano
  • article 2 Citação(ões) na Scopus
    A Systematic Review of Pharmacological Treatments for Internet Gaming Disorder
    (2023) SA, Rafael Richard Clorado de; COELHO, Sophie; PARMAR, Puneet Kaur; JOHNSTONE, Samantha; KIM, Hyoun Soo; TAVARES, Hermano
    Objective Internet gaming disorder (IGD) is an increasingly common behavioral addiction, with an estimated global prevalence of 3%. A variety of pharmacological treatments have been used to treat IGD, yet no review to date has synthesized clinical trials evaluating their efficacy. This systematic review therefore synthesized the literature reporting on clinical trials of pharmacological treatments for IGD. Methods We reviewed articles from MEDLINE, Embase, PubMed Central, CINAHL, and PsycINFO that were published as of March of 2022. A total of 828 articles were retrieved for review and 12 articles were included, reporting on a total of 724 participants.Results Most participants were male (98.6%), and all were currently living in South Korea. The most common drugs used to treat IGD were bupropion, methylphenidate, and a range of selective serotonin reuptake inhibitors. The Young Internet Addiction Scale was the most frequently used to measure gaming-related outcomes. All studies reported reduced symptoms of IGD from pre- to post-treatment. Across all clinical trials, IGD symptom reductions following the administration of pharmacological treatments ranged from 15.4% to 51.4%. A risk of bias assessment indicated that only four studies had a low risk of bias.Conclusion Preliminary results suggest that a wide array of pharmacological interventions may be efficacious in the treatment of IGD. Future studies using double-blind randomized controlled trial designs, recruiting larger and more representative samples, and controlling for psychiatric comorbidities are needed to better inform understanding of pharmacological treatments for IGD.
  • article 2 Citação(ões) na Scopus