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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | LOCH, Alexandre Andrade | - |
dc.date.accessioned | 2013-07-30T15:32:26Z | - |
dc.date.available | 2013-07-30T15:32:26Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | REVISTA BRASILEIRA DE PSIQUIATRIA, v.34, n.2, p.185-192, 2012 | - |
dc.identifier.issn | 1516-4446 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/1165 | - |
dc.description.abstract | Objective: The aim of this study was to assess re-hospitalization rates of individuals with psychosis and bipolar disorder and to study determinants of readmission. Methods: Prospective observational study, conducted in Sao Paulo, Brazil. One hundred-sixty-nine individuals with bipolar and psychotic disorder in need of hospitalization in the public mental health system were followed for 12 months after discharge. Their families were contacted by telephone and interviews were conducted at 1, 2, 6 and 12 months post-discharge to evaluate readmission rates and factors related. Results: One-year re-hospitalization rate was of 42.6%. Physical restraint during hospital stay was a risk factor (OR = 5.4-10.5) for readmission in most models. Not attending consultations after discharge was related to the 12-month point readmission (OR = 8.5, 95% CI 2.3-31.2) and to the survival model (OR = 3.2, 95% CI 1.5-7.2). Number of previous admissions was a risk factor for the survival model (OR = 6.6-11.9). Family's agreement with permanent hospitalization of individuals with mental illness was the predictor associated to readmission in all models (OR = 3.5-10.9) and resulted in shorter survival time to readmission; those readmitted were stereotyped as dangerous and unhealthy. Conclusions: Family's stigma towards mental illness might contribute to the increase in readmission rates of their relatives with psychiatric disorders. More studies should be conducted to depict mechanisms by which stigma increases re-hospitalization rates. | - |
dc.description.abstract | OBJETIVO: O objetivo desse estudo foi avaliar a frequência de re-hospitalizações de indivíduos portadores de psicose e transtorno bipolar, para estudar os determinantes da readmissão. MÉTODOS: Estudo de observação prospectivo realizado em São Paulo, Brasil. Foram acompanhados 169 portadores de psicose e de transtorno bipolar precisando de hospitalização no sistema público de saúde mental por 12 meses após a alta. Após contato por telefone com suas famílias, foram realizadas entrevistas a 1, 2, 6 e 12 meses após a alta para se avaliar a frequência de readmissões e os fatores relacionados às mesmas. RESULTADOS: A frequência de re-hospitalizações após um ano foi de 42,6%. A contenção física durante a estadia hospitalar foi um fator de risco (RC = 5,4-10,5) de readmissão em muitos modelos. O não comparecimento às consultas após a alta foi relacionado à readmissão pontual aos 12 meses (RC = 8,5, IC 95% 2,3-31,2) e ao modelo de sobrevivência (RC = 3,2, IC 95% 1,5-7,2). O número de readmissões anteriores foi um fator de risco para o modelo de sobrevivência (RC = 6,6-11,9). A aprovação da família para a hospitalização permanente de indivíduos portadores de doença mental foi o fator de predição associado à readmissão em todos os modelos (RC = 3,5-10,9) e ocasionou tempos de sobrevivência mais curtos até a readmissão; aqueles readmitidos foram considerados de forma estereotipada como perigosos e não sadios. CONCLUSÕES: O estigma da família em relação à doença mental pode contribuir para o aumento na frequência de readmissões de seus familiares portadores de transtornos psiquiátricos. Outros estudos devem ser realizados para demonstrar os mecanismos pelos quais o estigma aumenta a frequência de re-hospitalizações. | - |
dc.language.iso | eng | - |
dc.publisher | ASSOC BRASILEIRA PSIQUIATRIA | - |
dc.relation.ispartof | Revista Brasileira de Psiquiatria | - |
dc.rights | openAccess | - |
dc.subject | Psychosis | - |
dc.subject | Community Mental Health | - |
dc.subject | Mood Disorders - Bipolar Disorder | - |
dc.subject | Outpatient Psychiatry | - |
dc.subject | esquizofrenia | - |
dc.subject | psicose | - |
dc.subject | saúde mental comunitária | - |
dc.subject | transtornos afetivos - transtorno bipolar | - |
dc.subject | psiquiatria ambulatorial | - |
dc.subject.other | schizophrenia | - |
dc.subject.other | readmission | - |
dc.subject.other | community | - |
dc.subject.other | discrimination | - |
dc.subject.other | disorders | - |
dc.subject.other | countries | - |
dc.subject.other | services | - |
dc.subject.other | lessons | - |
dc.subject.other | relapse | - |
dc.subject.other | reform | - |
dc.title | Stigma and higher rates of psychiatric re-hospitalization: Sao Paulo public mental health system | - |
dc.title.alternative | Estigma e frequências mais altas de re-hospitalização psiquiátrica: o sistema público de saúde mental de São Paulo | - |
dc.type | article | - |
dc.rights.holder | Copyright ASSOC BRASILEIRA PSIQUIATRIA | - |
dc.identifier.doi | 10.1590/S1516-44462012000200011 | - |
dc.identifier.pmid | 22729415 | - |
dc.subject.wos | Psychiatry | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.description.beginpage | 185 | - |
hcfmusp.description.endpage | 192 | - |
hcfmusp.description.issue | 2 | - |
hcfmusp.description.volume | 34 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000305572300011 | - |
hcfmusp.origem.id | 2-s2.0-84863765266 | - |
hcfmusp.origem.id | SCIELO:S1516-44462012000200011 | - |
hcfmusp.publisher.city | SAO PAULO | - |
hcfmusp.publisher.country | BRAZIL | - |
hcfmusp.relation.reference | Agid O, 2010, EXPERT OPIN PHARMACO, V14, P2301 | - |
hcfmusp.relation.reference | Almeida JMC, 2010, PSYCHIAT SERV, V61, P218 | - |
hcfmusp.relation.reference | Andreoli SB, 2007, REV BRAS PSIQUIATR, V29, P43, DOI 10.1590/S1516-44462006005000032 | - |
hcfmusp.relation.reference | Ayuso-Gutierrez JL, 1997, SCHIZOPHR RES, V28, P199, DOI 10.1016/S0920-9964(97)00131-X | - |
hcfmusp.relation.reference | Bernardo AC, 2001, PSYCHIATR SERV, V52, P1100, DOI 10.1176/appi.ps.52.8.1100 | - |
hcfmusp.relation.reference | Bobo WV, 2010, EXPERT REV NEUROTHER, V11, P1637 | - |
hcfmusp.relation.reference | Castro Ana Paula Werneck de, 2007, Rev Bras Psiquiatr, V29, P207 | - |
hcfmusp.relation.reference | Corrigan PW, 1999, AM PSYCHOL, V54, P765, DOI 10.1037/0003-066X.54.9.765 | - |
hcfmusp.relation.reference | El-Mallakh Rif S, 2007, J Psychiatr Pract, V13, P79, DOI 10.1097/01.pra.0000265764.87376.02 | - |
hcfmusp.relation.reference | Falk Gerhard, 2001, STIGMA WE TREAT OUTS | - |
hcfmusp.relation.reference | Foucault Michel, 2009, HIST MADNESS | - |
hcfmusp.relation.reference | Furlan PM, 2009, PSYCHIAT SERV, V60, P1198, DOI 10.1176/appi.ps.60.9.1198 | - |
hcfmusp.relation.reference | Gentil V, 2011, REV BRAS PSIQUIATR, V33, P2 | - |
hcfmusp.relation.reference | Gleeson JFM, 2010, SCHIZOPHR RES, V119, P79, DOI 10.1016/j.schres.2010.02.1073 | - |
hcfmusp.relation.reference | Harrison-Read P, 2002, PSYCHOL MED, V32, P403, DOI 10.1017/S0033291702005305 | - |
hcfmusp.relation.reference | HAYWOOD TW, 1995, AM J PSYCHIAT, V152, P856 | - |
hcfmusp.relation.reference | HUDSON CG, 1994, HEALTH SOC WORK, V19, P279 | - |
hcfmusp.relation.reference | Kavanagh S, 1995, MENT HLTH REV, V2, P5 | - |
hcfmusp.relation.reference | Kennedy J, 2006, CLIN THER, V31, P2931 | - |
hcfmusp.relation.reference | Kim JH, 2008, PROG NEURO-PSYCHOPH, V32, P984, DOI 10.1016/j.pnpbp.2008.01.009 | - |
hcfmusp.relation.reference | Lauber C, 2006, ACTA PSYCHIAT SCAND, V113, P51, DOI 10.1111/j.1600-0447.2005.00718.x | - |
hcfmusp.relation.reference | Lien L, 2002, NORD J PSYCHIAT, V56, P23, DOI 10.1080/08039480252803873 | - |
hcfmusp.relation.reference | Liptzin B, 2007, AM J PSYCHIAT, V164, P1468, DOI 10.1176/appi.ajp.2007.07030541 | - |
hcfmusp.relation.reference | Llorca PM, 2008, PSYCHIAT RES, V161, P235, DOI 10.1016/j.psychres.2007.07.012 | - |
hcfmusp.relation.reference | Loch AA, 2011, REV PSIQ CLIN-BRAZIL, V38, P173 | - |
hcfmusp.relation.reference | Ministerio da Saude, 2005, C REG REF SERV SAUD | - |
hcfmusp.relation.reference | Montgomery P, 2002, ARCH PSYCHIAT NURS, V16, P16, DOI 10.1053/apnu.2002.30494 | - |
hcfmusp.relation.reference | Paim J, 2011, LANCET, V377, P1778, DOI 10.1016/S0140-6736(11)60054-8 | - |
hcfmusp.relation.reference | Peluso ETP, 2011, REV BRAS PSIQUIATR, V33, P130 | - |
hcfmusp.relation.reference | Priebe S, 2005, BRIT MED J, V330, P123, DOI 10.1136/bmj.38296.611215.AE | - |
hcfmusp.relation.reference | Rose D, 2011, EPIDEMIOL PSYCH SCI, V20, P193, DOI 10.1017/S2045796011000254 | - |
hcfmusp.relation.reference | Rusch N, 2009, BRIT J PSYCHIAT, V195, P551, DOI 10.1192/bjp.bp.109.067157 | - |
hcfmusp.relation.reference | Sartorius N, 1997, BRIT J PSYCHIAT, V170, P297, DOI 10.1192/bjp.170.4.297 | - |
hcfmusp.relation.reference | Saxena S, 2006, WORLD PSYCHIATRY, V5, P179 | - |
hcfmusp.relation.reference | Saxena S, 2007, LANCET, V370, P878, DOI 10.1016/S0140-6736(07)61239-2 | - |
hcfmusp.relation.reference | Schmutte T, 2010, J NERV MENT DIS, V198, P860, DOI 10.1097/NMD.0b013e3181fe726b | - |
hcfmusp.relation.reference | Shorter E., 1998, HIST PSYCHIAT ERA AS | - |
hcfmusp.relation.reference | Stuart H, 2008, WORLD PSYCHIATRY, V7, P185 | - |
hcfmusp.relation.reference | THORNICROFT G, 1992, BRIT MED J, V305, P996 | - |
hcfmusp.relation.reference | Torrey E. F, 1997, OUT SHADOWS CONFRONT | - |
hcfmusp.relation.reference | Uffing Hans T., 1992, Psychiatric Quarterly (New York), V63, P265, DOI 10.1007/BF01065297 | - |
hcfmusp.relation.reference | Villares Cecilia C., 1999, Revista Brasileira de Psiquiatria, V21, P36 | - |
hcfmusp.relation.reference | World Health Organization, 2001, MENT HLTH POL PROJ P | - |
hcfmusp.relation.reference | Zappitelli MC, 2005, PANORAMA SAUDE MENTA | - |
dc.description.index | MEDLINE | - |
hcfmusp.lim.ref | 2012 | - |
hcfmusp.citation.scopus | 46 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/Outros Artigos e Materiais de Revistas Científicas - LIM/23 |
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