Browsing by Author "Dehanov, S"
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- CHARACTERIZATION OF THE POPULATION OF PREGNANT WOMEN ATTENDING A MENTAL HEALTH SERVICEPublication . Ferreira, T; Dehanov, S; Oliveira, C; Castro, S; Ribeiro, R; Maia, TIntroduction: Psychopathological symptoms are common during pregnancy and their detection and referral to specialized care is often suboptimal. The aim of this study was to perform a descriptive analysis of sociodemographic, mental health, and obstetric features of a population of pregnant women followed at Psychiatry consultation. Methodology: This was a cross-sectional, descriptive study of women followed both at Gynecology/Obstetrics and Psychiatry consultations of Hospital Prof. Doutor Fernando Fonseca between 2014 and 2016. A total of 76 women were included, for whom pre-defined features associated in the literature with risk of developing psychopathological symptoms during pregnancy were collected. Results and Discussion: Risk factors identified in the development of depressive symptoms included absence of an affective relationship during pregnancy (n=11; 14.5%), being first-generation immigrant (n=17; 22.4%), and substance use before (n=18; 23.7%) or during (n=10; 13.1%) pregnancy. Sample was divided into women with previous Psychiatry follow-up who became pregnant (n=44; 57.9%) and women referred to Psychiatry consultation during pregnancy (n=32; 42.1%). In the second group, 18.8% (n=6) of referrals were from primary health care, being relevant to understand whether this represents an under-referral. Prescription of 21 risk category D drugs was identified, alerting to the need of caution in pharmacological prescription and of considering non-pharmacological options (e.g., cognitive-behavioral therapy) for management of these cases. Conclusions: Risk factors identified in this study represent an opportunity to optimize clinical practice and improve these patients’ follow-up
- Mania de Bell - conceptualização a propósito de um caso clínicoPublication . Ferreira, T; Dehanov, S; Nascimento, M; Trancas, B; Ribeiro, R; Maia, TIntrodução: A mania de Bell (ou “mania delirante”) constitui um quadro clínico grave, que consiste sucintamente na sobreposição de sintomas de delirium e de mania. Vários autores deram contributos para a definição desta entidade nosológica, não obstante este ser um quadro clínico ainda mal compreendido, não existindo guidelines diagnósticas e terapêuticas, nem se conhecendo muito da sua etiopatogénese. Objectivos: Apresentar um caso de clínico de um doente que foi admitido numa enfermaria de psiquiatria, apresentando sintomatologia compatível com mania de Bell, sendo ainda discutida a marcha diagnóstica e terapêutica do caso e feita uma revisão da literatura. Métodos: Revisão não sistemática de artigos pesquisados no PubMed. Resultados e Conclusões: O estabelecimento da mania de Bell como subtipo de episódio maníaco seria útil não apenas para uniformização do seu diagnóstico como também para formulação de recomendações terapêuticas adequadas e maior informação à comunidade científica sobre este quadro clínico.
- Olanzapine-Induced FeverPublication . Ferreira, TF; Godinho, F; Dehanov, S; Trancas, B; Maia, T