Ines Quintana - Academia.edu (original) (raw)

Papers by Ines Quintana

1Temporary detention center;2Confidence Interval;3... more 1Temporary detention center;2Confidence Interval;3Delusional Disorder, Acute Psychotic, and Schizoaffective Disorder;4Depression, Bipolar Disorder, Dysthymia, Hypomania, and Mania;5Panic, Agoraphobia, Social Phobia, Obsessive Compulsive Disorder (OCD), Generalized Anxiety Disorder (GAD), and Pos Traumatic Stress Disorder (PTSD);6Agoraphobia and Social Phobia;7Schizophrenia, Delusional Disorder, Acute Psychotic Disorder, Schizoaffective Disorder, Severe Depression, and Bipolar Affective Disorder.</p

Sample distribution and prevalence of psychotropic drug use during the previous 30 days ... more Sample distribution and prevalence of psychotropic drug use during the previous 30 days by sociodemographic characteristics (total sample = 2536; one-month psychotropic use = 145).</p

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Associations between abuse and dependency on alcohol and other drugs and clinical and cr... more Associations between abuse and dependency on alcohol and other drugs and clinical and criminal factors among female prisoners compared to prisoners with no mental disorder (N = 617).</p

Social, demographic, clinical, and criminal characteristics of the prison population of ... more Social, demographic, clinical, and criminal characteristics of the prison population of São Paulo state, Brazil (N = 1809).</p

Objective To estimate the prevalence of one month psychotropic drug use in São Paulo, Brazil, and... more Objective To estimate the prevalence of one month psychotropic drug use in São Paulo, Brazil, and to assess the gap treatment between the presence of mental disorders and psychotropic drug users. Method A probabilistic sample of non-institutionalized individuals from the general population of São Paulo (n = 2336; turnout: 84.5%) who were 15 years or older were interviewed by a trained research staff, applying the Composite International Diagnostic Interview 2.1 (CIDI WHO) (depression, anxiety-phobia, OCD\PTSD, alcoholism sections), and an inventory investigating psychotropic drug use during the 12-month and one-month periods immedi-ately preceding the interview. Logistic models were fitted to investigate associations between psychotropic drug use as well as socio-demographic and clinical variables. Results The one month prevalence of psychotropic drug use in São Paulo was 5.89%, the most

1. I suggest the authors remove the sentences "We r estricted the independent variables........ more 1. I suggest the authors remove the sentences "We r estricted the independent variables..... predictors of this adapt ation". The authors did a good job of explaining this elsewhere, and I don't think it is necessary in the abstract. They could move some of this explanation to the statistical analysis section. We removed the sentences. 2. I suggest the authors reword the sentence "Logis tic regression models were then fitted for resilience and independ ent variables to estimate the incidence density ratio". A more corre ct wording would be something like this "Logistic regression models pre dicting resilience were used to estimate the incidence density ratio". We rewrote the sentence. 3. I suggest the authors reword the sentence "This measure expresses how much the rate of resilience.... In the non-expo sed one" so that it reads something like "This measure expresses the ex tent to which the rate of resilience differs from the exposed...

International Psychiatry, 2014

The large number of individuals with severe mental disorders in prisons worldwide has alarming im... more The large number of individuals with severe mental disorders in prisons worldwide has alarming implications, which leads to the question of the appropriateness of the prison system for people with this type of morbidity. This article discusses these implications, the problems in therapeutic approaches and the legal aspects in the Brazilian context.

Journal of the American Geriatrics Society, 2017

Information on elder abuse was obtained using the Brazil-adapted, nine-item Hwalek-Sengstock Elde... more Information on elder abuse was obtained using the Brazil-adapted, nine-item Hwalek-Sengstock Elder Abuse Screening Test. Sampling design-adjusted descriptive statistics and logistic regression were used in analyses. RESULTS: The overall prevalence of abuse was 14.4% (n = 46/259, 95% confidence interval (CI) = 9.82-20.61) in São Paulo and 13.3% (n = 27/197, 95% CI = 8.76-19.74) in Rio de Janeiro. Unadjusted analyses indicated that poor education, low physical activity, unemployment, heart disease, and psychiatric problems were associated with abuse, but in adjusted analyses, self-reported elder abuse was significantly associated only with psychiatric problems (

BMC Psychiatry, 2016

Background: Teenagers and young adults are more exposed to violence and traumatic events than adu... more Background: Teenagers and young adults are more exposed to violence and traumatic events than adults, and these factors can be associated with mental disorders. This paper aims at investigating whether young people are more exposed to violence and traumatic events and to compare pattern of mental disorders with adults. Methods: Cross-sectional study using the Composite International Diagnostic Interview, conducted between 2007 and 2008 with a randomly selected sample of 15 to 75 year-old residents of São Paulo, Brazil. Results: Two thousand five hundred thirty-six participants were divided into two groups: 1096 (43.2 %) young people (15 to 24 years), and 1440 (56.8 %) adults (25 to 75 years). 12-month exposure to traumatic events was higher among young people (32.1 % vs. 20.6 %; p < 0.001). Assaultive violence was reported by 13.4 % of young people and 8.6 % of adults (p = 0.012); 20.1 % of young people and 13 % of adults reported suffering other injury or shocking events (p < 0.001); sudden death/life threatening illness of a close person was declared by 6.1 % of young people and 3.2 % of adults (p = 0.017). Prevalence of alcohol related disorders was higher among young people (5.4 % vs. 2.5 %; P = 0.032); depressive disorders were more prevalent among adults (9.0 % vs. 4.7 %; P = 0.004). Alcohol related disorders were associated to assaultive violence among young people (OR = 3.4; 95 % CI = 1.36 to 8.52; p = 0.004) and adults (OR = 2.38; 95 % CI = 1.23 to 4.61; p = 0.002). Phobic/anxiety disorders were associated to other injury or shocking events among young people (OR = 1.28; 95 % CI = 0.67 to 2.44; p = 0.025). Major depressive disorder was associated to assaultive violence among young people (OR = 2.27; 95 % CI = 1.09 to 4.74; p = 0.004) and adults (OR = 1.28; 95 % CI = 0.85 to 1.93; p = 0.009). Conclusion: Exposure to violence and traumatic events was higher among young people. Alcohol related disorders, depression and phobic/anxiety disorders were significantly higher among young people exposed to traumatic events. Despite the study design, high exposure to violence and traumatic events in this age group can be considered important factors in triggering mental disorders in this vulnerable age period.

Avaliacao Psicologica, Aug 1, 2012

Journal of Psychiatric Research, 2016

Conditional risk for PTSD is the risk of developing PTSD after exposure to traumatic events. This... more Conditional risk for PTSD is the risk of developing PTSD after exposure to traumatic events. This epidemiological study of the general urban population from the two largest cities in Brazil reports exposure to traumatic events; conditional risk for PTSD; and proportion/estimated number of PTSD cases secondary to each type of traumatic event. Cross-sectional study of general population (15-75 y.o.) from Rio de Janeiro and São Paulo. PTSD was assessed through Composite International Diagnostic Interview 2.1. Our main findings, from 3744 participants, were: 1) high prevalence of traumatic events (86%), urban violence being the most common; 2) conditional risk for PTSD was 11.1%; 3) women (15.9%) have overall conditional risk 3 times higher than men (5.1%); 4) war-related trauma (67.8%), childhood sexual abuse (49.1%) and adult sexual violence (44.1%) had the highest conditional risks; 5) 35% of PTSD cases (estimated 435,970 individuals) were secondary to sudden/unexpected death of a close person, and 40% secondary to interpersonal violence. Brazilian urban population is highly exposed to urban violence, and overall conditional risk for PTSD was 11.1%. Violence prevention and enhancement of resilience should be part of public policies, and mental health sequelae of trauma should be better recognized and treated.

PLoS ONE, 2014

Objective: To analyze the association between drug (DAD) and alcohol (AAD) abuse and dependency a... more Objective: To analyze the association between drug (DAD) and alcohol (AAD) abuse and dependency and criminal and clinical background by gender of prisoners in São Paulo, Brazil. Method: Cross-sectional study, random sample stratified by administrative district, from which prisons and prisoners were selected via random, multistage sampling. Psychiatric diagnoses were made with the CIDI 2.1. Lifetime prevalence and 95% CI were calculated and adjusted via analysis of complex samples. Multinomial logistic regression analysis was carried out with four categories of dependent variables: presence AAD; presence DAD; presence of another mental disorder; no mental disorders. For female alcohol and drug abuse and dependency (ADAD) were combined into a single category. Results: The sample was composed by 1809 interviewed prisoners (1192 men and 617 women). Prevalence of DAD and AAD was 25.2% and 15.6%, respectively, among female prisoners, and 26.5% and 18.5% among males. Male prisoners with DAD were more likely to have a criminal record as an adolescent (OR 2.17), to be a repeat offender (OR 2.85), and to have committed a property crime (OR 2.18). Prisoners with AAD were repeat offenders (OR 2.18). Among female prisoners, ADAD was associated with repeat offenses (OR 3.39), a criminal record as an adolescent (OR 9.24), a clinical or infectious condition (OR 5.09), another health problem (OR 3.04), and violent crime (OR 2.5). Conclusion: The study confirmed an association between drug-use disorders and the criminal and clinical background in the study population. Prisoners with such disorders were more likely to be repeat offenders and to have a criminal record as adolescents. Among female prisoners disorders were also associated with violent crime and health problems, while among males they were associated with property crime. These patterns in clinical and criminal backgrounds illustrate the need for social rehabilitation programs and specific medical treatment for prison populations.

BMC Psychiatry, 2014

Background: Resilience is a dynamic process involving the interaction between intrapsychic and so... more Background: Resilience is a dynamic process involving the interaction between intrapsychic and social factors of risk and protection. For resilience to be recognized there must be a significant threat to the individual, such as a traumatic event, and a good quality of adjustment. The aim of this study was to identify predisposing factors and possible mechanisms associated with resilience to traumatic events in the general population. Methods: We conducted a cross-sectional study with a random sample, aged 15-75 years, living in the two largest cities in Brazil, who were exposed to trauma (N = 3,231). Positive adaptation to trauma was defined as the lifetime absence of anxiety (including posttraumatic stress disorder), depression and alcohol related disorders in the presence of at least one traumatic event. Logistic regression models predicting resilience were used to estimate the incidence density ratio. This measure expresses the extent to which the rate of resilience differs from the exposed group to the non-exposed group. Moreover, we explored the relationship between positive/negative affect and resilience, using linear regression models. Results: Male gender was a predisposing factor to positive adaptation (incidence density ratio [IDR] = 1.34; p < 0.001). There was an inverse linear relationship between childhood violence and resilience (IDR = 0.67; 0.53; 0.19; p < 0.001). Our findings suggest that the absence of parental mental disease (IDR = 1.35; p = 0.07) also predisposes individuals to positive adaptation. Conclusions: This study provides results that help to identify vulnerable groups and protective factors that may lead to a positive adaptation following traumatic experiences.