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Papers by Sandra Scivoletto
Clínica psiquiátrica, 2011
Journal of the American Academy of Child & Adolescent Psychiatry, 2017
Journal of Psychiatry and Psychiatric Disorders, 2017
Background: Recent evidence suggests that children and adolescents presenting poor motor skills a... more Background: Recent evidence suggests that children and adolescents presenting poor motor skills are at greater risk of developing internalizing symptoms, emotional/behavioural and externalizing problems. Motor coordination difficulties, as in Developmental Coordination Disorder, co-occurrence with Attention Deficit/Hyperactivity and Autism Spectrum Disorders are well documented. Few studies investigated the co-occurrence of motor difficulties and mood, anxiety, psychotic and emerging personality disorders in children and adolescents. Objectives: To investigate whether children presenting psychiatric symptomatology manifest motor coordination difficulties. Methods: 48 children and adolescents in semi-hospitalisation in a psychiatric-day facility were selected during a period of two years and screened according to DSM-5 criteria and a motor coordination assessment battery.
Open Journal of Social Sciences, 2016
Objective: To report attention changes in a sample of adolescents victims of domestic violence an... more Objective: To report attention changes in a sample of adolescents victims of domestic violence and discuss how this change may be related to an addictive and complex cycle of victimization and abuse. Methods: 78 adolescents went through psychiatric and neuropsychological evaluation. The Kiddie-Sads-Present and Lifetime Version and the Brazilian version of the Childhood Trauma Questionaire (CTQ) were applied. The neuropsychological assessment was conducted by trained professionals using the Wechsler Children's Global Assessment Scale, 3rd edition-WlSC III. The sample was divided into 3 groups according to the intensity of the reported maltreatment-obtained by the CTQ score (comparison group, moderate degree of abuse and severe maltreatment). Results: The group that showed moderate maltreatment showed better performance in an attention task compared to the comparison group. At the severe maltreatment group, this difference was not observed. Conclusions: Children and adolescents who are victims of maltreatment are more alert to environmental details that surround them as a form of adaptation to defend themselves against potential threats. However, they could react precipitously with inappropriate behavior in some contexts. This can lead to a favorable environment for new and repeated situations of violence, abuse and a perpetuation of this victimization.
Neuropsychiatrie de l'Enfance et de l'Adolescence, 2012
bjective.– The Great East Japan Earthquake has given a significant intact to apanese. In Japan si... more bjective.– The Great East Japan Earthquake has given a significant intact to apanese. In Japan since death due to suicide has been exceeding 30,000 per year. e conducted a study to see how the Earthquake affected differently between he youth and adult population. ethod.– We investigated serious suicidal patients who were admitted to the mergency center in Nippon Medical School hospital, from March 11, 2011 to ecember 31, 2011. PatientTM medical records were carefully evaluated in order o obtain information on motivation for suicidal behavior, psychiatric diagnosis, nd other associated factors for suicide attempts. We divided suicidal patients nto two groups based on age. Then we conducted statistical analysis to find age pecific factors associated suicide attempts. esult.– After the Earthquake indirect factors had significantly more contribued to suicide attempts. Subjects with past psychiatric illnesses such as major epression and schizophrenia tended to attempt suicide significantly more often han subjects without past psychiatric illnesses. However, these findings were ecognized only the adult group but not the youth group.
This column describes the planning and development of The Equilibrium Program (TEP) for multiply ... more This column describes the planning and development of The Equilibrium Program (TEP) for multiply traumatized and neglected children and adolescents with mental and general medical problems in Sao Paulo, Brazil. The program is a partnership between university faculty, various service providers, the courts, and the city government. In the first step, child psychiatry faculty from the University of Sao Paulo visited central-city areas and group shelters to talk to street youths to better understand their needs. A nearby community sports center building was chosen to be a center where youths could access services and engage in recreational activities and where the work of family integration could be facilitated. A multidisciplinary team conducts an in-depth assessment and creates an intervention plan, overseen by a case manager. Challenges to implementing such programs are discussed. (Psychiatric Services 65:138–140, 2014; doi:
Child Abuse & Neglect, 2014
hcnet.usp.br
... mostram que essa distribuição de alunos por classe social pode ajudar a explicar a elevada pr... more ... mostram que essa distribuição de alunos por classe social pode ajudar a explicar a elevada prevalência de uso de solventes nessa escola. ... incluindo os "falsos conhecimentos", é um dos cinco fatores que contribuem para a expansão do consumo de drogas (Johnston, 1991). ...
European Psychiatry, 2017
IntroductionNon-Suicidal Self-Injury (NSSI) is considered a dysfunctional way of dealing with pro... more IntroductionNon-Suicidal Self-Injury (NSSI) is considered a dysfunctional way of dealing with problem situations.ObjectiveThis study aimed to investigate the problem solving capacity in adults with NSSI compared to controls.MethodsThirty-three patients who sought treatment for NSSI (NSSI group) were compared with 33 individuals without psychiatric disorder (control group). We also investigated Axis I disorders, executive functions and problem solving capacity.ResultsIn both groups, the majority were women (77.25%) with a mean age of 30 years, and the beginning of NSSI behavior of 16 years. The most common NSSI behaviour was skin cutting, and the most common reason given for engaging in that behaviour was “to stop negative feelings”. The most common psychiatric comorbidities were major depressive disorder (60.6%). Compared to controls, the group with NSSI showed lower results in relation to problem solving capacity (P = 0.000) and mental flexibility (P = 0.007). Deficits in problem s...
Journal of Psychiatry and Psychiatric Disorders
The infant day hospital is a therapeutic option to patients with high complexity neuropsychiatric... more The infant day hospital is a therapeutic option to patients with high complexity neuropsychiatric disorders. It is essential to evaluate its effectiveness and the patients' profile that better respond to this type of intervention so the national resources are better invested. Objectives: (1) to describe the population admitted in a psychiatric infant day hospital (HDI); (2) to evaluate the clinical response to this intervention and (3) to identify predictive factors of dropout. Methods: All patients (n=62) admitted to our HDI unit were evaluated and received multidisciplinary treatment for a 3-month period from 2011 to 2014. The psychiatric diagnostic interviews, patients´ records analysis and the clinical scales Children's Global Assessment Scale (CGAS) and Clinical Global Impressions Scale (CGI) were the measures used for outcome evaluation. Results: The mean age was 13 years old (SD: 3.1 years). Thirty-five patients (56.5%) were male and 53 patients (83.9%) referred occurrence of family conflicts. The most prevalent initial diagnostic was Mood Disorder (n=28, 45.1%). The mean C-GAS increased from 36 to 52 (p=0,00) and the mean CGI decreased from 5 to 2 (p=0.00) during the period. Older patients presented higher odds to abandon the treatment in HDI (OR= 0.448; p=0.019) as well as those with a relative with affective disorder (OR = 2.303; p=0.003). Conclusion: The HDI was effective in promoting clinical stabilization of severe psychiatric disorders in children and adolescents. It is important to address factors such as the age of the patients and the psychopathology in the family to try to decrease dropout rates.
European Child & Adolescent Psychiatry
Brain sciences, Jan 6, 2018
Child neglect is highly prevalent and associated with a series of biological and social consequen... more Child neglect is highly prevalent and associated with a series of biological and social consequences. Early neglect may alter the recognition of emotional faces, but its precise impact remains unclear. We aim to review and analyze data from recent literature about recognition and processing of facial expressions in individuals with history of childhood neglect. We conducted a systematic review using PubMed, PsycINFO, ScIELO and EMBASE databases in the search of studies for the past 10 years. In total, 14 studies were selected and critically reviewed. A heterogeneity was detected across methods and sample frames. Results were mixed across studies. Different forms of alterations to perception of facial expressions were found across 12 studies. There was alteration to the recognition and processing of both positive and negative emotions, but for emotional face processing there was predominance in alteration toward negative emotions. This is the first review to examine specifically the ...
Clínica psiquiátrica, 2011
Journal of the American Academy of Child & Adolescent Psychiatry, 2017
Journal of Psychiatry and Psychiatric Disorders, 2017
Background: Recent evidence suggests that children and adolescents presenting poor motor skills a... more Background: Recent evidence suggests that children and adolescents presenting poor motor skills are at greater risk of developing internalizing symptoms, emotional/behavioural and externalizing problems. Motor coordination difficulties, as in Developmental Coordination Disorder, co-occurrence with Attention Deficit/Hyperactivity and Autism Spectrum Disorders are well documented. Few studies investigated the co-occurrence of motor difficulties and mood, anxiety, psychotic and emerging personality disorders in children and adolescents. Objectives: To investigate whether children presenting psychiatric symptomatology manifest motor coordination difficulties. Methods: 48 children and adolescents in semi-hospitalisation in a psychiatric-day facility were selected during a period of two years and screened according to DSM-5 criteria and a motor coordination assessment battery.
Open Journal of Social Sciences, 2016
Objective: To report attention changes in a sample of adolescents victims of domestic violence an... more Objective: To report attention changes in a sample of adolescents victims of domestic violence and discuss how this change may be related to an addictive and complex cycle of victimization and abuse. Methods: 78 adolescents went through psychiatric and neuropsychological evaluation. The Kiddie-Sads-Present and Lifetime Version and the Brazilian version of the Childhood Trauma Questionaire (CTQ) were applied. The neuropsychological assessment was conducted by trained professionals using the Wechsler Children's Global Assessment Scale, 3rd edition-WlSC III. The sample was divided into 3 groups according to the intensity of the reported maltreatment-obtained by the CTQ score (comparison group, moderate degree of abuse and severe maltreatment). Results: The group that showed moderate maltreatment showed better performance in an attention task compared to the comparison group. At the severe maltreatment group, this difference was not observed. Conclusions: Children and adolescents who are victims of maltreatment are more alert to environmental details that surround them as a form of adaptation to defend themselves against potential threats. However, they could react precipitously with inappropriate behavior in some contexts. This can lead to a favorable environment for new and repeated situations of violence, abuse and a perpetuation of this victimization.
Neuropsychiatrie de l'Enfance et de l'Adolescence, 2012
bjective.– The Great East Japan Earthquake has given a significant intact to apanese. In Japan si... more bjective.– The Great East Japan Earthquake has given a significant intact to apanese. In Japan since death due to suicide has been exceeding 30,000 per year. e conducted a study to see how the Earthquake affected differently between he youth and adult population. ethod.– We investigated serious suicidal patients who were admitted to the mergency center in Nippon Medical School hospital, from March 11, 2011 to ecember 31, 2011. PatientTM medical records were carefully evaluated in order o obtain information on motivation for suicidal behavior, psychiatric diagnosis, nd other associated factors for suicide attempts. We divided suicidal patients nto two groups based on age. Then we conducted statistical analysis to find age pecific factors associated suicide attempts. esult.– After the Earthquake indirect factors had significantly more contribued to suicide attempts. Subjects with past psychiatric illnesses such as major epression and schizophrenia tended to attempt suicide significantly more often han subjects without past psychiatric illnesses. However, these findings were ecognized only the adult group but not the youth group.
This column describes the planning and development of The Equilibrium Program (TEP) for multiply ... more This column describes the planning and development of The Equilibrium Program (TEP) for multiply traumatized and neglected children and adolescents with mental and general medical problems in Sao Paulo, Brazil. The program is a partnership between university faculty, various service providers, the courts, and the city government. In the first step, child psychiatry faculty from the University of Sao Paulo visited central-city areas and group shelters to talk to street youths to better understand their needs. A nearby community sports center building was chosen to be a center where youths could access services and engage in recreational activities and where the work of family integration could be facilitated. A multidisciplinary team conducts an in-depth assessment and creates an intervention plan, overseen by a case manager. Challenges to implementing such programs are discussed. (Psychiatric Services 65:138–140, 2014; doi:
Child Abuse & Neglect, 2014
hcnet.usp.br
... mostram que essa distribuição de alunos por classe social pode ajudar a explicar a elevada pr... more ... mostram que essa distribuição de alunos por classe social pode ajudar a explicar a elevada prevalência de uso de solventes nessa escola. ... incluindo os "falsos conhecimentos", é um dos cinco fatores que contribuem para a expansão do consumo de drogas (Johnston, 1991). ...
European Psychiatry, 2017
IntroductionNon-Suicidal Self-Injury (NSSI) is considered a dysfunctional way of dealing with pro... more IntroductionNon-Suicidal Self-Injury (NSSI) is considered a dysfunctional way of dealing with problem situations.ObjectiveThis study aimed to investigate the problem solving capacity in adults with NSSI compared to controls.MethodsThirty-three patients who sought treatment for NSSI (NSSI group) were compared with 33 individuals without psychiatric disorder (control group). We also investigated Axis I disorders, executive functions and problem solving capacity.ResultsIn both groups, the majority were women (77.25%) with a mean age of 30 years, and the beginning of NSSI behavior of 16 years. The most common NSSI behaviour was skin cutting, and the most common reason given for engaging in that behaviour was “to stop negative feelings”. The most common psychiatric comorbidities were major depressive disorder (60.6%). Compared to controls, the group with NSSI showed lower results in relation to problem solving capacity (P = 0.000) and mental flexibility (P = 0.007). Deficits in problem s...
Journal of Psychiatry and Psychiatric Disorders
The infant day hospital is a therapeutic option to patients with high complexity neuropsychiatric... more The infant day hospital is a therapeutic option to patients with high complexity neuropsychiatric disorders. It is essential to evaluate its effectiveness and the patients' profile that better respond to this type of intervention so the national resources are better invested. Objectives: (1) to describe the population admitted in a psychiatric infant day hospital (HDI); (2) to evaluate the clinical response to this intervention and (3) to identify predictive factors of dropout. Methods: All patients (n=62) admitted to our HDI unit were evaluated and received multidisciplinary treatment for a 3-month period from 2011 to 2014. The psychiatric diagnostic interviews, patients´ records analysis and the clinical scales Children's Global Assessment Scale (CGAS) and Clinical Global Impressions Scale (CGI) were the measures used for outcome evaluation. Results: The mean age was 13 years old (SD: 3.1 years). Thirty-five patients (56.5%) were male and 53 patients (83.9%) referred occurrence of family conflicts. The most prevalent initial diagnostic was Mood Disorder (n=28, 45.1%). The mean C-GAS increased from 36 to 52 (p=0,00) and the mean CGI decreased from 5 to 2 (p=0.00) during the period. Older patients presented higher odds to abandon the treatment in HDI (OR= 0.448; p=0.019) as well as those with a relative with affective disorder (OR = 2.303; p=0.003). Conclusion: The HDI was effective in promoting clinical stabilization of severe psychiatric disorders in children and adolescents. It is important to address factors such as the age of the patients and the psychopathology in the family to try to decrease dropout rates.
European Child & Adolescent Psychiatry
Brain sciences, Jan 6, 2018
Child neglect is highly prevalent and associated with a series of biological and social consequen... more Child neglect is highly prevalent and associated with a series of biological and social consequences. Early neglect may alter the recognition of emotional faces, but its precise impact remains unclear. We aim to review and analyze data from recent literature about recognition and processing of facial expressions in individuals with history of childhood neglect. We conducted a systematic review using PubMed, PsycINFO, ScIELO and EMBASE databases in the search of studies for the past 10 years. In total, 14 studies were selected and critically reviewed. A heterogeneity was detected across methods and sample frames. Results were mixed across studies. Different forms of alterations to perception of facial expressions were found across 12 studies. There was alteration to the recognition and processing of both positive and negative emotions, but for emotional face processing there was predominance in alteration toward negative emotions. This is the first review to examine specifically the ...