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Papers by Mauro Mendlowicz

Research paper thumbnail of Antipsicóticos, anticonvulsivantes, antiadrenérgicos e outras drogas: o que fazer quando o transtorno do estresse pós-traumático não responde aos inibidores seletivos da recaptação da serotonina?

Revista Brasileira De Psiquiatria, 2007

Research paper thumbnail of Equivalência semântica da versão em português da Post-Traumatic Stress Disorder Checklist - Civilian Version (PCL-C) para rastreamento do transtorno de estresse pós-traumático

Revista de Psiquiatria do Rio Grande do Sul, 2004

Research paper thumbnail of Low-resolution electromagnetic tomography and treatment response in obsessive-compulsive disorder

We investigated whether findings from pretreatment low-resolution electromagnetic tomography (LOR... more We investigated whether findings from pretreatment low-resolution electromagnetic tomography (LORETA) predicted response to drug treatment in patients with obsessive-compulsive disorder (OCD). The 3D intra-cerebral distribution of neuronal electrical activity from the scalp-recorded potential distribution of 17 drug-free patients with OCD was assessed with LORETA. They were treated with antidepressants in the maximum tolerated doses for at least 12 wk. Individuals were considered to be treatment responders if they displayed a reduction of at least 35% on the initial YBOCS scores and had a final CGI score of 1 or 2. The SPM-99 t test for independent samples was employed to compare, voxel-by-voxel, the brain electrical activities of responders (n = 10) and non-responders (n = 7). Responders exhibited significantly lower activities in beta band in the rostral anterior cingulate [Brodmann's area (BA) 24 and 32] (p = 0.002) and the medial frontal gyrus (BA 10) (p = 0.002), suggesting that a distinctive pattern of activity within the medial surface of the frontal lobe predicts therapeutic response in OCD.

Research paper thumbnail of Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers

Social Psychiatry and Psychiatric Epidemiology, 2012

Research paper thumbnail of Negative Affect Predicts Posttraumatic Stress Symptoms in Brazilian Volunteer United Nations Peacekeepers in Haiti

The Journal of Nervous and Mental Disease, 2008

Our study evaluated the relationship between positive affect (PA) and negative affect (NA) traits... more Our study evaluated the relationship between positive affect (PA) and negative affect (NA) traits on the development of posttraumatic stress symptoms (PTSS) among peacekeepers. A longitudinal study with 138 army personnel deployed to a peacekeeping mission in Haiti was conducted. An instrument for measuring PA and NA traits was used before deployment. PTSS, indexed by posttraumatic stress disorder Checklist--Military Version (PCL-M) and frequency of stressful situations were measured after return. Regression analysis showed that both NA and number of stressful situations contributed toward increasing PCL-M scores (Adjusted R = 0.25; p < 0.001). We also found that NA traits interact with intensively stressful situations enhancing the occurrence of PTSS (Adjusted R = 0.32; p < 0.001). These findings suggest that NA traits are an important predictor for PTSS among peacekeepers and also worsen the consequences of being exposed to stressful situations.

Research paper thumbnail of Predictors of Adherence Among Patients With Obsessive-Compulsive Disorder Undergoing Naturalistic Pharmacotherapy

Journal of Clinical Psychopharmacology, 2010

... Anxiety and Depression Research Program. Institute of Psychiatry. Federal University of Rio d... more ... Anxiety and Depression Research Program. Institute of Psychiatry. Federal University of Rio de Janeiro. Rio de Janeiro, Brazil. Mauro V. Mendlowicz, MD. Department of Psychiatry and Mental Health. Institute of Community Health. Fluminense Federal University. Niterói, Brazil. ...

Research paper thumbnail of An empirical comparison of atypical bulimia nervosa and binge eating disorder

Brazilian Journal of Medical and Biological Research, 2005

Research paper thumbnail of Absence of dementia in late-onset schizophrenia: a one year follow-up of a Brazilian case series

Arquivos de Neuro-Psiquiatria, 2006

Research paper thumbnail of Jornal Brasileiro de Psiquiatria: um estudo bibliométrico dos artigos publicados de 1995 a 2004 Brazilian Journal of Psychiatry: a bibliometric study on the articles published from 1995 to 2004

Objective: The Jornal Brasileiro de Psiquiatria (JBP) is a scientific journal specialized in psyc... more Objective: The Jornal Brasileiro de Psiquiatria (JBP) is a scientific journal specialized in psychia- try edited since 1938, publishing part of the Brazilian scientific production in this area. This paper aims at producing a bibliometric analysis of the articles published at the JBP from 1995 to 2004. Methods: The articles have been classified according to their year of publication, geographic

Research paper thumbnail of The correlates of obsessive-compulsive, schizotypal, and borderline personality disorders in obsessive-compulsive disorder

Journal of Anxiety Disorders, 2015

We assessed correlates of obsessive-compulsive (OCPD), schizotypal (SPD) and borderline (BPD) per... more We assessed correlates of obsessive-compulsive (OCPD), schizotypal (SPD) and borderline (BPD) personality disorders in 110 obsessive-compulsive disorder (OCD) patients. We found OCD patients with OCPD (20.9%) to exhibit higher rates of hoarding and bipolar disorders, increased severity of hoarding and symmetry, lower prevalence of unacceptable thoughts involving sex and religion and less non-planning impulsivity. Conversely, OCD patients with SPD (13.6%) displayed more frequently bipolar disorder, increased severity of depression and OCD neutralization, greater prevalence of "low-order" behaviors (i.e., touching), lower low-planning impulsivity and greater "behavioral" compulsivity. Finally, in exploratory analyses, OCD patients with BPD (21.8%) exhibited lower education, higher rates of several comorbid psychiatric disorders, greater frequency of compulsions involving interpersonal domains (e.g. reassurance seeking), increased severity of depression, anxiety and OCD dimensions other than symmetry and hoarding, more motor and non-planning impulsivity, and greater "cognitive" compulsivity. These findings highlight the importance of assessing personality disorders in OCD samples.

Research paper thumbnail of PTSD Criterion A1 events: A literature-based categorization

Research paper thumbnail of Sleep Duration, Insomnia Symptoms, and Emotion Regulation among Black Women

Journal of sleep disorders & therapy, Jan 17, 2013

This study explored the associations between sleep duration and emotion regulation among urban bl... more This study explored the associations between sleep duration and emotion regulation among urban black women (mean age=59 ± 7 yrs). Eligible women (n=523) provided sociodemographic data during face-to-face interviews. We used the Comprehensive Assessment and Referral Examination Physical to measure health status; women also estimated their habitual sleep duration. We utilized a modified version of Weinberger's conceptual model of repression, the Index of Self-Regulation (ISE) to measure emotion regulation. ISE scores were derived by amalgamating the defensive subscale from the Social Desirability Scale and the anxiety subscale from the State-Trait Anxiety Inventory. The median habitual sleep duration was 7 hours; 20% of the women were short sleepers (<6 hours) and 6% were long sleepers (>8 hours). Short sleepers, rather than long sleepers, had a greater likelihood of reporting insomnia symptoms than those sleeping 6-8 hours [63.4% vs. 28.1%; Χ(2) = 41.87, p<0.001]. In the...

Research paper thumbnail of The impact of posttraumatic symptoms and comorbid mental disorders on the health-related quality of life in treatment-seeking PTSD patients

Comprehensive psychiatry, Jan 14, 2015

There is a dearth of literature dealing with the impact of the severity of posttraumatic symptoms... more There is a dearth of literature dealing with the impact of the severity of posttraumatic symptoms and of comorbid mental disorders on the health-related quality of life (HRQOL) of victims of civilian violence with a primary diagnosis of PTSD. To investigate the influence of the severity of posttraumatic symptoms and of presence of comorbid mental disorders on the HRQOL of treatment-seeking outpatients with PTSD. A sample of 65 PTSD patients was recruited in a specialized outpatient clinic. The volunteers had the diagnoses of PTSD and of comorbid mental disorders established with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). The severity of posttraumatic, depression and anxiety symptoms was measured with the PCL-C, BDI and BAI, respectively. HRQOL was assessed by means of the SF-36, a 36-item self-administered scale that measures eight domains of quality of life: vitality, physical functioning, bodily pain, general health perceptions, physical role functioni...

Research paper thumbnail of A forensic-psychiatric study of sexual offenders in Rio de Janeiro, Brazil

Journal of Forensic and Legal Medicine, 2015

Research paper thumbnail of Treatment–response by age at onset in obsessive–compulsive disorder

Journal of Affective Disorders, 2004

Research paper thumbnail of Sociodemographic predictors of temperament and character

Journal of Psychiatric Research, 2000

The Unified Biosocial Theory of Personality postulates that human personality is organized around... more The Unified Biosocial Theory of Personality postulates that human personality is organized around four temperaments — Novelty Seeking, Harm Avoidance, Reward Dependence, and Persistence — and three characters — Self-Directedness, Cooperativeness, and Self-Transcendence. The objective of the present study was to investigate the influence of sociodemographic factors on temperament and character without the confounding influence of mental disorders. Volunteers (n=94)

Research paper thumbnail of The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients

Journal of Affective Disorders, 2005

ObjectiveTo examine the concurrent validity of the Beck Depression Inventory-Short Form (BDI-SF) ... more ObjectiveTo examine the concurrent validity of the Beck Depression Inventory-Short Form (BDI-SF) to detect moderate and severe depressive episodes according to the International Classification of Diseases, 10th edition (ICD-10) criteria in inpatients with heterogeneous medical conditions and to set cut-off scores for its use in medical wards.

Research paper thumbnail of Adaptação transcultural para o português do instrumento Peritraumatic Dissociative Experiences Questionnaire, Versão Auto Aplicativa Artigo original

Research paper thumbnail of Confirmatory factor analysis of posttraumatic stress symptoms in Brazilian primary care patients: An examination of seven alternative models

Journal of Anxiety Disorders, 2011

The DSM-IV-TR postulates that PTSD symptoms are organized into 3 clusters. This assumption has be... more The DSM-IV-TR postulates that PTSD symptoms are organized into 3 clusters. This assumption has been challenged by growing number of factor analytical studies, which tend to favor 4-factor, first-order models. Our objective was to investigate whether the clusters of PTSD symptoms identified in North American and European studies could be replicated in a Brazilian sample composed of 805 primary care

Research paper thumbnail of Os pacientes invisíveis: transtorno de estresse pós-traumático em pais de pacientes com fibrose cística

Research paper thumbnail of Antipsicóticos, anticonvulsivantes, antiadrenérgicos e outras drogas: o que fazer quando o transtorno do estresse pós-traumático não responde aos inibidores seletivos da recaptação da serotonina?

Revista Brasileira De Psiquiatria, 2007

Research paper thumbnail of Equivalência semântica da versão em português da Post-Traumatic Stress Disorder Checklist - Civilian Version (PCL-C) para rastreamento do transtorno de estresse pós-traumático

Revista de Psiquiatria do Rio Grande do Sul, 2004

Research paper thumbnail of Low-resolution electromagnetic tomography and treatment response in obsessive-compulsive disorder

We investigated whether findings from pretreatment low-resolution electromagnetic tomography (LOR... more We investigated whether findings from pretreatment low-resolution electromagnetic tomography (LORETA) predicted response to drug treatment in patients with obsessive-compulsive disorder (OCD). The 3D intra-cerebral distribution of neuronal electrical activity from the scalp-recorded potential distribution of 17 drug-free patients with OCD was assessed with LORETA. They were treated with antidepressants in the maximum tolerated doses for at least 12 wk. Individuals were considered to be treatment responders if they displayed a reduction of at least 35% on the initial YBOCS scores and had a final CGI score of 1 or 2. The SPM-99 t test for independent samples was employed to compare, voxel-by-voxel, the brain electrical activities of responders (n = 10) and non-responders (n = 7). Responders exhibited significantly lower activities in beta band in the rostral anterior cingulate [Brodmann&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s area (BA) 24 and 32] (p = 0.002) and the medial frontal gyrus (BA 10) (p = 0.002), suggesting that a distinctive pattern of activity within the medial surface of the frontal lobe predicts therapeutic response in OCD.

Research paper thumbnail of Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers

Social Psychiatry and Psychiatric Epidemiology, 2012

Research paper thumbnail of Negative Affect Predicts Posttraumatic Stress Symptoms in Brazilian Volunteer United Nations Peacekeepers in Haiti

The Journal of Nervous and Mental Disease, 2008

Our study evaluated the relationship between positive affect (PA) and negative affect (NA) traits... more Our study evaluated the relationship between positive affect (PA) and negative affect (NA) traits on the development of posttraumatic stress symptoms (PTSS) among peacekeepers. A longitudinal study with 138 army personnel deployed to a peacekeeping mission in Haiti was conducted. An instrument for measuring PA and NA traits was used before deployment. PTSS, indexed by posttraumatic stress disorder Checklist--Military Version (PCL-M) and frequency of stressful situations were measured after return. Regression analysis showed that both NA and number of stressful situations contributed toward increasing PCL-M scores (Adjusted R = 0.25; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). We also found that NA traits interact with intensively stressful situations enhancing the occurrence of PTSS (Adjusted R = 0.32; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). These findings suggest that NA traits are an important predictor for PTSS among peacekeepers and also worsen the consequences of being exposed to stressful situations.

Research paper thumbnail of Predictors of Adherence Among Patients With Obsessive-Compulsive Disorder Undergoing Naturalistic Pharmacotherapy

Journal of Clinical Psychopharmacology, 2010

... Anxiety and Depression Research Program. Institute of Psychiatry. Federal University of Rio d... more ... Anxiety and Depression Research Program. Institute of Psychiatry. Federal University of Rio de Janeiro. Rio de Janeiro, Brazil. Mauro V. Mendlowicz, MD. Department of Psychiatry and Mental Health. Institute of Community Health. Fluminense Federal University. Niterói, Brazil. ...

Research paper thumbnail of An empirical comparison of atypical bulimia nervosa and binge eating disorder

Brazilian Journal of Medical and Biological Research, 2005

Research paper thumbnail of Absence of dementia in late-onset schizophrenia: a one year follow-up of a Brazilian case series

Arquivos de Neuro-Psiquiatria, 2006

Research paper thumbnail of Jornal Brasileiro de Psiquiatria: um estudo bibliométrico dos artigos publicados de 1995 a 2004 Brazilian Journal of Psychiatry: a bibliometric study on the articles published from 1995 to 2004

Objective: The Jornal Brasileiro de Psiquiatria (JBP) is a scientific journal specialized in psyc... more Objective: The Jornal Brasileiro de Psiquiatria (JBP) is a scientific journal specialized in psychia- try edited since 1938, publishing part of the Brazilian scientific production in this area. This paper aims at producing a bibliometric analysis of the articles published at the JBP from 1995 to 2004. Methods: The articles have been classified according to their year of publication, geographic

Research paper thumbnail of The correlates of obsessive-compulsive, schizotypal, and borderline personality disorders in obsessive-compulsive disorder

Journal of Anxiety Disorders, 2015

We assessed correlates of obsessive-compulsive (OCPD), schizotypal (SPD) and borderline (BPD) per... more We assessed correlates of obsessive-compulsive (OCPD), schizotypal (SPD) and borderline (BPD) personality disorders in 110 obsessive-compulsive disorder (OCD) patients. We found OCD patients with OCPD (20.9%) to exhibit higher rates of hoarding and bipolar disorders, increased severity of hoarding and symmetry, lower prevalence of unacceptable thoughts involving sex and religion and less non-planning impulsivity. Conversely, OCD patients with SPD (13.6%) displayed more frequently bipolar disorder, increased severity of depression and OCD neutralization, greater prevalence of &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;low-order&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; behaviors (i.e., touching), lower low-planning impulsivity and greater &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;behavioral&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; compulsivity. Finally, in exploratory analyses, OCD patients with BPD (21.8%) exhibited lower education, higher rates of several comorbid psychiatric disorders, greater frequency of compulsions involving interpersonal domains (e.g. reassurance seeking), increased severity of depression, anxiety and OCD dimensions other than symmetry and hoarding, more motor and non-planning impulsivity, and greater &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;cognitive&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; compulsivity. These findings highlight the importance of assessing personality disorders in OCD samples.

Research paper thumbnail of PTSD Criterion A1 events: A literature-based categorization

Research paper thumbnail of Sleep Duration, Insomnia Symptoms, and Emotion Regulation among Black Women

Journal of sleep disorders & therapy, Jan 17, 2013

This study explored the associations between sleep duration and emotion regulation among urban bl... more This study explored the associations between sleep duration and emotion regulation among urban black women (mean age=59 ± 7 yrs). Eligible women (n=523) provided sociodemographic data during face-to-face interviews. We used the Comprehensive Assessment and Referral Examination Physical to measure health status; women also estimated their habitual sleep duration. We utilized a modified version of Weinberger's conceptual model of repression, the Index of Self-Regulation (ISE) to measure emotion regulation. ISE scores were derived by amalgamating the defensive subscale from the Social Desirability Scale and the anxiety subscale from the State-Trait Anxiety Inventory. The median habitual sleep duration was 7 hours; 20% of the women were short sleepers (<6 hours) and 6% were long sleepers (>8 hours). Short sleepers, rather than long sleepers, had a greater likelihood of reporting insomnia symptoms than those sleeping 6-8 hours [63.4% vs. 28.1%; Χ(2) = 41.87, p<0.001]. In the...

Research paper thumbnail of The impact of posttraumatic symptoms and comorbid mental disorders on the health-related quality of life in treatment-seeking PTSD patients

Comprehensive psychiatry, Jan 14, 2015

There is a dearth of literature dealing with the impact of the severity of posttraumatic symptoms... more There is a dearth of literature dealing with the impact of the severity of posttraumatic symptoms and of comorbid mental disorders on the health-related quality of life (HRQOL) of victims of civilian violence with a primary diagnosis of PTSD. To investigate the influence of the severity of posttraumatic symptoms and of presence of comorbid mental disorders on the HRQOL of treatment-seeking outpatients with PTSD. A sample of 65 PTSD patients was recruited in a specialized outpatient clinic. The volunteers had the diagnoses of PTSD and of comorbid mental disorders established with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). The severity of posttraumatic, depression and anxiety symptoms was measured with the PCL-C, BDI and BAI, respectively. HRQOL was assessed by means of the SF-36, a 36-item self-administered scale that measures eight domains of quality of life: vitality, physical functioning, bodily pain, general health perceptions, physical role functioni...

Research paper thumbnail of A forensic-psychiatric study of sexual offenders in Rio de Janeiro, Brazil

Journal of Forensic and Legal Medicine, 2015

Research paper thumbnail of Treatment–response by age at onset in obsessive–compulsive disorder

Journal of Affective Disorders, 2004

Research paper thumbnail of Sociodemographic predictors of temperament and character

Journal of Psychiatric Research, 2000

The Unified Biosocial Theory of Personality postulates that human personality is organized around... more The Unified Biosocial Theory of Personality postulates that human personality is organized around four temperaments — Novelty Seeking, Harm Avoidance, Reward Dependence, and Persistence — and three characters — Self-Directedness, Cooperativeness, and Self-Transcendence. The objective of the present study was to investigate the influence of sociodemographic factors on temperament and character without the confounding influence of mental disorders. Volunteers (n=94)

Research paper thumbnail of The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients

Journal of Affective Disorders, 2005

ObjectiveTo examine the concurrent validity of the Beck Depression Inventory-Short Form (BDI-SF) ... more ObjectiveTo examine the concurrent validity of the Beck Depression Inventory-Short Form (BDI-SF) to detect moderate and severe depressive episodes according to the International Classification of Diseases, 10th edition (ICD-10) criteria in inpatients with heterogeneous medical conditions and to set cut-off scores for its use in medical wards.

Research paper thumbnail of Adaptação transcultural para o português do instrumento Peritraumatic Dissociative Experiences Questionnaire, Versão Auto Aplicativa Artigo original

Research paper thumbnail of Confirmatory factor analysis of posttraumatic stress symptoms in Brazilian primary care patients: An examination of seven alternative models

Journal of Anxiety Disorders, 2011

The DSM-IV-TR postulates that PTSD symptoms are organized into 3 clusters. This assumption has be... more The DSM-IV-TR postulates that PTSD symptoms are organized into 3 clusters. This assumption has been challenged by growing number of factor analytical studies, which tend to favor 4-factor, first-order models. Our objective was to investigate whether the clusters of PTSD symptoms identified in North American and European studies could be replicated in a Brazilian sample composed of 805 primary care

Research paper thumbnail of Os pacientes invisíveis: transtorno de estresse pós-traumático em pais de pacientes com fibrose cística