Ana Soledade Graeff-Martins

Developments and challenges in the diagnosis and treatment of ADHD.

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder, often associated with other psychiatric comorbidities, functional impairments, and poor long-term outcomes. The objective of this selected review is to describe current advances and challenges in the diagnosis and treatment of ADHD. The disorder is associated with neurobiological underpinnings and is highly heterogeneous in various aspects, such as symptom profiles, cognitive impairments, and neurobiological and genetic features. The efficacy and safety of short-term pharmacological treatments across the life cycle is well studied, but further research investigating long-term treatment, impact of treatment in preschoolers, and non-pharmacological interventions is needed. Future research is also needed to better characterize the neurodevelopmental pathways of the disorder, linking clinical and neurobiological information, less investigated populations, and new interventions.

Provision of mental healthcare for children and adolescents: a worldwide view.

Purpose of review There has been increased attention towards the burden imposed by mental disorders on children and adolescents. The present overview explores the current state of child and adolescent mental healthcare provision around the globe. Recent findings Current research indicates a concerning gap in the provision of care for the child and adolescent population. The disparities between need, demand and access to youth mental healthcare are likely to be even greater in low and- middle-income countries (LAMIC), where the proportion of children and adolescents in the population is higher. The scarcity of available resources for youth mental healthcare, especially in LAMIC, represents a major obstacle to decreasing the impact of mental disorders across the lifespan. Summary Our review highlights the discrepancy between demands and availability of mental healthcare for youth populations throughout the world. We describe some of the potential contributors to the current state of youth mental healthcare, such as problematic access to services, implementation deficiencies and inadequacy of policies. Recent innovative strategies to reduce these barriers are also presented.

The economic impact of subthreshold and clinical childhood mental disorders

Abstract Background: Mental disorders are common health problems associated with serious impairment and economic impact. Aims: To estimate the costs of clinical and subthreshold mental disorders in a sample of Brazilian children. Method: The High Risk Cohort Study is a community study conducted in two major Brazilian cities. Subjects were 6-14 years old children being registered at school. From an initial pool of 9937 children, two subgroups were further investigated using a random-selection (n = 958) and high-risk group selection procedure (n = 1554), resulting in a sample of 2512 subjects. Mental disorder assessment was made using the Development and Well-Being Assessment. Costs for each child were estimated from the following components: mental health and social services use, school problems and parental loss of productivity. Results: Child subthreshold and clinical mental disorders showed lifetime mean total cost of

Prevalência de problemas de saúde mental na infância na atenção primária

1750.9 and

Erratum: An integrative approach to investigate the respective roles of single-nucleotide variants and copy-number variants in Attention-Deficit/Hyperactivity Disorder (Scientific Reports (2016) 6 (22851) DOI: 10.1038/srep22851)

3141.2, respectively. National lifetime cost estimate was

A package of interventions to reduce school dropout in public schools in a developing country

9.9 billion for subthreshold mental disorders and

Schedule for Affective Disorders and Schizophrenia for School-Age Children – Present and Lifetime Version (K-SADS-PL), DSM-5 update: translation into Brazilian Portuguese

11.6 billion for clinical mental disorders (values in US

Child and Adolescent Mental Health

purchasing power parity). Conclusions: This study provides evidence that child mental disorders have a great economic impact on society. There is an urgent need to plan an effective system of care with cost-effective programs of treatment and prevention to reduce economic burden.

Associação entre sintomas de ansiedade social e atraso escolar

Resumo O presente estudo populacional de corte transversal teve como objetivo verificar a prevalencia de problemas de saude mental (PSM) e descrever o uso de servicos de saude numa amostra de criancas atendidas em unidades de saude (UBS) do municipio de Sao Paulo. Responsaveis de 825 criancas de 6-11 anos de idade foram entrevistados. PSM das criancas foram avaliados pelo “Strength and Difficulties Questionnaire” e uso de servicos por uma versao adaptada do “Client Service Receipt Inventory Children’s version”. A prevalencia de PSM internalizantes e externalizantes foi de 30,7% e 18,3%, respectivamente. O pediatra foi o profissional de saude mais consultado (56,7%), o psicologo foi o profissional da saude mental mais consultado (7,9%). Apenas 3 criancas estavam em tratamento medicamentoso para PSM. A alta prevalencia de PSM em criancas atendidas na AP e o baixo numero de atendimentos em servicos configuram um importante problema de saude publica. Programas de capacitacao para profissionais sao importantes para aprimorar a identificacao e o encaminhamento de casos de PSM.

Associação entre carga familiar de sintomas ansiedade e depressão e sintomas de ansiedade na infância

Leandro de Araújo Lima, Ana Cecília Feio-dos-Santos, Sintia Iole Belangero, Ary Gadelha, Rodrigo Affonseca Bressan, Giovanni Abrahão Salum, Pedro Mario Pan, Tais Silveira Moriyama, Ana Soledade Graeff-Martins, Ana Carina Tamanaha, Pedro Alvarenga, Fernanda Valle Krieger, Bacy Fleitlich-Bilyk, Andrea Parolin Jackowski, Elisa Brietzke, João Ricardo Sato, Guilherme Vanoni Polanczyk, Jair de Jesus Mari, Gisele Gus Manfro, Maria Conceição do Rosário, Eurípedes Constantino Miguel, Renato David Puga, Ana Carolina Tahira, Viviane Neri Souza, Thais Chile, Gisele Rodrigues Gouveia, Sérgio Nery Simões, Xiao Chang, Renata Pellegrino, Lifeng Tian, Joseph T. Glessner, Ronaldo Fumio Hashimoto, Luis Augusto Rohde, Patrick M. A. Sleiman, Hakon Hakonarson & Helena Brentani