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  • Persistently positive anti‐NMDA receptor antibodies in chronic psychotic disorder: foe or innocent bystander?
    Publication . Araújo, Margarida; Monteiro, Rosário B.; Samões, Raquel; Norton, Andreia; Correia, Ana P.
  • Impacto do Confinamento em Crianças e Adolescentes
    Publication . Pedro dos Reis, Filipa; Amaro, Rita; Martins Silva, Filipa; Vaz Pinto, Sofia; Barroca, Inês; Sá, Teresa; Ferreira Carvalho, Rui; Cartaxo, Teresa; Boavida, José
  • [Readmission to an Adolescent Psychiatry Inpatient Unit: Readmission Rates and Risk Factors]
    Publication . Mendes, P.; Fonseca, M.; Aguiar, I.; Pangaio, N.; Confraria, L.; Queirós, O.; Saraiva, J.; Monteiro, P.; Guerra, J.
    INTRODUCTION: Most mental disorders have a chronic evolution and therefore a certain amount of psychiatric readmissions are inevitable. Several studies indicate that over 25% of child and adolescent inpatients were readmitted within one year of discharge. Several risk factors for psychiatric readmissions have been reported in the literature, but the history of repeated readmissions is the most consistent risk factor. Our aim is to calculate the readmission rates at 30 days and 12 months after discharge and to identify associated risk factors. MATERIAL AND METHODS: The authors consulted the clinical files of patients admitted to the Inpatient Unit between 2010 and 2013, in order to calculate the readmission rates at 30 days and at 12 months. The demographic and clinical characteristics of the readmitted patients were analyzed and compared with a second group of patients with no hospital readmissions, in order to investigate possible predictors of readmission. RESULTS: A total of 445 patients were admitted to our inpatient unit between 2010 and 2013. Six adolescents were readmitted in a 30 days period (1.3%) and 52 were readmitted in a 12 month period after discharge (11.5%). Duration of the hospitalization and the previous number of mental health admissions were significant predictors of future hospital readmissions (p = 0.04 and p = 0.014). DISCUSSION: The low readmission rates may reflect the positive clinical and sociofamilial support being provided after discharge. CONCLUSION: Rehospitalisation is considered a fundamental target for intervention concerning prevention and intervention in mental healthcare. Thus, knowledge regarding their minimisation is crucial.
  • Violence and alcoholism in the family: how are the children affected?
    Publication . MALPIQUE, C.; BARRIAS, P.; MORAIS, L.; SALGADO, M.; PINTO DA COSTA, I.; RODRIQUES, M.
    Alcohol Alcohol. 1998 Jan-Feb;33(1):42-6. Violence and alcoholism in the family: how are the children affected? Malpique C, Barrias P, Morais L, Salgado M, Pinto Da Costa I, Rodriques M. SourceChild and Adolescent Psychiatry Department, Hospital Central de Criancas Maria Pia, Porto, Portugal. Abstract We made an evaluation of how children and adolescents are affected if they live in a family environment where violence associated with alcoholism is a feature. Interviews with 20 families and the use of psychological tests on their children were performed in this study. The study has demonstrated the existence of psychopathological disturbances in those families' children, whose immaturity and insecurity were expressed by aggressive behaviour or by depressive manifestations. It also became evident that there was a transgenerational alcoholism-violence frequency.