The multidimensional evaluation and treatment of anxiety in children and adolescents: rationale, design, methods and preliminary findings.

OBJECTIVE: This study aims to describe the design, methods and sample characteristics of the Multidimensional Evaluation and Treatment of Anxiety in Children and Adolescents - the PROTAIA Project. METHOD: Students between 10 and 17 years old from all six schools belonging to the catchment area of the Primary Care Unit of Hospital de Clínicas de Porto Alegre were included in the project. It comprises five phases: (1) a community screening phase; (2) a psychiatric diagnostic phase; (3) a multidimensional assessment phase evaluating environmental, neuropsychological, nutritional, and biological factors; (4) a treatment phase, and (5) a translational phase. RESULTS: A total of 2,457 subjects from the community were screened for anxiety disorders. From those who attended the diagnostic interview, we identified 138 individuals with at least one anxiety disorder (apart from specific phobia) and 102 individuals without any anxiety disorder. Among the anxiety cases, generalized anxiety disorder (n = 95; 68.8%), social anxiety disorder (n = 57; 41.3%) and separation anxiety disorder (n = 49; 35.5%) were the most frequent disorders. CONCLUSION: The PROTAIA Project is a promising research project that can contribute to the knowledge of the relationship between anxiety disorders and anxiety-related phenotypes with several genetic and environmental risk factors.

The multidimensional evaluation and treatment of anxiety in children and adolescents: rationale, design, methods and preliminary findings / Avaliação multidimensional e tratamento da ansiedade em crianças e adolescentes: marco teórico, desenho, métodos e resultados preliminares

OBJECTIVE: This study aims to describe the design, methods and sample characteristics of the Multidimensional Evaluation and Treatment of Anxiety in Children and Adolescents - the PROTAIA Project. METHOD: Students between 10 and 17 years old from all six schools belonging to the catchment area of the Primary Care Unit of Hospital de Clínicas de Porto Alegre were included in the project. It comprises five phases: (1) a community screening phase; (2) a psychiatric diagnostic phase; (3) a multidimensional assessment phase evaluating environmental, neuropsychological, nutritional, and biological factors; (4) a treatment phase, and (5) a translational phase. RESULTS: A total of 2,457 subjects from the community were screened for anxiety disorders. From those who attended the diagnostic interview, we identified 138 individuals with at least one anxiety disorder (apart from specific phobia) and 102 individuals without any anxiety disorder. Among the anxiety cases, generalized anxiety disorder (n = 95; 68.8 percent), social anxiety disorder (n = 57; 41.3 percent) and separation anxiety disorder (n = 49; 35.5 percent) were the most frequent disorders. CONCLUSION: The PROTAIA Project is a promising research project that can contribute to the knowledge of the relationship between anxiety disorders and anxiety-related phenotypes with several genetic and environmental risk factors.

OBJETIVO: o objetivo deste estudo é descrever o desenho, os métodos e as características amostrais da Avaliação Multidimensional e Tratamento da Ansiedade em Crianças e Adolescentes - Projeto PROTAIA. MÉTODO: Escolares entre 10 e 17 anos de todas as escolas pertencentes à área de abrangência da unidade de atenção primária do Hospital de Clínicas de Porto Alegre foram incluídos no projeto. O projeto compreende cinco fases: 1) triagem comunitária; 2) diagnóstico psiquiátrico; 3) avaliação multidimensional, incluindo fatores ambientais, neuropsicológicos, nutricionais e marcadores biológicos; 4) tratamento; e 5) fase translacional. RESULTADOS: Um total de 2.457 sujeitos foram triados para transtornos de ansiedade na comunidade. Dos indivíduos que compareceram à avaliação diagnóstica, 138 foram detectados com ao menos um transtorno de ansiedade (excluindo fobia específica) e 102 indivíduos sem nenhum transtorno de ansiedade. Dentre os casos de ansiedade, o transtorno de ansiedade generalizada (n = 95; 68,8 por cento), transtorno de ansiedade social (n = 57; 41,3 por cento) e o transtorno de ansiedade de separação (n = 49; 35,5 por cento) foram os mais frequentes. CONCLUSÃO: O projeto PROTAIA é um projeto de pesquisa promissor que pode contribuir para o entendimento da relação entre transtornos de ansiedade e fenótipos relacionados à ansiedade com vários fatores de risco, tanto genéticos quanto ambientais.

Transtorno do pensamento em um paciente fóbico-obsessivo: estudo a partir de um caso clínico / Phobic-obsessive patient's thought disorder: a study from a clinical case

O presente trabalho analisa algumas características do pensamento de umpaciente fóbico-obsessivo, estudando como o pensamento se estrutura dentrodo psiquismo. Apresenta uma revisão de aspectos teóricos em Freud, Klein e Bion, com uma subseqüente discussão sobre um caso de psicoterapiade orientação analítica partindo desses conceitos

The present article focus on some features of a phobic-obsessive patient’sthought, studying how thought can be structured inside the mind. It presents arevision of theoretical issues in Freud, Klein and Bion, with a subsequentdiscussion on a psychoanalytical psychotherapy case based on these concepts

Transtorno do pensamento em um paciente fóbico-obsessivo: estudo a partir de um caso clínico / Phobic-obsessive patient's thought disorder: a study from a clinical case

O presente trabalho analisa algumas características do pensamento de um paciente fóbico-obsessivo, estudando como o pensamento se estrutura dentro do psiquismo. Apresenta uma revisão de aspectos teóricos em Freud, Klein e Bion, com uma subseqüente discussão sobre um caso de psicoterapia de orientação analítica partindo desses conceitos

The present article focus on some features of a phobic-obsessive patient’sthought, studying how thought can be structured inside the mind. It presents a revision of theoretical issues in Freud, Klein and Bion, with a subsequent discussion on a psychoanalytical psychotherapy case based on these concepts

An Alternative Teaching Method for the Regulation of the Immune Response.

PURPOSE: Our teaching experience has shown that dealing with the molecular aspects of the immune response regulation poses several difficulties. Therefore, we developed a panel board to verify whether or not this active-learning exercise could enhance students' learning and arouse their interest in subjects that are basically theoretical and complex. METHODS: Twenty cardboard pieces labeled with the names of major regulators of the immune response and three panel boards with explanations on how major regulators work. Students had to match the cardboard pieces with the corresponding explanation. RESULTS: One hundred forty students participated in this study. The overall response of the students to the game was very positive: 95.71% considered the panel board interesting and 95% said the panel board facilitated the understanding of the subject matter. The students' grades significantly improved (P<0.0001). CONCLUSION: The results obtained show the importance of using the panel board when trying to approach a subject that is vast and complex not only for students but also for professors.