At risk drinking in primary care: report from a survey in Sao Paulo, Brazil.

This article describes the prevalence of at risk drinking among patients attending the primary health care sector in the city of Sao Paulo, Brazil. Five percent of the screened population answered positively to two or more questions on the CAGE questionnaire; 12% of male and 3% of female subjects were considered to be at risk drinking. Patients socio-demographic characteristics were analysed by means of logistic models. Variables sex, age, employment status and years living in Sao Paulo had significant effects on the risk of being a CAGE high-scorer.

Reliability and factor structure of the Portuguese version of Self-Reporting Questionnaire.

The Self-Reporting Questionnaire is a screening instrument devised by the WHO to identify minor psychiatric morbidity in primary care settings and the community in developing countries. It has already been widely used although its psychometric properties are not yet completely explained. The present article describes the following properties of the Portuguese version of the SRQ-20: a) coefficients of internal consistency; b) inter-rater reliability coefficients, and c) a factor analysis. Internal consistency, measured by the KD20 method, was 0.81. The intra-class correlation coefficient obtained from simultaneous scoring of four interviewers was 0.96, considerably high, as expected from a structured instrument. In the factor analysis four main factors accounted for 41% of the total item variance, and they could be reasonably identified as Decreased Energy, Somatic symptoms, Depressive mood and Depressive thoughts.

Ensino de psicologia medica em um ambulatorio de medicina geral e familiar. / The teaching of clinical psychology in ambulatory a familiar and general medicine

E apresentada a experiencia de ensino de Psiquiatria e Psicologia Medica conforme ocorre no Ambulatorio de Medicina Geral e Familiar da Escola Paulista de Medicina, onde os alunos do quinto ano de graduacao medica sao estimulados a explorar os aspectos psicossociais dos pacientes que atendem. Em tal exploracao, os autores delimitam tres fases distintas: como detectar/aprofundar/lidar com situacoes emocionais existentes na pratica medica.Cada uma das fases recebe um instrumento especifico de ensino, que e utilizado com os alunos individualmente

Notas de psiquiatras acerca de pacientes renais cronicos. II. / Notes of psychiatrists about chronic renal patients. II

O presente trabalho e continuidade da publicacao anteriormente apresentada no XIV Congresso Nacional de Psiquiatria, Neurologia e Higiene Mental, realizado em Maceio, em 1979.Refere-se as experiencias acumuladas por membros do Departamento de Psiquiatria e Psicologia Medica da Escola Paulista de Medicina, em atividade conjunta con integrantes da Unidade de Analise e Transplante Renal do Hospital Sao Paulo - Disciplina de Nefrologia do Departamento de Medicina da referida Escola.Discute-se aqui, mais especialmente - caso que nos parece representativo - o preco e significado do rim em indicacao do transplante