Alessandra Diehl

• Federal University of São Paulo

Objective: To evaluate the relationship between crack/cocaine use and domestic violence perpetration from the perspective of substance users' families. A secondary retrospective cross-sectional study, with 3162 family members of crack/cocaine users seeking treatment in the Recomeço Família Programme in São Paulo/Brazil was undertaken. Family membe...

Objective: To assess factors associated with depression among higher education students and professionals during the peak of the COVID-19 pandemic. Method: quantitative study with a cross-sectional design. 550 students and professionals participated. The data were collected by means of a digital questionnaire that included Patient Health Questio...

This study examined the prevalence, and associated factors, of violence against women by an intimate partner amongst 369 women who attended nursing consultations at primary care centres in Northeast Brazil. Socio-demographic variables, substance use, mental health and the forms of violence were analysed. IPV was a reality for 65.4% of the women of...

Este capítulo tem por objetivo analisar a relação entre o consumo de maconha e o desenvolvimento de transtornos psiquiátricos, discutindo-a a partir de fundamentos científicos

Este capítulo tem o objetivo de apresentar os principais aspectos relacionados ao uso de maconha em outras populações, como indivíduos em situação de rua e presidiários, descrevendo os dados epidemiológicos, bem como suas implicações clínicas e sociais

Neste capítulo, os autores revisaram a literatura científica disponível sobre o tema, bem como analisaram o mais recente banco de dados do II Levantamento Nacional sobre Álcool e Drogas (LENAD II), conduzido em 2012 pela Universidade Federal de São Paulo (Unifesp), a fim de sintetizar os principais resultados e conceitos atuais sobre a associação e...

Objective To evaluate the associations between relapse and admissions (voluntary and involuntary) in a sample of patients with substance dependence. Methods This is a cross-sectional study undertaken at a private medical therapeutic community specialised in treating addiction, located in a rural area of São Paulo, Brazil. Sociodemographic characte...

Objectives The aim of this study was to investigate the prevalence, consequences and factors associated with drug use among individuals over 50 years of age, from the perspective of their families, with particularly reference to cocaine use. Methods Cross-sectional study based on secondary data with 624 family members of substance users who sought...

Objective To investigate the association between exposure to domestic violence and increased risk of internalizing and externalizing problems and substance use among adolescents living with relatives with substance use disorder (SUD) at a low-income community of São Paulo, Brazil. Methods A cross-sectional study was conducted with 102 adolescents...

The aim of this study is to evaluate the associations between having parents with substance use problems, and having suffered neglect within the family, and behavioral problems (psychological and drug use) among adolescents. All the participants were enrolled on the socio-educational parole scheme, ‘Assisted Freedom’. In this cross-sectional study,...

The objective of this study is to evaluate the prevalence of self-reported rape and its associations with other forms of violence and mental health outcomes. The Brazilian National Alcohol and Drugs Survey is a probabilistic household survey that collected data from 4,283 Brazilians aged 14 years and older in 2012. The prevalence of rape was 2.3% (...

Objective: To describe the prevalence of substance use and the associations between adverse early life experiences, sexual behaviour and violence in sexual minority (SM) individuals. Methods: The Brazilian National Alcohol and Drugs Survey is a probabilistic household survey performed in 2012, collecting data from 4,067 Brazilians aged 14 years a...

The World Health Organization (WHO) has made substantial changes to the classification of paraphilic disorders (F65) for the Eleventh Revision of the International Classification of Diseases and Related Health Problems (ICD-11). Its expected that by January 2022 the ICD-11 may already be used by clinicians and stakeholders in many countries around...

Con respecto a la calidad de la relación y especialmente la satisfacción sexual, Giddens afirma que las mujeres lesbianas creen que disfrutan de un mayor placer sexual en las relaciones homosexuales y que atribuyen esta ventaja al hecho de que se sienten más cómodas y no presionadas en estas relaciones, ya que en experimentan una mayor complicidad,...

Introduction: The World Health Organization (WHO) Department of Mental Health and Substance Abuse appointed a Working Group on Sexual Disorders and Sexual Health in order to revise and propose changes to ICD-10 categories. Aim: Analyze ethical and legal implications in Brazil of the proposed ICD-11 diagnostic criteria for paraphilic disorders....

Objective To evaluate the associations between relapse and admissions (voluntary and involuntary) in a sample of patients with substance dependence. Methods This is a cross-sectional study undertaken at a private medical therapeutic community specialised in treating addiction, located in a rural area of São Paulo, Brazil. Sociodemographic charact...

Objective: To investigate the prevalence of early childhood maltreatment and associations with later sexual behavior among adult substance users. Methods: A cross-sectional study enrolled 134 substance dependents who sought outpatient care in Sa˜o Paulo, Brazil. Childhood trauma prevalence was assessed using the Childhood Trauma Questionnaire (CTQ)...

Aim: To investigate the prevalence of depressive symptoms, psychological problems, suicidal behaviour and their associations in substance users in treatment. Methods: A cross-sectional study, with 307 substance users in an out-patient treatment facility, was undertaken. Socio-demographic data, psychoactive substances used, depressive symptoms, and...

Abortion is a very sensitive issue with relevance to public health; however few clinical or population-based studies have examined induced abortion among drug users. The study aims to evaluate the prevalence of induced abortion and sex-related conditions in an inpatient drug user sample. A cross-sectional design study was conducted in an inpati...

Modalidade: Mesa Redonda-Capital erótico: o exercício social do prazer O estupro é definido como uma relação sexual sem o consentimento da vítima. É um problema global de saúde pública com consequências incalculáveis para a saúde física e mental das vítimas, como a depressão, o suicídio, transtorno do estresse pós-traumático, HIV, infecções sexualm...

Objective: The aim of this study was to evaluate the prevalence of paraphilic thoughts/behaviors (including paraphilic disorders) with and without sexual addiction and sexual-related conditions in a sample of substance disorder patients. Methods: This was a cross-sectional study of substance-dependent individuals who sought outpatient treatment...

Aim and Methods The aim of this article is to provide a narrative literature review of the ‘third gender’ phenomenon in Brazil (Travestis), India (Hijras) and Mexico (Muxes), considering the social stigma, the legal and health aspects of these identities. Results These three groups share similar experiences of stigmatisation, marginalisation, sexu...

Objective: To compare the risk of comorbid sexual addiction in a sample of individuals with a diagnosis of substance dependence, stratifying the sample by drug of choice as well as by mono versus polysubstance addiction. Method: All data were collected at Santa Casa de São Paulo, Brazil. The study sample comprised all alcohol or drug dependents ad...

O conceito de codependência, embora muito popular no meio clínico do campo das dependências químicas, segue sendo considerado um constructo muito criticado e controverso no meio científico. Nosso objetivo foi avaliar o estado da arte sobre o constructo de codependência de familiares de usuários de álcool e outras drogas quanto à etiologia e outros...

O conceito de codependência, embora muito popular no meio clínico do campo das dependências químicas, segue sendo considerado um constructo muito criticado e controverso no meio científico. Nosso objetivo foi avaliar o estado da arte sobre o constructo de codependência de familiares de usuários de álcool e outras drogas quanto à etiologia e outros...

The aim of this study was to investigate the link between violence, crime, and sexual behavior among patients with substance-related disorder admitted to a specialized inpatient care unit. This was a cross-sectional study using a questionnaire on socio-demographic characteristics, drug of choice (DOC), questions about sexual behavior, and instrumen...

Aims: The aim of this study is to evaluate whether there is a difference in the identified prevalence between the assessment of symptoms of sexual dysfunction in female drug users using a standardized scale and by means of a nonstandardized set of questions about sexual dysfunctions. Method: A cross-sectional study was conducted with two groups...

Aim: The aim of the present study was to evaluate violence, crime and sexual behaviour among patients with substance-related disorder admitted to a specialized inpatient care unit. Methods: This was a cross-sectional study using a questionnaire about socio-demographic data and drug of choice (DOC), questions about sexual behaviour, and instruments...

Abstract The aim of this study was to evaluate the potential relationship between self-reported sexual dysfunction, sexual behavior, and severity of addiction of drug users. A cross-sectional design study was conducted at an inpatient addiction treatment unit in Sao Paulo, Brazil, with a sample of 508 male drug users. Sociodemographic data, sexual...

The aim of this study was to evaluate the potential relationship between self-reported sexual dysfunction, sexual behavior, and severity of addiction of drug users. A cross-sectional design study was conducted at an inpatient addiction treatment unit in Sao Paulo, Brazil, with a sample of 508 male drug users. Sociodemographic data, sexual behavior,...

The aim of this study was to evaluate the potential relationship between self-reported sexual dysfunction, sexual behavior, and severity of addiction of drug users. A cross-sectional design study was conducted at an inpatient addiction treatment unit in Sao Paulo, Brazil, with a sample of 508 male drug users. Sociodemographic data, sexual behavior,...

The World Health Organization (WHO) is in the process of revising the International Classification of Diseases and Related Health Problems, currently in its 10th version (ICD-10). Several changes have been proposed in the conditions related to sexuality and sexual health, including the elimination of all categories of the F66 code (psychological an...

A Organização Mundial de Saúde (OMS) está em processo de revisão da Classificação Internacional de Doenças e dos Problemas Relacionados à Saúde, atualmente na sua 10ª versão (CID-10). Várias mudanças vêm sendo propostas para as condições relacionadas à sexualidade e à saúde sexual, sendo que uma delas é a total eliminação de todas as categorias do...

This study sought to analyze the association between alcohol consumption and the occurrence of injuries in women attending the emergency room (ER) from developing and developed countries. The sample consisted of ER data from women in 15 countries that were collected as part of two multi-site studies using similar methodologies: the Emergency Room C...

This study seeks to evaluate sexual risk behaviors in non-injecting substance-dependent patients admitted for specialized inpatient Brazilian care. A cross-sectional study using socio-demographic and sexual behavior information, drug of choice, Short Alcohol Dependence Data, Drug Abuse Screening, and Test for Nicotine Dependence was used in 299 sub...

Este estudio pretende evaluar los comportamientos sexuales de riesgo en pacientes dependientes de sustancias no inyectables admitidos en hospitalizacion especializada brasilena. Se realizo un estudio transversal con informacion sociodemografica, informacion sobre el comportamiento sexual, droga de eleccion y se les aplico el Short Alcohol Dependenc...

A Organização Mundial de Saúde (OMS) está em processo de revisão da Classificação Internacional de Doenças e dos Problemas Relacionados à Saúde, atualmente na sua 10ª versão (CID-10). Várias mudanças vêm sendo propostas para as condições relacionadas à sexualidade e à saúde sexual, sendo que uma delas é a total eliminação de todas as categorias do...

The hypersexual disorder is a diagnosis that although very prevalent in general population it still follows underdiagnosed in clinical samples. This condition has high association with substance related disorder and with other sexual conditions, such as paraphilic disorder, with significant burden of suffering and intimacy difficulty to its carrier...

A Comissão Global de Politicas de Drogas em 2011 anunciou que a “guerra contra as drogas falhou” e a legalização das drogas seria uma das respostas para conter o tráfico, à violência, o excessivo encarceramento e o consumo de drogas entre os mais jovens. No entanto, reforça-se a estrita necessidade de analisar a questão a partir de uma perspectiva...

Crack cocaine smokers exhibit high levels of risky sexual behaviours. The current study examined a cohort of Brazilian crack cocaine smokers (n=304) admitted to an addiction inpatient care unit, assessing the reasons for risky sexual behaviours and their non-use of condom. Using a drug abuse screening test (DAST) and semi-structured questionna...

This study seeks to evaluate sexual risk behaviors in non-injecting substance-dependent patients admitted for specialized inpatient Brazilian care. A cross-sectional study using socio-demographic and sexual behavior information, drug of choice, Short Alcohol Dependence Data, Drug Abuse Screening, and Test for Nicotine Dependence was used in 299 sub...

A prevenção ao uso de álcool e drogas é possível? De quem é essa responsabilidade? Dos pais? Da escola? Dos governantes? Da sociedade como um todo? Como se faz prevenção? Neste livro, diversos especialistas brasileiros respondem a estas e outras questões, apresentando “mitos” e “verdades” a respeito do consumo de álcool e drogas e discutindo as po...

A chamada “cultura do estupro da mulher” a qual tende a culpabilizar a vítima e não o agressor é uma situação antiga na sociedade brasileira. Pautas alarmantes foram publicadas neste ano de 2014, gerando discussões em redes sociais e mobilizando muita preocupação com o tema. A primeira foi divulgada pelo Instituto de Pesquisa Econômica Aplicada (IP...

ABSTRACT:The ancient Kama Sutra book originally written by Vatsyayana in the first and second centuries has crossed many years throughout the human sexuality history and has been translated into many languages since its first translation of the English edition in 1883. This is a very unusual work for the time, which can be considered timeless, avan...

A Comissão Global de Políticas de Drogas em 2011 anunciou que a “guerra contra as drogas falhou” e a legalização das drogas seria uma das respostas para conter o tráfico, à violência, o excessivo encarceramento e o consumo de drogas entre os mais jovens. No entanto, reforça-se a estrita necessidade de analisar a questão a partir de uma perspectiva...

Mental, neurological, and substance use disorders (MNS) are among the largest sources of medical disability in the world, surpassing both cardiovascular disease and cancer. The picture is not different in low- and middle-income countries (LAMIC) where the relative morbidity associated with MNS is increasing, as a consequence of improvement in gener...

To estimate the prevalence of female sexual dysfunction symptoms and the associated risk factors in a sample of patients with substance-related disorders admitted to a specialized in-patient care unit. This study used a cross-section design, with eight months of data collection, conducted with substance-dependent women using structured questionnair...

OBJETIVO: Avaliar a efetividade da entrevista motivacional breve e de uma brochura educativa quando aplicadas em prontos-socorros para reduzir o abuso e problemas relacionados ao álcool entre os jovens. MÉTODO: Um ensaio clínico randomizado simples-cego com três meses de seguimento foi realizado em três prontos-socorros de outubro de 2004 a novembr...

To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. A randomized single-blind clinical trial with a three-month follow-up was carried out at three emergency rooms from October 2004 to November 20...

OBJECTIVE: To perform an update on cannabis abuse by patients with psychiatric disorders. METHOD: A search was performed in the electronic databases Medline, The Cochrane Library Database, Lilacs, PubMed, and SciELO, using the keywords 'marijuana abuse', 'cannabis abuse', 'psychiatric disorders', and 'mental disorders'. Articles published until Dec...

To perform an update on cannabis abuse by patients with psychiatric disorders. A search was performed in the electronic databases Medline, The Cochrane Library Database, Lilacs, PubMed, and SciELO, using the keywords 'marijuana abuse', 'cannabis abuse', 'psychiatric disorders', and 'mental disorders'. Articles published until December 2009, dealing...

The purpose of this paper is to supply a narrative review of the concepts, history, functions, methods, development and theoretical bases for the use of halfway houses for patients with mental disorders, and their correlations, for the net construction of chemical dependence model. This theme, in spite of its relevance, is still infrequently explor...

OBJECTIVE: Describe suicide attempts assisted in an emergency room (ER) and acute substance consumption or dependence on these individuals. METHODS: Descriptive epidemiologic study was carried out during one year, evaluating suicide attempts assisted at Embu das Artes ER, São Paulo, Brazil. Patients were scheduled to a non structured psychiatric in...

OBJECTIVE: to conduct a scientific literature review aiming to evaluate the psychoactive substance abuse and dependence in people with sexual orientation of lesbians, gays and bisexual group when compared to individuals with heterosexual orientation. METHODS: a literature review in the main national and international data bases from 1970 to 2009 pe...

To evaluate anticraving action and tolerability of topiramate in cocaine user treatment. Male users of inhaled cocaine which met criteria for cocaine dependence (Diagnostic and Statistical Manual of Mental Disorders, fourth edition) were selected for outpatient 12-week, open label trial with topiramate; individual dosage ranged between 25-300 mg/da...

Although there is a considerable amount of data in the literature regarding the association between alcohol consumption and injuries treated in emergency rooms, little is known about the relationship between such injury and the use of other substances. The objective of this study was to estimate the prevalence of substance use in patients admitted...

Theatre Journal 51.1 (1999) 91-92 Taking it Like a Man: White Masculinity, Masochism, and Contemporary American Culture. By David Savran. Princeton: Princeton University Press, 1998; pp. ix + 382. $65 cloth, $19.95 paper. Lynda Hart's Between the Body and the Flesh and David Savran's Taking It Like A Man both engage with the multiple discourses and...