Antônio Geraldo da Silva

Antônio Geraldo da Silva
University of Porto | UP · Departamento de Medicina

Doctor of Medicine
Presidente da Associação Brasileira de Psiquiatria, Faculdade de Medicina da Universidade do Porto.

About

124
Publications
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Introduction
Coordenador Nacional e Criador das Campanhas: 'Setembro Amarelo®️' e 'PSICOFOBIA É Crime'. Psiquiatra com ênfase nos seguintes temas: Bioética, Políticas Públicas, Psiquiatria, Psicofarmacologia, Transtornos do humor, Transtornos Ansiosos, Depressão, Transtorno Alimentares e Psiquiatria Forense.

Publications

Publications (124)
Article
Introduction: Emergencies in the pregnancy and postpartum are less frequent than in other groups, but not uncommon. However, the literature on the subject is scarce and controversial. Objective: The objective of this article is to present some recommendations for the management of the most common psychiatric emergencies that may occur in pregnancy...
Article
Full-text available
The term “medicinal marijuana” can be understood as a marketing strategy to reduce the risk perception of drug use.The medicinal use of cannabinoids is a debate that has gained importance in this representation space and presents a scientific issue as a scenario to bring the exam. The point of cannabidiol is not new, and its use and efficacy have b...
Article
Questão: Tendo em vista as diversas pesquisas realizadas no Brasil e em todo o mundo que tentam descobrir se realmente há eficácia no uso de canabidiol (CBD) no tratamento de diversas doenças, a Associação Brasileira de Psiquiatria - ABP publica seu posicionamento oficial a respeito do assunto. Posição da ABP: 1- Não há evidências científicas sufic...
Article
Background: Crisis hotlines are described as a direct communication system, usually telephone, set up to prevent suicide. However, few studies have evaluated their effectiveness. Objective: The present study aims to perform a systematic review, using PRISMA, on the effectiveness of interventions through direct communication systems to reduce the...
Article
Neste artigo discutiremos as competências da Matriz de Competências do Programa de Residência Médica em Psiquiatria e a importância de cada uma delas. Na construção da atual matriz de competências da Residência Médica em Psiquiatria foram consideradas a seguintes habilidades a serem adquiridas e de domínio dos futuros especialistas da área: Diagnos...
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Although the Impact Event Scale–Revised is widely used, its factor structure is still controversial. Inaddition, its longitudinal measurement invariance (LMI) remains uninvestigated. In this sense, we carriedout three studies to investigate its psychometric properties. In Study 1, we evaluated the factorial structure ofthe scale comparing the diffe...
Article
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Objective: The population's adhesion to measures to ensure social distancing represents a great management challenge in a pandemic context. Despite of evidence shown that social distancing is effective, lack of adherence still persists in many countries. Therefore, it is challenging to separate the effectiveness of government measures, from social...
Article
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Background: The burden of mental disorders is likely to increase during the Covid-19 pandemic. Knowing the rate of psychological distress and mental disorders, its severity, and factors associated with psychological distress is strategical. Method: We analyzed online cross-sectional data from 164,881 health professionals and from 5,635 participants...
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The term stalking comes from the English language and should be understood as aform of aggression that causes the victim the feeling of being persecuted. The prevalence of victimization by this phenomenon in the community is approximately 11%. Its occurrence is associated with a high potential for impairment of quality of life, psychological and/or...
Book
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O Tratado de psiquiatria da Associação Brasileira de Psiquiatria reúne destacados autores dos principais centros de pesquisa e formação de todo o País para trazer aos leitores em língua portuguesa os conhecimentos mais atuais na área. Sob a organização dos doutores Antonio Egidio Nardi, Antônio Geraldo da Silva e João Quevedo, este livro, disponív...
Preprint
BACKGROUND Human behavior is an important determinant of health outcomes. In addition to intrinsic public health challenges associated with the COVID-19 pandemic, in many countries, some individuals decided not to be vaccinated, streets were full of people, and businesses struggling to recover were partially open despite lockdown or "stay at home i...
Article
Background: Human behavior is crucial in health outcomes. Particularly, individual behavior is a determinant of the success of measures to overcome critical conditions, such as a pandemic. In addition to intrinsic public health challenges associated with COVID-19, in many countries, some individuals decided not to get vaccinated, streets were crow...
Preprint
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Introduction: Emotional stability is considered to be a protective factor for suicidal behavior. Nonetheless, suicidality is the result of a complex interaction of protective and risk factors, a key one being financial difficulties. Objective: We aimed to investigate the association between emotional stability and suicidality in Brazilian individua...
Article
Families' health, safety, and economic stability were jeopardized during the pandemic. Parental stress is a risk factor for hostile and less supportive parenting. Parenting styles are a set of attitudes, feelings and behaviors related to parenting that modulate the child's psychosocial functioning and might impact on the adaptability to a stressful...
Article
Objetivo: Mulheres tem sido associadas, desde o início da pandemia com níveis mais elevados de stress e ansiedade. Esta breve comunicação visa avaliar a situação da violência doméstica contra a mulher no Brasil durante o isolamento social devido à pandemia da COVID-19. Métodos: Extraímos dados do Google Trends mostrando a magnitude das pesquisas so...
Article
Introdução: A Escala de Estilos de Tomada de Decisão é um instrumento desenvolvido para avaliar dois estilos decisórios distintos, o intuitivo/ heurístico vs. o deliberado/racional. Estudos anteriores verificaram que a adaptação brasileira da escala é adequada e apresenta boas propriedades psicométricas. O presente estudo apresenta parâmetros preli...
Article
Introdução: A pandemia por COVID-19 exacerbou a angústia existencial em relação a morte. A insegurança e incerteza relacionadas aos limites da ciência, devido à falta de consenso científico sobre essa nova doença, convocam a necessidade de investigar, refletir e revisar as informações sobre problemas de saúde mental vinculados ao trabalho médico, e...
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Health professionals may be a vulnerable group to posttraumatic stress symptoms (PTSS) during the Coronavirus disease 2019 (COVID-19) pandemic. To investigate how health professionals who experienced a traumatic event are expressing PTSS and factors related to risk for higher PTSS symptomatology can inform how health professionals are facing their...
Article
Aims: This study aims to analyze the mechanisms through which the Covid-19 pandemic impacts on well-being at work and productivity. The secondary objective is to identify stress management strategies in the work environment during the pandemic time. Methods: This is an integrative review. Phase 1 consisted of a search for 2020 papers regarding m...
Preprint
Full-text available
The population's adhesion to measures to ensure social distancing represents a great management challenge. Evidence has shown that social distancing is effective. However, it is challenging to separate government measures from social distancing driven by personal initiatives. Theory: It is possible that the output of protective behaviors, such as a...
Article
Full-text available
The aime was to examine the factor structure, reliability and to obtain preliminary parameters of the Brazilian adaptation of the UPPS-P Impulsive Behavior Scale, a widely self-report measure used to assess impulsive behavior, in research and clinical setting. The scale is composed of 59 items assessing five factors of impulsivity: (1) positive urg...
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The COVID-19 pandemic led to changes in occupational behaviors, affecting millions of workers. This study aimed to assess changes in various perceptions about work at the beginning of the pandemic in Brazil, and six months later. 702 individuals of both sexes (566 females, 80.62%), aged between 16 and 75 years (M=41.8; SD=13.5), residents in 24 dif...
Preprint
Quality of Life (QoL) is a multidimensional estimate of biopsychosocial health and wellbeing.1 The COVID-19 pandemic led to an abrupt change in our lifestyle, demanding resilience and coping mechanisms2. Health care providers are in the frontline of COVID-19 patients’ diagnosis, treatment, and rehabilitation, and there is a well-documented impact o...
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Objective: Our objective is to provide a descriptive analysis of the quality of life among a large sample of health professionals in the early days of the pandemic. Method: We surveyed in the first months of the pandemics with the logistical support of the Health ministry in Brazil reaching more than 200,000 varied health professionals, with qua...
Preprint
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Purpose This short communication aims to assess the situation of domestic violence against women in Brazil during social isolation due to the COVID-19 pandemic. Methods We extracted data from Google Trends showing the magnitude of searches on the topics domestic violence and complaint and then compared with the data of the complaint reports. Resu...
Article
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Objective: To systematically review the literature focusing on obstetric and perinatal outcomes in women with previous or current eating disorders (EDs) and on the consequences of maternal EDs for the offspring. Methods: The study was performed following the systematic review and meta-analysis (PRISMA) statement. PubMed, SciELO, and Cochrane datab...
Article
Violence committed by individuals with severe mental disorders has become a growing focus of interest among physicians, law enforcement officials, and the general popula- tion. Homicide involving relatives, specially parricide, matricide, and filicide, despite the relatively low incidence of these crimes, may be enigmatic, so forensic psychiatris...
Article
A agitação psicomotora é uma situação frequente e requer treinamento e abordagem individualizada. No entanto, ainda há pouca informação para padronizar a gestão dessa situação em pacientes com infecção pelo COVID-19. O objetivo deste artigo é apresentar uma proposta de gestão da agitação psicomotora em pacientes com COVID-19. Foi conduzida revisão...
Preprint
Background: Knowing the rate of psychological distress and mental disorders, its severity, and factors associated with psychological distress is strategical during the COVID-19 pandemic.Method: We analyzed online cross-sectional data from 164,881 health professionals and from 5,635 participants from the general population in Brazil. The Global Seve...
Article
Full-text available
Evidence-based practices suggest that, besides early diagnosis and treatment, prevention and mental health promotion strategies are cost-beneficial, desirable resources to be adopted and encouraged by clinicians and policymakers. In particular, ‘‘lifestyle factors’’ such as physical activity, diet quality, less smoking, and sleep quality are strong...
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Introduction: The existence of a general factor related to psychiatric symptoms is supported by studies using a variety of methods in both clinical and non-clinical samples. Objective: This study aims to evaluate the replicability of the internal structure of the Brief Symptom Inventory of a large Brazilian sample. Methods: Participants were 6...
Article
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Memorias Forenses. Nro 4 55 Resumo: Objetivo: estudar o conceito de responsabilidade penal, de acordo com a lei brasileira e as aplicações de seus elementos em situações de perícias de indivíduos que apresentam transtornos mentais. Metodologia: revisão narrativa. Artigos sobre responsabilidade penal, publicados em Inglês e Português, foram pesquisa...
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Objectives: Adverse outcomes associated with maternal eating disorder (ED) are relevant for clinical decisions of psychiatrists, obstetricians, and pediatricians. This is a systematic review assessing if EDs influence fetal and maternal obstetric, perinatal, and neonatal outcomes. Methods: The literature search used PubMed, Scielo, and Cochrane da...
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Objective: Few instruments are available in Brazil to evaluate psychomotor activity in psychiatric emergency, clinical, and research settings. This study aimed to perform a cross-cultural adaptation of the behavioral activity rating scale (BARS) into Brazilian Portuguese and assess the psychometric properties of the scale. Methods: An expert com...
Preprint
Full-text available
The existence of a general factor related to psychiatric symptoms is supported by studies using a variety of methods and in both clinical and non-clinical samples. This study aims to evaluate the replicability of internal structure of the Brief Symptom Inventory in a large Brazilian sample. Participants were 6,427 Brazilian subjects (81% female). T...
Article
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The Pan American Health Organization advises that health systems have not yet adequately responded to the burden of mental disorders, indicating that there is a great distance between the needed and the provided treatment worldwide. Poor treatment quality is another serious problem in health systems. Beyond health services support, people with ment...
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The covid-19 pandemic has been a disturbing experience of proximity to death. As the pandemic goes on, the mixed experience of loss of a close family or friends added to the unpredictability of economic changes and the social isolation can elicit negative manifestations of affection, and psychological distress. The whole experience negatively affec...
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The prevalence of mental health problems in the general population during a public calamity is high. In calamities, the number of patients who present with mental disorder outbreaks or crises may increase, but the necessary support systems to help them may be impaired if they have not been planned for. Although there are several models for addressi...
Article
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A perícia médica se caracteriza por um conjunto de procedimentos técnicos cujo objetivo é esclarecer um fato de interesse da justiça, e o perito é o técnico incumbido pela autoridade de esclarecer o fato da causa, auxiliando, desse modo, na formação de convencimento de autoridade judicial. Dessa forma, a perícia é um meio de prova, e o perito, um a...
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68 debates em psiquiatria-Jul-Set 2020 reLAtO reLAtO De CASO AlexAndre mArtins vAlençA tAlvAne mArins de morAes lisieux e. de BorBA telles Antonio gerAldo dA silvA AlCinA BArros Resumo O presente artigo relata um caso de transtorno de estresse pós-traumático que foi submetido a uma perícia psiquiátrica administrativa. Foi concluído que, pela gravid...
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The combination of severe personality disorders and violence poses a challenge for mental health services, including forensic services and community mental health services. In the context of COVID-19 pandemic, after observing the alarming number of cases of coronavirus and deaths in Brazil, we aimed to discuss the potential increase in hostile beha...
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This article continues our presentation of the Brazilian Psychiatric Association guidelines for the management of patients with suicidal behavior, with a focus on screening, intervention, postvention, prevention, and promotion. For the development of these guidelines, we conducted a systematic review of the MEDLINE (via PubMed), Cochrane Database o...
Preprint
Full-text available
The COVID-19 pandemics were an event where there was a rupture of the life pattern and people felt helpless and suffering, creating a need for basic things such as medical care and shelter against the environmental conditions. The healthcare professionals faced an unknown potential threat to life that made them work in an intense and fearful routin...
Article
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Suicide is a global public health problem that causes the loss of more than 800,000 lives each year, principally among young people. In Brazil, the average mortality rate attributable to suicide is approximately 5.23 per 100,000 population. Although many guidelines have been published for the management of suicidal behavior, to date, there are no r...
Book
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Refletindo os avanços em termos de compreensão e tratamento da esquizofrenia, esta nova edição, totalmente atualizada, reúne destacados autores brasileiros que apresentam tanto os conceitos teóricos como as informações mais recentes e relevantes para a prática clínica. IDEAL PARA Profissionais das áreas de saúde mental (psiquiatria, psicologia, neu...
Article
O presente artigo relata um caso de transtorno de estresse pós-traumático que foi submetido a uma perícia psiquiátrica administrativa. Foi concluído que, pela gravidade do caso, havia incapacidade laborativa. A perícia psiquiátrica de natureza administrativa é de extrema importância para a garantia dos direitos dos indivíduos. O estudo detalhado do...
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Yearly, there are an estimated 213 million pregnancies worldwide.1 The coronavirus disease 2019 (COVID-19) pandemic, an unprecedented event, has affected millions worldwide and made pregnancy an international public health concern.
Book
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Neste livro, destacados profissionais brasileiros abordam temas fundamentais para quem está se preparando para concursos na área da psiquiatria — inclusive para a prova de título de especialista —, bem como para residentes e profissionais que buscam atualizar seus conhecimentos na área. Pessoas que estão se preparando para concursos na área de Psiq...
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Objective: The stigma toward individuals with mental disorders is highly prevalent, not only in the general population but among health care providers as well. The aim of this study was to identify subgroups based on stigmatizing beliefs related to psychiatric disorders among Brazilian psychiatrists, as well as to investigate their association with...
Article
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A pandemia de coronavírus (COVID-19) é uma emergência de saúde pública de interesse internacional e representa também um desafio à saúde mental, em especial para crianças e adolescentes ainda em desenvolvimento. Para aqueles jovens que já têm uma história de transtornos mentais, os riscos são maiores. Para diminuir as consequências das incertezas d...
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Full-text available
Psychiatric emergencies are severe behavioral changes secondary to worsening mental illness. Such situations present a risk to the patient and other people, so they need immediate therapeutic intervention. They are associated with feelings of fear, anger, prejudice, and even exclusion. The attitudes of professionals and factors related to the workp...
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Full-text available
O cenário da pandemia de COVID-19 representa um desafio sem precedentes para a sociedade. Em que pese a importância das medidas imediatas visando à prevenção da propagação da doença, cuidados com os indivíduos acometidos e medidas para minimizar os impactos econômicos e sociais, a abordagem de temas relacionados à saúde mental da população em geral...
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A number of older substances display such marked, consistent efficacy that their absence from guidelines or consensus initiatives did not discourage clinicians from continued prescribing to their patients. Unfortunately, many of those efficacious medications have vanished from Brazilian drugstore shelves over the past 20 years. Tranylcypromine and...
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Full-text available
Resumo A pandemia de coronavírus (COVID-19) é uma emergência de saúde pública de interesse internacional e representa também um desafio à saúde mental, em especial para crianças e adolescentes ainda em desenvolvimento. Para aqueles jovens que já têm uma história de transtornos mentais, os riscos são maiores. Para diminuir as consequências das incer...
Article
A psiquiatria do trabalho envolve a fusão de dois saberes médicos e suas áreas de atuação, a medicina do trabalho e a psiquiatria. Pode ser designada como campo de compreensão e intervenção sobre o trabalho e as organizações, visando analisar a interação das múltiplas dimensões que caracterizam pessoas, grupos e organizações, com a finalidade de co...
Chapter
Over the last three decades, an emerging body of research has achieved great improvements on the way we understand not only psychosocial and cultural aspects of sex differences, but also biological basis and how this knowledge could advance preventive, diagnostic, government policies, and therapeutic health-care practices. What follow are some intr...
Chapter
Attention-deficit/hyperactivity disorder (ADHD) is most often diagnosed in boys and may be underdiagnosed in girls. This diagnostic gap can be partly explained by the fact that female symptoms are less evident than male disruptive behaviors. In childhood, the male-to-female ratio of ADHD is 3:1. In adulthood, however, this ratio is close to 1:1. Al...
Book
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There is an increasing focus on medical studies related to differences between men and women, and women’s mental health stands out as one of the most important fields where sex-based differences are being investigated. Overall, studies show an existence of important sex-specific differences in several aspects of psychiatric disorders such as etiolo...