Débora M Miranda

Débora M Miranda
Federal University of Minas Gerais | UFMG · Departamento de Pediatria

MD, PhD

About

237
Publications
71,890
Reads
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3,171
Citations
Citations since 2016
144 Research Items
2490 Citations
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Additional affiliations
February 2008 - May 2010
Fundação Hospitalar do Estado de Minas Gerais
Position
  • Clinical Director
January 2008 - present
Federal University of Minas Gerais
Position
  • Professor

Publications

Publications (237)
Article
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Introdução: A avaliação de sintomas de transtornos do espectro autista e transtornos de déficit de atenção e hiperatividade em crianças é muitas vezes um desafio clínico, especialmente agora quando ambos os diagnósticos podem ser feitos no mesmo paciente. Escalas estruturadas e entrevistas podem melhorar a avaliação clínica nesses casos. Objetivo:...
Article
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Objective: To compare the distress level among Brazilian healthcare professionals during the coronavirus disease 2019 (COVID-19) pandemic and estimate risks by sex, age, and occupation. Methods: In a longitudinal cohort design, a nationally distributed online survey was used to collect data from 10,490 active healthcare professionals who worked dur...
Article
Background and objective Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection commonly leads to neurologic manifestations. In the present review, we aimed to investigate potential neuroimaging markers of early diagnosis and prognosis of neurologic manifestations in COVID-19. Methods Our study was registered in the Prospective Reg...
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People recovered from COVID-19 may still present complications including respiratory and neurological sequelae. In other viral infections, cognitive impairment occurs due to brain damage or dysfunction caused by vascular lesions and inflammatory processes. Persistent cognitive impairment compromises daily activities and psychosocial adaptation. Som...
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Autism spectrum disorder (ASD) is characterized by difficulties in social interaction and inflexible behaviors/interests. To quantify ASD traits in adults with preserved intelligence, the Autism Spectrum Quotient (AQ) was developed, which is a self-report instrument and one of the most used and recommended tools. Objectives: We aimed to present a...
Article
Electronic media pervade modern life. Childhood is a crucial period for attentional development and the screen exposure time is increasing. This review aimed to understand the association between screen time and attention of children with typical development. A systematic review was conducted in compliance with Preferred Reporting Items for Systema...
Article
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The aim of the present study was to examine parental experiences of homeschooling during the COVID-19 pandemic in families with or without a child with a mental health condition across Europe. The study included 6720 parents recruited through schools, patient organizations and social media platforms (2002 parents with a child with a mental health c...
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...
Preprint
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People recovered from COVID-19 may still present complications including respiratory and neurological sequelae. In other viral infections, cognitive impairment occurs due to brain damage or dysfunction caused by vascular lesions and inflammatory processes. Persistent cognitive impairment compromises daily activities and psychosocial adaptation. Som...
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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This paper deals with the problem of modeling counterfactual reasoning in scenarios where, apart from the observed endogenous variables, we have a latent variable that affects the outcomes and, consequently, the results of counterfactuals queries. This is a common setup in healthcare problems, including mental health. We propose a new framework whe...
Article
Objective To evaluate the severity and clinical outcomes of the SARS-CoV-2 gamma variant in children and adolescents hospitalized with COVID-19 in Brazil. Study design In this observational retrospective cohort study, we performed an analysis of all 21,591 hospitalized patients aged < 20 years with confirmed SARS-CoV-2 infection registered in a na...
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Background Data on psychiatric disorders in survivors born very preterm (VP; <32 weeks) or very low birthweight (VLBW; <1500 g) are sparse. We compared rates of psychiatric diagnoses between VP/VLBW and term-born, normal birthweight (term/NBW) control participants. Methods This individual participant data (IPD) meta-analysis pooled data from eligi...
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The COVID-19 pandemic has created an unusually stressful situation for many people around the world. Due to the restrictions, many have been isolated in their homes, and having a responsive partner may have become even more important. The present study aimed to investigate (1) whether there were any differences in social and work-related stressors...
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...
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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...
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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...
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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...
Preprint
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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 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...
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Telomeres are aging biomarkers, as they shorten while cells undergo mitosis. The aim of this study was to evaluate whether psychiatric disorders marked by psychological distress lead to alterations to telomere length (TL), corroborating the hypothesis that mental disorders might have a deeper impact on our physiology and aging than it was previousl...
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Introduction: Autism Spectrum Disorder (ASD) and Attention Deficit/Hyperactivity Disorder (ADHD) figures among the most common neurodevelopmental disorders. Despite having opposite stereotypes, both ADHD and ASD compromise, though in different ways, skills such as social interactions, communication skills, and social thinking, which may underlie di...
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...
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Background Attention deficit and hyperactivity/impulsivity disorder (ADHD) and enuresis are common behavioral disorders in childhood, impacting adolescence and adult life. Enuresis (NE) is an incontinence disorder frequently observed in children with ADHD. The relationship between ADHD and NE has been a matter of debate.Objectives We aimed to verif...
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Congenital toxoplasmosis (CT) is a known cause of hearing loss directly caused by Toxoplasma gondii. Hearing loss might result from sensory, neural, or sensorineural lesions. Early treated infants rarely develop hearing loss, but retinochoroidal lesions, intracranial calcifications and hydrocephalus are common. In this study, we aimed to evaluate t...
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This review focused on knowledge about the effects of music on attention. The revision was performed in compliance with the PRISMA protocol, being registered at Prospero under number CRD42020172933. Across reviewed studies, the music improved performance on attention tasks, either by listening or using it within a procedure to modulate mood and mot...
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
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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...
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Natural disasters have a substantial psychosocial impact. A known biological marker of stress is telomere shortening. In this study, we tested the change in behavior symptoms and telomere length and its shortening in two-time points for about fifteen months, in populations that suffered extreme climate events, comprising flood or drought events. As...
Preprint
Severe Acute Respiratory Syndrome Coronavirus 2 infection causes coronavirus disease 2019. COVID-19 was an unknown infection that reached pandemic proportions in 2020 and has shown to bring long-term negative consequences. Here, we used a case-control design to investigate the performance of relatively young people recovered from COVID 19 in object...
Preprint
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Fundamental motor skills are developed in infancy and they are considered important to the future engagement in sports and daily physical activity in general. Generally, children with developmental disorders present low motor performance level. The present study has as aim to evaluate fundamental motor skills of children with attention-deficit/hype...
Preprint
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O objetivo do estudo foi investigar o controle motor manual de crianças com TDAH. Onze crianças diagnosticadas como TDAH combinado compuseram o grupo TDAH e 11 crianças com desenvolvimento típico compuseram o grupo controle. Para avaliar o controle manual foram usados o software MovAlyzer e uma mesa digitalizadora. Foram analisados: tempo de reação...
Article
Objective: Neurofibromatosis type 1 (NF1) is a common single genetic disorder. A rarely investigated source of phenotypic variance in NF1 is the genetic modifiers. In this study, we tested whether the Val66Met Brain-Derived Neurotrophic Factor polymorphism (BDNF) was associated with three memory aspects in a small NF1 sample: Working Memory, Visuos...
Preprint
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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 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...
Preprint
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Background: Attention Deficit and Hyperactivity/Impulsivity Disorder (ADHD) and Enuresis are common behavioral disorders in childhood, impacting in adolescence and adult life. Objective: We systematically search the literature to verify the relationship between ADHD and enuresis and how these conditions can modify each other during development. Met...
Article
The coronavirus disease (COVID-19) affected virtually all countries. Uncertain about the health risk and an increasing financial loss will contribute to widespread emotional distress and an increased risk of psychiatric disorders shortly. Posttraumatic, anxiety, and depression disorders are expected during and aftermath of the pandemic. Some groups...
Preprint
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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...
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Background: Nonalcoholic fatty liver disease (NAFLD) is becoming the most common chronic liver disease worldwide, with significant morbidity associated with nonalcoholic steatohepatitis (NASH). Genome-wide association studies demonstrated that the variants rs738409 C/G in the PNPLA3 and rs58542926 C/T in the TM6SF2 genes are determinants of inter-...
Article
BACKGROUND Nonalcoholic fatty liver disease (NAFLD) is becoming the most common chronic liver disease worldwide, with significant morbidity associated with nonalcoholic steatohepatitis (NASH). Genome-wide association studies demonstrated that the variants rs738409 C/G in the PNPLA3 and rs58542926 C/T in the TM6SF2 genes are determinants of inter-in...
Article
Full-text available
Objective:To conduct a systematic search for grounded and quality evidence of sensory processing in preterm infants during childhood. We included only original indexed studies with a quantitative approach, which were available in full text on digital media, published in Portuguese, English, or Spanish between 2005 and 2015, involving children aged...
Article
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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.
Preprint
The aim of the present study was to examine parental experiences of homeschooling during the COVID-19 pandemic in families with or without a child with a mental health condition across Europe. The study included 6720 parents (2002 parents with a child with a mental health condition and 4718 without) from seven European countries: the United Kingdom...
Preprint
The aim of the present study was to examine parental experiences of homeschooling during the COVID-19 pandemic in families with or without a child with a mental health condition across Europe. The study included 6720 parents (2002 parents with a child with a mental health condition and 4718 without) from seven European countries: the United Kingdom...
Article
Objective: Human T-cell leukemia virus type-I (HTLV-1) infection courses with a myelopathy, the Tropical Spastic Paraparesis (HAM/TSP). Method: In a case-control study, we compared the neuropsychological profile and functional characteristics in two case HTLV-1 infected groups, (asymptomatic and with HAM/TSP) with a control group negative for HTLV...
Preprint
Full-text available
Background: The Autism Spectrum Disorder is characterized by the presence of difficulties in social interaction, inflexible, repetitive and/or stereotyped behaviors and interests. The Autism Spectrum Quotient (AQ) is a self-report instrument with 50 items created to quantify autistic traits in individuals older than 18 years with average or above-a...
Article
Epilepsy affects about 1% of the world population. Mesial temporal lobe epilepsy (mTLE) presents with seizures initiated in hippocampus and is the most frequent form of epilepsy. Around 30% of individuals with mTLE do not respond to conventional anticonvulsants maintaining seizures and consequently frequent new lesions. Treatment resistant epileps...
Article
Epilepsy affects about 1% of the world population. Mesial temporal lobe epilepsy (mTLE) presents with seizures initiated in hippocampus and is the most frequent form of epilepsy. About 30% of individuals with mTLE do not respond to conventional medications maintaining seizures and consequently new lesions on a daily basis. Treatment-resistant epile...
Article
Impulsivity is highly associated with psychopathology and dysfunctional behavior. An abbreviated Barratt Impulsiveness Scale (ABIS) was proposed as a validated, reliable and less time-consuming scale. We tested in a sample of adults, its psychometric properties and computed a reliable change index for clinical use. Internal consistency, test-retest...
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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...
Preprint
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Background: Major depressive disorder (MDD) is a debilitating illness characterized by the persistence of negative thoughts and emotions. Although antidepressant medications are effective, less than half of patients achieve complete remission despite multiple treatment trials. Repetitive transcranial magnetic stimulation (rTMS) has proven effective...
Preprint
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Worldwide, floods and drought are the most frequent extreme climate-related disasters with a potential that might affect children and adolescent mental health. This study aimed to describe mental health impact on youth exposed to flood or drought (time 1), to provide a prospective follow up of symptoms (time 2), about 15 months apart, and to compar...