IntroductionPseudocyesis is a rare condition in which a non-pregnant patient believes to bear a child due to psychological or somatic manifestations,or even both.Usually,there is a misinterpretation of body changes associated with emotional aspect of pregnancy or thought disorders(or chronic mental disorders),what makes pseudopregnancy a complex disorder to deal with,starting with its confusing classification in the DSM IV-TR.ObjectivesTo document epidemiologic aspects of false pregnancies in a Brazilian population, reporting the most prevalent psychiatric diagnosis and demographic features associated, and compare it to the literature.MethodologyRetrospective study of 20 patients diagnosed with pseudocyesis over a ten-year period in 3 hospitals of a Brazilian central region.Compare data with studies on sociodemographic, clinic, biological and evolutive correlates of pseudocyesis in PubMed.ResultsThe mean age was 33, with the majority between 20–44. The symptomology matches the literature.Of the women, 15 (83%) were in the reproductive age, but 8 (44%) of them were infertil. Two male patients with pseudocyesis had a typical psychiatric presentation. The psychiatric diagnosis were: 9(45%) affective disorders, 9(45%) psychotic disorders, 1 (2,5%) Huntington‘s Disease and 1 (2,5%) epilepsy.ConclusionsIn terms of Brazil, this is an unique study of the subject, with the greatest data collected so far. We found many similarities,including age, socioeconomic status, symptoms, underlying disorders and history. And we notted the frequency of psychiatric disorders in those patients (specially Bipolar Disorder and Schizophrenia)
IntroductionMental disorders are highly prevalent in the general population and are among the factors that most affect the quality of life, creating great social impact. The national literature that discusses mental disorders in indigenous is very scarce.ObjectivesTo characterize the socio-demographic profile and major psychiatric disorders that affect a sample of indigenous villagers who sought primary care mental health.MethodsWe developed a retrospective cross-sectional study of a consecutive series of cases of Karajá Indians who sought primary care. Symptoms were classified as major syndromes: affective, anxiety, psychotic and organic, and then calculated the prevalence of each syndrome and psychiatric diagnosis according to DSM-IV, as well as their association with sociodemographic variables.Results63% of the sample were male. Aged 10-67 years, mean 30.7 years. Schooling to 1st elementary school was 46.2%, and 26.9% illiteracy. 54.5% are married. The affective syndrome was present in 50% of patients, depression in 28%, and 21% in Bipolar Disorder. The anxiety disorder accounted for 8%, the psychotic 15%, and 12% organic. Considering the whole sample, 20% are composed of married patients with affective syndrome. Of the patients diagnosed with affective syndrome, 30% had problems with alcohol and drugs, 38% had suicidal ideation, and suicide attempt 6%. Regarding treatment used, 35% and 33% of patients were on antidepressants and mood stabilizers, respectively.ConclusionThere is a high prevalence of Depression and Bipolar Disorder among the causes of mental disorder among Indians who seek primary care.
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