RESUMO-Introdução: A escabiose é uma infestação cutânea parasitária comum nos cuidados de saúde primários, pediatria e dermatologia. Apesar de não ser ameaçadora da vida, tem elevada morbilidade e impacto na qualidade de vida. Nos países em de-senvolvimento, a escabiose está associada a altas taxas de sobreinfeção cutânea bacteriana, nomeadamente de impetigo. Objetivos: Rever os aspetos gerais da escabiose, com particular enfâse no diagnóstico e tratamento. Analisar a realidade epidemiológica nacional e internacional e as opções terapêuticas disponíveis em Portugal. Material e métodos: Revisão narrativa da literatura científica, incluin-do livros e bases de dados científicas (PubMed/Medline, Cochrane, UpToDate, IndexRMP). Discussão: A escabiose é uma dermatose com características clínicas muito típicas, nomeadamente, o prurido frequente, a aparência das lesões cutâneas e sua distribuição, e a presença de contexto epidemiológico. O tratamento eficaz do doente e dos contactos próximos é dependente de um reconhecimento atempado da doença, sendo fundamental evitar atrasos no diagnóstico, baixa adesão ao tratamento e sua aplicação incorreta. Con-clusão: Atendendo à eficácia e toxicidade das várias opções terapêuticas, a permetrina a 5% e a ivermectina oral são consideradas de primeira linha. Contudo, em Portugal, pela ausência de comercialização destas, o mais usado é o benzoato de benzilo. A explicação cuidadosa e correta do tratamento ao doente tem um papel essencial para o seu sucesso. Em Portugal, seria útil e aconselhável haver uma notificação dos casos de escabiose. ABSTRACT-Introduction: Scabies is a parasitic cutaneous infection, which is common in primary care, pediatrics and dermatology. Although it isn't life threatening it causes considerable morbidity and has a substantial impact in the quality of life. In developing countries it is associated with high rates of cutaneous bacterial superinfection, namely impetigo. Objectives: To review the general aspects of scabies, with a particular emphasis on the diagnosis and treatment. To analyze the national and international epidemiological situation and the available treatment options, particularly in Portugal. Material and Methods: Narrative review of the scientific literature, including textbooks and scientific databases (PubMed/Medli-ne, Cochrane, UpToDate, IndexRMP). Discussion: Scabies is a dermatosis with typical clinical characteristics, namely pruritus, type of cutaneous lesions and their distribution, and presence of epidemiological context. Efficacy of treatment of scabies patients and close contacts depends on a timely diagnosis, and diagnostic delay, low-adherence to treatment and incorrect treatment application should fundamentally be avoided. Conclusions: Given the efficacy and toxicity of the various treatment options, 5% permethrin and oral ivermectin are considered first-line. However, in Portugal, since neither are available, benzyl benzoate is most frequently used. A careful explanation of treatment steps and its correct application is essenti...

Coping is commonly associated with deliberate self-harm (DSH) in adolescents. This article reviews the published literature from 2000 to 2010, aiming to highlight the current evidence supporting this association. Eighteen studies met the inclusion criteria, a total sample of 24,702 subjects was obtained and 17% were DSH cases. Emotion-focused coping style and in particular avoidant coping strategies have consistently been associated with DSH in adolescents. Problem-focused coping style seems to have a negative relation. Most studies were cross-sectional, which seriously limits our conclusions on causality. There is a clear need for more systematic studies, performed in accordance with consensual methodology.

Patients diagnosed with anorexia nervosa (n = 30) and bulimia nervosa (n = 27), their parents and therapists were recruited for this study aimed at examining differences between clinical groups and a control group (n = 35) in terms of attachment styles and perceptions of memories of parental rearing. Within the clinical groups, relations among these variables and therapeutic bond were explored. In addition, parents' and their daughters' attachment styles were compared. The results showed differences between clinical and control groups: the daughters in the control group reported lower levels of attachment anxiety compared to those of the clinical groups; their mothers exhibited higher security than mothers of anorectic patients and lower avoidance than mothers of bulimic patients. For the anorectic group, therapeutic bond was associated to higher father's emotional support and lower rejection; in the bulimic group, therapeutic bond was related to higher maternal emotional support and lower rejection as well as to lower paternal overprotection.

These findings reinforce the use of P-YFAS in non-clinical and clinical populations. Future directions for extending YFAS validation are discussed.