Dissociative Disorders in Childhood Sexual Abuse Victims

    January 2023 in “ Brazilian Journals Editora eBooks
    João Bosco Corrêa de Corrêa, Kairo Santos Ramos, Kézia Santos Ramos, Mara Paculdino Lima Ferreira Maia, Poliane Ferrete Zucatelli, Ivete Furtado Ribeiro Caldas, José Walter Lima Prado, Lorena de Oliveira Tannus
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    TLDR Passiflora incarnata may help with anxiety but has risks and drug interactions. There's a genetic link between Fragile X Syndrome and Autism Spectrum Disorder. 6.7% of urine cultures showed hospital-acquired urinary tract infections. Children used screens more during COVID-19, causing various health complaints. Autism Spectrum Disorder is often underdiagnosed in females. Dissociative disorders in childhood sexual abuse victims are more common in males. Most pregnant teenagers are not dissatisfied with their body image but worry about weight. Diagnosing tuberculosis after knee surgery is challenging due to non-specific symptoms. Post-COVID-19 syndrome is more common in older, severely affected patients. Psychiatrists should be part of pain management teams due to the psychological aspects of pain.
    The document discusses the use of Passiflora incarnata as an alternative treatment for anxiety disorders, highlighting its anxiolytic, sedative, and sleep-inducing properties. It acts by inhibiting monoamine oxidase and activating GABA receptors. Despite its benefits, it has contraindications and can interact with other drugs. The importance of pharmaceutical care in guiding patients about the benefits and risks of medications is emphasized. A review on the genetic and clinical relationship between Fragile X Syndrome (SXF) and Autism Spectrum Disorder (TEA) included 7 primary studies and found a significant genetic link, with SXF being a common monogenic cause of autism. The review calls for further research to improve understanding and treatment of TEA. A study at the Hospital Geral de Guanambi analyzed 1,278 urine cultures from January 2020 to December 2021, finding 85 (6.7%) positive for nosocomial urinary tract infections, predominantly caused by Klebsiella pneumoniae, E. coli, and Pseudomonas aeruginosa. An observational study involving 100 parents/guardians of children up to 15 years old found that 86% reported increased screen use by their children during the COVID-19 pandemic, with smartphones being the most used device. Clinical complaints related to screen use included headache, insomnia, weight gain, learning difficulties, and visual problems. A study on the diagnosis of Autism Spectrum Disorder (ASD) in females found that ASD is underdiagnosed in females, who often mask symptoms with learned strategies. The study suggests that current diagnostic tools may not adequately capture the distinct presentations of ASD in females. A survey involving 23 participants found that dissociative disorders in childhood sexual abuse victims present with symptoms like restrictive and repetitive behavior patterns, communication deficits, and social interaction issues, with a higher frequency in males. The study emphasizes the importance of early intervention. A study with 32 pregnant teenagers found that 94% were not dissatisfied with their body image, but many showed concern about weight gain and eating habits, which could lead to inappropriate food restriction practices during pregnancy. A case study of a 73-year-old male patient who developed Mycobacterium tuberculosis infection after total knee arthroplasty highlights the diagnostic challenges due to non-specific symptoms and the rarity of the condition. A study with 141 patients who had recovered from COVID-19 found that post-COVID-19 syndrome was more common in older participants and those with severe disease during the acute phase, with symptoms related to cardiovascular, respiratory, and neurological systems. The document argues for the inclusion of psychiatrists in pain management teams, emphasizing their role in managing the biopsychosocial components of pain, which are often associated with psychiatric disorders.
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