PROJECT Technical information For more information, access the full research project: RESEARCH PROJECT RESEARCH PROJECT ABSTRACT In view of the evolution of the pandemic by COVID-19 in Brazil, and the adoption of social restriction measures, an increase in cases of post-traumatic stress disorder (PTSD), anxiety disorders and depression is expected. In epidemic situations, mental health services can become overwhelmed; however, it is not known how these disorders evolved over time. This study aims to monitor the evolution of PTSD symptoms, anxiety and depression during the COVID-19 pandemic in Brazilians, and to investigate sociodemographic risk factors related to psychiatric history and contagion, as well as maladaptive personality traits and post-traumatic growth . It will be a longitudinal study, carried out through online questionnaires, with a sample of non-probabilistic convenience. The inclusion criteria are: being born in Brazil or residing in Brazilian territory; being over 18; have access to digital devices; and be literate. A sample of at least 2000 people is expected. The instruments applied are a research questionnaire, the Posttraumatic Checklist 5 (PCL-5), the Depression, Anxiety and Stress Scale (DASS-21), the Personality Inventory for the DSM-5 - brief form (PID-5-BF ), and the Post-Traumatic Growth Inventory (PTGI). The study will be carried out in four stages: entry, one month, three months, and six months after. The study has voluntary participation, with the agreement through the Free and Informed Consent Form. Data collection will be carried out in 2020, and the study will be completed in 2021. It will be financed with its own resources, and incentives will be sought through the agencies that promote research. Keywords: Pandemics; Psychological stress; Depression; Posttraumatic Stress Disorder; Anxiety Disorders. OBJECTIVES General Monitor the evolution of PTSD symptoms, depression and anxiety in a sample of Brazilians, during the COVID-19 pandemic, and identify sociodemographic risk factors and those related to maladaptive personality traits. Specific Identify patterns of evolution (trajectories) of PTSD symptoms; Document and report in real time the sample prevalence and severity of PTSD symptoms at the beginning, during, and in the decline of the pandemic; To verify sociodemographic risk factors and those related to maladaptive personality traits associated with PTSD symptom trajectories; Check the stability of the maladaptive personality traits during the pandemic, that is, verify that these traits remain stable even during life events, or not; Relate symptoms with variables attributed to exposure to COVID19, such as contact with cases, having contracted the disease, being in regions with high incidence, being quarantined / socially isolated and others; Compare symptoms presented by professionals who were unable to quarantine during the indicated period (professionals in essential areas, such as health, cleaning, food, delivery, etc.), with individuals who were quarantined; Relate post-traumatic growth to PTSD trajectories and personality traits. HYPOTHESES Bearing in mind that the COVID-19 pandemic is in full evolution in Brazil and in the world, and the moment in time that the country is in, this study brings the following hypotheses: H1: There are at least four trajectories of PTSD symptoms, identified over 6 months of evolution: little symptomatic (resistant), rapid recovery (resilient), gradual growth, and chronic. H2: The trajectories of more severe symptoms are associated with worse sociodemographic indicators (unemployment, being single, low income, etc.) H3: Personality traits, such as negative affectivity, disinhibition and psychoticism are associated with worse symptom evolution. H4: Post-traumatic growth, six months after the beginning of the study, is negatively associated with negative affectivity and detachment; and positively associated with psychoticism. H5: The maladaptive personality traits remain stable for six months of evolution, on the resistant and resilient trajectory. REGISTRATION INFORMATION Project: Monitoring the evolution of post-traumatic symptoms, depression and anxiety during the COVID-19 pandemic in Brazilians Researcher in charge: Dr. Vitor Crestani Calegaro (CRM 31676 - RQE 25478) Institution / Department: Federal University of Santa Maria / Department of Neuropsychiatry Registration number: 053991 This research was evaluated by the National Research Ethics Commission (CONEP) , CAAE 30420620.5.0000.5346. We are a family owned and operated business. Financing: this project is being funded by the researchers' own resources. Contact

The pandemic and social isolation bring great challenges and new concerns. Therefore, it is common to have negative feelings and emotions, such as fear, sadness, anger and loneliness, as well as anxiety and stress. Keeping that in mind, your mental health should be a priority. Here are some guidelines for you to face this phase in the healthiest way possible. I NEED MENTAL HEALTH CARE MENTAL HEALTH BOOKLETS HELP WITH ALCOHOL AND OTHER DRUGS ON ABUSE AND VIOLENCE IN QUARANTINE For up-to-date information about the pandemic, we recommend the website Corona Virus - Ministry of Health. In it you can find information about symptoms and transmission of the disease, how to prevent contagion and the latest news on the subject.

ABOUT The coordinator of the COVIDPsiq project, Prof. Dr. Vitor Calegaro, makes 8 recommendations for maintaining mental health and well-being in the context of the COVID-19 pandemic. The video is part of the RESILIEIGHT initiative, which consists of a program to reinforce resilience in order to promote mental health and prevent mental disorders resulting from stress and trauma situations. The video is intended for the general population in order to contribute to the maintenance of mental / emotional balance, and is not limited to the current context. The recommendations are based on several studies on disaster resilience, including the experience from the Kiss nightclub fire, and it comes from the author's doctoral thesis. RECOMMENDATIONS Keep a healthy body Physical exercise and the maintenance of healthy eating habits are directly associated with mental health. Respect your rhythms Respecting biological (food, sleep, menstrual and sexual cycle) and social rhythms (cycles of activity and rest, work and leisure, weekends and holidays) is essential for maintaining mental health. Focus on positive thoughts and emotions Resilient people tend to see the positive side of things; emotions color experiences, while thoughts give meaning to them. Have a purpose in life To have purpose, you must have life experience: experiment, invent, try, have clear and realistic dreams and goals. Cultivate healthy relationships Be tolerant, empathetic, avoid judgment and seek compassion; get rid of toxic relationships and seek to build a support network. Invest in internal resources Have a clean, active, attentive and prepared mind; feed your brain, develop skills and avoid information overload, reducing the use of cell phones and social networks. Accept and thank Live one day after another. Accept your defects, but know your qualities; accept what cannot be changed and change what is possible. Believe it Beliefs help to give meaning to life, because not everything is understood by reason.

Mental Health Care In view of the calamity situation in which we find ourselves, several entities in Rio Grande do Sul that work in mental health are offering mental health care to health professionals and the general population. Click here to access it The TelePSI Project is an initiative of the Ministry of Health in partnership with the Hospital de Clínicas de Porto Alegre. Offers psychological and psychiatric teleconsultation to manage stress, anxiety, depression and irritability. Health professionals, health students who are doing any professional practice, teachers of all levels of education and professionals in essential services can use this service. We are a family owned and operated business. At first, the attendant will explain the project and assess the mental health. According to the result, he will refer the interested party to a therapist, who will perform the best approach to the case. This will contact the patient and schedule the first teleconsultation. Click here to access it If you are experiencing symptoms of depression, anxiety, or post-traumatic stress disorder, such as those listed below, seek help. Symptoms of depression : may include sadness, self-depreciation, guilt, lack of energy, changes in sleep, appetite or libido. Anxiety symptoms : may include restlessness or irritability, lack of concentration, accelerated thinking or unwanted thoughts, shortness of breath or rapid breathing, insomnia, excessive worry, dry mouth, fear, nausea, palpitations, feeling of impending or trembling tragedy. Symptoms of post-traumatic stress disorder : may include nightmares or flashbacks, flight from situations that recall the trauma, overreactions to stimuli, anxiety and depressed mood. The Unified Health System provides care for psychiatric illnesses, in Basic Health Units and Health Posts. However, it is important that you avoid exposing yourself to the virus. Therefore, check beforehand if there are medical services via internet or phone available in your region. The TeleSUS link is an excellent option, available throughout Brazil. If possible, prioritize social distance . The Psychosocial Care Centers (CAPS) have an open door policy, offering free and universal care, for those looking for psychological help and also for those who want help getting out of alcohol or other drugs. They are centers linked to the Unified Health System. They are present in most cities with more than 20 thousand inhabitants. Ideas of death, suicide, self-harm, suicide attempts are considered suicidal behaviors. If you are experiencing this, get help! Dial 188 - The Life Valuation Center (CVV) provides emotional support and suicide prevention, providing free and voluntary assistance to all people who want and need to talk, in complete secrecy by phone, email and chat 24 hours a day. You can also use the SAMU (dial 192) , as well as emergency rooms at local hospitals, health posts and emergency care units. YOU ARE NOT ALONE, SEEK HELP!

Register here! The COVID-19 pandemic brought with it the experience of stress and trauma. This is due to situations that are directly related, such as social isolation, illness and bereavement, and also indirectly, such as economic losses and interpersonal violence. Stress and trauma, in this context, reach epidemic proportions and differ from the usual pre-pandemic, as they are collective and continuous. Based on the knowledge developed by the COVIDPsiq research, which has been studying the mental health of Brazilians, as well as that of parallel works, this course is being proposed to update health professionals on the subject. The course intends to explore the topic from assessment to treatment, including the various disorders arising from the hospital and emergency perspective. ABOUT email inscrição Research project: Monitoring the evolution of post-traumatic symptoms, depression and anxiety during the COVID-19 pandemic in Brazilians We are going through a completely atypical period in our lives, due to the spread of the coronavirus and the strategies to face it. Isolation, contagion, financial problems, stigma and boredom are things that generate stress during the pandemic, for example, and can precipitate mental disorders. As a result, we want to know how people are coping with the pandemic, what factors are related to emotional, cognitive and behavioral symptoms, and how the symptoms evolve over time. The scientific evidence produced by this research will serve as a reference for government and private intervention actions. Know more Principal Investigator Victor Crestani Calegaro, MD, PhD Graduated in Medicine from the Federal University of Santa Maria (2007). Medical Residency in Psychiatry at the University Hospital of Santa Maria / Federal University of Santa Maria (2013). Master in Health Sciences from the Federal University of Santa Maria (2013). PhD in Psychiatry and Behavioral Sciences from the Federal University of Rio Grande do Sul (2019), with the thesis "The fire of the Kiss nightclub: investigation of the relationship between personality, psychopathology and resilience" . He is an adjunct professor in the Department of Neuropsychiatry at the Federal University of Santa Maria. Coordinates the Psychiatry Outpatient Clinic of the Integrated Center for Attention to Victims of Accidents (CIAVA), at the University Hospital of Santa Maria. He is supervisor of the Medical Residency Program in Psychotherapy (R4) and preceptor of the Medical Residency in Psychiatry, at the Federal University of Santa Maria. He works as a psychiatrist at the Educational Actions Coordination (CAEd / UFSM) providing assistance to the institution's students, and in a private practice at Clínica Mensana, in Santa Maria - RS. Curriculum lattes: http://lattes.cnpq.br/7984754404665250 Contact: vitor.calegaro@ufsm.br Learn more about the survey: Search Meet our team: Research Team Contact us: Contact Follow the guidelines so that you face this phase in the healthiest way possible: Guidance Stay in! Follow the reports related to the project: COVIDPsiq in Media Weekly lectures on mental health in the pandemic: Lives

Compartilhar RESEARCH Monitoring the evolution of post-traumatic symptoms, depression and anxiety during the COVID-19 pandemic in Brazilians WHAT IS THE PURPOSE OF THE STUDY? During epidemic situations, there is an increase in psychological distress, related to the possibility of illness, death, infection to other people, social isolation and economic losses. However, the focus of research has been on combating the infectious agent, but mental health issues have been neglected. This study aims to investigate the evolution of symptoms of post-traumatic stress disorder, depression and anxiety in Brazilian individuals during the COVID pandemic19, as well as associated risk factors. This seeks to document the increase in needs for mental health care, in order to provide subsidies for the planning and creation of services, at government or private level, to alleviate the resulting suffering. WHO CAN PARTICIPATE? Anyone residing in Brazil, or a Brazilian living abroad, can participate. In the study, people will be grouped according to their occupation, including: We are a family owned and operated business. HEALTH PROFESSIONALS STUDENTS ESSENTIAL SERVICE WORKERS NON-ESSENTIAL SERVICE WORKERS RETIREES AND PENSIONERS Pesquisa: Pesquisa HOW WILL THE STUDY BE? Participation in the study consists of answering online questionnaires, which will include several questions about the mental and emotional situation in the face of the COVID-19 pandemic. The questionnaires will be applied in four moments: initial questionnaire, one month, three months and six months from the period of application of the first questionnaire. The questionnaires will be answered anonymously; however, an email address will be requested to enable the survey to be followed. Project Who we are I want to participate

Results of the first wave for press release. Compartilhar

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