Sofia Azeredo‐Lopes

Universidade Nova de Lisboa

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Graça Cardoso

Universidade Nova de Lisboa

José Miguel Caldas‐de‐Almeida

Universidade Nova de Lisboa

Manuela Silva

Universidade Nova de Lisboa

Ana Antunes

University of Lisbon

Deborah Oyine Aluh

Universidade Nova de Lisboa

Ugnė Grigaitė

Universidade Nova de Lisboa

Bárbara Pedrosa

Universidade Nova de Lisboa

Rui Xavier

Hospital da Luz

Miguel Xavier

University of Lisbon

Jorge Spratley

Centre for Health Technology and Services Research

Cooperative Institutions

Universidade Nova de Lisboa

University of Lisbon

Nova Medical (United States)

Hospital de Egas Moniz

Centro Hospitalar de Lisboa Ocidental

Centro Hospitalar de Lisboa Central

Universidade do Porto

National School of Public Health

Hospital Prof. Dr. Fernando Fonseca

Escola Nacional de Saúde Pública

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Statistical analysis of particle distributions in composite materials.

Sofia Azeredo‐Lopes

Particle (ecology)

Statistical Analysis

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Citations (10)

Disability and common mental disorders: Results from the World Mental Health Survey Initiative Portugal

European Psychiatry (2018)

Ana Antunes Diana Frasquilho Sofia Azeredo‐Lopes Daniel Neto Manuela Silva

Abstract Background Common mental disorders are highly prevalent and disabling, leading to substantial individual and societal costs. This study aims to characterize the association between disability and common mental disorders in Portugal, using epidemiological data from the World Mental Health Survey Initiative. Methods Twelve-month common mental disorders were assessed with the CIDI 3.0. Disability was evaluated with the modified WMHS WHODAS-II. Logistic regression models were used to assess the association between disability and each disorder or diagnostic category (mood or anxiety disorders). Results Among people with a common mental disorder, 14.6% reported disability. The specific diagnoses significantly associated with disability were post-traumatic stress disorder (OR: 6.69; 95% CI: 3.20, 14.01), major depressive disorder (OR: 3.49; 95% CI: 2.13, 5.72), bipolar disorder (OR: 3.41; 95% CI: 1.04, 11.12) and generalized anxiety disorder (OR: 3.14; 95% CI: 1.43, 6.90). Both categories of anxiety and mood disorders were significantly associated with disability (OR: 1.88; 95% CI: 1.23, 2.86 and OR: 3.94; 95% CI: 2.45, 6.34 respectively). Conclusions The results of this study add to the current knowledge in this area by assessing the disability associated with common mental disorders using a multi-dimensional instrument, which may contribute to mental health policy efforts in the development of interventions to reduce the burden of disability associated with common mental disorders.

CIDI

10.1016/j.eurpsy.2017.12.004

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Citations (59)

Estudo da gravidade de acidentes com vítimas ocorridas em intersecções da rede de estradas Portuguesas - Modelos bayesianos multinomiais de mistura

Sofia Azeredo‐Lopes J. L. Cardoso

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How did the use of psychotropic drugs change during the Great Recession in Portugal? A follow-up to the National Mental Health Survey

BMC Psychiatry (2020)

Manuela Silva Ana Antunes Sofia Azeredo‐Lopes Graça Cardoso Miguel Xavier

Abstract Background Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible changes in the use of psychotropic drugs due to the economic recession in Portugal, by comparing self-reported consumption in 2008/09 and 2015/16. Methods Data from the World Mental Health Survey Initiative Portugal (2008/09) and the National Mental Health Survey Follow-Up (2015/16) were used ( n = 911). McNemar’s tests were performed to estimate changes in consumption of any psychotropic drug and of antidepressants, anxiolytics, and hypnotics/sedatives. Multiple Generalised Estimating Equations models with interaction effects were used to estimate the population odds of consuming psychotropic drugs according to year, gender and age. Results An increase of 6.74% was estimated in the consumption of psychotropic drugs from 2008/09 to 2015/16. Population odds of consuming any psychotropic drugs in 2015/16 were estimated to be 1.5 times higher than in 2008/09 (OR = 1.50;95%CI:1.13–2.01), particularly for hypnotics/sedatives (OR = 1.60;95%CI:1.14–2.25). Women and older individuals presented higher odds of consuming any psychotropic drugs (OR = 2.79;95%CI:2.03–3.84, and OR = 1.80;95%CI:1.28–2.54), after adjusting for year of assessment and education. However, when evaluating the interaction effect of the year with gender and age, men and younger individuals reported higher odds of consuming any psychotropic drugs in 2015/16, when compared to 2008/09 (OR = 1.85;95%CI:1.08–3.17, and OR = 1.95;95%CI:1.32–2.90, respectively). Conclusions The findings indicate that the period of economic recession was associated with an increased risk of psychotropic drugs use in Portugal. Consumption of psychotropic drugs remained higher among women and older individuals, but the results suggest that the economic crisis had a disproportionate impact on men and younger individuals. This identification of the most vulnerable population groups is useful to design effective and targeted public health interventions aimed at alleviating the effects of economic recessions.

Odds

Psychotropic drug

McNemar's test

Consumption

Defined daily dose

10.1186/s12888-020-02620-1

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‘I Didn’t Know Where to Go’: A Mixed-Methods Approach to Explore Migrants’ Perspectives of Access and Use of Health Services during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health (2022)

Ana Gama Maria J. Marques João Victor Rocha Sofia Azeredo‐Lopes Walaa Kinaan

The COVID-19 pandemic put pressure on health systems, affecting populations’ use of health services, especially those experiencing increased difficulties in healthcare access, as some migrant groups. This study aimed to investigate access and use of health services during the COVID-19 pandemic among migrants in Portugal. A mixed-methods approach was used. A community-based cross-sectional survey was conducted involving migrant communities residing in the Lisbon Metropolitan Area. Analyses of a subsample of participants (n = 929) examined factors associated with perceived worsening of access to health services during the pandemic. Semi-structured interviews with 14 migrants were conducted and thematically analyzed to further understand experiences and difficulties in health services’ use. Around 44% of surveyed participants reported worsening of access to health services since the pandemic, more frequently women, those with lower income, and those who perceived being at moderate or high risk for COVID-19 infection. Digital change in services and lack of formal and informal support during lockdowns were highlighted by interviewers as main barriers in access to healthcare for migrants. The pandemic renewed concerns about inequalities in healthcare access among migrants. It is key that in following years health systems are able to address the potential accumulated burden of disease.

Pandemic

2019-20 coronavirus outbreak

10.3390/ijerph192013201

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Citations (6)

SELF-REPORTED ABSENCE OF MENTAL HEALTH CARE AMONG INDIVIDUALS WITH PERCEIVED NEED DURING THE ECONOMIC RECESSION IN PORTUGAL

Manuela Silva Ana Antunes Sofia Azeredo‐Lopes Joana Zózimo Graça Cardoso

Great recession

Mental Health Care

10.26226/morressier.5d1a037557558b317a140521

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Comparative Functional Effect of Alternative Surgical Techniques Used in Rhinoplasty

Annals of Otology Rhinology & Laryngology (2022)

Rui Xavier Sofia Azeredo‐Lopes Dirk Jan Menger Henrique Carvalho Jorge Spratley

The purpose of this investigation is to compare the functional effect of the different surgical techniques used for addressing each section of the nose.Prospective study of 57 consecutive rhinoplasty patients. Patients were evaluated with peak nasal inspiratory flow (PNIF), Nasal Obstruction Symptom Evaluation (NOSE), and Visual Analog Scale (VAS) for nasal obstruction before and 1 year after rhinoplasty. Additionally, esthetic evaluation of the nose was obtained with Rhinoplasty Outcomes Evaluation (ROE). According to the surgical technique used to address each portion of the nose, groups of patients were created and the functional improvement of these groups was compared.Using the TukeyHSD multiple pairwise-comparison test, the estimated difference of the increase of PNIF between using spreader grafts and using spreader flaps was 94.9 (95% CI 24.3, 165.5, P = .004) between spreader grafts and neither grafts or flaps was 79.2 (95% CI 5.8, 152.6, P = .03), between spreader grafts and bilateral spreader flaps plus a unilateral spreader graft was 90.2 (95% CI 22.1, 158.2, P = .005). In all other portions of the nose, no significant difference was found in the functional improvement between different surgical techniques.Spreader grafts increase PNIF more significantly than other surgical techniques used for dorsal mid-vault reconstruction. Spreader grafts should be preferred over other techniques whenever an improvement of nasal airflow is required. No significant differences were found between the functional effect of alternative techniques used in other sections of the nose. Additional cohort studies will be necessary to further confirm data from this investigation.

10.1177/00034894221111096

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Citations (2)

Spreader grafts: functional or just aesthetical?

Rhinology Journal (2015)

Roberto Moreira Xavier Sofia Azeredo‐Lopes Ana Luísa Papoila

Objective: Spreader grafts are commonly used in rhinoplasty to achieve an aesthetic improvement of the nose or a functional improvement of the nasal airway.Currently, the aesthetic role of spreader grafts is well established.The functional effect of these grafts, however, has been controversial due to the lack of studies clearly demonstrating an increase on nasal airflow assigned to spreader grafts.The purpose of this study is to evaluate the effect of spreader grafts on nasal breathing.Methods: Nasal breathing of 72 consecutive patients undergoing rhinoplasty was evaluated by measuring peak nasal inspiratory flow (PNIF) before surgery and six months after surgery. Results:The mean preoperative PNIF of the 72 patients included in this study was 79.44 l/min and the mean postoperative PNIF was 110.42 l/min (p < 0.001).In 37 patients of this study no spreader grafts were used.In this group of patients the mean PNIF values changed from 73.24 l/min before surgery to 99.46 l/min after surgery.In the group of 35 patients in whom spreader grafts were used the mean PNIF values changed from 86.00 l/min before surgery to 122.00 l/min after surgery.The increase in the mean PNIF value after rhinoplasty was slightly higher in the group of patients with spreader grafts than in the group of patients without spreader grafts.The difference in the postoperative increase of PNIF between these two groups of patients, however, is not statistically significant.Conclusions: This study suggests that patients undergoing rhinoplasty have a statistically significant improvement in nasal breathing after surgery.However, patients receiving spreader grafts in a non-randomized way do not have statistically significant greater benefit than those who do not.

10.4193/rhin13.069

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Citations (7)

Self-reported absence of mental health care among individuals with perceived need during the economic recession in Portugal

Manuela Silva Ana Antunes Sofia Azeredo‐Lopes Joana Zózimo Graça Cardoso

Great recession

Mental Health Care

10.13140/rg.2.2.33377.66407

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Citations (0)

Which Nasal Airway Dimensions Correlate with Nasal Airflow and with Nasal Breathing Sensation?

Facial Plastic Surgery & Aesthetic Medicine (2021)