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The objective of this study was the validation of the Brazilian Portuguese version of The Copenhagen Burnout Inventory (CBI). The study sample consisted of 1.256 Brazilian health professionals. Data were collected during one month (May-2020 to June-2020) through an online self-administered questionnaire, including the CBI and the Patient Health Questionnaire 9 (PHQ-9) to evaluate depressive symptoms. All consistency measures showed values > 0.90. The split-half correlation values with Spearman-Brown reliability were higher than 0.8. The parallel analysis suggested two factors: the items of CBI’s personal burnout (PB) and work-related burnout (WB) sub-dimensions that were associated with factor 1 (personal and work-related fatigue and exhaustion) and the items of CBI’s client-related burnout (CB) sub-dimension were associated with factor 2 (exhaustion that emerges while working with people). The correlation between the PHQ-9 score and factor 1 was 0.76 (0.73; 0.79) and with factor 2, 0.49 (0.43; 0.55). Our study provides a valid and reliable Brazilian Portuguese version of CBI, encouraging the expansion of the burnout research field in our country.

Background Subjects with panic disorder are nearly 4 times as likely to attempt suicide as compared to subjects without this condition. Methods We searched the literature from Jan 1, 1960 to May, 4, 2019. Articles that reported a dichotomous sample of patients with panic disorder with and without suicidal behavior were included. Outcomes Twelve studies with 1958 participants were included. Comorbid depression (k = 3, ES = 4.47 [2.63; 7.60]), depressive symptoms (k = 2, ES = 1.98 [1.26; 3.11]), older age (k = 3, ES = 1.66 [1.32; 2.10]), younger age of panic disorder onset (k = 2, ES = 0.65 [0.45; 0.94]), and history of alcohol dependence (k = 2, ES = 8.70 [1.20; 63.04]) were associated with suicide attempt in panic disorder. Depressive symptoms (k = 2, ES = 2.29 (1.60; 3.37]), anxiety symptoms (k = 2, ES = 1.90 [1.33; 2.69]), longer illness duration (k = 2, ES = 3.31 [1.90; 5.74]), comorbid depressive disorder (k = 4, ES = 3.88 [2.03; 7.41]), agoraphobia (k = 2, ES = 4.60 [1.47; 14.42]) and younger age of onset (k = 2, ES = 0.60 [0.38; 0.96]) were associated with suicidal ideation in panic disorder. Interpretation Our findings provide a framework for the development of suicide prevention strategies in this population.

Background ASPD describes individuals with a pervasive pattern of disregard for the rights of others that begins in childhood and continues into adulthood. The relationship between parental bonding, trauma, and ASPD is well established, however, it remains unclear what types of trauma or which patterns of bonding are more associated with ASPD. Objectives Review the literature regarding what types of trauma and bonding characteristics were related to antisocial personality traits. Method Systematic searches of PubMed, Embase, Web of Science, and Scielo for studies about the relationship between antisocial personality traits and the Childhood Trauma Questionnaire (CTQ) and/or the Parental Bonding Instrument (PBI). Results 357 abstracts were selected, and 18 studies met the inclusion criteria. Regarding CTQ, the most consistent finding was the association between physical abuse and neglect to antisocial traits. Sexual abuse was the variable least related to antisocial traits. Regarding PBI, the most consistent finding was the inverse relationship between maternal and paternal care and antisocial traits. Concerning overprotection, the data is less consistent. Also, there was a considerable heterogenity between studies. Conclusions The literature little explores how these variables interact with each other. Thus, more studies are important to aidpolitical,educational, and public health programs to create preventive initiatives for ASPD.