[1] Univ Fed Ceara, Rua Coronel Linhares 170,Apt 1001 Meireles, BR-60170240 Fortaleza, Ceara, Brazil
[2] Yale Univ, Sch Med, Dept Psychiat, Yale New Haven Psychiat Hosp, New Haven, CT USA
[3] Yale Univ, Sch Med, Dept Nursing, Yale New Haven Psychiat Hosp, New Haven, CT USA
[4] Yale Univ, Sch Med, Yale Depress Res Program, Yale New Haven Psychiat Hosp, New Haven, CT USA
[5] Yale Univ, Sch Med, Intens Outpatient Program, Yale New Haven Psychiat Hosp, New Haven, CT USA
[6] Yale Univ, Sch Med, Adult Inpatient Serv, Yale New Haven Psychiat Hosp, New Haven, CT USA
[7] Yale Univ, Sch Med, Electroconvul Therapy Serv, Yale New Haven Psychiat Hosp, New Haven, CT USA