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Índice de masa corporal y funcionamiento psicosocial en pacientes con esquizofrenia de larga duración: resultados del proyecto DSP

Published online by Cambridge University Press:  12 May 2020

Raimo K.R. Salokangas
Affiliation:
Departamento de Psiquiatría, Clínica de Psiquiatría, Universidad de Turku, Hospital Central de la Universidad de Turku, Clínica Psiquiátrica Turku, Kiinamyllynkatu 4-8, FI-20520Turku, Finlandia
Teija Honkonen
Affiliation:
Instituto Finlandés de Salud Ocupacional, Topeliuksenkatu 41aA, FI-00250Helsinki, Finlandia
Eija Stengård
Affiliation:
Centro Nacional de Investigación y Desarrollo para la Salud y Bienestar, Salud y Servicios Sociales. P.O. Box 220, FI-0053IHelsinki, Finlandia
Jarmo Hietala
Affiliation:
Departamento de Psiquiatría, Universidad de Turku, FI-20700Turku, Finlandia
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Resumen

Objetivo

El estudio evaluó la asociación entre el índice de masa corporal (IMC) y el funcionamiento psicosocial en hombres y mujeres con esquizofrenia de larga duración.

Método

Se entrevistaron 722 pacientes con esquizofrenia de larga duración tres años después de recibir el alta del hospital. Se registraron el peso y la altura y se recogieron datos sobre antecedentes, evolución de la enfermedad, funcionamiento psicosocial (Escala de Evaluación Global; GAS), comportamiento saludable, dosis diarias de neurolépticos y síntomas psiquiátricos.

Resultados

El IMC se correlacionó significativamente con las puntuaciones de GAS en hombres (r = 0,202, p = 0,000) pero no en mujeres. En hombres, el IMC se asoció significativamente (p = 0,005) con las puntuaciones de GAS incluso teniendo en cuenta los efectos de los síntomas psiquiátricos y otras variables contaminantes.

Conclusiones

En hombres pero no en mujeres con esquizofrenia de larga duración, el IMC bajo se asocia con funcionamiento psicosocial deficiente. Se cree que en hombres con esquizofrenia, el IMC bajo puede ser un indicador de funcionamiento psicosocial deficiente.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2007

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