Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-18T16:44:49.189Z Has data issue: false hasContentIssue false
  • English
  • Français

¿Son las manifestaciones psicopatológicas del trastorno psicótico agudo y transitorio diferentes a las de los trastornos esquizofrénico y esquizoafectivo?

Published online by Cambridge University Press:  12 May 2020

Andreas Marneros ,
Frank Pillmann ,
Annette Haring ,
Sabine Balzuweit  and
Raffaela Blöink
Andreas Marneros
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad Martin Luther de Halle-Wittenberg, 06097Halle, Alemania
Frank Pillmann
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad Martin Luther de Halle-Wittenberg, 06097Halle, Alemania
Annette Haring
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad Martin Luther de Halle-Wittenberg, 06097Halle, Alemania
Sabine Balzuweit
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad Martin Luther de Halle-Wittenberg, 06097Halle, Alemania
Raffaela Blöink
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad Martin Luther de Halle-Wittenberg, 06097Halle, Alemania
Get access

Resumen

Objetivo

Este estudio explora los aspectos psicopatológicos de los trastornos psicóticos agudos y transitorios (TPAT), una categoría diagnóstica introducida con la CIE-10, para dilucidar su relación con la esquizofrenia y las psicosis esquizoafectivas.

Métodos

Seleccionamos durante un periodo de 5 años a todos los pacientes ingresados consecutivos que cumplían los criterios de la CIE-10 de TPAT (F23) así como a grupos de control con esquizofrenia “positiva” (EP) y trastorno esquizoafectivo bipolar (TEQAB) emparejados en cuanto al género y la edad en el episodio índice. Para la evaluación de los parámetros psicopatológicos durante el episodio índice se utilizó una lista estandarizada de síntomas. Se evaluó también los síntomas prepsicóticos (prodrómicos).

Resultados

Durante el periodo prepsicótico, se detectaron pocas diferencias entre los grupos. La diferencia más importante entre el TPAT y los otros dos trastornos psicóticos con respecto a la fenomenología de los episodios desarrollados era una frecuencia más alta de “temas delirantes rápidamente cambiantes”, “estado de ánimo rápidamente cambiante” y ansiedad en el TPAT.

Conclusiones

El TPAT muestra un cuadro psicopatológico característico compatible con conceptos anteriores, como las psicosis cicloides y la bouffée delirante. Sin embargo, las manifestaciones psicopatológicas solas no son suficientes para establecer el TPAT como una entidad nosológica independiente.

Keywords

Trastornos psicóticos agudos y transitoriosEsquizofreniaTrastorno esquizoafectivo bipolarPsicopatologíaProdrómico
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 12 , Issue 8 , November 2005 , pp. 418 - 425
Copyright
Copyright © European Psychiatric Association 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

[1]Andreasen, NC. Negative symptoms in schizophrenia. Arch Gen Psychiatry 1982; 39:784-8.Google Scholar
[2]Baumann, UStieglitz, RD. Testmanual zum AMDP-System. Berlin: Springer; 1983.CrossRefGoogle Scholar
[3]Biehl, HMaurer, KJablensky, ACooper, JEToraov, T. The WHO psychological impairments rating schedule (WHO/PIRS). I. Introducing a new instrument for rating observed behaviour and the rationale of the psychological impairment concept. Br J Psychiatry Suppl 1989; 7:68–70.Google Scholar
[4] In: Bobon D, , editor. The AMDP-system in pharmacopsychiatry. Basel: Karger; 1983.Google Scholar
[5]Cooper, JSartorius, N. Cultural and temporal variations in schizophrenia: a speculation on the importance of industrialization. Br J Psychiatry 1977; 130:50-5.CrossRefGoogle ScholarPubMed
[6]Cooper, JEJablensky, ASartorius, N. WHO collaborative studies on acute psychoses using the SCAAPS schedule. In: Stefanis, CN, editor. Psychiatry: a world-wide perspective, val. I. New York: Elsevier; 1990.Google Scholar
[7]Cornblatt, BALenez, TKane, JM. Treatment of the schizophrenia prodrome: is it presently ethical? Schizophr Res 2001; 51:31-8.Google ScholarPubMed
[8]Gaebel, WJanner, MFrommann, NPietzcker, AKopcke, WLinden, M, et al. Prodromal States in schizophrenia. Compr Psychiatry 2000; 41:76–85.CrossRefGoogle Scholar
[9]Gross, GHaber, GKlosterkotter, JLinz, M. Bonn scale for the assessment o f basic symptoms. Berlin, Heidelberg, New York: Springer; 1987.Google Scholar
[10]Jablensky, ASartorius, NErnberg, GAnker, MKorten, ACooper, JE, et al. Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization 10-country study. Psychol Med Monogr Suppl 1992; 20:1–97.Google Scholar
[11]Jung, EKrumm, BBiehl, HMaurer, KBauer-Schubart, C. Mannheimer Skala zur Einschatzung sozialer Behinderang, DAS-M. Weinheim: Beltz; 1989.Google Scholar
[12]Leonhard, K. Cycloid psychoses—endogenous psychoses which are neither schizophrenic nor manic-depressive. J Ment Sci 1961; 107:633-48.CrossRefGoogle ScholarPubMed
[13]Leonhard, K. Die Aufteilung der endogenen Psychosen. 1. Auflage. Berlin: Akademie-Verlag; 1957.Google Scholar
[14]Manton, KGKorten, AWoodbury, MAAnker, MJablensky, A. Symptom profiles of psychiatric disorders based on graded disease classes: an illustration using data from the WHO International Pilot Study of Schizophrenia. Psychol Med 1994; 24:133-44.CrossRefGoogle ScholarPubMed
[15]Marneros, APillmann, F. Acute and transient psychoses. Cambridge: Cambridge University Press; 2004.Google Scholar
[16]Marneros, ADeister, ARohde, A. (English abstract) Affektive, schizoaffektive und schizophrene Psychosen. Berlin: Springer; 1991.CrossRefGoogle Scholar
[17]Marneros, APillmann, FHaring, ABalzuweit, S. Die akuten vorabergehenden psychotischen Storungen. Fortschr Neurol Psychiatr 2000; 68(Suppl 1): S22-SS5.Google Scholar
[18]Marneros, APillmann, FBalzuweit, SBldink, RHaring, A. The relation of “acute and transient psyehotic disorder” (ICD-10 F23) to bipolar schizoaffective disorder. J Psychiatr Res 2002; 36:165-71.CrossRefGoogle Scholar
[19]Marneros, APillmann, FBalzuweit, SBloink, RHaring, A. What is schizophrenie in ATPD? Schizophr Bull 2003; 29:311-23.CrossRefGoogle Scholar
[20]MeGorry, PDYung, APhillips, L. Ethies and early intervention in psychosis: keeping up the pace and staying in step. Schizophr Res 2001; 51:17–29.CrossRefGoogle Scholar
[21]Mundt, C. Psyehotic continuum or distinet entities: perspectives from psyehopathology. In: Marneros, AAndreasen, NCTsuang, MT, editors. Psyehotie continuum. Berlin: Heidelberg, New York: Springer; 1995. p. 7–15.CrossRefGoogle Scholar
[22]Okasha, AEl Dawla, ASKhalil, AHSaad, A. Presentation of acute psychosis in an Egyptian sample: a transcultural comparison. Compr Psychiatry 1993; 34:4–9.Google Scholar
[23]Perris, C. The case for the independence of cycloid psychotic disorder from the schizoaffective disorders. In: Marneros, ATsuang, MT, editors. Schizoaffective psychoses. Berlin, Heidelberg: Springer; 1986. p. 272–308.Google Scholar
[24]Pillmann, FMarneros, A. Brief and aeute psyehoses: the development of concepts. Hist Psyehiatry 2003; 14:161-77.CrossRefGoogle Scholar
[25]Pillmann, FHaring, ABalzuweit, SMarneros, A. Concordanee of acute and transient psychotic disorders and cycloid psyehoses. Psychopathology 2001; 34:305-11.CrossRefGoogle Scholar
[26]Pillmann, FHaring, ABalzuweit, SBloink, RMarneros, A. The concordance of ICD-10 acute and transient psychosis and DSM-IV brief psychotic disorder. Psychol Med 2002; 32:525-33.CrossRefGoogle ScholarPubMed
[27]Sartonus, NUstan, TBKorten, ACooper, JEVan Dnmmelen, J. Progress toward achieving a common language in psychiatry, II: results from the international field trials of the ICD-10 diagnostic criteria for research for mental and behavioral disorders. Am J Psychiatry 1995; 152:1427-37.Google Scholar
[28]Stevens, J. Brief psychoses: do they contribute to the good prognosis and equal prevalence of schizophrenia in developing countries? Br J Psychiatry 1987; 151:393-6.CrossRefGoogle ScholarPubMed
[29]Susser, EWanderling, J. Epidemiology of nonaffective acute remitting psychosis vs. schizophrenia: sex and sociocultural setting. Arch Gen Psychiatry 1994; 51:294–301.Google ScholarPubMed
[30]van Gülick-Bailer, MMaurer, KHafner, H, editors. Sehedules for elinieal assessment in neuropsychiatry. Bern: Haber; 1995.Google Scholar
[31]Wing, JKCooper, JESartorius, N. The measurement and classification of psychiatric symptoms. London: Cambrigde University Press; 1974.Google Scholar
[32] WHO. The ICD- 10 classification of mental and behavioral disorders: elinieal descriptions and diagnostic guidelines. Geneva: WHO; 1992.Google Scholar
[33] WHO. The ICD-10 classification of mental and behavioral disorders: diagnostic criteria for research. Genova: WHO; 1993.Google Scholar