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Predictores clínicos del tipo de ingreso en el primer episodio de esquizofrenia

Published online by Cambridge University Press:  12 May 2020

B.D. Kelly ,
M. Clarke ,
S. Browne ,
O. McTigue ,
M. Kamali ,
M. Gervin ,
A. Kinsella ,
A. Lane ,
C. Larkin  and
E. O’Callaghan
B.D. Kelly
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
M. Clarke
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
S. Browne
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
O. McTigue
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
M. Kamali
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
M. Gervin
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
A. Kinsella
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
A. Lane
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
C. Larkin
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
E. O’Callaghan
Affiliation:
Unidad de Investigación Stanley, Centro Familiar Cluain Mhuire, Servicios Psiquiátricos Adultos de San Juan de Dios, Newtownpark Avenue, Blackrock, Co. Dublín, Irlanda
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Resumen

Tener un diagnóstico de esquizofrenia es un factor de riesgo para el ingreso no voluntario en la asistencia hospitalaria psiquiátrica, pero tenemos una comprensión limitada de por qué algunos pacientes precisan un ingreso no voluntario y otros no. Intentamos identificar los predictores del ingreso no voluntario en el primer episodio de esquizofrenia. Utilizamos instrumentos validados para evaluar las variables clínicas y sociodemográficas en todos los pacientes (n = 78) con primer episodio de esquizofrenia de un área geográfica definida ingresados en un hospital psiquiátrico de Dublín durante un periodo de 4 años. No se pudo distinguir a los pacientes no voluntarios (n = 17) de los voluntarios (n = 61) de acuerdo con la edad, el género, la situación de convivencia, el estado civil, el abuso de drogas o la duración de la psicosis no tratada. Ni los síntomas positivos ni los negativos fueron predictores útiles del tipo de ingreso. La falta de insight fue un fuerte predictor del ingreso de tipo no voluntario.

Keywords

EsquizofreniaTratamientoSíntomas psicóticosInsight
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 11 , Issue 4 , May 2004 , pp. 237 - 241
Copyright
Copyright © European Psychiatric Association 2004

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References

Bibliografía

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
Bartko, G., Herczeg, I., Zador, G., Clinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatr Stand 1988;77:74–6.CrossRefGoogle ScholarPubMed
Daly, A., Walsh, D., Irish psychiatric services: activities 1999. Dublin: The Health Research Board; 2000.Google Scholar
Farren, C., McLoughlin, D., Clare, A., Procedures for involuntary admission to public and private psychiatric facilities. Ir J Psychol Med 1992;9:96-100.CrossRefGoogle Scholar
Fennig, S., Rabinowitz, J., Fennig, S., Involuntary first admission of patients with schizophrenia as a predictor of futura admissions. Psychiatr Serv 1999;50:1049–52.CrossRefGoogle Scholar
Fenton, W.S., Blyler, C.R., Heinssen, R.K., Determinants of medication compliance in schizophrenia: empirical and clinical findings. Schi-zophr Bull 1997;23:637–51.CrossRefGoogle ScholarPubMed
Figuerdo, J.L., Gutierrez, M., Mosquera, F., Lalaguna, B., Gonzalez, PA., Involuntary hospitalization in the first psychotic episodes: associated factors. Acta Esp Psiquiatr 2000;28:275–8.Google Scholar
Inch, R., Crossley, M., Keegan, D., Thorarinson, D., Use of Brief Psy-chiatric rating Scale to measure success in a psychosocial day program. Psychiatr Serv 1997;48:1195–7.Google Scholar
Isohanni, M., Nieminen, P., Relationship between involuntary admission and the therapeutic process in a closed ward functioning as a therapeutic community. Acta Psychiatr Scand 1991;81:240–4.CrossRefGoogle Scholar
Kay, S.R., Fiszbein, A., Opler, L.A., The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261–76.CrossRefGoogle Scholar
Khanna, R., Gupta, N., Verma, S., Khanna, N., Factors relatad to psychiatric hospitalisation for first contact patients. Int J Soc Psychiatry 1992;38:293-303.CrossRefGoogle ScholarPubMed
Lowenstein, M., Binder, R.L., McNeil, D.E., The relationship between admission symptoms and hospital assaults. Hosp Community Psychiatry 1990;41:311–3.Google ScholarPubMed
Lysaker, P.H., Bryson, G.J., Lancaster, R.S., Evans, J.D., Bell, M.D., Insight in schizophrenia: associations with executive function and coping style. Schizophr Res 2003;59:41–7.CrossRefGoogle ScholarPubMed
Malla, A., Norman, R.M., Helmes, E., Factors associated with involuntary admission to psychiatric facilities in Newfoundland. Can Med Assoc J 1987;136:1166–71.Google ScholarPubMed
McNeil, D.E., Binder, R.L., Correlates of accuracy in the assessment of psychiatric inpatients’ risk of violence. Am J Psychiatry 1995;152: 901–6.Google Scholar
Miller, K.S., Simons, R.L., Fein, S.B., Compulsory mental hospitalisation in England and Wales. J Health Soc Behav 1974;15:151–6.CrossRefGoogle ScholarPubMed
Riecher, A., Rossler, W., Loffler, W., Fatkeheuer, B., Factors Influencing compulsory admission of psychiatric patients. Psychol Med 1991;21:197-208.CrossRefGoogle ScholarPubMed
Rooney, S., Murphy, K.C., Mulvany, F., O’Callaghan, E., Larkin, C., A comparison of voluntary and involuntary patients admitted to hospital. Ir J Psychol Med 1996;13:132–7.CrossRefGoogle Scholar
Sanz, M., Constable, G., López-Ibor, I., Kemp, R., David, A.S., A comparative study of insight scales and their relationship to psychopatho-logical and clinical variables. Psychol Med 1988;28:437–46.CrossRefGoogle Scholar
Spengler, A., Factors Influencing assignment of patients to compulsory admission. Soc Psychiatry 1986;21:113–22.CrossRefGoogle ScholarPubMed
SPSS INC. SPSS user guide base statistics 6.1. Chicago: SPSS Inc; 1994.Google Scholar
Szmukler, G.I., Bird, A.S., Button, E.J., Compulsory admissions in a London Borough. I. Social and clinical features and a follow-up. Psychol Med 1981;11:617–36.CrossRefGoogle Scholar
Verdoux, H., Lengronne, J., Liraud, F., Gonzales, B., Assens, F., Abalan, F., et al. Medication adherence in psychosis: predictors and impact on outcome. A 2-year follow-up of first-admitted patients. Acta Psychiatr Scand 2000;102:203–10.CrossRefGoogle Scholar
Weiler, M.A., Fleisher, M.H., McArthur-Campbell, D., Insight and symptom change in schizophrenia and other disorders. Schizophr Res 2000;45:29-36.CrossRefGoogle ScholarPubMed
Young, J.L., Zonana, H.V., Shepler, L., Medication non-compliance in schizophrenia: codification and update. Bull Am Acad Psychiatry Law 1986;14:105–22.Google ScholarPubMed