Esquizofrenia de inicio en la adolescencia. Indicadores pronósticos

Descargas

Publicado

1994-06-30

Cómo citar

Agüero A., J. . (1994). Esquizofrenia de inicio en la adolescencia. Indicadores pronósticos . Revista De Psiquiatría Infanto-Juvenil, (2), 65–69. Recuperado a partir de https://aepnya.eu/index.php/revistaaepnya/article/view/661

Número

Sección

Comentario breve

Autores/as

  • Juan Agüero A.

Resumen

WerryCll, establece un retrato "robot", respecto a la esquizofrenia del adolescente, basándose en los crite­rios DSM-III-R, cifrándola en una edad de comienzo entre los 16-18 años, más común en varones, con una sintomatología clínica de tipo indiferenciado, con fre­cuente historia psiquiátrica familiar, con una persona­lidad premórbida de tipo esquizotípico, que han pre­sentado a lo largo de su desarrollo neurológico elevado número de alteraciones. El diagnóstico diferencial se plantea sobre todo en su inicio con las fases maníacas de los trastornos bipolares, siendo la respuesta a los tra­tamientos neurolépticos y los resultados evolutivos similares a la esquizofrenia del adulto. Las diferencias con estas últimas, son marcadas en las esquizofrenias de inicio prepuberal, pero en todo caso se trata de diferen­cias cuantitativas, pues desde el punto de vista cualita­tivo se trata de un mismo trastorno. FentonC2J señala que a estas edades tempranas se presentan las formas clíni­cas no paranoides, siendo más comunes las formas hebefrénicas e indeferenciadas de inicio insidioso. Mazaeva<3ldescribe el inicio precoz, antes de los 20 años en un 61 %, mientras que el progreso de la enfermedad es más evidente a lo largo de la tercera y cuarta década de la vida.

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Juan Agüero A.

Profesor titular de Psiquiatría Jefe de Sección del Hospital Clínico Universitario Valencia

Citas

Werry JS. Child and adolescent (early onset) schizophrenia: a review In light DSM-III-R. JAutism Dev Disord 1992;22(4):601-624.

Fenton WS, McGlashan TH. Natural history of schizophrenia subtipes. I. Longitudinal study of paranoid, hebephrenic, and undiferentiated schizophrenia. Arch Gen Psychiatry 1991:48(11):967-977.

Mazaeva NA. Clinical features of the initial manifestations of slowly-progressing schizophrenia. Zb Nevropatol Psikbiatr 1981:81(5):709-714.

Eaton WW, Mortensen PB, Herman H, Freman H, Bilker W, Burgess P, Woof K. Long-term course of hospitalization for schizophrenia: Part I. Risk for rehospitalization. Schizophr Bull 1992;18(2):217-228.

Lichko AE, Vdovichenko AA, Kapitanaki VU, Oseretskoskii SD, Skrotski IA. Prognosis of the onset of latent pseudospychopathic and pseudoneumotic schizophrenia in male adolescents (data os long-term follow-up). Zb Nevropatol Psikbiatr1986:86(10):1517 1521.

Borga P, Widerlov B, Stefansson CG, Cullberg J. Social conditions in a total population with long-term functional psychosis in three differente areas of Stokholm Country. Acta Psychiatr Scand 1992:85(6):465-473.

Agranovskii ML. The role of endogenous and exogenous factors in the development of paroxysmal schizophrenia. Zb Nevropatol Psikbiatr 1992;92(1)110-113.

Kendler KS, Maclean CJ. Estimating familiareffectsonageat onset and liability to schizophrenia 1. Result of a large sample familly study. Gonet Epidemiol 1990,7(6):409-417.

Guy JD, Liaboe GP, Wallace CJ. Premorbid adjustement in adult male schizophrenics, as related to process vs. reactive chronic vs, acute, age of onset, and neurologically imparied vs. non-impaired. J Clin Psychol 1986,42(1):62-67.

Inoue K, NakajiomaT, Kato N. Alongitudinal study of schizophrenia inadolescence. I. The one-tothree-year outcome.pn/Psychiatry Neurol 1986;40(2):143-151.

Roff JD, Knigh R. Preschizophrenics: Low IQ and aggressive symptoms as predictors of adultoutcome and marital status./Nerv Ment Dis 1980;168 129-132.

Hafner H, Maurer K, Loffler W, Riecher-Rossler A. The influence of age and sex on the onset and early course of schizophenia. Br JPsychiatry 1993,162:80-86.

Salokangas RK, Stengard E. Gender and short-term outcome in schizophenia. Schizophr Res 1990,3(5-6):333-345.

Cohen LJ, Test MA, Brown RL.. Suicide and schizophrenia: data from a prospective community treatment study. Amer] Psichiatry 1990;147(5) 602-607.

Childers SE, Harding CM. Gender, premorbid social functioning, and long-term outcome in DSM-III schizophrenia. Schizophr Bull 1990;16(2):309-318.

Tsoi WF, Kua EH. Predicting the outcome of schizophrenia ten years later. Aust NZJ Psychiatry 1992;26(2):257-261.

Aylward E, Walker E, Bettes B. Inteligence in schizophrenia: meta-analysis of the research. Schizophr Bull 1984;10(3):430 459.

Addintong J, Addington D. Premorbid functioning, cognitive functioning, symptoms and outcome in schizophrenia. J Psychiatry Neurosci 1993;18(1):18-23.

Verghese A, John JK, Rajkumar J, Richard J, Sethi BB, Trivedi JK. Factors associated with the course and outcome of schizophrenia in India. Results of a two-year multicentre follow-up study. Br J Psychiatry 1989:154:499-503.

Carone BJ, Harrow M, Westermayer JF. Posthospital course and outcome in schizophrenia, Arch Gen Psichiatry 1991;48(3):247 253.

Hubschid T, Perrin N, Ciompil. The dinamics of outcome predictors in the early phase of schizophrenics psychoses-an-empirical study. Psichiatr Prax 1991;18(6): 196-201.

Harrows M, Grinker RR, Silverstein ML, Holzman P. Is modern day schizophrenic outcome still negative? Am J Psychiatry 1978;135(10):1156-1162.

Bashina VM. Course and prognosis of childhood schizophrenia in the light of follow-up information. Zb Nevropatol Psikbtaty 1980;80(10):1507-1510.

Kayton L, Beck L. Koh SD. Postpsychotic state, convascent environment, and therapeutic relationship in schizophrenic outcome. Am J Psychiatry 1976,133(11):1269-1274.

Pearlson GD, Kreger L, Rabins PV, Chase GA, Cohen B, Wirth JB,Schlaepfer TB, Tane LE. A chart review study of late-onset and early-onset schizophreni/Psychiatry 1989-147(10):1382-1383.

Carpenter WT, Bartko JJ, Strauss JS, Hawk AB. Signs and simptoms as predictor of outcome: a report from the international Pilot study of schizophrenia. Am J Psychiatry 1978,135(8):940-944.

Hwu HG, Chen CC, Tsuang MT. Tseng WS. Derealization syndrome and the outcome of schizophrenia: a report from the international pilot study of schizophrenia. Br J Psychiatry 1981,139:313-318.

Gift TE, Strauss JS, Kokes RF, Harder DW, Ritzler RA. Schizophrenia: affect and outcome. Am J Psychiatry 1980;137(5).

Shepherd M, Watt D, Falloom I, Smeeton N. The natural history of schizophrenia: five years follow-up study of outcome and prediction in a representative sample of schizophrenics. Psychol Med Monogr Suppl 1989;15:1-14.

Prudo R, Blum HM. Five-year outcome and prognosis in schizophrenia: a report from the London Field Research Centre of the International Pilot Study of Schizophrenia. Br J Psychiatry 1987;150:345-354.

Gaebel W, Pietzcker A. Prospective study of course of illness in schizophrenia: Part III. Treatment and outcome. Schizophr Bull 1987:13(2):307-316.

McGlashan TH, Heinssen RK. Hospital discharge status and long term outcome for patiens with schizophrenia, schizoaffective disorder, borderline personality disorder, and unipolar affective disorder. Arch Gen Psychiatry 1988;45(4):363-368.

Bland RC, Om H. Prediction of long-term outcome from presenting symptoms in schizophrenia. J Clin Psychiatry 1980;41(3):85-88.

Mintz LI, Nuechterlein KH, Goldstein MJ, Mintz J, Snyder KS. The inicial onset of schizophrenia and family expresed emotion. Some methodological considerations. Br J Psychiatry 1989;154:212-217.

McEvoy JP, Freter S, Everett G, Geller JL, Appelbaum P, Apperson LJ, Roth L. Insight and the clinical outcome of schizophrenic patients. J Nerv Ment Dis 1989;177(1):48-51.

Falloon IR, Boyd JL, McGill CW, Williamson M, RazaniJ, Mosshb GildermanAM, Simpson GM. Family management in the prevention of morbidity of schizophrenia clinical outcome of a two-year longitudinal study. Arch Gen Psychiatry 1985;42(9):887-896.