Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- sintomas positivos
- sintomas negativos
- distúrbios de percepção
- delírios
- perturbações nas emoções
- afeto incongruente
- distúrbios de fluxo e forma de pensamento
- anormalidades cognitivas
- sintomas deficitários
- episódios depressivos maiores
- episódios maníacos
Otros factores de diagnóstico
- deficit neurológico
- história familiar
- comprometimento funcional
- distúrbios de comportamento
Factores de riesgo
- história familiar de esquizofrenia
- uso de substâncias
- idade do pai no nascimento do paciente
- estresse psicológico
- ambiente
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- exame de urina para detecção de drogas
- rastreamento de infecções sexualmente transmissíveis
- hemograma completo
- testes da função tireoidiana
Pruebas diagnósticas que deben considerarse
- exames laboratoriais para excluir causas orgânicas
- tomografia computadorizada/ressonância nuclear magnética (TC/RNM) de crânio
- eletroencefalograma (EEG)
Algoritmo de tratamiento
episódio psicótico agudo
transtorno de episódios múltiplos
Colaboradores
Autores
Adrian Preda, MD
Professor of Clinical Psychiatry
Department of Psychiatry and Human Behavior
University of California, Irvine School of Medicine
Irvine
CA
Divulgaciones
AP was paid for consultancy work for GLG and Guidepoint.
Robert G. Bota, MD
Associate Clinical Professor of Psychiatry
University of California
Irvine
CA
Divulgaciones
RGB declares that he has no competing interests.
Agradecimientos
Dr Adrian Preda and Dr Robert G. Bota would like to gratefully acknowledge Dr Bao-Nhan Benjamin Nguyen, who contributed to the updating of this topic.
Divulgaciones
BN declares that he has no competing interests.
Revisores por pares
Kemal Sagduyu, MD
Professor of Psychiatry
University of Missouri Kansas City
Kansas City
MO
Divulgaciones
KS declares that he has no competing interests.
William T. Regenold, MDCM
Associate Professor of Psychiatry
University of Maryland School of Medicine
Baltimore
MD
Divulgaciones
WTR declares that he has no competing interests.
Referencias
Artículos principales
Abrams DJ, Rojas DC, Arciniegas DB. Is schizoaffective disorder a distinct categorical diagnosis? A critical review of the literature. Neuropsychiatr Dis Treat. 2008 Dec;4(6):1089-109.Texto completo Resumen
Harrow M, Grossman LS, Herbener ES, et al. Ten-year outcome: patients with schizoaffective disorders, schizophrenia, affective disorders and mood-incongruent psychotic symptoms. Br J Psychiatry. 2000 Nov;177:421-6.Texto completo Resumen
Cheniaux E, Landeira-Fernandez J, Versiani M. The diagnoses of schizophrenia, schizoaffective disorder, bipolar disorder and unipolar depression: interrater reliability and congruence between DSM-IV and ICD-10. Psychopathology. 2009;42(5):293-8. Resumen
Jäger M, Haack S, Becker T, et al. Schizoaffective disorder: an ongoing challenge for psychiatric nosology. Eur Psychiatry. 2011 Apr;26(3):159-65. Resumen
Turner DT, van der Gaag M, Karyotaki E, et al. Psychological interventions for psychosis: a meta-analysis of comparative outcome studies. Am J Psychiatry. 2014 May;171(5):523-38. Resumen
National Institute for Health and Care Excellence. Psychosis and schizophrenia in adults: prevention and management. March 2014 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Esquizofrenia
- Transtorno psicótico induzido por substâncias
- Demência com psicose
Más DiferencialesGuías de práctica clínica
- International statistical classification of diseases and related health problems, 11th revision (ICD-11)
- Diagnostic and statistical manual, 5th edition, text revision (DSM-5-TR)
Más Guías de práctica clínicaFolletos para el paciente
Transtorno esquizoafetivo
Más Folletos para el paciente
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