Identificação e intervenção precoce de primeiro episódio psicótico em cenários não especializados
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.221670Palavras-chave:
Primeiro episódio psicótico, Cuidados agudos, Intervenção precoce, Diagnóstico diferencialResumo
O diagnóstico e manejo precoce de um primeiro episódio psicótico influencia diretamente no prognóstico dos indivíduos. Trata-se da fase inicial de um transtorno psicótico, que é um transtorno mental grave caracterizado por delírios, alucinações e/ou desorganização comportamental e do pensamento. O primeiro atendimento a estes pacientes comumente é realizado por um médico não psiquiatra em um cenário de urgência ou de atenção básica, e o profissional deve ser capaz de identificar e conduzir adequadamente o caso, sem atraso no diagnóstico, na coleta de exames e no início do tratamento mais adequado.
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Araújo, Jéssica Morais. Protocolo de avaliação de primeiro episódio psicótico: a experiência dos serviços de psiquiatria de cuidados agudos e intervenção precoce do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo [dissertação]. Ribeirão Preto: Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto; 2021 [citado 2024-01-24]. doi:10.11606/D.17.2021.tde-28012022-112720
Ayesa-Arriola R, María J, Terán P, Setién-Suero E, Neergaard K, Ochoa S, et al. Patterns of recovery course in early intervention for FIRST episode non-affective psychosis patients: The role of timing. 2019 [cited 2023 Nov 16]; Available from: https://doi.org/10.1016/j.schres.2019.01.032
Fusar-Poli P, McGorry PD, Kane JM. Improving outcomes of first-episode psychosis: an overview. World Psychiatry. 2017 Oct;16(3):251–65.
Nasrallah HA. For First-Episode Psychosis, Psychiatrists Should Behave like Cardiologists: Starting a Long-Acting Injectable Antipsychotic Soon after a First Psychotic Episode Can Prevent a More Destructive Second Episode. Curr Psychiatr [Internet]. 2017;16:4. Available from: https://api.semanticscholar.org/CorpusID:80452050
Ezeoke A, Mellor A, Buckley P, Miller B. A systematic, quantitative review of blood autoantibodies in schizophrenia. Schizophr Res. 2013 Oct;150(1):245–51.
American Psychiatry Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5 - 5a Edição. 2014.
Srihari VH, Shah J, Keshavan MS. Is Early Intervention for Psychosis Feasible and Effective? Psychiatric Clinics of North America. 2012 Sep;35(3):613–31.
Jongsma HE, Gayer-Anderson C, Lasalvia A, Quattrone D, Mulè A, Szöke A, et al. Treated Incidence of Psychotic Disorders in the Multinational EU-GEI Study. JAMA Psychiatry. 2018 Jan 1;75(1):36–46.
Menezes PR, Scazufca M, Busatto G, Coutinho LMS, McGuire PK, Murray RM. Incidence of first-contact psychosis in São Paulo, Brazil. Br J Psychiatry Suppl. 2007 Dec;51:s102-6.
Del-Ben CM, Shuhama R, Loureiro CM, Ragazzi TCC, Zanatta DP, Tenan SHG, et al. Urbanicity and risk of first-episode psychosis: incidence study in Brazil. Br J Psychiatry. 2019 Dec;215(6):726–9.
Zwicker A, Denovan-Wright EM, Uher R. Gene-environment interplay in the etiology of psychosis. Psychol Med. 2018 Sep;48(12):1925–36.
Davis J, Eyre H, Jacka FN, Dodd S, Dean O, McEwen S, et al. A review of vulnerability and risks for schizophrenia: Beyond the two hit hypothesis. Neurosci Biobehav Rev. 2016 Jun;65:185–94.
Radua J, Ramella‐Cravaro V, Ioannidis JPA, Reichenberg A, Phiphopthatsanee N, Amir T, et al. What causes psychosis? An umbrella review of risk and protective factors. World Psychiatry. 2018 Feb 19;17(1):49–66.
Fachim HA, Corsi-Zuelli F, Loureiro CM, Iamjan SA, Shuhama R, Joca S, et al. Early-life stress effects on BDNF DNA methylation in first-episode psychosis and in rats reared in isolation. Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jun 8;108:110188.
Gomes F V, Zhu X, Grace AA. Stress during critical periods of development and risk for schizophrenia. Schizophr Res. 2019 Nov;213:107–13.
Gage SH, Hickman M, Zammit S. Association Between Cannabis and Psychosis: Epidemiologic Evidence. Biol Psychiatry. 2016 Apr 1;79(7):549–56.
Maharani B, Jafrin AL, Bai KV, Sivagnanam G. Levofloxacin-induced tactile hallucination and acute anxiety reaction. Indian J Pharmacol. 2019;51(2):123–5.
Hanly JG, Li Q, Su L, Urowitz MB, Gordon C, Bae S, et al. Psychosis in Systemic Lupus Erythematosus: Results From an International Inception Cohort Study. Arthritis & Rheumatology. 2019 Feb 18;71(2):281–9.
Jeppesen R, Benros ME. Autoimmune Diseases and Psychotic Disorders. Front Psychiatry. 2019;10:131.
Zhou JY, Xu B, Lopes J, Blamoun J, Li L. Hashimoto encephalopathy: literature review. Acta Neurol Scand. 2017 Mar;135(3):285–90.
Beaulieu‐Boire I, Lang AE. Behavioral effects of levodopa. Movement Disorders. 2015 Jan 9;30(1):90–102.
Hodgins GE, Saltz SB, Gibbs EP, Gonzalez R, Regan J, Nemeroff C. Steroid-Induced Psychosis in the Pediatric Population: A New Case and Review of the Literature. J Child Adolesc Psychopharmacol. 2018 Jun;28(5):354–9.
Griswold KS, Del Regno PA, Berger RC. Recognition and Differential Diagnosis of Psychosis in Primary Care. Am Fam Physician. 2015 Jun 15;91(12):856–63.
Pape K, Tamouza R, Leboyer M, Zipp F. Immunoneuropsychiatry - novel perspectives on brain disorders. Nat Rev Neurol. 2019 Jun;15(6):317–28.
National Institute for Health and Care Excellence (NICE). Psychosis and schizophrenia in adults: prevention and management Clinical guideline CG178 [Internet]. 2014. Available from: www.nice.org.uk/guidance/cg178
Crippa JAS, Sanches RF, Hallak JEC, Loureiro SR, Zuardi AW. Factor structure of Bech’s version of the Brief Psychiatric Rating Scale in Brazilian patients. Brazilian Journal of Medical and Biological Research. 2002 Oct;35(10):1209–13.
Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychol Rep. 1962 Jun 31;10(3):799–812.
Pedersen G, Urnes Ø, Hummelen B, Wilberg T, Kvarstein EH. Revised manual for the Global Assessment of Functioning scale. Eur Psychiatry. 2018 Jun;51:16–9.
Silveira C, Parpinelli MA, Pacagnella RC, Camargo RS de, Costa ML, Zanardi DM, et al. Adaptação transcultural da Escala de Avaliação de Incapacidades da Organização Mundial de Saúde (WHODAS 2.0) para o Português. Rev Assoc Med Bras. 2013 May;59(3):234–40.
Del-Ben CM, Rufino ACTBF, Azevedo-Marques JM de, Menezes PR. Diagnóstico diferencial de primeiro episódio psicótico: importância da abordagem otimizada nas emergências psiquiátricas. Revista Brasileira de Psiquiatria. 2010 Oct;32(suppl 2):S78–86.
Corrêa‐Oliveira GE, Scarabelot LF, Araújo JM, Boin AC, de Paula Pessoa RM, Leal LR, et al. Early intervention in psychosis in emerging countries: Findings from a first‐episode psychosis programme in the Ribeirão Preto catchment area, southeastern Brazil. Early Interv Psychiatry. 2022 Jul 18;16(7):800–7.
Addington D, Abidi S, Garcia-Ortega I, Honer WG, Ismail Z. Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders. The Canadian Journal of Psychiatry. 2017 Sep 21;62(9):594–603.
Early Psychosis Guidelines Writing Group and EPPIC National Support Program. Early Psychosis Guidelines Writing Group and EPPIC National Support Program. Melbourne; 2016.
Siafis S, Tzachanis D, Samara M, Papazisis G. Antipsychotic Drugs: From Receptor-binding Profiles to Metabolic Side Effects. Curr Neuropharmacol. 2018 Aug 21;16(8):1210–23.
Finney GR, Minagar A, Heilman KM. Assessment of Mental Status. Neurol Clin. 2016 Feb;34(1):1–16.
Zuardi AW, Loureiro SR. Semiologia psiquiátrica. Medicina (Ribeirao Preto Online). 1996 Mar 30;29(1):44–53.
Brokmeier LL, Firth J, Vancampfort D, Smith L, Deenik J, Rosenbaum S, et al. Does physical activity reduce the risk of psychosis? A systematic review and meta-analysis of prospective studies. Psychiatry Res. 2020 Feb;284:112675.
da Roza DL, de Rezende MG, Barros REM, de Azevedo-Marques JM, Santos JLF, Morais LCC, et al. Excess mortality in a cohort of Brazilian patients with a median follow-up of 11 years after the first psychiatric hospital admission. Soc Psychiatry Psychiatr Epidemiol. 2023 Feb;58(2):319–30.
Vancampfort D, Firth J, Schuch FB, Rosenbaum S, Mugisha J, Hallgren M, et al. Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: a global systematic review and meta-analysis. World Psychiatry. 2017 Oct;16(3):308–15.
Bueno-Antequera J, Munguía-Izquierdo D. Exercise and Schizophrenia. Adv Exp Med Biol. 2020;1228:317–32.
Forbes M, Stefler D, Velakoulis D, Stuckey S, Trudel JF, Eyre H, et al. The clinical utility of structural neuroimaging in first-episode psychosis: A systematic review. Aust N Z J Psychiatry. 2019 Nov;53(11):1093–104.
Blackman G, Neri G, Al-Doori O, Teixeira-Dias M, Mazumder A, Pollak TA, et al. Prevalence of Neuroradiological Abnormalities in First-Episode Psychosis: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2023 Oct 1;80(10):1047–54.
Clancy MJ, Clarke MC, Connor DJ, Cannon M, Cotter DR. The prevalence of psychosis in epilepsy; a systematic review and meta-analysis. BMC Psychiatry. 2014 Dec 13;14(1):75.
Ryan A, Nevitt SJ, Tuohy O, Cook P. Biomarkers for diagnosis of Wilson’s disease. Cochrane Database Syst Rev. 2019 Nov 19;2019(11).
Nagral A, Sarma MS, Matthai J, Kukkle PL, Devarbhavi H, Sinha S, et al. Wilson’s Disease: Clinical Practice Guidelines of the Indian National Association for Study of the Liver, the Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition, and the Movement Disorders Society of India. J Clin Exp Hepatol. 2019;9(1):74–98.
Socha P, Janczyk W, Dhawan A, Baumann U, D’Antiga L, Tanner S, et al. Wilson’s Disease in Children: A Position Paper by the Hepatology Committee of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2018 Feb;66(2):334–44.
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Copyright (c) 2024 Jéssica Morais Araújo, Gabriel Elias Corrêa-Oliveira, Cristina Marta Del-Ben
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
