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Predicción de la duración de la psicosis antes de la primera admisión

Published online by Cambridge University Press:  12 May 2020

H. Verdoux ,
C. Bergey ,
F. Assens ,
F. Abalan ,
B. Gonzales ,
P. Pauillac ,
O. Fournet ,
F. Liraud ,
J. P. Beaussier  and
C. Gaussares
...Show all authors
H. Verdoux
Affiliation:
Departamente de Psiquiatría, Universidad Victor Segalen Bordeaux Hospital de Charles Perrens, Bordeaux, Francia
C. Bergey
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
F. Assens
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
F. Abalan
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
B. Gonzales
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
P. Pauillac
Affiliation:
Departamente de Psiquiatría, Universidad Victor Segalen Bordeaux Hospital de Charles Perrens, Bordeaux, Francia
O. Fournet
Affiliation:
Departamente de Psiquiatría, Universidad Victor Segalen Bordeaux Hospital de Charles Perrens, Bordeaux, Francia
F. Liraud
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
J. P. Beaussier
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
C. Gaussares
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
B. Etchegaray
Affiliation:
Hospital de Charles Perrens, Bordeaux, Francia
M. Bourgeois
Affiliation:
Departamente de Psiquiatría, Universidad Victor Segalen Bordeaux Hospital de Charles Perrens, Bordeaux, Francia
J. van Os
Affiliation:
Universidad de Maastricht, Países Bajos
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Abstract

Resumen:

Evaluar los factores que predicen el intervalo entre el comienzo de los síntomas psicóticos y la primera admisión en una muestra de la población.

Método:

Se comprobó de manera estandarizada la duración de la psicosis antes de la admisión para 59 pacientes consecutivos ingresados por primera vez que presentaban síntomas psicóticos.

Resultados:

La mediana de la duración de la psicosis antes de la admisión fue 3 meses (rango intercuartil: 0,5-14). La historia familiar de hospitalización psiquiátrica (razón de probabilidad [RP] = 12,1, intervalo de confianza [IC] de 95% = 1,15-97,0, P = 0,02), el nivel educativo bajo (RP = 7,7, IC 95% = 1,0-50,0, P = 0,05), el ajuste global malo en el año anterior (RP = 0,93, IC 95% = 0,86- 0,99, P = 0,04) y una gravedad global mayor de la enfermedad en la admisión (RP = 4,0, IC 95% = 0,87-18,3, P = 0,07) predijeron independientemente un intervalo ≥ 3 meses.

Conclusión:

Ya que se sabe también que estos factores predicen una evolución mala, nuestros resultados indican que la asociación entre la duración de la psicosis no tratada y el mal pronóstico puede estar mediada, al menos en parte, por estas variables demográficas y clínicas.

Keywords

primera admisiónduración de la psicosisfactores predictivosevolución
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 6 , Issue 3 , April 1999 , pp. 162 - 169
Copyright
Copyright © European Psychiatric Association 1999

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