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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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