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Un estudio de los conocimientos de los médicos generales de los síntomas y la epidemiología de la esquizofrenia

Published online by Cambridge University Press:  12 May 2020

Hélène Verdoux
Affiliation:
Universidad Víctor Segalen Burdeos 2, Hospital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France Inserm U 657, IFR99 de Salud Pública, Burdeos, Francia
Audrey Cougnard
Affiliation:
Universidad Víctor Segalen Burdeos 2, Hospital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France Inserm U 657, IFR99 de Salud Pública, Burdeos, Francia
Sabrina Grolleau
Affiliation:
Universidad Víctor Segalen Burdeos 2, Hospital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France Inserm U 657, IFR99 de Salud Pública, Burdeos, Francia
Rachel Besson
Affiliation:
Universidad Víctor Segalen Burdeos 2, Hospital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France UMR5036 Sociedad, Salud, Desarrollo, Burdeos, Francia
Françoise Delcroix
Affiliation:
Universidad Víctor Segalen Burdeos 2, Hospital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France UMR5036 Sociedad, Salud, Desarrollo, Burdeos, Francia
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Resumen

Objetivo.

Explorar los conocimientos de los médicos generales (MG) de los síntomas y la epidemiología de la esquizofrenia y las características de los MG asociadas con el nivel de conocimientos.

Método.

Se envió por correo cuestionarios de encuesta que exploraban el ejercicio profesional en los pacientes con psicosis temprana a todos los MG en el sudoeste de Francia (n = 3829). Se pidió a los MG que respondieran anónimamente a preguntas sobre los síntomas y la epidemiología de la esquizofrenia.

Resultados.

La tasa de respuesta fue 23,6%. Los MG tenían un buen conocimiento teórico de los síntomas de la esquizofrenia, pero subestimaban la prevalencia y el riesgo de suicido. La asistencia reciente a un curso de formación médica continuada (FMC) sobre esquizofrenia era el predictor principal del nivel de conocimientos sobre las cifras epidemiológicas, aunque su impacto fue relativamente modesto. Con respecto a los factores de riesgo, más de la mitad de los MG consideró la implicación de factores genéticos como nula o modesta, mientras que una gran proporción de ellos afirmó que perturbaciones de la interacción madre-hijo estaban implicadas con frecuencia en la causa del trastorno.

Conclusión.

Es preciso mejorar el nivel de conocimientos de los MG sobre las repercusiones en la salud pública y los factores de riesgo de la esquizofrenia para promover la provisión de información precisa y desestigmatizadora a los pacientes de atención primaria.

Type
Original
Copyright
Copyright © European Psychiatric Association 2006

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References

Bibliografía

Addington, JVan Mastrigt, SHutchinson, JAddington, DPathways to care: help seeking behaviour in first episode psychosis. Acta Psychiatr Scand 2002;106:358–64.CrossRefGoogle ScholarPubMed
Burns, TCohen, A. Item-of-service payments for general practitioner care of severely mentally ill persons: does the money matter?. Br J Gen Pract 1998;48:1415–6.Google ScholarPubMed
Carr, VJLewin, TJBarnard, REWalton, JMAlien, JLConstable, PM, et al. Comparisons between schizophrenia patients recruited from Australian general practices and public mental health services. Acta Psychiatr Scand 2002;105:346–55.CrossRefGoogle ScholarPubMed
Carr, VJ. The role of the general practitioner in the treatment of schizophrenia: general principies. Med J Aust 1997;166:91–4.CrossRefGoogle Scholar
Carr, VJLewin, TJBarnard, REWalton, JMAlien, JLConstable, PM, et al. Attitudes and roles of general practitioners in the treatment of schizophrenia compared with community mental health staff and patients. Soc Psychiatry Psychiatr Epidemiol 2004;39:7884.CrossRefGoogle ScholarPubMed
Cougnard, AKalmi, EDesage, AMisdrahi, DAbalan, FBrun, Rousseau H, et al. Pathways to care of first-admitted subjects with psychosis in South-Western France. Psychol Med 2004;34:267–76.CrossRefGoogle ScholarPubMed
Courtenay, K. First episode psychosis. GPs must assess patients' risk behaviour. BMJ 2002;324:976.Google ScholarPubMed
Edwards, PRoberts, IClarke, MDiguiseppi, CPratap, SWentz, R, et al. Increasing response rates to postal questionnaires: systematic review. BMJ 2002;324:1183.CrossRefGoogle ScholarPubMed
Falloon, IRKydd, RRCoverdale, JHLaidlaw, TM. Early detection and intervention for initial episodes of schizophrenia. Schizophr Bull 1996;22:271–82.CrossRefGoogle ScholarPubMed
Fuchs, JSteinert, T. Patients with a first episode of schizophrenia spectrum psychosis and their pathways to psychiatric hospital care in South Germany. Soc Psychiatry Psychiatr Epidemiol 2004;39: 375–80.CrossRefGoogle ScholarPubMed
Hafner, HLoffler, WMaurer, KHambrecht, MAn Der Heiden, W. Depression, negative symptoms, social stagnation and social decline in the early course of schizophrenia. Acta Psychiatr Scand 1999;100: 105–18.CrossRefGoogle ScholarPubMed
Hodges, BInch, CSilver, I. Improving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1950-2000: a review. Am J Psychiatry 2001;158:1579–86.CrossRefGoogle ScholarPubMed
Jablensky, A. Schizophrenia: recent epidemiologic issues. Epidemiol Rev 1995;17:1020.CrossRefGoogle ScholarPubMed
Kendrick, TBurns, TFreeling, P. Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients. BMJ 1995;311:93–7.CrossRefGoogle ScholarPubMed
Kendrick, TBurns, TGarland, CGreenwood, NSmith, P. Are specialist mental health services being targeted on the most needy patients? The effects of setting up special services in general practice. Br J Gen Pract 2000;50:121–6.Google ScholarPubMed
Lang, FHJohnstone, ECMurray, GD. Service provision for people with schizophrenia. II. Role of the general practitioner. Br J Psychiatry 1997;171:165–8.CrossRefGoogle ScholarPubMed
Lehman, AFLieberman, JADixon, LBMcglashan, THMiller, ALPerkins, DO, et al. Practice guideline for the treatment of patients with schizophrenia, second edition. Am J Psychiatry 2004;161:156.Google ScholarPubMed
Lester, H. 10-minute consultation: first episode psychosis. BMJ 2001 ;323:1408.CrossRefGoogle ScholarPubMed
Lincoln, CHarrigan, SMcgorry, PD. Understanding the topography of the early psychosis pathways. An opportunity to reduce delays in treatment. Br J Psychiatry 1998;172:21–5.CrossRefGoogle ScholarPubMed
Lincoln, CVMcgorry, RWho cares? Pathways to psychiatric care for young people experiencing a first episode of psychosis. Psychiatr Serv 1995;46:1166–71.Google ScholarPubMed
Mcevoy, JScheifler, PFrances, A. The expert consensus guideline series: treatment of schizophrenia. J Clin Psychiatry 1999;60:183.Google Scholar
Mortensen, PB. Mortality and physical illness in schizophrenia. In: Murray, MJones, PVan Os, JSusser, ECannon, M editors. Mortality and physical illness in schizophrenia. Cambridge: Cambridge University Press; 2003. p. 275–87.Google Scholar
Murray, RJones, PSusser, ECannon, M. The epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003.Google Scholar
Nazareth, IKing, MTai, SSMonitoring psychosis in general practice: a controlled trial. Br J Psychiatry 1996;169:475–82.CrossRefGoogle ScholarPubMed
Nazareth, IKing, MDavies, S. Care of schizophrenia in general practice: the general practitioner and the patient. Br J Gen Pract 1995;45:343–7.Google ScholarPubMed
Norton, JDe Roquefeuil, GBenjamins, ABoulenger, JPMann, APsychiatric morbidity, disability and service use amongst primary care attenders in France. Eur Psychiatry 2004;19:164–7.CrossRefGoogle ScholarPubMed
Olié, JBouvet, OGassab, L. Quelles sont les modalités générales du programme thérapeutique a mettre en oeuvre daos les cas de schizophrénie débutante? In: Petibean, FMarie-Cardine, M editors. Quelles sont les modalités générales du programme thérapeutique à mettre en oeuvre dans les cas de schizophrénie débutante? Montrouge: John Libbey Eurotext; 2003. p. 225–30.Google Scholar
Shiers, DLester, H. Early intervention for first episode psychosis. BMJ 2004;328:1451–2.CrossRefGoogle ScholarPubMed
Thomicroft, GTansella, MBecker, TKnapp, MLeese, MSchene, A, et al. The personal impact of schizophrenia in Europe. Schizophr Res 2004;69:125–32.CrossRefGoogle Scholar
Thomson, CPaterson-Brown, SRussell, DMccaldin, DRussell, I. Short report: encouraging GPs to complete postal questionnaires—one big prize or many small prizes? A randomized controlled trial. Fam Pract 2004;21:697–8.CrossRefGoogle ScholarPubMed
Toews, JLockyer, JAddington, DMcdougall, GWard, RSimpson, E. Improving the management of patients with schizophrenia in primary care: assessing learning needs as a first step. Can J Psychiatry 1996;41:617–22.CrossRefGoogle ScholarPubMed
Van Os, JGaldos, PLewis, GBourgeois, MMann, ASchizophrenia sans frontiers: concepts of schizophrenia among French and British psychiatrists. BMJ 1993;307:489–92.CrossRefGoogle Scholar
Verdoux, HCougnard, A. Dépistage des troubles schizophréniques débutants: le role du médecin généraliste. Concours Med 2004; 126: 953–7.Google Scholar
Statacorp. Stata Statistical Software: Release 7.0. 2001.Google Scholar
Direction de la Recherche des-Etudes et de l'Evaluation Statistiques. Projections Médecins 2002-2020. DREES, Série Statistiques. 2002 (30).Google Scholar
Verdoux, HTignol, J. Focus on psychiatry in France. Br J Psychiatry. 2003;183:466–71.CrossRefGoogle ScholarPubMed
Verdoux, HMaurice-Tison, SGay, BVan Os, JSalamon, RBourgeois, MA survey of delusional ideation in primary care patients. Psychol Med 1998;28:127–34.CrossRefGoogle ScholarPubMed
Verdoux, HLengronne, JLiraud, FGonzales, BAssens, FAbalan, F, et al. Medication adherence in psychosis: predictors and impact on outcome. A 2-year follow-up of first-admitted subjects. Acta Psychiatr Scand 2000;102:203–10.CrossRefGoogle ScholarPubMed
Yung, ARMcgorry, PDMcfarlane, CAJackson, HJPatton, GCRakkar, A. Monitoring and care of young people at incipient risk of psychosis. Schizophr Bull 1996;22:283303.CrossRefGoogle ScholarPubMed