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Depresión psicótica en pacientes ambulatorios de la práctica privada

Published online by Cambridge University Press:  12 May 2020

F. Benazzi
F. Benazzi*
Affiliation:
Departamento de Psiquiatría, Hospital Público Morgani, 47100Forlì, Italia
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Resumen

Se estudió la prevalencia de la depresión psicótica y se realizó una comparación entre la depresión psicótica y no psicótica en 203 pacientes ambulatorios unipolares y bipolares consecutivos que se presentaron para tratamiento de depresión en la práctica privada de un psiquiatra La prevalencia de la depresión psicótica fue 14%. De las variables investigadas (diagnóstico unipolar/bipolar, edad en la línea de base/comienzo, género, recurrencias, rasgos atípicos, comorbilidad, cronicidad, duración de la enfermedad, gravedad en la línea de base), el diagnóstico de trastorno bipolar I era significativamente más común, y la gravedad de la depresión era significativamente mayor en la depresión psicótica frente a la no psicótica. Los resultados discordantes en las publicaciones pueden estar relacionados con las diferentes muestras estudiadas.

Keywords

depresión psicóticaprevalenciapráctica privadagravedadcurso
Type
Comunicación breve
Information
European Psychiatry (Ed. Española) , Volume 6 , Issue 2 , March 1999 , pp. 120 - 122
Copyright
Copyright © European Psychiatric Association 1999

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References

Bibliografía

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4 th ed. Washington (DC): American Psychiatric Association; 1994.Google Scholar
Andreasen, NCFlaum, MArndt, S.The comprehensive assessment of symptoms and history (CASH). Arch Gen Psychiatry 1992; 49: 615–23.CrossRefGoogle Scholar
Baldwin, RC.Delusional and nondelusional depression in late life. Evidence for distinct subtypes. Br J Psychiatry 1988; 152: 39–44.CrossRefGoogle Scholar
Benazzi, F.Prevalence of bipolar II disorder in outpatient depression: a 203- case study in private practice. J Affect Disord 1997; 43: 163–6.CrossRefGoogle ScholarPubMed
Benazzi, F.Antidepressant-associated hypomania in outpatient depression: a 203-case study in private practice. J Affect Disord 1997; 46: 73–7.CrossRefGoogle ScholarPubMed
Benazzi, F.Chronic depression: a case series of 203 outpatients treated at a private practice. J Psychiatry Neurosci 1998; 23: 51–5.Google ScholarPubMed
Benazzi, F.Late-life depression in private practice depressed outpatients: a 203-case study. Int J Geriatric Psychiatry 1998; 13: 145–8.3.0.CO;2-7>CrossRefGoogle ScholarPubMed
Benazzi, F.Comparison of MADRS factors in bipolar II depression versus unipolar depression. Depression Anxiety 1988 (in press).Google Scholar
Benazzi, F.A typical depression in private practice depressed outpatients: a 203-case study. Compr Psychiatry 1998 (in press).Google Scholar
Coryell, W.Psychotic depression. J Clin Psychiatry 1996; 57 suppl 3: 27–31.Google Scholar
Coryell, WLeon, AWinokur, GEndicott, JKeller, MAkiskal, HSSolomon, D.Importante of psychotic features to long-term course in major depressive disorder. Am J Psychiatry 1996; 153: 483–9.Google Scholar
Goodwin, FKJamison, KR.Manic-depressive illness. New York: Oxford University Press; 1990: p. 31–5, 43–4, 266–8.Google Scholar
Jeste, DVHeaton, SCPaulsen, JSErcoli, LHarris, JHeaton, RK.Clinical and neuropsychological comparison of psychotic depression with nonpsychotic depression and schizophrenia. Am J Psychiatry 1996; 153: 490–6.Google Scholar
Johnson, JHorwarth, EWeissmann, MM.The validity of major depression with psychotic features based on a community study. Arch Gen Psychiatry 1991;48:1075–81.CrossRefGoogle ScholarPubMed
Leyton, MCorin, EMartial, JMeaney, M.Psychotic symptoms and vulnerability to recurrent depression. J Affect Disord 1995; 33: 107–15.CrossRefGoogle Scholar
Lykouras, LChristodoulou, GNMalharas, DStefanis, C.The prognostic importante of delusions in depression: a 6-year prospective follow-up study. J Affect Disord 1994; 32: 233–8.CrossRefGoogle Scholar
Maj, MPirozzi, Rdi Caprio, EL.Major depression with moodcongruent psychotic features: a distinct diagnostic entity or a more severe subtype of depression? Acta Psychiatr Scand 1990; 82: 439–44.CrossRefGoogle ScholarPubMed
Montgomery, SAAsberg, M.A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134: 382–9.CrossRefGoogle ScholarPubMed
Parker, G.Hadzi-Pavlovic, DHickie, IMitchel, PWilhelm, KBrodaty, H, et al.Psychotic depression: a review and a clinical experience. Aust NZ J Psychiatry 1991; 25: 169–80.CrossRefGoogle Scholar
Parker, GHadzi-Pavlovic, DBrodaty, HAustin, MPMitchell, PWilhelm, KHickie, I.Sub-typing depression, II. Clinical distinction of psychotic and nonpsychotic melancholia. Psychol Med 1995; 25: 825–32.CrossRefGoogle Scholar
Sands, JRHarrow, M.Psychotic unipolar depression at follow-up: factors related to psychosis in the affective disorders. Am J Psychiatry 1994; 151: 995–1000.Google ScholarPubMed
Schatzberg, AFRothschild, AJ.Psychotic (delusional) major depression: should it be included as a distinct syndrome in DSM-IV? Am J Psychitry 1992; 149: 733–45.Google ScholarPubMed