Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T22:02:01.220Z Has data issue: false hasContentIssue false
  • English
  • Français

Síntomas psicóticos en los trastornos del estado de ánimo: valoración de 159 pacientes internos

Published online by Cambridge University Press:  12 May 2020

A. Lenzi ,
A. Rinaldi ,
I. Bianco ,
C. Balestri  and
D. Marazziti
A. Lenzi
Affiliation:
Instituto de Psiquiatría, Pisa, Italia
A. Rinaldi
Affiliation:
Instituto de Psiquiatría, Pisa, Italia
I. Bianco
Affiliation:
Instituto de Psiquiatría, Pisa, Italia
C. Balestri
Affiliation:
Instituto de Psiquiatría, Pisa, Italia
D. Marazziti
Affiliation:
Instituto de Psiquiatría, Pisa, Italia
Get access

Resumen

Los autores investigaron las variables de la historia y clínicas de 159 pacientes internos afectados por trastornos del estado de ánimo para identificar variables que pudieran diferenciar formas psicóticas de no psicóticas. Los resultados mostraron que el 32% de los pacientes tenían síntomas psicóticos. Aunque no se detectaron diferencias significativas con respecto a la gravedad de la depresión, los pacientes con depresión psicótica eran más jóvenes y tenían una edad de comienzo inferior, así como una duración más breve del episodio. Estos rasgos indican que la depresión puede expresarse con o sin síntomas psicóticos, según el diferente substrato individual y, quizá, biológico. Tomados juntos, nuestros resultados parecen indicar que la depresión psicótica no se debería considerar una entidad clínica separada, sino un subtipo de los trastornos del estado de ánimo.

Keywords

trastorno del estado de ánimosíntomas psicóticosvariables clínicas
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 4 , Issue 5 , July 1997 , pp. 309 - 313
Copyright
Copyright © European Psychiatric Association 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Lenzi A, Rinaldi A, Bianco I, Balestri C, Marazziti D. Psychotic symptoms in mood disorders: evaluation of 159 inpatients. Eur Psychiatry 1996; 11: 396-399

References

Bibliografia

Akiskal, HS. The temperamental borders of affective disorders. Acta Psychiatr Scand 1994; 89 (suppl): 327.CrossRefGoogle Scholar
Akiskal, HSMcKinney, WT Jr. Depressive disorders: towards a unified hypothesis. Science 1973; 182: 202.CrossRefGoogle Scholar
Alexander, PEVan Kammer, DPBunney, WE. Antipsychotic effects of lithium in schizophrenia. Am J Psychiatry 1979; 136: 283-7.Google Scholar
Angst, J. A clinical anaylsis of the effect of Tofranil in depression. Psychopharmacologia 1961; 2: 381–407.CrossRefGoogle Scholar
Anton, RF. Psychotic Depression: Diagnosis, Treatment, Biology, Carrier. Foundation Letter 1986; 12: 542-59.Google Scholar
Bellini, LGatti, FGasperini, MSmeraldi, E. A comparison between delusional and non-delusional depressives. J AffectDis 1992; 25: 129-37.CrossRefGoogle ScholarPubMed
Black, DWWinokur, GNasrallah, A. Effects of psychosis on suicide risk in 1593 patients with unipolar and bipolar affective disorders. Am J Psychiatry 1988; 145: 849-52.Google Scholar
Cassano, GBMusetti, LPerugi, G et al. A proposed new approach to the clinical subclassification of depressive illness. Pharmacopsychiatry 1988; 21: 19–23.CrossRefGoogle Scholar
Charney, DSNelson, JC. Delusional and non-delusion unipolar depression: further evidence for distinct subtypes. Am J Psychiatry 1981; 138: 328-33.Google Scholar
Coryell, WLavori, LEndicott, JKeller, MB, Van Eerdewengh M. Outcome in schizoaffective psychotic and non-psychotic depression. Arch Gen Psychiatry 1984; 41: 787-94.CrossRefGoogle Scholar
Coryell, WEndicott, JKeller, MAndreasen, NC. Phenomenology and family history in DSM-III psychotic depression. J Affect Dis 1985; 9: 13-8.CrossRefGoogle ScholarPubMed
Crow, TJ. The continuum of psychosis and its genetic origin. Br J Psychiatry 1990; 156: 788-97.CrossRefGoogle Scholar
Dubovsky, SLThomas, MT. Psychotic depression: advances in conceptualization and treatment. Hosp Comm Psychiatry 1992; 12: 37–47.Google Scholar
Frances, ABrown, RP, Kocsis, JH et al. Psychotic depression. a separate entity? Am J Psychiatry 1981; 138: 831-3.CrossRefGoogle Scholar
Friedman, CDe Mowbray, MS, Hamilton, V. Imipramine in depressive State. J Ment Sci 1961; 107: 716-9.CrossRefGoogle Scholar
Glassman, AHKantor, SJ. Shostac M. Depression, delusion and drug response. Am J Psychiatry 1975; 132: 716-9.Google Scholar
Glassman, AHRoose, SP. Delusional depression: a distinct clinical entity? Arch Gen Psychiatry 1981; 38: 424-7.CrossRefGoogle ScholarPubMed
Goodwin, FKJamison, Fr. Manic Depressive Illness. New York: Oxford University Press, 1990.Google Scholar
Jeste, DVPaulsen, JSHeaton, SErcoli, LHeaton, RK. Is psychotic depression a distinct entity? 34th Meeting ACNP, San Juan Puerto Rico, Scientific Abstracts: pp. 5, December 11-15, 1995.Google Scholar
Kantor, SJGlassman, AH. Delusional depression: natural history and response to treatment. Br J Psychiatry 1977; 131: 351-60.CrossRefGoogle ScholarPubMed
Kendler, SKGruenberg, ATsuang, MT. A DSM-III family study of the non-schizophrenic psychotic disorders. Am J Psychiatry 1986; 143: 1098–108.Google Scholar
Mendels, JFrazer, RGFitzgerald, TA. Biogenic amine metabolites in cerebrospinal fluid of depressed and manic patients. Science 1972; 175: 1380–2.CrossRefGoogle ScholarPubMed
Nelson, JC. Bowers, MB. Delusional versus unipolar depression: description and drug response. Arch Gen Psychiatry 1978; 35: 1321–8.CrossRefGoogle Scholar
Overall, JEGorham, DR. The brief psychiatric rating scale. PsycolRep 1962; 10: 799–812.Google Scholar
Paykel, ESMyers, JKDeinelt, MNKleman, GLLindenthal, JJPepper, MP. Life events and depression: a controlled study. Arch Gen Psychiatry 1969; 21: 753-60.CrossRefGoogle ScholarPubMed
Placidi, FGLenzi, ALazzerini, FAkiskal, HSCassano, GB. The comparative efficacy and safety of carbamazepine versus lithium: a randomized double blind three years trial in 83 patients. J Clin Psychiatry 1986; 47: 490-4.Google Scholar
Pope, GH JrLipinski, JF Jr. Diagnosis in schizophrenia and manic-depressive illness. Arch Gen Psychiatry 1978; 35: 811-28.CrossRefGoogle Scholar
Post, RM. Transduction of psychosocial stress into the neurobiology of recurrent affective disorder. Am J Psychiatry 1992; 49: 999–1010.Google Scholar
Price, LHNelson, JCCharney, DSQuinlan, DM. Family history in delusional depression. J Affect Dis 1984; 6: 109-14.CrossRefGoogle ScholarPubMed
Prien, RFCaffey, EMKlett, CJ. A comparison of lithium carbonate and chlorpromazine in the treatment of excited schizo-affectives. Arch Gen Psychiatry 1972; 27: 182-9.CrossRefGoogle ScholarPubMed
Spiker, DGWeiss, JCDealy, RS. The pharmacological treatment of delusional depression. Am J Psychiatry 1985; 142: 430-6.Google ScholarPubMed
Zubin, JSpring, B. Vulnerability. A new view of schizophrenia. J Abnorm Psychol 1977; 86: 103-26.CrossRefGoogle ScholarPubMed