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Evolución de los pacientes en la esquizofrenia II: el impacto de la cognicién

Published online by Cambridge University Press:  12 May 2020

Alex Hofer ,
Susanne Baumgartner ,
Thomas Bodner ,
Monika Edlinger ,
Martina Hummer ,
Georg Kemmler ,
Maria A. Rettenbacher  and
W. Wolfgang Fleischhacker
Alex Hofer
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Susanne Baumgartner
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Thomas Bodner
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Monika Edlinger
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Martina Hummer
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Georg Kemmler
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Maria A. Rettenbacher
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
W. Wolfgang Fleischhacker
Affiliation:
Departamento de Psiquiatría Biológica, Universidad Médica de Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
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Resumen

Antecedentes

Se considera cada vez más que la disfunción cognitiva es el predictor clínico más fuerte de mala evolución a largo plazo en la esquizofrenia. Se han encontrado asociaciones entre la gravedad de los déficit cognitivos y la disfunción social, la afectación de la vida independiente, las limitaciones ocupacionales y las perturbaciones en la calidad de vida (CdV).

Métodos

En este estudio transversal, se examinó las relaciones de los déficit cognitivos y el resultado del tratamiento desde el punto de vista de la CdV, las necesidades y el funcionamiento psicosocial en 60 pacientes ambulatorios con esquizofrenia que tenían una duración de la enfermedad de más de 2 años y habían recibido tratamiento con clozapina u olanzapina durante al menos 6 meses.

Resultados

El presente estudio indica que el funcionamiento cognitivo podría ser un predictor de la evolución en el funcionamiento laboral/vida independiente en los pacientes estabilizados con esquizofrenia: los déficit de memoria visual y memoria operativa se asociaban negativamente con el funcionamiento ocupacional, y los pacientes mayores vivían independientemente, en pareja estable o ambas cosas más a menudo. Las evaluaciones de los pacientes de la CdV y las necesidades de asistencia no mostraron asociaciones significativas con el funcionamiento cognitivo.

Discusión

Estos hallazgos indican que el funcionamiento cognitivo es un determinante clave del funcionamiento laboral/vida independiente para los pacientes ambulatorios estables con esquizofrenia.

Keywords

EsquizofreniaCogniciónEvoluciónNecesidadesCalidad de vidaEmpleo
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 13 , Issue 2 , March 2006 , pp. 86 - 94
Copyright
Copyright © European Psychiatric Association 2006

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References

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