Primer Episodio Psicótico, evaluación y tratamiento desde la práctica clínica diaria

  1. Aarón Argudo Palacios 1
  2. Xose Antón Gómez-Fraguela 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

Revista:
Análisis y modificación de conducta

ISSN: 0211-7339 2173-6855

Ano de publicación: 2023

Volume: 49

Número: 181

Páxinas: 85-101

Tipo: Artigo

DOI: 10.33776/AMC.V49I181.7576 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Outras publicacións en: Análisis y modificación de conducta

Resumo

In the field of early psychosis, it is essential to have useful, validated and reliable protocols that can be used in the daily treatment of people who suffer from it. For this, it is necessary to harmonize the contributions of research in this area with clinical practice. A case study of a young man of 18 years of age is presented, in which negative symptoms predominate. An intervention was applied integrating the psychological, educational and social fields. Resulting in an improvement in the initial polyhedral set. The importance of having specific protocols to treat this disorder is discussed.

Referencias bibliográficas

  • Albert, N., & Weibell, M. A. (2019). The outcome of early intervention in first episode psychosis. International review of psychiatry (Abingdon, England), 31(5-6), 413–424. https://doi.org/10.1080/09540261.2019.16 43703
  • Arango, C., Garibaldi, G., & Marder, S. R. (2013). Pharmacological approaches to treating negative symptoms: a review of clinical trials. Schizophrenia research, 150(2- 3), 346–352. https://doi.org/10.1016/j. schres.2013.07.026
  • Arango, C., Bernardo, M., Bonet, P., Cabrera, A., Crespo-Facorro, B., Cuesta, M. J., González, N., Parrabera, S., Sanjuan, J., Serrano, A., Vieta, E., Lennox, B. R., & Melau, M. (2017). Cuando la asistencia no sigue a la evidencia: el caso de la falta de programas de intervención temprana en psicosis en España. Revista de psiquiatria y salud mental, 10(2), 78–86. https://doi.org/10.1016/j.rpsm.2017.01.001
  • Ballageer T, Malla A, Manchanda R, Takhar J & Haricharan R. (2005). Is adolescentonset first-episode psychosis different from adult onset?. Am Acad Child Adolesc Psychiatry 44(9). https://doi.org/10.1097/01. chi.0000164591.55942.ea-
  • Barraca, J. (2016). La Activación Conductual en la práctica: técnicas, organización de la intervención, dificultades y variantes. Análisis y Modificación de Conducta. 42, 15- 30. https://doi.org/10.33776/amc.v42i165- 66.2792
  • Barraca, J., & Pérez-Álvarez, M. (2015). Activación Conductual para el tratamiento de la depresión. Editorial Síntesis.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation.
  • Beck, A.T., Steer, R.A. & Garbin, M.C. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77- 100.
  • Bendall, S., Alvarez-Jimenez, M., Nelson, B., & McGorry, P. (2013). Childhood trauma and psychosis: new perspectives on aetiology and treatment. Early intervention in psychiatry, 7(1), 1–4. https://doi. org/10.1111/eip.12008
  • Cassidy, C. M., Norman, R., Manchanda, R., Schmitz, N., & Malla, A. (2010). Testing definitions of symptom remission in first-episode psychosis for prediction of functional outcome at 2 years. Schizophrenia bulletin, 36(5), 1001–1008. https://doi. org/10.1093/schbul/sbp007
  • Castillo, M.P, Bellido, M, & Ventura, A. (2016). Revisión de tratamientos eficaces en la esquizofrenia. Revista de enfermería y salud mental, 5, 15-21
  • Chang, W. C., Wong, C. S. M., Chen, E. Y. H., Lam, L. C. W., Chan, W. C., Ng, R. M. K., Hung, S. F., Cheung, E. F. C., Sham, P. C., Chiu, H. F. K., Lam, M., Lee, E. H. M., Chiang, T. P., Chan, L. K., Lau, G. K. W., Lee, A. T. C., Leung, G. T. Y., Leung, J. S. Y., Lau, J. T. F., van Os, J., … Bebbington, P. (2017). Lifetime Prevalence and Correlates of Schizophrenia-Spectrum, Affective, and Other Non-affective Psychotic Disorders in the Chinese Adult Population. Schizophrenia bulletin, 43(6), 1280–1290. https://doi.org/10.1093/schbul/sbx056
  • Chen E. Y. H. (2019). Early intervention for psychosis: current issues and emerging perspectives. International review of psychiatry (Abingdon, England), 31(5-6), 411–412. https://doi.org/10.1080/0954026 1.2019.1667597
  • Díaz-Caneja, C. M., Pina-Camacho, L., RodríguezQuiroga, A., Fraguas, D., Parellada, M., & Arango, C. (2015). Predictors of outcome in early-onset psychosis: a systematic review. NPJ schizophrenia, 1, 14005. https:// doi.org/10.1038/npjschz.2014.5
  • Edwards, J., & McGorry, P.D. (2002). Implementing Early Intervention in Psychosis: A Guide to Establishing Psychosis Services. CRC Press. https://doi.org/10.1201/9780367809485
  • Emsley, R., Rabinowitz, J., Medori, R., & Early Psychosis Global Working Group (2007). Remission in early psychosis: Rates, predictors, and clinical and functional outcome correlates. Schizophrenia research, 89(1-3), 129–139. https://doi. org/10.1016/j.schres.2006.09.013
  • Fadden, G. (2015). Involucrando a la familia en la atención de los adolescentes en riesgo de psicosis. Revista de Psicopatología y Salud Mental del niño y del adolescente, 25, 55-65.
  • Fonseca-Pedrero, E. (Coordinador) (2018). Evaluación de los trastornos del espectro psicótico. Madrid: Pirámide.
  • Fonseca-Pedrero, E. (Coordinador) (2019). Tratamientos psicológicos para la psicosis. Madrid: Pirámide.
  • Fonseca-Pedrero, E., Pérez-Álvarez, M., AlHalabí, S., Inchausti, F., López-Navarro, E. R., Muñiz, J., Lucas-Molina, B., PérezAlbéniz, A., Baños Rivera, R., Cano-Vindel, A., Gimeno-Peón, A., Prado-Abril, J., GonzálezMenéndez, A., Valero, A. V., Priede, A., González-Blanch, C., Ruiz-Rodríguez, P., Moriana, J. A., Gómez, L. E., Navas, P., … Montoya-Castilla, I. (2021). Tratamientos psicológicos empíricamente apoyados para la infancia y adolescencia: estado de la cuestión, Psicothema, 33(3), 386–398. https:// doi.org/10.7334/psicothema2021.56
  • Fusar-Poli, P., McGorry, P. D., & Kane, J. M. (2017). Improving outcomes of first-episode psychosis: an overview. World psychiatry : official journal of the World Psychiatric Association (WPA), 16(3), 251–265. https:// doi.org/10.1002/wps.20446
  • García, M. I. D., Fernández, M. Á. R., & Crespo, A. V. (2017). Manual de técnicas y terapias cognitivo conductuales. Desclée de Brouwer.
  • Gleeson, J. F., Alvarez-Jimenez, M., Cotton, S. M., Parker, A. G., & Hetrick, S. (2010). A systematic review of relapse measurement in randomized controlled trials of relapse prevention in first-episode psychosis. Schizophrenia research, 119(1- 3), 79–88. https://doi.org/10.1016/j. schres.2010.02.1073
  • Gorwood, P., Burns, T., Juckel, G., Rossi, A., San, L., Hargarter, L., Schreiner, A., & Europe, Middle East and Africa functioning group (2013). Psychiatrists’ perceptions of the clinical importance, assessment and management of patient functioning in schizophrenia in Europe, the Middle East and Africa. Annals of general psychiatry, 12(1), 8. https://doi. org/10.1186/1744-859X-12-8
  • Green M. F. (2016). Impact of cognitive and social cognitive impairment on functional outcomes in patients with schizophrenia. The Journal of clinical psychiatry, 77 Suppl 2, 8–11. https://doi. org/10.4088/JCP.14074su1c.02
  • Hardy, A., Emsley, R., Freeman, D., Bebbington, P., Garety, P. A., Kuipers, E. E., Dunn, G., & Fowler, D. (2016). Psychological Mechanisms Mediating Effects Between Trauma and Psychotic Symptoms: The Role of Affect Regulation, Intrusive Trauma Memory, Beliefs, and Depression. Schizophrenia bulletin, 42, S34–S43. https://doi. org/10.1093/schbul/sbv175
  • Hegelstad, W. T., Larsen, T. K., Auestad, B., Evensen, J., Haahr, U., Joa, I., Johannesen, J. O., Langeveld, J., Melle, I., Opjordsmoen, S., Rossberg, J. I., Rund, B. R., Simonsen, E., Sundet, K., Vaglum, P., Friis, S., & McGlashan, T. (2012). Long-term follow-up of the TIPS early detection in psychosis study: effects on 10-year outcome. The American journal of psychiatry, 169(4), 374–380. https://doi. org/10.1176/appi.ajp.2011.11030459
  • Ibáñez, V. (2018). La intervención temprana en psicosis. Revista de la Asociación Española de Neuropsiquiatría, 38(133), 9-16. https://dx.doi.org/10.4321/s0211- 57352018000100001
  • Ibáñez, V. (2019). Aproximación crítica a la prevención e intervención temprana en psicosis. Revista de la Asociación Española de Neuropsiquiatría, 39(135), 215-240. https://dx.doi.org/10.4321/s0211- 57352019000100012
  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of consulting and clinical psychology, 59(1), 12–19. https://doi.org/10.1037//0022- 006x.59.1.12
  • Kane, J. M., Schooler, N. R., Marcy, P., Correll, C. U., Brunette, M. F., Mueser, K. T., Rosenheck, R. A., Addington, J., Estroff, S. E., Robinson, J., Penn, D. L., & Robinson, D. G. (2015). The RAISE early treatment program for firstepisode psychosis: background, rationale, and study design. The Journal of clinical psychiatry, 76(3), 240–246. https://doi. org/10.4088/JCP.14m09289
  • Kazdin A. E. (2008). Evidence-based treatment and practice: new opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. The American psychologist, 63(3), 146–159. https://doi.org/10.1037/0003- 066X.63.3.146
  • Lugo, Sandybell & Pineda Domínguez, Antonio & Romero, José. (2018). Depresión adolescente: factores de riesgo y apoyo social como factor protector. Universitas Psychologica. 17. 1-11. https://doi. org/10.11144/Javeriana.upsy17-3.dafr
  • Maggin, D. M., Briesch, A. M., & Chafouleas, S. M. (2013). An Application of the What Works Clearinghouse Standards for Evaluating Single-Subject Research: Synthesis of the Self-Management Literature Base. Remedial and Special Education, 34(1), 44–58. https:// doi.org/10.1177/0741932511435176
  • McGlinchey, J. B., Atkins, D. C., & Jacobson, N. S. (2002). Clinical significance methods: Which one to use and how useful are they? Behavior Therapy, 33(4), 529–550. https://doi. org/10.1016/S0005-7894(02)80015-6
  • Movimiento Rethinking. (2018). Libro Blanco de la Intervención Temprana en Psicosis. España.
  • Mueser, K. T., Penn, D. L., Addington, J., Brunette, M. F., Gingerich, S., Glynn, S. M., Lynde, D. W., Gottlieb, J. D., Meyer-Kalos, P., McGurk, S. R., Cather, C., Saade, S., Robinson, D. G., Schooler, N. R., Rosenheck, R. A., & Kane, J. M. (2015). The NAVIGATE Program for First-Episode Psychosis: Rationale, Overview, and Description of Psychosocial Components. Psychiatric services (Washington, D.C.), 66(7), 680–690. https://doi.org/10.1176/appi.ps.201400413
  • Napoletano, F., Andlauer, O., Murguia-Asensio, S., Eranti, S. V., Akyuz, E., Estradé, A., Buhagiar, J., David, C., Fusar-Poli, P., Gupta, S., & Pan-London Network for Psychosis Prevention (2022). Establishing a business case for setting up early detection services for preventing psychosis. BJPsych bulletin, 1–10. Advance online publication. https:// doi.org/10.1192/bjb.2022.7
  • Ogles, B. M., Lunnen, K. M., & Bonesteel, K. (2001). Clinical significance: history, application, and current practice. Clinical psychology review, 21(3), 421–446. https:// doi.org/10.1016/s0272-7358(99)00058-6
  • Penn, D. L., Waldheter, E. J., Perkins, D. O., Mueser, K. T., & Lieberman, J. A. (2005). Psychosocial treatment for first-episode psychosis: a research update. The American journal of psychiatry, 162(12), 2220–2232. https://doi. org/10.1176/appi.ajp.162.12.2220
  • Perälä, J., Suvisaari, J., Saarni, S. I., Kuoppasalmi, K., Isometsä, E., Pirkola, S., Partonen, T., Tuulio-Henriksson, A., Hintikka, J., Kieseppä, T., Härkänen, T., Koskinen, S., & Lönnqvist, J. (2007). Lifetime prevalence of psychotic and bipolar I disorders in a general population. Archives of general psychiatry, 64(1), 19–28. https://doi. org/10.1001/archpsyc.64.1.19
  • Pérez, V. J., Gutiérrez, M. J., García, A., & Gómez, J. (2010). Procesos psicológicos básicos: Un análisis funcional. Pearson Educación.
  • Pérez-Álvarez, M. (2019). La psicoterapia como ciencia humana, más que tecnológica. Papeles del Psicólogo, 40(1), 1-14. http://dx.doi.org/10.23923/pap. psicol2019.2877
  • Rosenheck, R., Mueser, K. T., Sint, K., Lin, H., Lynde, D. W., Glynn, S. M., Robinson, D. G., Schooler, N. R., Marcy, P., Mohamed, S., & Kane, J. M. (2017). Supported employment and education in comprehensive, integrated care for first episode psychosis: Effects on work, school, and disability income. Schizophrenia research, 182, 120–128. https://doi.org/10.1016/j. schres.2016.09.024
  • Sanz, J., & Vázquez, C., (2011). BDI-II: Inventario de Depresión de Beck-II: Manual. Madrid: Pearson.
  • Sanz, J., Gutiérrez, S., Gesteira, C., & GarciaVera, M. P. (2014). Criterios y baremos para interpretar el “Inventario de depresión de Beck-II” (BDI-II). Behavioral Psychology/ Psicología Conductual, 22(1).
  • Sanz, Jesús, & García-Vera, María Paz. (2015). Técnicas para el análisis de diseños de caso único en la práctica clínica: ejemplos de aplicación en el tratamiento de víctimas de atentados terroristas. Clínica y Salud, 26(3), 167-180. https://dx.doi.org/10.1016/j. clysa.2015.09.004
  • Sarkhel, S. (2009). Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th edition. Indian Journal of Psychiatry, 51(4), 331.
  • Scruggs, T. E., & Mastropieri, M. A. (1998). Summarizing single-subject research. Issues and applications. Behavior modification, 22(3), 221–242. https://doi. org/10.1177/01454455980223001
  • Scruggs, T. E., & Mastropieri, M. A. (2013). PND at 25: Past, Present, and Future Trends in Summarizing SingleSubject Research. Remedial and Special Education, 34(1), 9–19. https://doi. org/10.1177/0741932512440730
  • Tandon, R., Gaebel, W., Barch, D. M., Bustillo, J., Gur, R. E., Heckers, S., Malaspina, D., Owen, M. J., Schultz, S., Tsuang, M., Van Os, J., & Carpenter, W. (2013). Definition and description of schizophrenia in the DSM-5. Schizophrenia research, 150(1), 3–10. https://doi.org/10.1016/j. schres.2013.05.028
  • Torres, A., Ortiz, Y., Martínez, H., Fernández, Y. N., & Pacheco, D. (2019). Factores asociados a la adherencia al tratamiento en pacientes con depresión. Multimed, 23(1), 1-10
  • Vallina, Ó., & Lemos, S. (2001). Tratamientos psicológicos eficaces para la esquizofrenia [Efficacious psychological treatments for schizophrenia]. Psicothema, 13(3), 345–364
  • Vázquez Morejón, A. J., Jiménez, R., Gómez, I., & Becerra, I. (1995). Esquizofrenia en el medio comunitario. Revista de la Asociación Española de Neuropsiquiatría., 15(53), 199- 216
  • Zanetti, A. C. G., Carmo, M. A., Tressoldi, L. D. S., Vedana, K. G. G., Giacon, B. C. C., & Martin, I. D. S. (2017). Intervenções familiares em pacientes no primeiro episódio psicótico: evidências da literatura. Rev. enferm. UFPE on line, 11(7), 2971-2978