Schizoaffective Disorder and Depression – A case study of a patient from Ceará, Brazil
DOI:
https://doi.org/10.3823/1793Keywords:
Schizophrenia, Schizoaffective disorder, Case studyAbstract
Introduction: Schizophrenia is a complex clinical syndrome that may present with a great variety of psychopathologic manifestations, covering changes in thought, perception and emotions, as well as motricity and behavioral abnormalities. It symptoms can be divided in positive and negative. Many others psychiatric disturbances share schizophrenia symptoms, among then, Schizoaffective Disorder, with altered mood, as in depression or mania. Although there is, in literature, plenty of evidence about the impact of depressive symptoms in the quality of life in schizophrenic patients, we were unable to identify Brazilian prospects on the subject. Surpassing the findings of other studies, depression in schizophrenic patients has considerable impacts, in addition to its prevalence and frequent underdiagnosis.
Objectives: Report a case of patient with Schizoafective Schizophrenia and Depression, treated in the Psycosocial Care Center (CAPES) III in the city of Juazeiro do Norte, Ceará, Brazil.
Materials and Methods: Case study, with an descriptive transversal approach, realized under the rules of Resolution 466/12, from National Health Council / National Health Ministry regarding legal and ethical aspects about studies with human beings. The study was registered in the Plataform Brasil, and subsequently forwarded for consideration in the Research Ethics Committee, then being approved.
Discussion: The patient’s life story and background, as reported by herself, can probably not only justify, but also fundaments the disease etiology. Attempts of sexual abuse, familiar negligence, psychiatric disorders in the family, among many other factors, reported by the patient and her relatives, can be potential triggers for her schizophrenia and depression. With new therapeutic approaches, body and psychic improvements begun, and the patients realized that a more healthy life, followed by weigh loss, despite medication usage; in association, the doctor patient-patient relationship has grown in confidence along the way. Finally this case shows the importance of this kind of approach, holistic and focused in the individual, for schizophrenic patients and other psychiatric disorders, because only that way the health care professional can maximize the results of the prescribed therapy.
Conclusions: Throughout this clinical case its possible to know and understand more about the Schizophrenic Disorders. We conclude that the therapeutic approach, executed by a multidisciplinary team, had a positive impact on patient’s prognosis. In practical terms, the best kind of assistance is the individualized and humanized, understanding the uniqueness of every patient, respecting them and providing qualified assistance for their biopsychosocial needs.
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References
Souza LA, Coutinho ESF.. Fatores associados à qualidade de vida de pacientes com esquizofrenia. Revista Brasileira de Psiquiatria. Rio de Janeiro,2006;28(1):50-8.
Videbeck SL. Enfermagem em saúde mental e psiquiatria. 5.ed. Porto Alegre: Artmed, 2012.
Shirakawa AI. Aspectos gerais do manejo do tratamento de pacientes com esquizofrenia. Revista Brasileira de Psiquiatria. 2000;22(1):56-8
Tostes LRM, Moraes LRN. Esquizofrenia: curso, evolução e prognóstico. Jornal Brasileiro de Psiquiatria. 1989;38(4):233-9
Maccay E, Ryan K, Amey S. Mitiganting Engulfment:recovering from a first episode of psychosis. J Psychosoc Nurs. 1996;34(11):40-4.
Barreto J, Carvalho C. Perturbação psicótica breve. DisponÃvel em: <http://neuroclnica.blogspot.com.br/2009/06/perturbacao-psicotica-breve.html>. Acesso em: 27/Janeiro/2015.
Gomes EA. Atividade fÃsica e desportiva para indivÃduos com Esquizofrenia ou Transtorno Esquizoafetivo: implantação de um programa e análise da aplicabilidade de um teste de capacidade funcional. 2011, 81f. Tese (Mestrado em Ciências do Desporto) – Faculdade de Desporto/ Universidade do Porto, Porto, 2011.
Bardin L, Análise de conteúdo. Lisboa (Po): Editora Edições 70; 2000.
Fleck MPA et al. Associação entresintomas depressivos e funcionamento social emcuidados primários à saúde. Rev Saúde Pública 2002; 36:431-8.
Sullivan G, Wells KB, Leak B. Clinical factors associated with better quality of life in a seriously mentally ill population. Hospital Community Psychiatry 1992; 43 794-8.
Cardoso CS et al . Depressão na esquizofrenia: prevalência e relação com a qualidade de vida. Cad. Saúde Pública, Rio de Janeiro. 2007;23(9):2035-48.
Leal EM et al. Psicopatologia da autonomia: a importância do conhecimento psicopatológico nos novos dispositivos de assistência psiquiátrica. Revista Latinoamericana de Psicopatologia Fundamental, São Paulo. 2006; 9(3):433-46.
Silva RCB .Esquizofrenia: Uma Revisão. Psicologia USP, 2006, 17(4), 263-285.
Attux C, Martini LC, Reis AF, Bressan RA. Intervenções não farmacológicaspara manejo do ganho de pesoem pacientes com esquizofreniaem uso de antipsicóticos. Arq Bras Endocrinol Metab. 2009;53-4
Evans S, Huxley P, Proebe SA. Comparison of the quality of life ofseverely mentally ill people in UK & German samples. Int J Soc Psychiatry. 2000;46(1):47-56.
González-Pinto A, Gutierrez M, Mosquera F et al. – First Episode in Bipolar Disorder: Misdiagnosis andPsychotic Symptoms. J Affect Disord.50(1):41-44, 1998. 17. Ricca V, Galassi F, La Malfa G et al. - Assessment of BasicSymptoms in Schizophrenia, Schizoaffective andBipolar Disorders. Psychopathology . 1997;30(1): 53-58,
Benabarre A, Vieta E, Colom F et al .Bipolar Disorder, Schizoaffective Disorder and Schizophrenia: Epidemiologic,Clinical and Prognostic Differences. Eur Psychiatry .2001;16(3): 167-172.
Quarantini LC, Sena EP, Oliveira IR. Tratamento Do Transtorno Esquizoafetivo. Rev. Psiq. ClÃn. 2005;32(1): 89-97.
Cordiolli AV, Zimmermann HH, Kessler F.. Rotina de Avaliação do Estado Mental. DisponÃvel em: http://www.ufrgs.br/psiquiatria/psiq/Avalia%C3%A7%C3%A3o%20%20do%20Estado%20Mental.pdf. Acesso em: 27/Janeiro/2015.
Denzin NK, Lincoln YS.. O planejamento da pesquisa qualitativa: teorias e abordagens.2 ed. Porto Alegre: Artmed, 2006.
Durão AMS, Souza MCBM, Miasso AI. Cotidiano de portadores deesquizofrenia após uso declozapina e acompanhamento grupal.Revista Latino-americana de Enfermagem, 2006 ;14(4):586-92.
Fernandes TG, Passos TR, Costa Júnior VL. O uso indevido do Omeprazol. – São Paulo: I Simpósio De Ciências Farmacêuticas/ Centro Universitário São Camilo, 2012.
Giacon BCC, Galera SAF ..Ajustamento familiar após o surgimento da esquizofrenia.Rev Esc Enferm USP, 2006; 40(2):286-91.
Gil AC . Como elaborar projetos de pesquisa. 4. ed. São Paulo: Atlas, 2008.
Hebert y Meltzer MD. Psychopharmacology: The third generation of progress.3. ed., Reven press, New York, 1987.
Marconi MA, Lakatos EM. Fundamentos da Metodologia cientÃfica. 7 ed. São Paulo: Atlas, 2010.
Moreira CS, Mezzasalma MA, Juliboni RV. Esquizofrenia Paranóide: Relato de Caso e Revisão da Leitura.Revista CientÃfica da FMC - 2008; 3(2).
Aguiar CCT et al . Esquizofrenia: uma doença inflamatória? Jornal brasileiro de Psiquiatria,2010; 59(1).
Oliveira RM, Facina PCBR, Siqueira Júnior AC.. Revista Brasileira de Enfermagem. BrasÃlia, 2012; 65(2): 309-16.
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