Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-20T01:46:02.654Z Has data issue: false hasContentIssue false
  • English
  • Français

Reconocimiento temprano del trastorno bipolar

Published online by Cambridge University Press:  12 May 2020

Marta Hauser ,
Andrea Pfennig ,
Seza Özgürdal ,
Andreas Heinz ,
Michael Bauer  and
Georg Juckel
Marta Hauser
Affiliation:
Centro de Reconocimiento Temprano de las Psicosis Iniciales, Departamento de Psiquiatría, Charité, Campus Mitte, Berlín, Alemania
Andrea Pfennig
Affiliation:
Grupo de Investigación Bipolar, Departamento de Psiquiatría, Charité, Campus Mitte, Berlín, Alemania
Seza Özgürdal
Affiliation:
Centro de Reconocimiento Temprano de las Psicosis Iniciales, Departamento de Psiquiatría, Charité, Campus Mitte, Berlín, Alemania Centro Bochum de Reconocimiento Temprano y Terapia, Departamento de Psiquiatría, Universidad Ruhr Bochum, Bochum, Alemania
Andreas Heinz
Affiliation:
Centro de Reconocimiento Temprano de las Psicosis Iniciales, Departamento de Psiquiatría, Charité, Campus Mitte, Berlín, Alemania
Michael Bauer
Affiliation:
Grupo de Investigación Bipolar, Departamento de Psiquiatría, Charité, Campus Mitte, Berlín, Alemania
Georg Juckel
Affiliation:
Centro de Reconocimiento Temprano de las Psicosis Iniciales, Departamento de Psiquiatría, Charité, Campus Mitte, Berlín, Alemania Centro Bochum de Reconocimiento Temprano y Terapia, Departamento de Psiquiatría, Universidad Ruhr Bochum, Bochum, Alemania
Get access

Resumen

Los trastornos bipolares con frecuencia no se diagnostican hasta mucho después de su inicio, dejando a los pacientes sin tratamiento o con un tratamiento en consecuencia inadecuado. El curso del trastorno es aún más grave y las repercusiones negativas para los afectados, todavía mayores. Por tanto, se está dirigiendo un esfuerzo de investigación concertado a aprender cómo reconocer los trastornos bipolares en una fase temprana. Basándose en los resultados de la investigación actual, este artículo presenta consideraciones para una Escala de Síntomas Tempranos integradora con la que se pueda identificar a las personas en situación de riesgo e iniciar una intervención oportuna. Esto requerirá estudios prospectivos para determinar el poder predictivo de los factores de riesgo integrados en la escala.

Keywords

Reconocimiento tempranoTrastorno bipolarFactores de riesgoEscala de Síntomas TempranosIntervención temprana
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 14 , Issue 6 , September 2007 , pp. 285 - 291
Copyright
Copyright © European Psychiatric Association 2007

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.)

References

Bibliografía

[1]Amminger, GP, Leicester, S, Yung, AR, Phillips, LJ, Berger, GE, Francey, SM. Early-onset of symptoms predicts conversión to non-affective psychosis in ultra-high risk individuáis. Schizophr Res 2006;84:67-76.CrossRefGoogle Scholar
[2]Angst, G, Gamma, A, Benazzi, F, Ajdacic, V, Eich, D, Rossler, W. Research report: Towards a re-defmition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania. J Affect Disord 2003;73:133–46.CrossRefGoogle Scholar
[3]Angst, G, Gamma, A, Benazzi, F, Ajdacic, V, Eich, D, Rossler, W. Diagnostic issues in bipolar disorder. Eur Neuropsychopharmacol 2003;13:43-50.CrossRefGoogle ScholarPubMed
[4]Angst, G, Gamma, A, Endrass, J. Risk factors for the bipolar and depression spectra. Acta Psychiatr Scand 2003;108(Suppl. 418): 15-9.CrossRefGoogle Scholar
[5]Angst, G, Sellara, R, Stassen, HH, Gamma, A. Research report: Diagnostic conversión from depression to bipolar disorders: results of a long-term prospective study of hospital admissions. J Affect Disord 2005;84:149–57.CrossRefGoogle Scholar
[6]Akiskal, HS, Bourgeois, ML, Angst, J, Post, R, Möller, HJ, Hirschfeld, R. Reevaluating the prevalence of and diagnostic composition within the bread clinical spectrum of bipolar disorders. J Affect Disord 2000;59:S5-30.CrossRefGoogle Scholar
[7]Akiskal, HS, Brieger, P, Mundt, C, Angst, J, Marneros, A. Temperament und affektive Störungen. Die TEMPS-A-Skala ais Konvergenz europaische r und US-amerikanischer Konzepte. Nervenarzt 2002;3:262–71.Google Scholar
[8]Akiskal, HS, Maser, JD, Zeller, PJ, Endicott, J, Coryell, W, Keller, M. Switching from ‘unipolar’ to bipolar II. An 11-year prospective study of clinical and temperamental predictors in 559 patients. Arch Gen Psychiatry 1995;52(2):114–23.CrossRefGoogle ScholarPubMed
[9]Bauer, M, Pfennig, A. Epidemiology of bipolar disorders. Epilepsia 2005;46(Suppl. 4):8-13.CrossRefGoogle ScholarPubMed
[10]Berk, M, Dodd, S. Are treatment emergent suicidality and decreased response to antidepressants in younger patients due to bipolar disorder being misdiagnosed as unipolar depression? Med Hypotheses 2005;65:39-43.CrossRefGoogle ScholarPubMed
[11]Birmaher, B, Arbelaez, C, Brent, D. Course and outcome of child and adolescent major depressive disorder. Child Adolesc Psychiatr Clin North Am 2002;11(3):619-37.CrossRefGoogle ScholarPubMed
[12]Chang, K, Steiner, H, Dienes, K, Adleman, N, Ketter, T. Bipolar offspring: A window into bipolar disorder evolution. Biol Psychiatry 2003;53(11):945–51.CrossRefGoogle ScholarPubMed
[13]Chiaroni, P, Hantouche, E-G, Gouvemet, J, Azorin, J-M, Akiskal, HS. Research report : The cyclothymic temperament in healthy Controls and familially at risk individuáis for mood disorder: endophenotype for genetic studies? J Affect Disord 2005;85:135–45.CrossRefGoogle Scholar
[14]Dittman, S, Biedermann, NC, Grunze, H, Hummel, B, Schärer, LO, Kleindienst, N. The Stanley Foundation Bipolar NetWork: Results of the naturalistic follow-up study after 2.5 years of follow-up in the German centres. Neuropsychobiology 2002;46(suppl. 1):2-9.CrossRefGoogle Scholar
[15]Faedda, GL, Baldessarini, RJ, Glovinsky, IP, Austin, NB. Pediatric bipolar disorder: phenomenology and course of illness. Bipolar Disord 2004;6:305–13.CrossRefGoogle ScholarPubMed
[16]Ghaemi, SN, Hsu, DJ, Soldani, F, Goodwin, FK. Antidepressants in bipolar disorder. The case for caution. Bipolar Disord 2003;5(6):421–33.CrossRefGoogle ScholarPubMed
[17]Klosterkotter, J, Hellmich, M, Steinmeyer, EM, Schultze-Lutter E Diagnosing schizophrenia in the initial prodromal phase. Arch Gen Psychiatry 2001;58:158–64.CrossRefGoogle Scholar
[18]Klosterkotter, J, Ruhrmann, S, Schultze-Lutter, F, Salokangas, RK, Linszen, D, Birchwood, M, et al. The European Prediction of Psychosis Study (EPOS): integrating early recognition and intervention in Europe. World Psychiatry 2005;4(3):161–7.Google ScholarPubMed
[19]Lish, JD, Dime-Meenan, S, Whybrow, PC, Price, RA, Hirschfeld, RM. The National Depressive and Manic-depressive Association (DMDA) survey of bipolar members. J Affect Disord 1994;31 (4):281-94.CrossRefGoogle ScholarPubMed
[20]Mendlowicz, MV, Girardin, J-L, Kelsoe, JR, Akiskal, HS. Research report: A comparison of recovered bipolar patients, healthy relatives of bipolar probands, and normal Controls using the short TEMPS-A. J Affect Disord 2005;85:147–51.CrossRefGoogle ScholarPubMed
[21]Meyer, TD, Blechert, J. Research report: Are there attentional déficits in people putatively atrisk for affective disorders? J Affect Disord 2005;84:63-72.CrossRefGoogle Scholar
[22]Meyer, TD, Hautzinger, M. Research report: Screening for bipolar disorder using the Hypomanic Personality Scale. J Affect Disord 2003;75:149–54.CrossRefGoogle Scholar
[23]Miller, TJ, McGlashan, TH, Woods, SW, Stein, K, Driesen, N, Corearan, CM, et al. Symptom assessment in schizophrenic prodromal states. Psychiatr Q 1999;70:273–87.CrossRefGoogle ScholarPubMed
[24]Reichart, CG, Nolen, WA. Earlier onset of bipolar disorder in children by antidepressants or stimulants? An hypothesis. J Affect Disord 2004;78(1):81–4.CrossRefGoogle ScholarPubMed
[25]Simpson, SG, Jamison, KR. The risk of suicide with bipolar disorders. J Clin Psychiatry 1999;60(2):53–6.Google ScholarPubMed
[26]Thompson, KN, Conus, PO, Ward, JL, Phillips, LJ, Koutsogiannis, J, Leicester, S, et al.. Preliminary report: The initial prodrome to bipolar affective disorder: prospective case studies. J Affect Disord 2003;77:79-85.CrossRefGoogle Scholar
[27]Yung, AR, Phillips, LJ, Yuen, HP, McGorry, PD. Risk factors for psychosis in an ultra high-risk group: psychopathology and clinical features. Schizophr Res 2004;67(2-3):131-42.CrossRefGoogle Scholar