Multiaxis diagnosis and psychopathological evaluation of psychotic disorders associated with epilepsy / Diagnóstico multiaxial e avaliação psicopatológica das psicoses associadas à epilepsia

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

The association between epilepsy and psychotic disorders has been well documented in literature. Although this association is well-known, few studies regarding psychosis and epilepsy investigated the clinical characteristics of these patients and its impact on psychosocial function, suicide and suicide attempts, homicide attempts and cognitive deficits. The aim of this chart review was to compare the clinical impact and the psychosocial function between patients with epilepsy and psychotic disorders and patients with epilepsy and other psychiatric disorders. We also compared the clinical characteristics and psychosocial function between patients with postictal psychosis and interictal psychosis. We reviewed 143 charts, divided in two groups: 82 charts of patients with epilepsy and psychotic disorders and 61 charts of patients with epilepsy and other psychiatric disorders. In the group of patients with epilepsy and psychosis, 53 had a diagnosis of interictal psychosis and 17 of postictal psychosis. Patients with psychotic disorders had fewer years of education, more family history of psychotic disorders and higher number of homicide attempts, status epilepticus, psychiatric admissions and history of central nervous system insults. They also presented more impact on cognitive, vocational and interpersonal scales. Epilepsy was considered a major cause to the development of psychosis. Regarding the differences between patients with interictal and postictal psychosis, the only difference found was that the patients with interictal psychosis presented more family history of psychosis. Also, in both groups epilepsy was considered a major cause to the development of psychosis. Patients with psychotic disorders had a more severe clinical impairment in comparison with patients with other psychiatric disorders, which may have interfered in psychosocial functioning and severity of impact. Patients with central nervous systems insults and severe epilepsy may be likely more prone to psychosiss development than other patients with less severe forms of epilepsy

ASSUNTO(S)

diagnóstico multiaxial impacto psicossocial transtornos psicóticos psychotic disorders epilepsy multiaxial diagnosis comorbidity (psychiatry) epilepsia comorbidade (psiquiatria) psychosocial impact

ACESSO AO ARTIGO

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