管理药物诱导的精神病症
Leonardo Baldaçara1,2, Artur Ramos3, João Maurício Castaldelli-Maia3,4
1Federal University of Tocantins, Palmas, Brazil.
International review of psychiatry (Abingdon, England)
|February 1, 2024
概括
药物诱导的精神病,通常是由于药物滥用,可以导致严重的成,并增加患精神分裂症或双相情感障碍的风险. 早期干预和复发预防是管理这种疾病的关键.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 成 药物 药物 药物 药物
背景情况:
- 药物诱导性精神病 (SIP) 是一种与药物滥用有关的二次精神障碍.
- SIP与原发性精神病有所区别,症状概况和家族病史不同.
- 患有SIP的个人有更高的风险发展严重的药物成和初级精神病障碍.
研究的目的:
- 为了描绘物质诱导精神病的特征.
- 探索SIP与精神分裂症谱系障碍和双极性疾病的发展之间的关联.
- 概述SIP的有效治疗和管理策略.
主要方法:
- 对SIP患者与初级精神病患者进行比较分析.
- 对结果的纵向评估,包括转化为精神分裂症或双相情感障碍.
- 对急性中毒,戒断和长期管理的当前治疗方案的审查.
主要成果:
- 与初级精神病患者相比,SIP患者表现出较差的家族病史,更高的洞察力,更少的积极/消极症状,更多的抑郁症状和更大的焦虑.
- SIP与发展双极性疾病或精神分裂症谱系障碍密切相关,特别是早期出现的药物滥用和大麻使用.
- 在SIP后的自我伤害情节显著增加了发展精神分裂症或双相情感障碍的可能性.
- 转化为精神分裂症或双相情感障碍的比例可能高达三分之一的人.
结论:
- 药物诱导的精神病具有转化为精神分裂症和双极性疾病等初级精神疾病的显著风险.
- 有效的管理需要解决急性中毒,戒断,并实施强有力的复发预防策略.
- 警监测自杀行为和动态评估是对SIP患者护理的关键组成部分.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
14.9K
相关概念视频
01:28Psychosis and Antipsychotic Drugs: Overview
259
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
259
01:26Psychosis: Goals of Pharmacotherapy
131
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
131
01:28Drug Therapy
44
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
44
01:24Mania and Antimanic Drugs: Overview
181
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
181
01:21Antipsychotic Drugs: Therapeutic Uses and Side Effects
214
Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
214
01:21Antipsychotic Drugs: Typical and Atypical Agents
201
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
201