Publication: Differences of affective and non-affective psychoses in early intervention services from Latin America
dc.contributor.author | Cerqueira, Raphael | |
dc.contributor.author | Ziebold, Carolina | |
dc.contributor.author | Cavalcante, Daniel | |
dc.contributor.author | Oliveira, Giovany | |
dc.contributor.author | Vásquez, Javiera | |
dc.contributor.author | Undurraga, Juan | |
dc.contributor.author | González, Alfonso | |
dc.contributor.author | Nachar, Ruben | |
dc.contributor.author | López, Carlos | |
dc.contributor.author | Noto, Cristiano | |
dc.contributor.author | Crossley, Nicolas | |
dc.contributor.author | Gadelha, Ary | |
dc.date.accessioned | 2023-04-14T16:42:29Z | |
dc.date.available | 2023-04-14T16:42:29Z | |
dc.date.issued | 2022 | |
dc.description.abstract | Background: Psychosis presentation can be affected by genetic and environmental factors. Differentiating between affective and non-affective psychosis (A-FEP and NA-FEP, respectively) may influence treatment decisions and clinical outcomes. The objective of this paper is to examine differences between patients with A-FEP or NA-FEP in a Latin American sample. Methods: Patients from two cohorts of patients with a FEP recruited from Brazil and Chile. Subjects included were aged between 15 and 30 years, with an A-FEP or NA-FEP (schizophrenia-spectrum disorders) according to DSM-IV-TR. Sociodemographic data, duration of untreated psychosis and psychotic/mood symptoms were assessed. Generalized estimating equation models were used to assess clinical changes between baseline-follow-up according to diagnosis status. Results: A total of 265 subjects were included. Most of the subjects were male (70.9 %), mean age was 21.36 years. A-FEP and NA-FEP groups were similar in almost all sociodemographic variables, but A-FEP patients had a higher probability of being female. At baseline, the A-FEP group had more manic symptoms and a steeper reduction in manic symptoms scores during the follow- up. The NA-FEP group had more negative symptoms at baseline and a higher improvement during follow-up. All domains of The Positive and Negative Syndrome Scale improved for both groups. No difference for DUP and depression z-scores at baseline and follow-up. Limitations: The sample was recruited at tertiary hospitals, which may bias the sample towards more severe cases. Conclusions: This is the largest cohort comparing A-FEP and NA-FEP in Latin America. We found that features in FEP patients could be used to improve diagnosis and support treatment decisions. | |
dc.description.version | Versión enviada | |
dc.identifier.citation | Cerqueira RO, Ziebold C, Cavalcante D, Oliveira G, Vásquez J, Undurraga J, González-Valderrama A, Nachar R, Lopez-Jaramillo C, Noto C, Crossley N, Gadelha A. Differences of affective and non-affective psychoses in early intervention services from Latin America. J Affect Disord. 2022 Nov 1;316:83-90. doi: 10.1016/j.jad.2022.08.010 | |
dc.identifier.doi | https://doi.org/10.1016/j.jad.2022.08.010 | |
dc.identifier.uri | https://repositorio.udd.cl/handle/11447/7332 | |
dc.language.iso | en | |
dc.subject | Bipolar disorder | |
dc.subject | Depression | |
dc.subject | First-episode | |
dc.subject | Psychosis | |
dc.subject | Schizophrenia | |
dc.title | Differences of affective and non-affective psychoses in early intervention services from Latin America | |
dc.type | Article | |
dcterms.accessRights | Privado | |
dcterms.source | Journal of Affective Disorders | |
dspace.entity.type | Publication |
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