Relação entre estresse percebido, funcionamento global e variáveis sociodemográficas e clínicas entre indivíduos na fase inicial da psicose

Autores

DOI:

https://doi.org/10.59487/2965-1956-1-7275

Palavras-chave:

Transtornos Psicóticos, Estresse Psicológico, Psiquiatria

Resumo

Objetivo: Explorar a relação entre estresse percebido, funcionamento global e variáveis ​​sociodemográficas e clínicas entre pacientes na fase inicial da psicose. Metodologia: Estudo transversal realizado com 82 pacientes com psicose, atendidos em um serviço de intervenção precoce localizado em Ribeirão Preto, Brasil. Para a coleta de dados foram utilizados um formulário para caracterização sociodemográfica e clínica, a Escala de Estresse Percebido e a Escala de Avaliação Global de Funcionamento. Estatísticas descritivas e inferenciais foram utilizadas para análise dos dados. Resultados: Mulheres apresentaram maiores escores de funcionamento global e estresse percebido. Pacientes com companheiros apresentaram escores mais elevados de estresse percebido. Pacientes que não utilizavam substâncias apresentaram maior funcionamento global. Houve correlação inversa, fraca e significativa entre estresse percebido e renda familiar. Em relação ao estresse percebido e funcionamento global, os resultados indicam uma correlação inversa e fraca, mas não significativa. Conclusão: Os achados oferecem evidências que direcionam intervenções precoce estratégicas à indivíduos na fase inicial da psicose. Além disso, os resultados reforçam a necessidade do olhar cuidadoso para indivíduos em uso de substâncias e a utilização de outras modalidades terapêuticas, visando prevenir ou retardar  prejuízos funcionais, principalmente entre a população masculina. 

Downloads

Não há dados estatísticos.

Referências

World Health Organization. The World Health Report 2001: Mental health: new understanding, new hope [Internet]. Geneva:WHO; 2001 [cited 2021 Out 5]. 169p. Available from: https://apps.who.int/iris/bitstream/handle/10665/42390/WHR_2001.pdf?sequence=1&isAllowed=y

Gouvea ES, Noto C, Bonadia B, Senço NM, Gadelha A, Bressan RA, et al. Primeiro episódio psicótico: atendimento de emergência. Debates Psiquiatr [Internet]. 2014 [cited 2021 Out 5];16-18. Available from: https://revistardp.org.br/revista/article/view/183/162

Del-Ben CM, Rufino ACTBF, Azevedo-Marques JM, Menezes PR. Diagnóstico diferencial de primeiro episódio psicótico: importância da abordagem otimizada nas emergências psiquiátricas. Rev Bras Psquiatr [Internet]. 2010 [cited 2021 Out 5];32, Suppl 2:S78-S86. Available from: https://www.scielo.br/j/rbp/a/PkR3J8QGdrL65MRFLfrs9xw/?format=pdf&lang=pt

Breitborde NJK, Srihari VH, Woods SW. Review of the operational definition for first-episode psychosis. Early Interv Psychiatry [Internet]. 2009 [cited 2021Out 5];3(4):259–265. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4451818/pdf/nihms437790.pdf

Jongsma HE, Gayer-Anderson C, Lasalvia A, Quattrone D, Mulè A, Szöke A, et al. Treated incidence of psychotic disorders in the multinational EU-GEI study. JAMA Psychiatry [Internet]. 2018 [cited 2021 Jul 24];75(1):36-46. Available from: file:///C:/Users/ismartin/Downloads/jamapsychiatry_jongsma_2017_oi_170087%20(2).pdf

Renwick L, Jackson D, Turner N, Sutton M, Foley S, McWilliams S, KinsellaA, O'callaghan E. Are symptoms associated with increased levels of perceived stress in first‐episode psychosis? Int J Ment Health Nurs [Internet]. 2009 [cited 2017 Oct 28];18(3):186-94. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1447-0349.2009.00600.x/full.

Phillips LJ, Francey SM, Edwards J, McMurray N. Stress and psychosis: towards the development of new models of investigation. Clin Psychol Rev [Internet]. 2007[cited 2021 Oct 07];27(3):307–17. Available from: https://www.sciencedirect.com/science/article/pii/S0272735806001346?via%3Dihub

Allott KA, Rapado-Castro M, Proffitt TM, Bendall S, Garner B, Butselaar F, et al. The impact of neuropsychological functioning and coping style on perceived stress in individuals with first-episode psychosis and healthy controls. Psychiatry Res [Internet]. 2015 [cited 2021 Oct 07];226(1):128–35. Available from: https://www.sciencedirect.com/science/article/pii/S0165178114010257?via%3Dihub

Fink G. Stress: concepts, definition and history. In: Reference module in neuroscience and biobehavioral psychology [E-book on the Internet]. Elsevier; 2017 [cited 2021 Oct 07]. 9p. Available from: https://www.researchgate.net/publication/310767357_Stress_Concepts_Definition_History

Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer Pub Co; 1984.

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav [Internet]. 1983 [cited 2021 Oct 07];24(4):385-96. Available from: https://webs.wofford.edu/steinmetzkr/teaching/Psy150/Lecture%20PDFs/PSS.pdf.

Luft CB, Sanches SO, Mazo GZ, Andrade A. Versão brasileira da Escala de Estresse Percebido: tradução e validação para idosos. Rev Saúde Pública [Internet]. 2007[cited 2021 Oct 07];41(4):606-15. Available from: https://www.scielo.br/j/rsp/a/bgpXDHZXQXNqVS8JLnLdLhr/?format=pdf&lang=pt.

Pruessner M, Iyer SN, Faridi K, Joober R, Malla AK. Stress and protective factors in individuals at ultra-high risk for psychosis, first episode psychosis and healthy controls. Schizophr Res [Internet]. 2011[cited 2021 Oct 07];129:29–35. Available from: https://www.sciencedirect.com/science/article/pii/S0920996411001708?via%3Dihub.

McGorry PD, Killackey E, Yung A. Early intervention in psychosis: concepts, evidence and future directions. World Psychiatry [Internet]. 2008[cited 2021 Oct 07];7:148-56. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2559918/pdf/wpa030148.pdf.

Manual diagnóstico e estatístico de transtornos mentais [E-book on the Internet]. 5. ed. Porto Alegre: Artmed; 2014. Available from: http://www.niip.com.br/wp-content/uploads/2018/06/Manual-Diagnosico-e-Estatistico-de-Transtornos-Mentais-DSM-5-1-pdf.pdf.

Saeed AA, Bahnassy AA, Al-Hamdan NA, Almudhaibery FS, Alyahya AZ. Perceived stress and associated factors among medical students. J Family Community Med[Internet]. 2016[cited 2021 Oct 07];23(3):166-71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009887/pdf/JFCM-23-166.pdf.

Köhler O, Horsdal HT, Baandrup L, Mors O, Gasse C. Association between Global Assessment of Functioning scores and indicators of functioning, severity, and prognosis in first-time schizophrenia. Clin Epidemiol[Internet]. 2016[cited 2021 Oct 07];8:323–32. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5019159/pdf/clep-8-323.pdf.

American Psychiatric Association. Avaliação multiaxial. In: Manual diagnóstico e estatístico de transtornos mentais (DSM-IV-TR). 4 ed. Porto Alegre: Artmed; 2002. p. 59-69.

Enderami A, Monesi FS, Zarghami M. One-year follow-up of patients with a diagnosis of first episode psychosis. Mater Sociomed [Internet]. 2017[cited 2017 Oct 28];29(1):21-25. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402367/pdf/MSM-29-21.pdf.

Lessmann JC, Silva DMGV, Nassar SM. Estresse em mulheres com Diabetes Mellitus Tipo 2. Rev Bras Enferm [Internet]. 2011[cited 2021 Oct 07];64(3):451-6. Available from:https://www.scielo.br/j/reben/a/3cKDZSJs9Tv7vYyC7zNvXmp/?format=pdf&lang=pt.

Cohen S, Janicki-Deverts D. Who’s stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. J Community Appl Soc Psychol [Internet], 2012[cited 2021 Oct 07];42(6):1320–34. Available from: https://www.sciencedirect.com/science/article/pii/S1876201815300824.

Davis MC, Matthews KA, Twamley EW. Is life more difficult on Mars or Venus? A meta-analytic review of sex differences in major and minor life events. Ann Behav Med [Internet]. 1999[cited 2021 Oct 07];21(1):83-97. Available from: https://academic.oup.com/abm/article/21/1/83/4631429.

Mayor E. Gender roles and traits in stress and health. Front Psychol [Internet]. 2015 [cited 2021 Oct 07];6(779):1-7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4460297/pdf/fpsyg-06-00779.pdf

Thorup A, Petersen L, Jeppesen P, Ohlenschlaeger J, Christensen T, Krarup G, Jorgensen P, Nordentoft M. Gender differences in young adults with first-episode schizophrenia spectrum disorders at baseline in the Danish OPUS study. J Nerv Ment Dis [Internet]. 2007 [cited 2021 Oct 07];195(5):396-405. Available from: https://pubmed.ncbi.nlm.nih.gov/17502805/.

Ochoa S, Usall J, Cobo J, Labad X, Kulkarni J. Gender differences in schizophrenia and first-episode psychosis: a comprehensive literature review. Schizophr Res Treatment [Internet]. 2012 [cited 2021 Oct 07];2012:1-9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420456/pdf/SPRT2012-916198.pdf.

Pang S, Subramaniam M, Abdin E, Poon LY, Chong SA, VermaS. Gender differences in patients with first-episode psychosis in the Singapore Early Psychosis Intervention Programme. Early Interv Psychiatry [Internet]. 2016 [cited 2021 Oct 07];10(6):528-534. Available from: https://onlinelibrary.wiley.com/doi/10.1111/eip.12208.

Kelley ME, Wan CR, Broussard B, Crisafio A, Cristofaro S, Johnson S, et al. Marijuana use in the immediate 5-year premorbid period is associated with increased risk of onset of schizophrenia and related psychotic disorders. Schizophr Res [Internet]. 2016 [cited 2021 Oct 07];171(1-3):62-7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4929616/pdf/nihms752585.pdf.

Di Forti M, Quattrone D, Freeman TP, Tripoli G, Gayer-Anderson C, Quigley H, et al. The contribution of cannabis use to variation in the incidence of psychotic disorder across Europe (EU-GEI): a multicentre case control study. Lancet Psychiatry [Internet]. 2019[cited 2021 Oct 07];6(5):427-36. Available from: https://www.thelancet.com/action/showPdf?pii=S2215-0366%2819%2930048-3.

Ksir C, Hart CL. Cannabis and psychosis: a critical overview of the relationship. Curr Psychiatry Rep [Internet]. 2016 [cited 2021 Oct 07];18(2):12. Available from: https://link.springer.com/content/pdf/10.1007/s11920-015-0657-y.pdf.

Seddon JL, Birchwood M, Copello A, Everard L, Jones PB, Fowler D, et al. Cannabis use is associated with increased psychotic symptoms and poorer psychosocial functioning in first-episode psychosis: a report from the UK National EDEN Study. Schizophr Bull [Internet]. 2016[cited 2021 Oct 07];42(3):619–25. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838086/pdf/sbv154.pdf.

Coutinho LS, Honorato H, Higuchi CH, Cavalcante DA, Belangeiro S, Noto M, et al. Cannabis acute use impacts symptoms andfunctionality in a cohort of antipsychotic naive First Episode of Psychosis individuals. Schizophr Res Cogn [Internet]. 2019 [cited 2021 Oct 07];16:12–16. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293028/pdf/main.pdf.

Marshall M, Lewis S, Lockwood A, Drake R, Jones P, Croudace T. Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review. Arch Gen Psychiatry [Internet]. 2005 [cited 2021 Oct 07];62:(9)975-983. Available from: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1108403.

Raghavan V, Mohan G, Gopal S, Ramamurthy M, Rangaswamy T. Medication adherence in first-episode psychosis and its association with psychopathology. Indian J Psychiatry [Internet]. 2019[cited 2021 Oct 07];61(4):342–46. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657546/.

Cotton SM, Lambert M, Schimmelmann BG, Filia K, Rayner V, Hides L, et al. Predictors of functional status at service entry and discharge among young people with first episode psychosis. Soc Psychiatry Psychiatr Epidemiol [Internet]. 2017 [cited 2021 Oct 07];52(5):575-85. Available from: https://link.springer.com/content/pdf/10.1007/s00127-017-1358-0.pdf.

Koutra K, Triliva S, Roumeliotaki T, Basta M, Simos P, Lionisb C, Vgontzas AN. Impaired family functioning in psychosis and its relevance to relapse: a two-year follow-up study. Compr Psychiatry [Internet]. 2015[cited 2021 Oct 07];62:1–12. Available from: https://www.sciencedirect.com/science/article/pii/S0010440X15000978?via%3Dihub.

Loch AA, Chianca C, Alves TM, Freitas EL, Hortêncio L, Andrade JC, et al. Poverty, low education, and the expression of psychotic-like experiences in the general population of São Paulo, Brazil. Psychiatry Res [Internet]. 2017[cited 2021 Oct 07];253:182–88. Available from: https://www.sciencedirect.com/science/article/pii/S0165178116313890?via%3Dihub.

Severo AKS, Dimenstein M, Brito M, Cabral C, Alverga AR. A experiência de familiares no cuidado em saúde mental. Arq Bras Psicol [Internet]. 2007[cited 2021 Oct 07];59(2):143-55. Available from: http://pepsic.bvsalud.org/pdf/arbp/v59n2/v59n2a05.pdf.

Sadatha A, Muralidhar D, Varambally S, Gangadhar BN, Jose JP. Do stress and support matter for caring? The role of perceived stress and social support on expressed emotion of carers of persons with first episode psychosis. Asian J Psychiatr [Internet]. 2017 [cited 2021 Oct 07];25:163-68. Available from: https://www.sciencedirect.com/science/article/pii/S1876201815300824?via%3Dihub.

Downloads

Publicado

2022-03-14

Como Citar

1.
Zanetti ACG, Carniel AC, Silva AHS da, Gherardi-Donato EC da S, Martin I dos S, Vedana KGG, Freitas LA de, Fernandes MN de F. Relação entre estresse percebido, funcionamento global e variáveis sociodemográficas e clínicas entre indivíduos na fase inicial da psicose. Dialog Interdis Psiq S Ment [Internet]. 14º de março de 2022 [citado 28º de março de 2024];1(1):23-31. Disponível em: https://revistas.uece.br/index.php/dipsm/article/view/7275