Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines
Introduction Schizoaffective disorder is a psychotic disorder of controversial nosological entity. Affective symptomatology and psychotic features of varying intensity coexist simultaneously in him throughout evolution. The lack of consensus on the existence of this entity determines its diagnosti...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821014413/type/journal_article |
| _version_ | 1827755059554811904 |
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| author | M. Valtueña García R. Combina Fescina A. Vázquez González C. Ludwig A. González Suarez J. López Fernández C. Huergo Lora S. Ocio León L. Lago García |
| author_facet | M. Valtueña García R. Combina Fescina A. Vázquez González C. Ludwig A. González Suarez J. López Fernández C. Huergo Lora S. Ocio León L. Lago García |
| author_sort | M. Valtueña García |
| collection | DOAJ |
| description |
Introduction
Schizoaffective disorder is a psychotic disorder of controversial nosological entity. Affective symptomatology and psychotic features of varying intensity coexist simultaneously in him throughout evolution. The lack of consensus on the existence of this entity determines its diagnostic delay and the absence of specific treatment guidelines.
Objectives
To review the diagnostic criteria for schizoaffective disorder and the published scientific evidence on the efficacy and safety of the different therapeutic options available. To analyze the efficacy of a multidisciplinary treatment plan implemented in an intensive follow-up program, presenting the evolution of a clinical case.
Methods
To review the psychiatric history and psychopathological evolution of a patient diagnosed with schizoaffective disorder from the beginning of an intensive follow-up program in a day center to the present. Review the existing scientific evidence on the usefulness of the treatments used in this nosological entity.
Results
This is a longitudinal and retrospective study of a clinical case in which the areas for improvement are analyzed before implementing a multidisciplinary therapeutic program and the favorable results obtained today. Currently, the patient is euthymic and attenuated and chronic positive and negative symptoms persist that do not interfere with his functionality.
Conclusions
From the implementation of an individualized, personalized and multidisciplinary maintenance treatment plan, an overall improvement in psychopathological stability and functional recovery is observed. Among the psychopharmacological options in this patient, Paliperidone Long Acting Injection (PLAI) stands out for its long-term efficacy and safety.
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| first_indexed | 2024-03-11T07:57:55Z |
| format | Article |
| id | doaj.art-9ee459b5a7154c2bb4e5c9392869737a |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:57:55Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-9ee459b5a7154c2bb4e5c9392869737a2023-11-17T05:05:17ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S540S54010.1192/j.eurpsy.2021.1441Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelinesM. Valtueña García0R. Combina Fescina1A. Vázquez González2C. Ludwig3A. González Suarez4J. López Fernández5C. Huergo Lora6S. Ocio León7L. Lago García8Psiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, SpainPsiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, SpainPsiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, SpainPsiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, SpainPsiquiatría, Área VIII, Asturias, SpainPrimary Care, Área VIII, Asturias, SpainPsiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, SpainPsiquiatría, Hospital Vital Álvarez Buylla, Asturias, SpainPsiquiatría, Hospital Vital Álvarez Buylla, Asturias, Spain Introduction Schizoaffective disorder is a psychotic disorder of controversial nosological entity. Affective symptomatology and psychotic features of varying intensity coexist simultaneously in him throughout evolution. The lack of consensus on the existence of this entity determines its diagnostic delay and the absence of specific treatment guidelines. Objectives To review the diagnostic criteria for schizoaffective disorder and the published scientific evidence on the efficacy and safety of the different therapeutic options available. To analyze the efficacy of a multidisciplinary treatment plan implemented in an intensive follow-up program, presenting the evolution of a clinical case. Methods To review the psychiatric history and psychopathological evolution of a patient diagnosed with schizoaffective disorder from the beginning of an intensive follow-up program in a day center to the present. Review the existing scientific evidence on the usefulness of the treatments used in this nosological entity. Results This is a longitudinal and retrospective study of a clinical case in which the areas for improvement are analyzed before implementing a multidisciplinary therapeutic program and the favorable results obtained today. Currently, the patient is euthymic and attenuated and chronic positive and negative symptoms persist that do not interfere with his functionality. Conclusions From the implementation of an individualized, personalized and multidisciplinary maintenance treatment plan, an overall improvement in psychopathological stability and functional recovery is observed. Among the psychopharmacological options in this patient, Paliperidone Long Acting Injection (PLAI) stands out for its long-term efficacy and safety. https://www.cambridge.org/core/product/identifier/S0924933821014413/type/journal_articleschizoaffective disorderPaliperidone Long Acting Injection (PLAI)multidisciplinary treatment plannosological controversies |
| spellingShingle | M. Valtueña García R. Combina Fescina A. Vázquez González C. Ludwig A. González Suarez J. López Fernández C. Huergo Lora S. Ocio León L. Lago García Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines European Psychiatry schizoaffective disorder Paliperidone Long Acting Injection (PLAI) multidisciplinary treatment plan nosological controversies |
| title | Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines |
| title_full | Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines |
| title_fullStr | Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines |
| title_full_unstemmed | Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines |
| title_short | Schizoaffective disorder: Nosological controversies and absence of specific treatment guidelines |
| title_sort | schizoaffective disorder nosological controversies and absence of specific treatment guidelines |
| topic | schizoaffective disorder Paliperidone Long Acting Injection (PLAI) multidisciplinary treatment plan nosological controversies |
| url | https://www.cambridge.org/core/product/identifier/S0924933821014413/type/journal_article |
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