Psychiatric manifestations in rheumatology

Detalhes bibliográficos
Autor(a) principal: Costa, Silvia Poliana Guedes Alcoforado
Data de Publicação: 2022
Outros Autores: Araujo , Camila Farias, Ramos, Taís Simplício, Urquiza, Philip Azevedo Costa, Cantilino, Amaury
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
DOI: 10.25118/2763-9037.2022.v12.279
Texto Completo: https://revistardp.org.br/revista/article/view/279
Resumo: The present literature review investigated symptoms related to Rheumatoid Arthritis and Systemic Lupus Erythematosus. We believe that a new paradigma must be established in psychiatry, considering that the relation between rheumatological diseases and psychiatric symptoms should be highlighted, helping to refine diagnosis and therapeutic proposals in mental health. Thus, we seek to trace evidence of psychiatric conditions prototypes that are more characteristically associated with the aforementioned rheumatological conditions. Symptoms related to mood disorders, mainly depression, were strongly associated with the higher incidence and morbidity in Rheumatoid Arthritis; besides, cognitive deficits, especially on moderate levels, are the most prevalent neuropsychiatric symptoms in Systemic Lupus Erythematosus. Pharmacological treatment of the underlying rheumatological disease is essential to improve the associated psychiatric condition, whether by direct or indirect influence of such condition. As for Lupus, current therapeutic strategies are largely empirical, carried out through known immunopathogenic mechanisms and results observed from treatment of severe manifestations in other organs. Regarding Rheumatoid Arthritis, the specific pharmacological treatment of the psychiatric condition is essential according to the individual demand of each patient, and intersubjectivity and the psychosomatic aspects should always be taken into consideration.
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spelling Psychiatric manifestations in rheumatologyManifestaciones psiquiátricas en reumatologíaManifestações psiquiátricas na reumatologiaArtrite ReumatoideLúpus Eritematoso SistêmicoTranstornos Mentaisarthritis heumatoidmental disordersystemic lupus erythematosusartritis reumatoidelupus eritematoso sistémicomental trastornoThe present literature review investigated symptoms related to Rheumatoid Arthritis and Systemic Lupus Erythematosus. We believe that a new paradigma must be established in psychiatry, considering that the relation between rheumatological diseases and psychiatric symptoms should be highlighted, helping to refine diagnosis and therapeutic proposals in mental health. Thus, we seek to trace evidence of psychiatric conditions prototypes that are more characteristically associated with the aforementioned rheumatological conditions. Symptoms related to mood disorders, mainly depression, were strongly associated with the higher incidence and morbidity in Rheumatoid Arthritis; besides, cognitive deficits, especially on moderate levels, are the most prevalent neuropsychiatric symptoms in Systemic Lupus Erythematosus. Pharmacological treatment of the underlying rheumatological disease is essential to improve the associated psychiatric condition, whether by direct or indirect influence of such condition. As for Lupus, current therapeutic strategies are largely empirical, carried out through known immunopathogenic mechanisms and results observed from treatment of severe manifestations in other organs. Regarding Rheumatoid Arthritis, the specific pharmacological treatment of the psychiatric condition is essential according to the individual demand of each patient, and intersubjectivity and the psychosomatic aspects should always be taken into consideration.La presente revisión de la literatura investigó los síntomas relacionados con la enfermedad reumatoide. Artritis y Lupus Eritematoso Sistémico. Creemos que un nuevo paradigma debe establecerse en psiquiatría, considerando que la relación entre deben destacarse las enfermedades reumatológicas y los síntomas psiquiátricos, ayudando a afinar diagnósticos y propuestas terapéuticas en salud mental. Por lo tanto, nosotros buscan rastrear evidencia de condiciones psiquiátricas prototipos que son más asociado característicamente con el trastorno reumatológico antes mencionado. Condiciones Los síntomas relacionados con los trastornos del estado de ánimo, principalmente la depresión, fueron fuertemente asociado con la mayor incidencia y morbilidad en reumatoide Artritis; además, los déficits cognitivos, especialmente en niveles moderados, son los más síntomas neuropsiquiátricos prevalentes en el lupus eritematoso sistémico. El tratamiento farmacológico de la enfermedad reumatológica de base es esencial para mejorar la condición psiquiátrica asociada, ya sea por influencia indirecta de tal condición. En cuanto al Lupus, las estrategias terapéuticas actuales son en gran parte empíricos, llevados a cabo a través de inmunopatogénicos conocidos mecanismos y resultados observados del tratamiento de manifestaciones severas en otros órganos. Respecto a la Artritis Reumatoide, la farmacología específica el tratamiento de la condición psiquiátrica es esencial según el individuo demanda de cada paciente, y la intersubjetividad y los aspectos psicossomáticos siempre debe tenerse en cuenta.A presente revisão de literatura investigou sintomas relacionados à Artrite Reumatoide e ao Lúpus Eritematoso Sistêmico. Entendemos que um novo paradigma deve ser estabelecido na psiquiatria, ao considerar que a correlação das doenças reumatológicas com sintomas psiquiátricos deve ser valorizada e deve servir de auxílio para o aprimoramento de propostas terapêuticas e diagnósticas na saúde mental. Assim, buscamos traçar indícios de protótipos de condições psiquiátricas mais caracteristicamente associadas às condições reumatológicas citadas. Sintomas relacionados a transtornos de humor, principalmente depressão, foram bastante correlacionados à maior incidência e morbidade na Artrite Reumatoide. Os déficits cognitivos, especialmente moderados, são os sintomas neuropsiquiátricos mais prevalentes no Lúpus Eritematoso Sistêmico. O tratamento da doença reumatológica de base se mostra primordial para que haja melhora da condição psiquiátrica associada, seja por influência direta ou indireta. Quanto ao Lúpus, as atuais estratégias terapêuticas são, em grande parte, empíricas, realizadas através dos mecanismos imunopatogênicos conhecidos e do que foi observado a partir do tratamento de manifestações graves em outros órgãos. Quanto à Artrite Reumatóiode, o tratamento farmacológico específico da condição psiquiátrica se faz essencial de acordo com a demanda individual de cada paciente, valorizando sempre a intersubjetividade e os aspectos psicossomáticos apresentados.Associação Brasileira de Psiquiatria2022-03-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/27910.25118/2763-9037.2022.v12.279Debates in Psychiatry; Vol. 12 (2022); 1-27Debates em Psiquiatria; Vol. 12 (2022); 1-27Debates em Psiquiatria; v. 12 (2022); 1-272763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/279/266Copyright (c) 2022 Silvia Poliana Guedes Alcoforado Costa, Camila Farias Araujo , Taís Simplício Ramos, Philip Azevedo Costa Urquiza, Amaury Cantilino (Autor)https://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessCosta, Silvia Poliana Guedes AlcoforadoAraujo , Camila FariasRamos, Taís SimplícioUrquiza, Philip Azevedo CostaCantilino, Amaury2024-01-04T23:42:10Zoai:ojs.emnuvens.com.br:article/279Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2024-01-04T23:42:10Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Psychiatric manifestations in rheumatology
Manifestaciones psiquiátricas en reumatología
Manifestações psiquiátricas na reumatologia
title Psychiatric manifestations in rheumatology
spellingShingle Psychiatric manifestations in rheumatology
Psychiatric manifestations in rheumatology
Costa, Silvia Poliana Guedes Alcoforado
Artrite Reumatoide
Lúpus Eritematoso Sistêmico
Transtornos Mentais
arthritis heumatoid
mental disorder
systemic lupus erythematosus
artritis reumatoide
lupus eritematoso sistémico
mental trastorno
Costa, Silvia Poliana Guedes Alcoforado
Artrite Reumatoide
Lúpus Eritematoso Sistêmico
Transtornos Mentais
arthritis heumatoid
mental disorder
systemic lupus erythematosus
artritis reumatoide
lupus eritematoso sistémico
mental trastorno
title_short Psychiatric manifestations in rheumatology
title_full Psychiatric manifestations in rheumatology
title_fullStr Psychiatric manifestations in rheumatology
Psychiatric manifestations in rheumatology
title_full_unstemmed Psychiatric manifestations in rheumatology
Psychiatric manifestations in rheumatology
title_sort Psychiatric manifestations in rheumatology
author Costa, Silvia Poliana Guedes Alcoforado
author_facet Costa, Silvia Poliana Guedes Alcoforado
Costa, Silvia Poliana Guedes Alcoforado
Araujo , Camila Farias
Ramos, Taís Simplício
Urquiza, Philip Azevedo Costa
Cantilino, Amaury
Araujo , Camila Farias
Ramos, Taís Simplício
Urquiza, Philip Azevedo Costa
Cantilino, Amaury
author_role author
author2 Araujo , Camila Farias
Ramos, Taís Simplício
Urquiza, Philip Azevedo Costa
Cantilino, Amaury
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Costa, Silvia Poliana Guedes Alcoforado
Araujo , Camila Farias
Ramos, Taís Simplício
Urquiza, Philip Azevedo Costa
Cantilino, Amaury
dc.subject.por.fl_str_mv Artrite Reumatoide
Lúpus Eritematoso Sistêmico
Transtornos Mentais
arthritis heumatoid
mental disorder
systemic lupus erythematosus
artritis reumatoide
lupus eritematoso sistémico
mental trastorno
topic Artrite Reumatoide
Lúpus Eritematoso Sistêmico
Transtornos Mentais
arthritis heumatoid
mental disorder
systemic lupus erythematosus
artritis reumatoide
lupus eritematoso sistémico
mental trastorno
description The present literature review investigated symptoms related to Rheumatoid Arthritis and Systemic Lupus Erythematosus. We believe that a new paradigma must be established in psychiatry, considering that the relation between rheumatological diseases and psychiatric symptoms should be highlighted, helping to refine diagnosis and therapeutic proposals in mental health. Thus, we seek to trace evidence of psychiatric conditions prototypes that are more characteristically associated with the aforementioned rheumatological conditions. Symptoms related to mood disorders, mainly depression, were strongly associated with the higher incidence and morbidity in Rheumatoid Arthritis; besides, cognitive deficits, especially on moderate levels, are the most prevalent neuropsychiatric symptoms in Systemic Lupus Erythematosus. Pharmacological treatment of the underlying rheumatological disease is essential to improve the associated psychiatric condition, whether by direct or indirect influence of such condition. As for Lupus, current therapeutic strategies are largely empirical, carried out through known immunopathogenic mechanisms and results observed from treatment of severe manifestations in other organs. Regarding Rheumatoid Arthritis, the specific pharmacological treatment of the psychiatric condition is essential according to the individual demand of each patient, and intersubjectivity and the psychosomatic aspects should always be taken into consideration.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Reviewed
Revisado por Pares
Avaliado Pelos Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/279
10.25118/2763-9037.2022.v12.279
url https://revistardp.org.br/revista/article/view/279
identifier_str_mv 10.25118/2763-9037.2022.v12.279
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/279/266
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Debates in Psychiatry; Vol. 12 (2022); 1-27
Debates em Psiquiatria; Vol. 12 (2022); 1-27
Debates em Psiquiatria; v. 12 (2022); 1-27
2763-9037
2236-918X
reponame:Debates em Psiquiatria (Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
instacron_str ABP
institution ABP
reponame_str Debates em Psiquiatria (Online)
collection Debates em Psiquiatria (Online)
repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv rdp@abp.org.br
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dc.identifier.doi.none.fl_str_mv 10.25118/2763-9037.2022.v12.279

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