Afeto pseudobulbar e ideação suicida: há relação?

Autores

  • Filipe Augusto Cursino de Freitas Pesquisador voluntário, Serviço de Neurologia, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG; Preceptor, Programa de Residência Médica, Centro Psíquico da Adolescência e Infância (CEPAI), Fundação Hospitalar do Estado de Minas Gerais (FHEMIG), Belo Horizonte, MG. https://orcid.org/0000-0002-3374-1687
  • Antônio Pereira Gomes Neto Docente e pesquisador(a), Serviço de Neurologia, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG.
  • Remco Frank Peter de Winter Winter Pesquisador e psiquiatra assistente, Parnassia Psychiatric Institute, The Hague/Amsterdam VU University, Haia, Holanda.
  • Renata Brant de Souza Melo Docente e pesquisador(a), Serviço de Neurologia, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG.
  • Albert Louis da Rocha Bicalho Docente e pesquisador(a), Serviço de Neurologia, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG.
  • Paulo Pereira Christo Christo Docente e pesquisador(a), Serviço de Neurologia, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, MG; Professor, Departamento de Neurologia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG.

DOI:

https://doi.org/10.25118/2763-9037.2020.v10.24

Palavras-chave:

Isolamento social, fatores de risco, ideação suicida

Resumo

Objetivo: Afeto pseudobulbar é uma forma de expressão emocional patológica, na qual o paciente com transtorno neurológico apresenta explosões de riso e choro incongruentes ao humor. Está relacionado ao isolamento social. A esclerose múltipla é uma doença relacionada a risco aumentado de suicídio. O objetivo desse estudo é verificar se há alguma relação entre afeto pseudobulbar e ideação suicida em pacientes com esclerose múltipla. Métodos: Foram selecionados 107 pacientes com diagnóstico de esclerose múltipla, estáveis clinicamente, do Ambulatório de Neurologia da Santa Casa de Misericórdia de Belo Horizonte. Eles foram submetidos a coleta de dados padronizada, incluindo coleta de informações clínicas e sociodemográficas. Também foram preenchidas as escalas: Centro de Estudos Neurológicos - Escala de Labilidade, Inventário de Depressão de Beck e Escala de Desesperança de Beck. Resultados: Foram encontrados 41,17% dos pacientes com esclerose múltipla e afeto pseudobulbar, os quais mostraram ideação suicida, enquanto 24,65% dos pacientes com esclerose múltipla e sem afeto pseudobulbar apresentaram tal ideação. Quando o quadro depressivo foi isolado como fator de confusão, não foram  encontrados pacientes com afeto pseudobulbar e ideação suicida. Conclusão: Apesar de o afeto pseudobulbar estar relacionado ao isolamento social e aos transtornos de humor, não houve relação entre afeto pseudobulbar e ideação suicida na amostra de pacientes com esclerose múltipla.

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2020-09-30

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Freitas FAC de, Gomes Neto AP, Winter RFP de W, Melo RB de S, Bicalho AL da R, Christo PPC. Afeto pseudobulbar e ideação suicida: há relação?. Debates em Psiquiatria [Internet]. 30º de setembro de 2020 [citado 28º de março de 2024];10(3):6-15. Disponível em: https://revistardp.org.br/revista/article/view/24

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