Manifestações psiquiátricas na reumatologia

Autores

DOI:

https://doi.org/10.25118/2763-9037.2022.v12.279

Palavras-chave:

Artrite Reumatoide, Lúpus Eritematoso Sistêmico, Transtornos Mentais

Resumo

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.

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Publicado

2022-03-16

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1.
Costa SPGA, Araujo CF, Ramos TS, Urquiza PAC, Cantilino A. Manifestações psiquiátricas na reumatologia. Debates em Psiquiatria [Internet]. 16º de março de 2022 [citado 22º de maio de 2022];12:1-27. Disponível em: https://revistardp.org.br/revista/article/view/279

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