Prise en soins de la schizophrénie chez la personne âgée

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Version: author
Serval ID
serval:BIB_BC793DCFB423
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prise en soins de la schizophrénie chez la personne âgée
Journal
Schweizer Archiv für Neurologie und Psychiatrie = Archives suisses de neurologie et de psychiatrie = Swiss archives of neurology and psychiatry
Author(s)
Trachsel Nathalie, von Gunten Armin
ISSN
0258-7661
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
162
Number
5
Pages
190-197
Language
french
Abstract
Care of the elderly schizophrenic patient : Despite the development of new aetiopathological models the treatment of late-life schizophrenia is still based essentially on antipsychotic medication. The absence of research specifically targeting late-life schizophrenics limits the value of recommendations on indication, dosage and treatment alternatives, particularly as the latter have scant regard for the age of schizophrenia onset (early, late, very late onset), for the various comorbidities and the polymedication so common in the elderly. The use of atypical neuroleptics at adapted doses should be combined with biopsychosocial care and treatment of psychiatric and somatic comorbidities. The choice of an adapted treatment is often conditioned, especially if early schizophrenia is con sidered, by many years of treatment and side effects which may limit compliance when the evolution itself has been unfavourable with persistent, sometimes handi capping residual symptoms. Moreover, schizophrenia is complicated by cognitive disorders for which the best therapeutic approach in the elderly remains uncertain.
Keywords
late-onset schizophrenia , very late-onset schizophrenia , late-life
Create date
26/08/2011 14:35
Last modification date
20/08/2019 15:30
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