Resumen

GUTIERREZ -VILLALOBOS, José Rodolfo. Disquinesia tardía inducida por neurolépticos y discapacidad en usuarios de larga estancia del Hospital Psiquiátrico Dr. Roberto Chacón Paut. Acta méd. costarric [online]. 2003, vol.45, n.3, pp.102-106. ISSN 0001-6002.

Background and aim: To establish the prevalence of tardive dyskinesia (TD) induced by neuroleptics. The risk factors involved and the disability effects in chronic users at the Chacón Paut Psychiatric Hospital. Method: 173 patients were studied. The DSM-IV Investigation Criteria for Tardive Dyskinesia induced by neuroleptics, Abnormal involuntary movement scale and Barthel Index were administrated to determine prevalence of TD, disability for abnormal movements and for basic activities of daily life. Regression logistic analysis was used to determine the risk factors of suffering TD and disability for abnormal movements and for basic activities of daily life Results: The general prevalence of TD was 54%. Women, old age groups and people with long time treatment presented a higher prevalence than general. Women registered disability for abnormal movements and for basic activities of daily life more severely than men. Age and years of treatment with neuroleptics were associated with less severe disability. The risk of suffering TD and moderate disability for abnormal movements was 1.06, which was more frequent for every year of treatment. The risk of suffering total dependence for basic activities of daily life was 10.07 once again, more frequently in women than in men. Conclusions: Treatment duration with neuroleptics were a risk factor of suffering TD and moderate disability for abnormal movements. Female sex was a risk factor in occurrence to total dependence for the basic activities of daily life.

Palabras clave : Disquinesia; prevalencia; riesgo; discapacidad; movimientos anormales; vida diaria.