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Advisor(s)
Abstract(s)
Introdução: As doenças mentais são elevadamente prevalentes e representam causas
importantes de morbilidade mundialmente, com importante impacto pessoal e
socioeconómico. No entanto, o conhecimento científico sobre as mesmas é ainda escasso,
comparativamente a outro tipo de doenças. É por isso essencial a investigação em
Psiquiatria.
A esquizofrenia continua a representar um desafio a nível etiológico e terapêutico, pelo
que é essencial estudar alternativas e formas de otimização das terapias já existentes.
Uma promissora estratégia é o exercício físico (EF), que tem efeitos comprovados sobre
parte considerável dos sintomas desta patologia e na limitação dos efeitos secundários
de fármacos antipsicóticos.
Objetivos: Pretendemos caracterizar a literacia e os hábitos de prescrição de EF a
doentes com sintomas psicóticos, por parte de médicos psiquiatras e médicos de família
da região da Beira Interior.
Métodos: Realizámos uma revisão bibliográfica narrativa em base de dados online e um
estudo observacional transversal com base num questionário autoaplicado a psiquiatras
e médicos de família da região da Beira Interior.
Resultados: Apurámos níveis elevados de conhecimento dos efeitos do EF, assim como
da prescrição em doentes com esquizofrenia. De entre os efeitos observados, a melhoria
da insónia, défices cognitivos e da adesão a terapia farmacológica estão entre os mais
frequentes.
Conclusão: Observámos uma relação entre o nível de conhecimento científico e os
hábitos profissionais de prescrição de EF aos doentes com esquizofrenia. Apurámos
também um relato de efeitos benéficos do EF nestes doentes. Mais estudos científicos,
com metodologias mais robustas, permitirão otimizar o cuidado holístico biopsicossocial
prestado a doentes do espetro psicótico.
Introduction: Mental illness is highly prevalent worldwide and is responsible for prominent levels of morbidity, having significant personal and socioeconomical impact. However, scientific knowledge is still lacking when compared to other kinds of disorders. Therefore, research in Psychiatry is very relevant. Schizophrenia still poses an etiologic and therapeutic challenge, so further study of better treatments is crucial. A very promising strategy is Physical Exercise (PE), already of proven benefit on various symptoms of schizophrenia and antipsychotic drug side effects. Aim: We addressed the knowledge as well as the PE prescribing habits of psychiatrists and general practitioners to their psychotic patients in the Beira Interior region. Methods: We performed a narrative literature review and an observational crosssectional study, based on the self-application of an anonymous online survey to psychiatrists and general practitioners in Beira Interior region. Results: We found high levels of scientific knowledge on PE and its prescription to patients with psychotic disorders. Improvements in insomnia, cognitive function and drug therapy adherence were among the most reported effects of PE. Conclusion: We observed a link between knowledge levels and prescription habits of PE to these patients among doctors. We also found beneficial effects of PE were frequently reported. Further studies with more robust methodologies are granted to optimize the desirable holistic biopsychosocial approach to patients in the psychotic spectrum.
Introduction: Mental illness is highly prevalent worldwide and is responsible for prominent levels of morbidity, having significant personal and socioeconomical impact. However, scientific knowledge is still lacking when compared to other kinds of disorders. Therefore, research in Psychiatry is very relevant. Schizophrenia still poses an etiologic and therapeutic challenge, so further study of better treatments is crucial. A very promising strategy is Physical Exercise (PE), already of proven benefit on various symptoms of schizophrenia and antipsychotic drug side effects. Aim: We addressed the knowledge as well as the PE prescribing habits of psychiatrists and general practitioners to their psychotic patients in the Beira Interior region. Methods: We performed a narrative literature review and an observational crosssectional study, based on the self-application of an anonymous online survey to psychiatrists and general practitioners in Beira Interior region. Results: We found high levels of scientific knowledge on PE and its prescription to patients with psychotic disorders. Improvements in insomnia, cognitive function and drug therapy adherence were among the most reported effects of PE. Conclusion: We observed a link between knowledge levels and prescription habits of PE to these patients among doctors. We also found beneficial effects of PE were frequently reported. Further studies with more robust methodologies are granted to optimize the desirable holistic biopsychosocial approach to patients in the psychotic spectrum.
Description
Keywords
Esquizofrenia Exercício Físico Prescrição Psiquiatria