Yıl: 2022 Cilt: 25 Sayı: 3 Sayfa Aralığı: 338 - 343 Metin Dili: İngilizce DOI: 10.5505/kpd.2022.03271 İndeks Tarihi: 27-09-2022

Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case

Öz:
Alcohol use-related psychotic disorder is a complication of alcohol use disorder associated with heavy alcohol consumption for many years. It is usually seen after the age of 40 and is often accompanied by auditory hallucinations. Cognitive disorders are observed more frequently in these patients than in patients with uncomplicated alcohol use disorder. Findings from some studies suggest a relationship between alcohol use-related psychotic disorder and cognitive impairment. In this case report, a 56- year-old male patient in whom both psychotic and cognitive signs and symptoms improved at the same rate with antipsychotic treatment is presented. What was remarkable in our case was the simultaneous and almost complete recovery of the psychotic state and cognitive impairments observed during alcohol use and withdrawal periods. The simultaneous occurrence of psychotic symptoms and cognitive impairments and their recovery at the same time suggest that cognitive symptoms in alcohol-related psychosis are not related to alcohol use alone, but are directly related to accompanying psychotic symptoms and are temporary like psychotic symptoms. It can even be suggested that cognitive impairments may be included in the symptom list of psychotic disorder due to alcohol use. Follow-up studies on this subject will facilitate the understanding of the cognitive and neurobiological basis of alcohol use-related psychotic disorder.
Anahtar Kelime:

Alkole bağlı bir psikoz olgusunda psikotik ve bilişsel semptomların zamansal ilişkisi

Öz:
Alkol kullanımına bağlı psikotik bozukluk, uzun yıllardır yoğun alkol tüketimi ile ilişkili alkol kullanım bozukluğunun bir komplikasyonudur. Genellikle 40 yaşından sonra görülür ve sıklıkla işitsel halüsinasyonlar eşlik eder. Komplike olmayan alkol kullanım bozukluğu olan hastalara göre bu hastalarda bilişsel bozukluklar daha sık gözlenir. Bazı çalışmalardan elde edilen bulgular, alkol kullanımına bağlı psikotik bozukluk ile bilişsel bozulma arasında bir ilişki olduğunu düşündürmektedir. Bu olgu sunumunda antipsikotik tedavi ile hem psikotik hem de bilişsel belirti ve bulguları aynı oranda düzelen 56 yaşında erkek hasta sunulmaktadır. Olgumuzda dikkat çekici olan, alkol kullanımı ve bırakma dönemlerinde gözlenen psikotik durum ve kognitif bozuklukların eş zamanlı ve tama yakın düzelmesiydi. Psikotik belirtilerin ve bilişsel bozuklukların aynı anda ortaya çıkması ve bunların aynı anda iyileşmesi, alkole bağlı psikozdaki bilişsel belirtilerin tek başına alkol kullanımıyla ilgili olmadığını, doğrudan eşlik eden psikotik belirtilerle ilişkili olduğunu ve psikotik belirtiler gibi geçici olduğunu düşündürmektedir. Bilişsel bozuklukların alkol kullanımına bağlı psikotik bozukluğun belirti listesine dahil edilebileceği bile ileri sürülebilir. Bu konudaki takip çalışmaları, alkol kullanımına bağlı psikotik bozukluğun bilişsel ve nörobiyolojik temelinin anlaşılmasını kolaylaştıracaktır. Bu vaka raporunun yayınlanması için hastadan bilgilendirilmiş onam alındı.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • Jordaan GP, Nel DG, Hewlett RH, Emsley R. Alcoholinduced psychotic disorder: a comparative study on the clinical characteristics of patients with alcohol dependence and schizophrenia. J Stud Alcohol Drugs. 2009;70(6):870-6.
  • Jordaan GP, Emsley R. Alcohol-induced psychotic disorder: a review. Metab Brain Dis. 2014;29(2):231-43.
  • Soyka M, Raith L, Steinberg R. Mean age, sex ratio and psychopathology in alcohol psychoses. Psychopathology. 1988;21(1):19-25.
  • Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
  • Tedstone D, Coyle K. Cognitive impairments in sober alcoholics: performance on selective and divided attention tasks. Drug Alcohol Depend. 2004;75(3):277-86.
  • Corballis PM. Visuospatial processing and the right-hemisphere interpreter. Brain Cogn. 2003;53(2):171-6.
  • Hendricks ML, Emsley RA, Nel DG, Thornton HB, Jordaan GP. Cognitive changes in alcohol-induced psychotic disorder. BMC Res Notes. 2017;10(1):166.
  • World Health Organization. International Classification of Diseases 11th Revision, ICD-11 2021 [Available from: h t t p s : / / i c d . w h o . i n t / b r o w s e 1 1 / l - m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f7692993 30.
  • Lezak MD, Howieson DB, Loring DW, Hannay HJ, Fischer JS. Neuropsychological assessment, 4th ed. New York, NY, US: Oxford University Press; 2004. xiv, 1016-xiv, p.
  • Jordaan GP, Warwick JM, Hewlett R, Emsley R. Resting brain perfusion in alcohol-induced psychotic disorder: a comparison in patients with alcohol dependence, schizophrenia and healthy controls. Prog Neuropsychopharmacol Biol Psychiatry. 2010;34(3):479-85.
  • Goldstein G, Shelly C. A multivariate neuropsychological approach to brain lesion localization in alcoholism. Addict Behav. 1982;7(2):165-75.
APA YARIZ K, KAMACİ M, ONCU B, ILHAN I, KUCİ S (2022). Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. , 338 - 343. 10.5505/kpd.2022.03271
Chicago YARIZ KORAY,KAMACİ Meltem,ONCU Burcu Kahveci,ILHAN Inci Ozgur,KUCİ Sivi Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. (2022): 338 - 343. 10.5505/kpd.2022.03271
MLA YARIZ KORAY,KAMACİ Meltem,ONCU Burcu Kahveci,ILHAN Inci Ozgur,KUCİ Sivi Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. , 2022, ss.338 - 343. 10.5505/kpd.2022.03271
AMA YARIZ K,KAMACİ M,ONCU B,ILHAN I,KUCİ S Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. . 2022; 338 - 343. 10.5505/kpd.2022.03271
Vancouver YARIZ K,KAMACİ M,ONCU B,ILHAN I,KUCİ S Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. . 2022; 338 - 343. 10.5505/kpd.2022.03271
IEEE YARIZ K,KAMACİ M,ONCU B,ILHAN I,KUCİ S "Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case." , ss.338 - 343, 2022. 10.5505/kpd.2022.03271
ISNAD YARIZ, KORAY vd. "Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case". (2022), 338-343. https://doi.org/10.5505/kpd.2022.03271
APA YARIZ K, KAMACİ M, ONCU B, ILHAN I, KUCİ S (2022). Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. Klinik Psikiyatri Dergisi, 25(3), 338 - 343. 10.5505/kpd.2022.03271
Chicago YARIZ KORAY,KAMACİ Meltem,ONCU Burcu Kahveci,ILHAN Inci Ozgur,KUCİ Sivi Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. Klinik Psikiyatri Dergisi 25, no.3 (2022): 338 - 343. 10.5505/kpd.2022.03271
MLA YARIZ KORAY,KAMACİ Meltem,ONCU Burcu Kahveci,ILHAN Inci Ozgur,KUCİ Sivi Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. Klinik Psikiyatri Dergisi, vol.25, no.3, 2022, ss.338 - 343. 10.5505/kpd.2022.03271
AMA YARIZ K,KAMACİ M,ONCU B,ILHAN I,KUCİ S Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. Klinik Psikiyatri Dergisi. 2022; 25(3): 338 - 343. 10.5505/kpd.2022.03271
Vancouver YARIZ K,KAMACİ M,ONCU B,ILHAN I,KUCİ S Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case. Klinik Psikiyatri Dergisi. 2022; 25(3): 338 - 343. 10.5505/kpd.2022.03271
IEEE YARIZ K,KAMACİ M,ONCU B,ILHAN I,KUCİ S "Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case." Klinik Psikiyatri Dergisi, 25, ss.338 - 343, 2022. 10.5505/kpd.2022.03271
ISNAD YARIZ, KORAY vd. "Temporal association of psychotic and cognitive symptoms in an alcohol-induced psychosis case". Klinik Psikiyatri Dergisi 25/3 (2022), 338-343. https://doi.org/10.5505/kpd.2022.03271