Discinesia Tardia: Impacto na Vida dos Pacientes<\/strong><\/p>\nEu estava ensinando um assistente de m\u00e9dico psiqui\u00e1trico sobre discinesia tardia (TD) recentemente, e ele me disse que seu supervisor cl\u00ednico, um psiquiatra experiente perto da aposentadoria, expressou o sentimento: \u201cN\u00e3o sei por que todo mundo fica t\u00e3o preocupado com a TD - \u00e9 nem de longe t\u00e3o ruim quanto eu costumava ver no hospital estadual. Voc\u00eas, jovens, t\u00eam uma rea\u00e7\u00e3o emocional demais \u00e0s coisas.\u201d A Am\u00e9rica recentemente lutou com um acerto de contas h\u00e1 muito esperado com a injusti\u00e7a social, e espero que o campo m\u00e9dico tamb\u00e9m possa mudar a forma como responde ao sofrimento que as pessoas com DT suportam.<\/p>\n
Existem profundas consequ\u00eancias sociais e ocupacionais que as pessoas com DT enfrentam. Uma de minhas pacientes \u00e9 uma mulher inteligente e trabalhadora de 49 anos que trabalha em um escrit\u00f3rio. H\u00e1 muito ela sentia que estava atingindo \u201co teto de vidro\u201d tentando subir na escada corporativa como mulher em uma profiss\u00e3o dominada por homens. Quando ela desenvolveu TD, ela ficou com medo de que fosse mais uma barreira para que seus superiores e colegas de trabalho a levassem a s\u00e9rio. Ela estava t\u00e3o constrangida que poderia estar tendo movimentos faciais involunt\u00e1rios sem perceber, que configurou seu smartphone em sua mesa para gravar seu rosto o dia todo. Ela passava o v\u00eddeo na hora do almo\u00e7o ou depois do trabalho e, a qualquer sinal de movimento, come\u00e7ava a chorar e se desesperar por nunca atingir seus objetivos de carreira.<\/p>\n
She remarked that she felt lucky that she had a good job when she developed TD because she didn\u2019t think anyone would hire her for even an entry-level position with TD. I have had other patients with TD feel discriminated against when applying for both blue- and white-collar jobs, and a recent clinical trial studied this situation1<\/sup>. Actors were filmed participating in a scripted interview that had two versions: one in which the actor imitated facial movements consistent with mild to moderate TD and another in which he did not. The 800 people were evenly randomized to watch either the imitated TD version or the non-TD version, and all participants were asked questions about their impressions of the interviewee in regards to employment, friendship, or dating.<\/p>\nOs resultados do estudo foram desanimadores, se n\u00e3o surpreendentes. Enquanto cerca de 65% das pessoas que viram a vers\u00e3o n\u00e3o TD sentiram que o entrevistado seria adequado para um trabalho voltado para o cliente, apenas 25% das pessoas que assistiram ao mesmo ator dizer as mesmas palavras da mesma maneira - mas com aparente leve a moderado involunt\u00e1rio facial movimentos - pensei que ele seria apropriado para o mesmo trabalho. O estudo tamb\u00e9m mostrou que os participantes perceberam os atores que imitam TD como parceiros de namoro significativamente menos interessantes, menos amig\u00e1veis e menos favor\u00e1veis.<\/p>\n
The 65 years that preceded the approval of VMAT2 inhibitors were filled with futility in treating TD, until minimizing or ignoring it became a habit. As with any suffering we turn a blind eye to, there are consequences we don\u2019t perceive until a light is shined on them. Healthcare providers cannot give our patients with TD a job. Still, with safe and effective treatments now available, there is at least one form of social injustice we can remedy far more easily than most of those our society currently faces.<\/p>\n
\n- Ayyagari, et al. \u201c115 Um estudo experimental para avaliar as consequ\u00eancias profissionais e sociais da discinesia tardia leve a moderada.\u201d CNS Spectrums 25.2 (2020): 275-275.<\/li>\n<\/ol>\n
<\/h2>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4063","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\n
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