{"id":3661,"date":"2020-12-19T15:18:36","date_gmt":"2020-12-19T15:18:36","guid":{"rendered":"https:\/\/curesz.org\/?p=3661"},"modified":"2023-11-15T15:11:20","modified_gmt":"2023-11-15T20:11:20","slug":"comorbidities-in-schizophrenia-a-hidden-medical-emergency","status":"publish","type":"post","link":"https:\/\/curesz.org\/pt_pt\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/","title":{"rendered":"Comorbidades na esquizofrenia: uma emerg\u00eancia m\u00e9dica oculta"},"content":{"rendered":"
\"\"

Dr. Craig Chepke, Membro do Conselho de Administra\u00e7\u00e3o da Funda\u00e7\u00e3o CURESZ, Psiquiatra de Pr\u00e1tica Privada e Professor Assistente Adjunto de Psiquiatria, Escola de Medicina da Universidade da Carolina do Norte<\/p><\/div>\n

Porqu\u00ea tentar melhorar a vida de uma pessoa do ponto de vista psiqui\u00e1trico se a deixamos morrer de doen\u00e7as cardiovasculares 10 a 20 anos mais cedo do que as pessoas sem doen\u00e7as mentais graves? <\/strong>O meu programa de forma\u00e7\u00e3o em psiquiatria defendia que se \u00e9 \"um m\u00e9dico em primeiro lugar, e um psiquiatra em segundo\".<\/em> Por isso, nos \u00faltimos anos, tenho-me interrogado cada vez mais sobre esta quest\u00e3o. Para al\u00e9m de ser uma doen\u00e7a cerebral grave, a esquizofrenia tamb\u00e9m est\u00e1 associada a um maior risco de muitas outras perturba\u00e7\u00f5es f\u00edsicas, designadas por comorbilidades. As comorbilidades mais comuns incluem a obesidade, doen\u00e7as cardiovasculares e metab\u00f3licas (por exemplo, diabetes ou colesterol elevado), doen\u00e7as respirat\u00f3rias, doen\u00e7as infecciosas e muitas outras perturba\u00e7\u00f5es.<\/p>\n

As pessoas com esquizofrenia t\u00eam mais que o dobro da taxa de mortalidade e a expectativa de vida \u00e9 reduzida em 10 a 25 anos em compara\u00e7\u00e3o com a popula\u00e7\u00e3o em geral (1). Embora parte dessa diferen\u00e7a possa ser devida ao risco muito maior de suic\u00eddio (12 a 170 vezes maior do que a popula\u00e7\u00e3o em geral), o n\u00famero de mortes excessivas por doen\u00e7as cardiovasculares supera as resultantes de suic\u00eddio para pessoas com esquizofrenia (2,3). Talvez seja hora de come\u00e7ar a pensar nas comorbidades como uma emerg\u00eancia da mesma forma que fazemos o suic\u00eddio!<\/strong><\/p>\n

Devemos tamb\u00e9m considerar que muitas pessoas com esquizofrenia s\u00e3o socioeconomicamente desfavorecidas. Isso aumenta a probabilidade de ter riscos de estilo de vida, como fumar, falta de exerc\u00edcio e dietas pouco saud\u00e1veis. Eles tamb\u00e9m podem n\u00e3o ter acesso a cuidados m\u00e9dicos preventivos regulares devido a um sistema m\u00e9dico sobrecarregado, problemas de seguro ou problemas de transporte.<\/p>\n

Trata-se de um barril de p\u00f3lvora de factores de risco e, para al\u00e9m disso, a maioria dos medicamentos antipsic\u00f3ticos tem algum grau de aumento de peso ou outros problemas metab\u00f3licos como potenciais efeitos secund\u00e1rios.<\/p>\n

\n

\u201cAs pessoas que vivem com esquizofrenia merecem uma vida com ambos
\nestabilidade mental e boa sa\u00fade f\u00edsica\u201d.<\/h2>\n<\/blockquote>\n

Os psiquiatras t\u00eam um desafio significativo em descobrir como proceder quando estas complica\u00e7\u00f5es se desenvolvem. Uma estrat\u00e9gia comum \u00e9 mudar a pessoa para um medicamento antipsic\u00f3tico com um risco menor, como a ziprasidona, a lurasidona, a cariprazina ou a lumateperona. No entanto, os medicamentos antipsic\u00f3ticos que apresentam o maior risco para estes obst\u00e1culos tamb\u00e9m t\u00eam algumas das melhores reputa\u00e7\u00f5es de efic\u00e1cia, incluindo a clozapina e a olanzapina. Os medicamentos antipsic\u00f3ticos n\u00e3o s\u00e3o geralmente intermut\u00e1veis quando se trata de manter a resposta ao tratamento, o que coloca a pessoa em risco de reca\u00edda.<\/p>\n

Encontrar o equil\u00edbrio entre benef\u00edcios e efeitos secund\u00e1rios pode ser, por vezes, como andar no fio da navalha. Ambos s\u00e3o importantes, mas a qual deles devemos dar prioridade? O Instituto Nacional de Sa\u00fade Mental realizou um grande ensaio cl\u00ednico para responder a perguntas como esta. O estudo CATIE adoptou uma abordagem mais \"do mundo real\", comparando o tempo que as pessoas com esquizofrenia continuaram a tomar os medicamentos antipsic\u00f3ticos que estavam a tomar. Esta abordagem baseia-se na teoria de que, se algu\u00e9m continuar a tomar um medicamento a longo prazo, os benef\u00edcios devem exceder os inconvenientes. As pessoas mantiveram-se a tomar olanzapina durante mais tempo do que os outros medicamentos antipsic\u00f3ticos testados, apesar de ter a maior quantidade de efeitos secund\u00e1rios metab\u00f3licos e de peso, presumivelmente devido \u00e0 sua efic\u00e1cia superior (4). O CATIE tamb\u00e9m real\u00e7ou a infeliz falta de cuidados m\u00e9dicos para as pessoas com esquizofrenia. Os participantes em ensaios cl\u00ednicos recebem geralmente um n\u00edvel de cuidados mais elevado do que na comunidade em geral, mas no estudo CATIE, 30% dos participantes com diabetes, 62% com tens\u00e3o arterial elevada e 88% com colesterol elevado n\u00e3o estavam a receber qualquer tratamento para estas doen\u00e7as (5).<\/p>\n

O ditado que diz que \"mais vale um grama de preven\u00e7\u00e3o do que um quilo de cura\" \u00e9 comum por uma raz\u00e3o. \u00c9 muito mais dif\u00edcil perder peso do que evitar o aumento de peso, pelo que esperar para reagir depois do aumento de peso ocorrer n\u00e3o \u00e9 normalmente uma boa estrat\u00e9gia. Como tal, \u00e9 cada vez mais comum os psiquiatras prescreverem metformina (tamb\u00e9m utilizada na diabetes tipo 2) no in\u00edcio do tratamento com um antipsic\u00f3tico para reduzir o risco de aumento de peso de forma proactiva. Da mesma forma, um medicamento foi aprovado pela FDA em 2021 contendo o antipsic\u00f3tico altamente eficaz olanzapina com um medicamento que reduz o potencial de ganho de peso, samidorfano, em um \u00fanico comprimido.<\/p>\n

Pode n\u00e3o ser \u00f3bvio pensar na sa\u00fade f\u00edsica como parte do plano de tratamento psiqui\u00e1trico, mas \u00e9 essencial faz\u00ea-lo.<\/strong> Come\u00e7ar pode parecer esmagador, ent\u00e3o aqui est\u00e3o alguns itens de a\u00e7\u00e3o para ajudar as pessoas com esquizofrenia a lutar contra o desgaste f\u00edsico que isso pode causar em seu corpo:<\/p>\n

1) Fale com o seu psiquiatra sobre a sua sa\u00fade f\u00edsica e sobre formas de o ajudar a mant\u00ea-la.<\/p>\n

2) Acompanhe as mudan\u00e7as no peso e no tamanho das cal\u00e7as, pois o tamanho da cintura \u00e9 um indicador \u00fatil da s\u00edndrome metab\u00f3lica.<\/p>\n

3) Certifique-se de fazer exames regulares com um prestador de cuidados prim\u00e1rios.<\/p>\n

As pessoas que vivem com esquizofrenia merecem uma vida com estabilidade mental e boa sa\u00fade f\u00edsica. Vamos fazer da luta pelo melhor dos dois mundos a nossa resolu\u00e7\u00e3o de Ano Novo!<\/p>\n

Refer\u00eancias:<\/p>\n

    \n
  1. Folha de informa\u00e7\u00f5es sobre transtornos mentais da Organiza\u00e7\u00e3o Mundial da Sa\u00fade. https:\/\/www.who.int\/mental_health\/management\/info_sheet.pdf<\/a><\/li>\n
  2. Zaheer, Juveria, et al. \u201cPreditores de suic\u00eddio no momento do diagn\u00f3stico no transtorno do espectro da esquizofrenia: um estudo populacional total de 20 anos em Ont\u00e1rio, Canad\u00e1.\u201d Pesquisa sobre esquizofrenia (2020).<\/li>\n
  3. \u00d6sby, Urban, et al. \u201cMortalidade e causas de morte na esquizofrenia no condado de Estocolmo, Su\u00e9cia.\u201d Pesquisa de esquizofrenia 45.1-2 (2000): 21-28<\/li>\n
  4. Lieberman, Jeffrey A., et al. "Efic\u00e1cia de drogas antipsic\u00f3ticas em pacientes com esquizofrenia cr\u00f4nica."\u00a0Revista de medicina da Nova Inglaterra<\/em>353.12 (2005): 1209-1223.<\/li>\n
  5. Nasrallah, Henry A., e outros. \u201cBaixas taxas de tratamento para hipertens\u00e3o, dislipidemia e diabetes na esquizofrenia: dados da amostra do estudo de esquizofrenia CATIE na linha de base.\u201d Pesquisa de esquizofrenia 86.1-3 (2006): 15-22.<\/li>\n<\/ol>\n

     <\/p>","protected":false},"excerpt":{"rendered":"

    Why try to improve someone’s life psychiatrically if we let […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3661","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nComorbidities in Schizophrenia: A Hidden Medical Emergency - CURESZ Foundation<\/title>\n<meta name=\"description\" content=\"What\u2019s the use of saving someone\u2019s life psychiatrically if we let them die over a decade earlier from cardiovascular disease?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/curesz.org\/pt_pt\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Comorbidities in Schizophrenia: A Hidden Medical Emergency - CURESZ Foundation\" \/>\n<meta property=\"og:description\" content=\"What\u2019s the use of saving someone\u2019s life psychiatrically if we let them die over a decade earlier from cardiovascular disease?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/curesz.org\/pt_pt\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/\" \/>\n<meta property=\"og:site_name\" content=\"CURESZ Foundation\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Cureszorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-12-19T15:18:36+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-15T20:11:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/curesz.org\/wp-content\/uploads\/2020\/12\/Craig-Chepke-cropped-300x258.jpg\" \/>\n<meta name=\"author\" content=\"Bethany Yeiser\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@cureszorg\" \/>\n<meta name=\"twitter:site\" content=\"@cureszorg\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bethany Yeiser\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/\"},\"author\":{\"name\":\"Bethany Yeiser\",\"@id\":\"https:\\\/\\\/curesz.org\\\/#\\\/schema\\\/person\\\/754f99029541d888a6e0163fdd032922\"},\"headline\":\"Comorbidities in Schizophrenia: A Hidden Medical Emergency\",\"datePublished\":\"2020-12-19T15:18:36+00:00\",\"dateModified\":\"2023-11-15T20:11:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/\"},\"wordCount\":927,\"publisher\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/curesz.org\\\/wp-content\\\/uploads\\\/2020\\\/12\\\/Craig-Chepke-cropped-300x258.jpg\",\"articleSection\":[\"Uncategorized\"],\"inLanguage\":\"pt-PT\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/\",\"url\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/\",\"name\":\"Comorbidities in Schizophrenia: A Hidden Medical Emergency - CURESZ Foundation\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/curesz.org\\\/wp-content\\\/uploads\\\/2020\\\/12\\\/Craig-Chepke-cropped-300x258.jpg\",\"datePublished\":\"2020-12-19T15:18:36+00:00\",\"dateModified\":\"2023-11-15T20:11:20+00:00\",\"description\":\"What\u2019s the use of saving someone\u2019s life psychiatrically if we let them die over a decade earlier from cardiovascular disease?\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#breadcrumb\"},\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#primaryimage\",\"url\":\"https:\\\/\\\/curesz.org\\\/wp-content\\\/uploads\\\/2020\\\/12\\\/Craig-Chepke-cropped-300x258.jpg\",\"contentUrl\":\"https:\\\/\\\/curesz.org\\\/wp-content\\\/uploads\\\/2020\\\/12\\\/Craig-Chepke-cropped-300x258.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/curesz.org\\\/2020\\\/12\\\/19\\\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/curesz.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Comorbidities in Schizophrenia: A Hidden Medical Emergency\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/curesz.org\\\/#website\",\"url\":\"https:\\\/\\\/curesz.org\\\/\",\"name\":\"CURESZ Foundation\",\"description\":\"The CURESZ Foundation provides educational updates to patients, families, healthcare professionals and the general public about schizophrenia.\",\"publisher\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/curesz.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-PT\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/curesz.org\\\/#organization\",\"name\":\"Curesz Foundation\",\"url\":\"https:\\\/\\\/curesz.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\\\/\\\/curesz.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/curesz.org\\\/wp-content\\\/uploads\\\/2020\\\/02\\\/cropped-Logo-with-Foundation-Custom.png\",\"contentUrl\":\"https:\\\/\\\/curesz.org\\\/wp-content\\\/uploads\\\/2020\\\/02\\\/cropped-Logo-with-Foundation-Custom.png\",\"width\":200,\"height\":133,\"caption\":\"Curesz Foundation\"},\"image\":{\"@id\":\"https:\\\/\\\/curesz.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Cureszorg\\\/\",\"https:\\\/\\\/x.com\\\/cureszorg\",\"https:\\\/\\\/www.instagram.com\\\/cureszfoundation\\\/\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCT3uVzTt8jiJ2qdhuosHPvg\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/curesz.org\\\/#\\\/schema\\\/person\\\/754f99029541d888a6e0163fdd032922\",\"name\":\"Bethany Yeiser\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/89e00d85b8e85b10cb4a155183a10b32ccdd8f9805f4babe3f14e97ac2b467ed?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/89e00d85b8e85b10cb4a155183a10b32ccdd8f9805f4babe3f14e97ac2b467ed?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/89e00d85b8e85b10cb4a155183a10b32ccdd8f9805f4babe3f14e97ac2b467ed?s=96&d=mm&r=g\",\"caption\":\"Bethany Yeiser\"},\"url\":\"https:\\\/\\\/curesz.org\\\/pt_pt\\\/author\\\/yeiserby\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Comorbidities in Schizophrenia: A Hidden Medical Emergency - CURESZ Foundation","description":"Qual \u00e9 a utilidade de salvar psiquiatricamente a vida de algu\u00e9m se o deixamos morrer mais de uma d\u00e9cada antes de doen\u00e7as cardiovasculares?","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/curesz.org\/pt_pt\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/","og_locale":"pt_PT","og_type":"article","og_title":"Comorbidities in Schizophrenia: A Hidden Medical Emergency - CURESZ Foundation","og_description":"What\u2019s the use of saving someone\u2019s life psychiatrically if we let them die over a decade earlier from cardiovascular disease?","og_url":"https:\/\/curesz.org\/pt_pt\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/","og_site_name":"CURESZ Foundation","article_publisher":"https:\/\/www.facebook.com\/Cureszorg\/","article_published_time":"2020-12-19T15:18:36+00:00","article_modified_time":"2023-11-15T20:11:20+00:00","og_image":[{"url":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/12\/Craig-Chepke-cropped-300x258.jpg","type":"","width":"","height":""}],"author":"Bethany Yeiser","twitter_card":"summary_large_image","twitter_creator":"@cureszorg","twitter_site":"@cureszorg","twitter_misc":{"Escrito por":"Bethany Yeiser","Tempo estimado de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#article","isPartOf":{"@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/"},"author":{"name":"Bethany Yeiser","@id":"https:\/\/curesz.org\/#\/schema\/person\/754f99029541d888a6e0163fdd032922"},"headline":"Comorbidities in Schizophrenia: A Hidden Medical Emergency","datePublished":"2020-12-19T15:18:36+00:00","dateModified":"2023-11-15T20:11:20+00:00","mainEntityOfPage":{"@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/"},"wordCount":927,"publisher":{"@id":"https:\/\/curesz.org\/#organization"},"image":{"@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#primaryimage"},"thumbnailUrl":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/12\/Craig-Chepke-cropped-300x258.jpg","articleSection":["Uncategorized"],"inLanguage":"pt-PT"},{"@type":"WebPage","@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/","url":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/","name":"Comorbidities in Schizophrenia: A Hidden Medical Emergency - CURESZ Foundation","isPartOf":{"@id":"https:\/\/curesz.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#primaryimage"},"image":{"@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#primaryimage"},"thumbnailUrl":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/12\/Craig-Chepke-cropped-300x258.jpg","datePublished":"2020-12-19T15:18:36+00:00","dateModified":"2023-11-15T20:11:20+00:00","description":"Qual \u00e9 a utilidade de salvar psiquiatricamente a vida de algu\u00e9m se o deixamos morrer mais de uma d\u00e9cada antes de doen\u00e7as cardiovasculares?","breadcrumb":{"@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#breadcrumb"},"inLanguage":"pt-PT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/"]}]},{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#primaryimage","url":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/12\/Craig-Chepke-cropped-300x258.jpg","contentUrl":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/12\/Craig-Chepke-cropped-300x258.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/curesz.org\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/curesz.org\/"},{"@type":"ListItem","position":2,"name":"Comorbidities in Schizophrenia: A Hidden Medical Emergency"}]},{"@type":"WebSite","@id":"https:\/\/curesz.org\/#website","url":"https:\/\/curesz.org\/","name":"Funda\u00e7\u00e3o CURESZ","description":"A Funda\u00e7\u00e3o CURESZ fornece atualiza\u00e7\u00f5es educacionais para pacientes, familiares, profissionais de sa\u00fade e p\u00fablico em geral sobre esquizofrenia.","publisher":{"@id":"https:\/\/curesz.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/curesz.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-PT"},{"@type":"Organization","@id":"https:\/\/curesz.org\/#organization","name":"Curesz Foundation","url":"https:\/\/curesz.org\/","logo":{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/curesz.org\/#\/schema\/logo\/image\/","url":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/02\/cropped-Logo-with-Foundation-Custom.png","contentUrl":"https:\/\/curesz.org\/wp-content\/uploads\/2020\/02\/cropped-Logo-with-Foundation-Custom.png","width":200,"height":133,"caption":"Curesz Foundation"},"image":{"@id":"https:\/\/curesz.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Cureszorg\/","https:\/\/x.com\/cureszorg","https:\/\/www.instagram.com\/cureszfoundation\/","https:\/\/www.youtube.com\/channel\/UCT3uVzTt8jiJ2qdhuosHPvg"]},{"@type":"Person","@id":"https:\/\/curesz.org\/#\/schema\/person\/754f99029541d888a6e0163fdd032922","name":"Bethany Yeiser","image":{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/secure.gravatar.com\/avatar\/89e00d85b8e85b10cb4a155183a10b32ccdd8f9805f4babe3f14e97ac2b467ed?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/89e00d85b8e85b10cb4a155183a10b32ccdd8f9805f4babe3f14e97ac2b467ed?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/89e00d85b8e85b10cb4a155183a10b32ccdd8f9805f4babe3f14e97ac2b467ed?s=96&d=mm&r=g","caption":"Bethany Yeiser"},"url":"https:\/\/curesz.org\/pt_pt\/author\/yeiserby\/"}]}},"_links":{"self":[{"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/posts\/3661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/comments?post=3661"}],"version-history":[{"count":10,"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/posts\/3661\/revisions"}],"predecessor-version":[{"id":5484,"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/posts\/3661\/revisions\/5484"}],"wp:attachment":[{"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/media?parent=3661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/categories?post=3661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/curesz.org\/pt_pt\/wp-json\/wp\/v2\/tags?post=3661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}