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\"... debidamente intervenida.\"
inscripción preventiva de una demanda
Feb 23, 2017 03:08
7 yrs ago
3 viewers *
Spanish term

esquizofrenia de base

Spanish to English Medical Medical: Health Care Case study
Evening everyone...

My initial thought for this was "underlying schizophrenia", but I'm not sure that is correct as the context really hasn't anything to do with an "underlying" disorder, rather it appears to a measure of the progression of the illness. The text only disorders the text mentions are schizophrenia and alcohol abuse; there are no others.

"El paciente se mantiene estable de su esquizofrenia de base y abstinente de alcohol."

Is this "baseline schizophrenia"? It doesn't have very many hits relative to the Spanish "esquizofrenia de base".

Thanks in advance for any help.
Proposed translations (English)
3 +4 underlying schizophrenia
4 +2 baseline schizophrenia
2 mild schizophrenia
2 controlled schizophrenia / schizophrenia under control

Discussion

Muriel Vasconcellos Feb 24, 2017:
Underlying This term is very common on death certificates. For example, the direct cause of death might be kidney failure, whereas the underlying cause could be congestive heart failure.
Robert Carter (asker) Feb 23, 2017:
@All Great comments and suggestions, thank you!

@Joe - The context is a very brief case study of a patient mentioning his history and various treatments and how his most recent treatment regimen is working effectively. In fact, this sentence relates to the effectiveness of the new treatment.

@Charles - As to how common the Spanish expression is, you are right, I only looked at Google's numbers instead of actually checking the number of results myself.

I think "baseline" could work here, but I actually fell back on "underlying" in the end, as I think there is a reasonable argument, as several of you have made, for using it. However, I'd still like to know what it actually means, and my sense is that it's something more akin to "baseline" as Amy mentions, or even "chronic" or "ongoing" as Joe mentions, in which case it could reasonably be omitted, as Dr. Jane and Lorena have said.

Once again, thanks for all your input.
lorenab23 Feb 23, 2017:
I agree with Dr. Jane Marshall what about nothing...
Muriel Vasconcellos Feb 23, 2017:
@All With 'underlying'. I don't really see that there's an implication that the schizophrenia is causing anything else. The text is simply saying that the patient has two conditions to cope with, one of which is more fundamental.

I think you guys are overthinking this.
Dr Jane Marshall Feb 23, 2017:
What about nothing?! I see what you mean about "underlying", it kind of implies that the schizophrenia is the cause of some other symptoms or condition. I think here they are meaning that he/she had existing/already diagnosed schizophrenia, which is stable. I don´t think that this information is really necessary in the English version. If you say "his schizophrenia is stable" we can reasonably assume that is is not a new diagnosis.
Charles Davis Feb 23, 2017:
Consider this one:

"Las patologías sadomasoquistas o el alcoholismo con esquizofrenia de base son ejemplos de enfermedades mentales que deben tratarse como tales"
http://www.ffyh.unc.edu.ar/alfilo/anteriores/alfilo-18/pdf/m...
Charles Davis Feb 23, 2017:
My gut feeling, looking at how "esquizofrenia de base" is used elsewhere (and it is by no means a common expression, by the way, very much less common than "underlying schizophrenia"), is that this refers to the nature of the patient's schizophrenia, not to its current degree of severity. The idea that alcoholism can mask an underlying schizophrenia is present in the literature. So I incline that way, but I'm not going to post an "agree" because I just don't know.

Properly speaking, schizophrenia is a chronic condition per se, isn't it? I mean psychotic episodes are not really the same thing.
Joseph Tein Feb 23, 2017:
Any more context? For all I know it could also mean "chronic" schizophrenia, in the sense of ongoing. Is there anything else you could share about what type of report or study this is, why they're writing about this patient, etc.?
Robert Carter (asker) Feb 23, 2017:
@Joe Thanks anyway! I think "underlying" just sounds right, but it doesn't seem appropriate in this case, specifically because there is no mention of any other disorder aside from alcoholism.

Proposed translations

+2
11 mins

baseline schizophrenia

Declined
I recently also came across this in a patient report. I'd say it's referring to the baseline of the patient's schizophrenia, which could either be referring to its initial known value - diagnosis, or the initial measured value at the start of monitoring/study.
Note from asker:
Many thanks, Amy, precisely the kind of information I'm after!
Although, as I mentioned above, my only problem with this is that there seem to be relatively very few hits compared with the Spanish.
Peer comment(s):
agree gutiersa : yes, baseline is the term we use
2 days 1 hr
agree Antonio Tomás Lessa do Amaral
550 days
Something went wrong...
1 hr

mild schizophrenia

Declined
Maybe, because the patient is able to stay stable, where if it were severe schizophrenia, that would be an impossibility.
Something went wrong...
+4
1 hr

underlying schizophrenia

Declined
I think you were right, Robert, before you started second-guessing yourself. My understanding is that the schizophrenia is complicated with alcohol abuse "on top," so to speak.

Examples:

www.healthyplace.com/thought.../why-schizophrenia-patients-... 19, 2012 - **These additional disorders can make the underlying schizophrenia more difficult to treat** and it's possible schizophrenia may even be ...

www.va.gov/vetapp07/files3/0724969.txtThus, the medical issue, on remand after the Court's March 2006 order vacating the Board's July 2005 decision, is **whether the underlying schizophrenia itself underwent chronic aggravation
or worsening during the veteran's active duty period.**

ink.springer.com/chapter/10.1007/978-3-642-76841-5_18
by MT Tsuang - ‎1991 - ‎Cited by 85 - ‎Related articles
It is suggested (Risch and Baron 1984; Tsuang and Faraone 1984) that **such traits or disorders may prove to be manifestations of the underlying “schizophrenia ...**

ieeexplore.ieee.org/iel5/5629467/5645057/05645097.pdf?arnumber=5645097
diagnose system or **uncover the underlying schizophrenia pathology**. II.HIGH ORDER PATTERN DISCOVERY. A. Pattern presentation. In traditional AI and ...
Peer comment(s):
agree liz askew : http://www.proz.com/kudoz/spanish_to_english/medical_pharmac...
6 hrs
Thank you, Liz. And thanks for the reference.
agree veronicaes
9 hrs
Thank you, Veronica.
agree Robert Forstag : Or, perhaps, "pre-existing."
12 hrs
Thanks, Robert! Not sure we know that it pre-existed, but it is certainly more long-term and fundamental than the drinking.
agree Leda Roche
21 hrs
thanks, Denise!
Something went wrong...
7 hrs

controlled schizophrenia / schizophrenia under control

Declined
My initial thinking was along the same lines as Jane. It's a chronic condition and in such cases you often see the expression "contolled" or "under control" (whether using meds or through psychiatry sessions, if that's possible).
"The patient is maintaining his schizophrenia under control and abstaining from alcohol."

https://www.ncbi.nlm.nih.gov/pubmed/26230269
Efficacy and tolerability of paliperidone ER in patients with unsatisfactorily controlled schizophrenia by other antipsychotics: a flexible-dose approach.

https://books.google.es/books?id=PPCPBAAAQBAJ&pg=PT57&lpg=PT...

Download - IAMAT
https://www.iamat.org/elibrary/download/id/1384
Refrain from using caffeine or psychoactive substances like alcohol or cannabis. Travellers who have managed and controlled schizophrenia can travel safely.
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