Socio-Psychological Characteristics of Patients With Schizophrenia Receiving Compulsory Inpatient and Outpatient Treatment and Voluntary Psychiatric Patients

Chelyadyn, Yuliya; Gonchar, Tymur; Uralova, Lyudmila; Bashinskii, Oleksandr

doi:10.33225/ppc/19.13.75

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Вираженість супутніх тривоги та депресії у пацієнтів після лікування оцінювалась за госпітальною шкалою тривоги та депресії також з урахуванням типу ОКС [16,19]. Вона показала, що статистично достовірних змін зі сторони жодного показника не простежувалось.…”

Section: клініко-терапевтичні особливості пацієнтів із шизотиповим ро...unclassified

“…Критерієм ефективності психоосвітньої роботи є як бажання сепарації пацієнта від сім'ї, з боку хворого, так і можливість відпустити його. з боку родичів [15,16,17].…”

Section: клініко-терапевтичні особливості пацієнтів із шизотиповим ро...unclassified

“…Якщо в клінічній картині переважала вираженість обсесій, хороший ефект в лікуванні спостерігався при застосуванні арипіпразолу в поєднанні з ламотриджином (в том же дозуванні) в комбінації з пароксетином в дозі 20-30 мг/добу (вранці). Якщо симптоми обсесій та компульсій проявлялися в однаковій мірі, спостерігали кращу редукцію симптоматики при додаванні до комбінації арипіпразолу з ламотриджином ще сертраліну в дозі 50-150 мг/добу вранці[15,16,17,20].Пацієнти з ОКС за типом амбівалентності проявляли зміщення вираженості симптомів в бік обсесій. Нав᾽язливі думки мали значно виражену інтенсивність, була наявна тривога.…”

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Clinical and therapeutic characteristics of patients with a schizotypal disorder with obsessive-compulsive symptoms

Chelyadyn

Dzeruzhinskaya

2022

PMGP

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Introduction. The prevalence of obsessive-compulsive symptoms in modern conditions of high stress and the lack of detailed recommendations for this category of patients determine the relevance of this publication. The emergence of suffering at a young age forms insufficiently adaptive behaviors and complicates the socialization of such persons. And the emergence of these symptoms within different etiological disorders requires the development of differentiated diagnostic and therapeutic approaches. Materials and methods. The study involved 69 outpatients with leading obsessive-compulsive disorder within schizotypal disorder (F21). The following methods were used: clinical-psychopathological, psychodiagnostic, clinical-follow-up and mathematical statistics. Patients were examined using psychodiagnostic techniques: clinical scale of obsessions and Yel-Brown compulsions (Y-BOCS - Obsessive-compulsive Scale); hospital anxiety and depression scale (HADS); quality of life scale (Chaban OS, 2008); multidimensional scale of perception of social support ("MSPSS" D. Zimet); questionnaire "Lifestyle Index" ("LSI" by R. Plutchik - G. Kellerman - H. R. Conte), method "Psychological diagnosis of coping behavior strategy" by R. Lazarus. Results. The clinical typology of these symptoms: type of avoidance, type of ambivalence and type of accumulation was studied by processing the clinical scale of obsessions and Yel-Brown compulsions (Y-BOCS) in patients with schizotypal disorder (F21). It was found that these symptoms were accompanied by anxiety and depressive symptoms only at the subclinical level, which indicates a lack of criticism of one’s condition. In patients with the leading obsessive-compulsive symptoms in schizotypal disorder, not quite mature variants of the protective structure are actualized, namely, substitution (62.3%), displacement (60.9%), regression (58%) and denial (26.1%). The leading coping strategies of such individuals are self-control (73.9%) and escape-avoidance (55.1%), which differs significantly from the strategies more often used by patients with ACS at the neurotic level. We have proposed a program of comprehensive treatment of this group of patients. Patients were divided into 2 groups, the first of which received a combined (differentiated psychopharmacological interventions and psychotherapy) option of therapy, and the second – only differentiated psychopharmacotherapy. The psychotherapeutic formulation was determined by different focus targets depending on the type of obsessive-compulsive symptoms and consisted of a combination of techniques of cognitive-behavioral therapy (CBT) and gestalt therapy (GT). The results of the follow-up study indicate the effective impact of the developed treatment and rehabilitation program on all components of the mental state and social functioning of patients with all types of obsessive-compulsive symptoms of subpsychotic level. Conclusions. The leading types of ACS in schizotypal disorder and features of psychosocial functioning in patients have been identified, which allowed to create a differentiated approach to the formation of a program of their comprehensive treatment and rehabilitation. Such persons need mandatory psychopharmacotherapy and differentiated psychotherapeutic intervention. The application of the program made it possible to improve the mental state and quality of life and achieve the optimal level of adaptation of patients in various spheres of life, increase periods of remission and prevent recurrence of the disorder.

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Section: клініко-терапевтичні особливості пацієнтів із шизотиповим ро...unclassified

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Clinical and therapeutic characteristics of patients with a schizotypal disorder with obsessive-compulsive symptoms

Chelyadyn

Dzeruzhinskaya

2022

PMGP

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Socio-Demographic Characteristics of Patients With Schizophrenia, Delusions of Control, Manifestations of Self-Destructive Behavior and Social Malfunctioning Who Hospitalized Forcibly and Voluntarily

Bashynskyi

Zahariichuk

2020

PPC

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The aim of the research was to explore the socio-demographic characteristics of patients with schizophrenia with delusional ideas of influence, manifestations of self-destructive behavior, and social dysfunction, who are hospitalized both forcibly and voluntarily. The study involved 155 patients diagnosed with paranoid schizophrenia. The patients were divided into two groups: the main group of 80 patients and the comparison group of 75 persons. The socio-demographic data obtained for the groups were processed using clinical-psychopathological, psychodiagnostic, and statistical methods. From the analysis it was noted that compulsorily hospitalized patients with schizophrenia showed fairly high levels of violence and victimization. Patients in the compulsorily hospitalized group had a higher severity of manifestations of self-destructive behavior and of delusional ideas of influence with fantastic content. Also, there was a difference in the level of social dysfunction between the two groups. The results will be used in the development of the program of medical and social rehabilitation of the studied contingent of patients. Keywords: delusional ideas, compulsorily hospitalized patients, life quality, medical and social rehabilitation, self-destructive behavior, schizophrenia, social maladaptation.

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Socio-Psychological Characteristics of Patients With Schizophrenia Receiving Compulsory Inpatient and Outpatient Treatment and Voluntary Psychiatric Patients

Cited by 2 publications

References 7 publications

Clinical and therapeutic characteristics of patients with a schizotypal disorder with obsessive-compulsive symptoms

Clinical and therapeutic characteristics of patients with a schizotypal disorder with obsessive-compulsive symptoms

Socio-Demographic Characteristics of Patients With Schizophrenia, Delusions of Control, Manifestations of Self-Destructive Behavior and Social Malfunctioning Who Hospitalized Forcibly and Voluntarily

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