STRUCTURE AND TYPES OF RESPONSE TO THE DISEASE DUE TO ADAPTABILITY / MALADAPTATION IN PATIENTS WITH SCHIZOAFFECTIVE DISORDER IN THE STATE OF REMISSION IN CONTEXT OF PATHOPERSONOLOGICAL TRANSFORMATIONS IN POST-MANIFESTATION PERIOD

  • Mykola Khomitskiy MD, PhD, Associate Professor of the Department of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology and Sexology, Zaporizhzhіa State Medical University, Ukraine. Address: Mayakovsky Ave., 26, Zaporizhzhia, Zaporizhzhia region, 69000
Keywords: schizoaffective disorder, clinic, adaptation, pathopersonalogical features

Abstract

The aim of the study of the structure and types of disease response and adaptability / maladaptation
in patients with schizoaffective disorder in remission.
Contingents and methods. On the basis of the Regional Clinical Psychiatric Hospital (Zaporizhzhia), 102 patients with the diagnosis of «schizoaffective
disorder» were examined using the TOBOL test method.
Results. The analysis of the structure and types of the response to the disease and the adaptation / maladaptation indices in patients with schizoaffective
disorder in remission period was performed. Schizoaffective disorder is characterized by maladaptive effect on the patient, which is confirmed by low indicators of the demonstration of harmonious response to the disease (7.8%) and prevalence of maladaptive types of response to the disease in patients (71.6%).
The typology of the response to the disease for patients with schizoaffective disorder is characterized by the prevalence of «mixed» types over «pure» and
«diffuse». The types of response to the disease that occur most often in the schizoaffective disorder are egocentric (42.2%) and ergophatic (35.3%). The most
characteristic clinical variants are ergophatic-anosognosic (16.7%) and anxious-egocentric (15.7%).
Conclusioms. Schizoaffective disorder is characterized by maladaptive effect on the patient, which is confirmed by low indicators of the demonstration of
harmonious response to the disease (7.8%) and prevalence of maladaptive types of response to the disease in patients (71.6%). The obtained data can be
applied as assessment of the nosospecific pathopersonalogical component when creating a differential diagnostic algorithm and with the aim of developing
programs for reducing the maladaptive effects of the schizoaffective disorder and improving the level of social adaptation.

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Published
2019-12-27
How to Cite
Khomitskiy, M. (2019). STRUCTURE AND TYPES OF RESPONSE TO THE DISEASE DUE TO ADAPTABILITY / MALADAPTATION IN PATIENTS WITH SCHIZOAFFECTIVE DISORDER IN THE STATE OF REMISSION IN CONTEXT OF PATHOPERSONOLOGICAL TRANSFORMATIONS IN POST-MANIFESTATION PERIOD. Men’s Health, Gender and Psychosomatic Medicine, (2), 7-14. https://doi.org/10.37321/UJMH.2019.02-01