CLINICAL AND ANAMNESTIC CHARACTERISTICS OF AFFECTIVE DISORDERS IN PATIENTS WITH SCHIZOTYPIC DISORDER

  • Владислав Плєхов PhD student of Departments of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology and Sexology, Zaporizhzhia State Medical University
Keywords: schizotypic disorder, schizophrenia, affective disorders, depression, comorbidity in psychiatry

Abstract

The goal. In order to identify the clinical-anamnestic characteristics of affective disturbances in patients with schizotypic disorder during 2019- 2020 100 patients of the outpatient department of the «Regional Clinical Institution for the Provision of Psychiatric Care» (Zaporizhzhia) with «Schizotypic Disorder» diagnose were examined.
Materials and methods. To solve this goal, clinical-anamnestic, clinical-psychopathological, psychodiagnostical and statistical methods were used.
As a result of the study, anamnestic correlates of schizotypic disorder depending on the spectrum of affective disturbances were established: patients with a predominance of depressive affect are characterized by presents of dissociative, pseudo-obsessive, depressive and anxiety symptoms at the beginning stage of the disease, a high frequency of hospitalizations in a psychiatric hospital, a combination of antipsychotic and antidepressant drugs as a supportive therapy, higher education, conflict relationships with relatives, being married and having children; patients with a cyclical change of affective phases are characterized by presents of dissociative and depressive symptoms at the beginning stage of disease, a high frequency of hospitalizations in a psychiatric hospital, misuse of psychoactive substances, conflict relationships relatives; patients in a state of affective flattening are characterized by the stability of the course of the disease with a predominance of apathy-abulic and psychopathic symptoms, misuse of psychoactive substances, a relatively low level of education, low employment
rates.
Conclusions. Clinical and anamnestic characteristics of affective disorders in patients with schizotypic disorder were revealed, among them the features of the initial symptomatology are of the greatest importance, as the basis for the system of early diagnosis of these conditions.

References

1. Барденштейн Л. М., Краховецкая Д. С., Щербакова И. В., Крупкин А. Г. Сравнительная оценка эффективности лечения сезонных депрессий у больных шизотипическим расстройством. Тюменский медицинский журнал. 2012. № 1. С. 6–7.
2. Гриневич Є.Г., Мішиєв В.Д., Кушнір А.М. та ін. Алгоритм встановлення функціонального діагнозу хворим на шизофренію, шизотипові та маячні розлади : Методичні рекомендації. – К.: НМАПО імені П.Л. Шупіка, 2012. - 38 с.
3. Кобзова М. П. Динамика когнитивных функций и социальная адаптация у пациентов с шизотипическим расстройством (ШТР). Медицинская психология в России. 2015. № 1 (30). С. 9.
4. Потапова В. А. Полимодальная психотерапия, интеграция методов в лечении шизотипического расстройства. Тюменский медицинский журнал. 2012. № 1. С. 47.
5. Смулевич А.Б. Малопрогредиентная шизофрения и пограничные состояния. М. : Чеховский печатный двор, 2017. 304 с.
6. Смулевич А. Б., Дубницкая Э. Б., Читлова В. В. Расстройства личности и депрессия. Журнал неврологии и психиатрии им. С.С.Корсакова. 2012. № 9. С. 4–11.
7. Степанов И. Л., Ваксман А. В. Особенности течения циркулярных депрессий у больных с сопутствующим личностным расстройством. Социальная и клиническая психиатрия. 2013. Т. 23, № 4. С. 32–36.
8. Martin E.A., Cicero D.C., Kerns J.G. Social anhedonia, but not positive schizotypy, is associated with poor affective control. Personal Disord. 2012. № 3. P. 263–272.
9. Premkumar P., Ettinger U., Inchley-Mort S. et al. Neural processing of social rejection: the role of schizotypal personality traits. Hum. Brain Mapp. 2012. № 33. P. 695–706.
10. Raynal P. Goutaudier N. Nidetch V. et al. Typology of schizotypy in non-clinical young adults: Psychopathological and personality disorder traits correlates. Psychiatry Res. 2016. № 30 (246). P. 182–187.
Published
2021-12-30
How to Cite
Плєхов, В. (2021). CLINICAL AND ANAMNESTIC CHARACTERISTICS OF AFFECTIVE DISORDERS IN PATIENTS WITH SCHIZOTYPIC DISORDER. Men’s Health, Gender and Psychosomatic Medicine, (1-2), 57-66. https://doi.org/10.37321/UJMH.2021.1-2-07