ГоловнаArchive of numbers2019Volume 27, issue 3 (100) Structure and types of response to disease and indexes of adaptability/maladaptation in endogenous psychoses with episodic course in the context of pathopersonalogical transformations in post-manifestation period
Title of the article Structure and types of response to disease and indexes of adaptability/maladaptation in endogenous psychoses with episodic course in the context of pathopersonalogical transformations in post-manifestation period
Authors Khomitskyi Mykola
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND NARCOLOGICAL DISORDERS
Year 2019 Issue Volume 27, issue 3 (100) Pages 57-60
Type of article Scientific article Index UDK 616.89-02:616.895-039.13-06:616.89-008.48]-039-07 Index BBK -
Abstract The study examined the structure and types of attitude toward the disease (ATD) and adaptability/maladaptation indices in 312 patients with endogenous episodic episodes (schizophrenia, schizoaff ective disorder (SAD) and aff ective disorders (AD)) in remission/ intermittent states and compared them. Characteristics of ATD and indicators of adaptability/disadaptation in endogenous psychosis with episodic course in the remission/intermission period are a sign of stable post-manifestation of pathopersonalogical transformations and have nosospecifi c diff erences. Patients suffering from endogenous episodic psychosis have a reserve of personal adaptive capacity. This is confirmed by the fact that among patients with maladaptive types of ATD, a signifi cant percentage is of the types with an interpsychic orientation (74.0 % of the contingent in AD, 55.9 % of those surveyed with SAD and 57.6 % with schizophrenia), which is a sign of the use of personal reserves in confronting the negative eff ects of the disease. The above-mentioned reserve of personal adaptation possibilities in AD is the largest, as shown by the larger (χ2 = 6.065, p < 0.05) percentages of types with an interpsychic orientation in the structure of maladaptive types of ATD. The obtained data can be implemented into the system of diff erential diagnosis and counteraction to social maladaptation, which is formed as a result of the disease.
Key words schizophrenia, schizoaff ective disorder, aff ective disorders, clinic, adaptation, pathopersonalogical features
Access to full text version of the article pdf download
Bibliography

1. Pidkoritov V. S., S. O. Sazonov N. A., Bajbarak N. A. Osoblivosti diagnostiki shizoafektivnogo rozladu sered spektra afektivno-paranoyidnih staniv // Medichna psihologiya. 2014. T. 9. № 3. S. 71—77. URL: http://nbuv.gov.ua/UJRN/Mpsl_2014_9_3_16.
2. Diagnostichni kriteriyi depresivnih rozladiv na etapah nadannya medichnoyi dopomogi / N. O. Maruta, T. V. Panko, V. Yu. Fedchenko [ta in.] // Ukrayinskij visnik psihonevrologiyi. 2017. T. 25, vip. 1 (90). S. 135.
3. Psihosocialnaya i kognitivnaya terapiya i reabilitaciya psihicheski bolnyh. Prakticheskoe rukovodstvo : kollektivnaya monografiya / pod red. I. Ya. Gurovicha, A. B. Shmuklera. M. : Medpraktika-M, 2015. 420 s.
4. Muchnik P. Yu., Snedkov E. V. Tipichnye vrachebnye oshibki v differencialnoj diagnostike endogennyh psihozov //Obozrenie psihiatrii i medicinskoj psihologii. 2013. № 2. S. 32—36.
5. Homickij M. Ye. Psihopatologichni proyavi endogennih psihoziv u stanah remisiyi/intermisiyi yak predispozicijnij faktor personologichnih transformacij (komparativnij analiz) // Zaporizkij medichnij zhurnal. 2018. T. 20, № 5 (110). S. 696—700.
6. Psihologicheskaya diagnostika otnosheniya k bolezni : posobie dlya vrachej / Vasserman L. I., Iovlev B. V., Karpova E. B., Vuks A. Ya. SPb.: SPb NIPNI im. V. M. Behtereva, 2005. 32 s.