ГоловнаArchive of numbers2023Volume 31, issue 2 (115)Clinical and psychopathological characteristics of the primary psychotic episode and their role in the prognosis of recovery
Title of the article Clinical and psychopathological characteristics of the primary psychotic episode and their role in the prognosis of recovery
Authors Kosovskyi Volodymyr
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND BEHAVIORAL DISORDERS
Year 2023 Issue Volume 31, issue 2 (115) Pages 24-28
Type of article Scientific article Index UDK 616.89-036 Index BBK -
Abstract

 The article presents the results of the study of the clinical and psychopathological manifestations of PPE and their relationship with the indicators of recovery based on the results of treatment. Were examined 177 patients with PPE: 53 with a diagnosis of schizophrenia (F20), 96 with a diag- nosis of acute polymorphic psychotic disorder (F23) and 28 with a diagnosis of schizoaffective disorder (F25). It was determined that at F20, a more negative forecast is determined regarding exit and recovery. Negative criteria for the prognosis of recovery in PPE are the presence of certain negative symptoms in the structure of psychopathological symptoms and refusal to cooperate. A positive prognosis for recovery is conditioned, first of all, by the absence of negative symptoms, in particular, thinking disorders, manifestations of social avoidance and emotional alienation.
Key words primary psychotic episode, clinical and psychopathological features, outcome, recovery, prognosis criteria
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Bibliography
1. Shiers D, Lester H. Early intervention for first episode psychosis. BMJ. 2004 Jun 19;328(7454):1451-2. doi: 10.1136/ bmj.328.7454.1451. PMID: 15205272; PMCID: PMC428504. 2. Pervyy psikhoticheskiy epizod (problemy i psikhiatricheskaya pomoshch) / pod redaktsiyey I. Ya. Gurovicha, A. B. Shmuklera. Moskva : ID "Medpraktika-M", 2010. 544 s. (In Russian).
3. Shyzofreniia sohodni: naskilky vazhlyvo zvazhaty na per- spektyvu patsiienta? URI: https://ukraine.progress.im/uk. (In Ukrainian).
4. Rannie vtruchannia v psykhoz (novi diahnostychni ta tera- pevtychni paradyhmy) / za red.: P. V. Voloshyna, N. O. Maruty. Kharkiv : Strokov D. V., 2019. 335 s. (In Ukrainian).
5. Osokina O. I. Pervyy psikhoticheskiy epizod (obzor prob- lemy). Arkhiv klinichnoi ta eksperymentalnoi medytsyny. 2013. T. 22, № 2. S. 249—253. (In Russian).
6. Albert N, Bertelsen M, Thorup A, Petersen L, Jeppesen P, Le Quack P, Krarup G, Jørgensen P, Nordentoft M. Predictors of recovery from psychosis Analyses of clinical and social factors associated with recovery among patients with first-episode psy- chosis after 5 years. Schizophr Res. 2011 Feb;125(2-3):257-66. doi: 10.1016/j.schres.2010.10.013. Epub 2010 Nov 5. PMID: 21056926.
7. Maruta N. O. Pershyi epizod psykhozu (suchasni pryntsypy diahnostyky ta likuvannia) : metodychni rekomendatsii / N. O. Maruta, A. M. Bacherykov. Kharkiv, 2001. 20 s. (In Ukrainian).
8. Mosolov S. N. Shkaly psikhometri cheskoy otsenki simp- tomatiki shizofrenii i kontseptsiya pozitivnykh i negativnykh rasstroystv. Moskva, 2001. 238 s. (In Russian).
9. Morosini PL, Magliano L, Brambilla L, Ugolini S, Pioli R. Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand. 2000 Apr;101(4):323-9. PMID: 10782554.
10. Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont). 2007 Jul;4(7):28-37. PMID: 20526405; PMCID: PMC2880930.