Clinical and psychopathological features of paranoid schizophrenia in patients with comorbid bone tuberculosis in terms of their psychosocial rehabilitation
DOI:
https://doi.org/10.15587/2313-8416.2015.48044Keywords:
paranoid schizophrenia, bone tuberculosis, comorbidity, positive, negative and general psychopathological symptomatologyAbstract
Aim – to analyze the features of clinical and psychopathological symptomatology of paranoid schizophrenia (PS) in patients with comorbid bone tuberculosis (CBT) in terms of detecting an influence of the main maladjustment indicators that lead to problems in patients functioning as the targets of measures for their psychosocial rehabilitation.
Contingent. 120 men with paranoid schizophrenia (PS). 60 patients with PS and comorbid bone tuberculosis (CBT) formed the main group of research, 60 patients with PS formed the comparative one.
Methods. The main method of research was clinical and psychopathological one that included standardized clinical interview with the use of “Evaluating list of symptoms and glossary for psychical disorders WHO” (1994) (Module F2: psychotic syndrome) that was added with materials of retrospective analysis of medical documentation and the results of using the scale РANSS.
Results. The study of clinical and psychopathological features and the structure of intensity of positive, negative and general psychopathological syndromes of PS with CBT obligatory must be carried out from two points of view: firstly the correction of psychosocial maladjustment that is needs and tasks that appear in rehabilitative work with comorbid patients. So, various in most cases unpredictable character of combination of clinical signs leads to “maladjustment obstacles” in psychosocial rehabilitation. Secondly the neglect of the degree of symptoms intensity at psychosocial rehabilitation leads to decrease of “adaptive potential” and destruction of acquired “general habits of adaptation” at overcoming the problems in functioning as a result of both PS and CBT.
Conclusions. Established features of clinical and psychopathological manifestations of paranoid schizophrenia in patients with comorbid bone tuberculosis were used as a basis at elaboration of complex measures for rehabilitation of given contingent
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