Effecacy evaluation of treatment and rehabilitation in patients with the first psychotic episode with biological rhythms

Authors

DOI:

https://doi.org/10.15587/2519-4798.2017.97026

Keywords:

first psychotic episode, psycho-educational program, biological rhythms, prophylaxis, treatment rehabilitation

Abstract

The aim of this research was in evaluation of efficacy of treating-rehabilitating arrangements in patients with the first psychotic episode taking into account biological rhythms.

Materials and methods: The study included 130 patients with the first psychotic episode. The characteristic of biological rhythms was carried out according to Estberg scale, evaluation of life quality according to SF-36 scale.

Results: The psychoeducational program was realized in stages and included informational (explanation to patient and relatives of the necessity to take medicaments and visit doctors, the features of disease manifestation, prognosis), therapeutical (prevention of autoaggressive tendencies), social (overcoming of patient’s stigmatization, formation of support by family members) and final stages (formation of new forms of reaction in the case of aggravation). According to the distribution in groups of daily working activity, the psychoeducational arrangements with patients of the first group was realized in second half of day, and with ones of the second and third group – in first half.

Conclusions: As a result of the study it was established, that the use of clinical protocols of treatment together with psychoeducational program taking into account biological rhythms in patients with the first psychotic episode leads to the improvement of their life quality. So, the further studies in this field are the priority direction in psychiatry to improve the prophylactic, treating and rehabilitating arrangements

Author Biographies

Liliya Zhyvotovska, Ukrainian Medical Stomatological Academy Shevchenka str., 1, Poltava, Ukraine, 36011

MD, Professor

Department of psychiatry, narcology and medical psychology

Dmitriy Boiko, Ukrainian Medical Stomatological Academy Shevchenka str., 1, Poltava, Ukraine, 36011

Postgraduate student

Department of psychiatry, narcology and medical psychology

Lesya Bodnar, Ukrainian Medical Stomatological Academy Shevchenka str., 1, Poltava, Ukraine, 36011

PhD, Assistant

Department of psychiatry, narcology and medical psychology

Vyacheslav Shinder, Ukrainian Medical Stomatological Academy Shevchenka str., 1, Poltava, Ukraine, 36011

PhD, Assistant

Department of psychiatry, narcology and medical psychology

References

  1. Maruta, N. O., Bacherikov, A. M. (2001). Pershii epіzod psihozu (suchasnі printsipi dіagnostiki ta lіkuvannya). Kharkіv, 20.
  2. Shiers, D. (2004). Early intervention for first episode psychosis. BMJ, 328 (7454), 1451–1452. doi: 10.1136/bmj.328.7454.1451
  3. Barrett, E. A., Faerden, A., Nesvag, R., Agartz, I., Romm, K. L., Sundet, K. S., Melle, I. (2008). Patterns of suicidal behavior in first-episode psychosis. Schizophrenia Research, 98, 88. doi: 10.1016/j.schres.2007.12.202
  4. Maruta, N. O. (2007). Pervii epizod psihoza (diagnostika, lechenie, organizatsiya pomoschi). Ukrains'kiy vіsnik psihonevrologіyi, 15 (1 (50)), 21–24.
  5. Demchenko, V. A., Zozulya, V. V., Ponomar'ov, S. V. (2009). Klіnіchnі aspekti psihosotsіal'noі reabіlіtatsіі pri pervinnomu psihotichnomu epіzodі. Ukrains'kiy vіsnik psihonevrologіyi, 17 (2 (59)), 94–96.
  6. McGorry, P. D. (2007). Early intervention in psychotic disorders: detection and treatment of the first episode and the critical early stages. Med. J. Aust., 187, 8–10.
  7. Sonnik, G. T.,Skripnikov, A. N., Rud', V. A. (2012). Bioritmologicheskie issledovaniya v psihiatrii: costoyanie i perspektivi razvitiya. Psihiatriya, psihoterapiya i klinicheskaya psihologiya, 1, 89-95.
  8. Rud, V. O., Fisun, Yu. O. (2010). DoslIdzhennya tsirkadIannogo desinhronozu u suitsidentiv. Ukrains'kiy vіsnik psihonevrologіyi, 18 (2 (63)), 74–77.
  9. Nakaz MOZ Ukrainy „Klinichnyi protokol nadannia medychnoi dopomohy khvorym na shyzofreniiu” (2007). MOZ Ukrainy, No. 59.
  10. Maruta, N. A., Kozhina, A. M., Kolyadko, S. P. (2015). Rol' psihoobrazovaniya v kompleksnom lechenii bol'nih s rekkurentnim depressivnim rasstroistvom. Ukrains'kiy vіsnik psihonevrologіyi, 23 (4 (86)), 53–57.
  11. Mihailov, B. V., Mazhbіts, V. B. (2011). Biopsihosotsial'naya model' reabilitatsii bol'nih shizofreniei. Ukrains'kiy vіsnik psihonevrologіyi, 19 (2 (67)), 52–54.

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Published

2017-03-31

How to Cite

Zhyvotovska, L., Boiko, D., Bodnar, L., & Shinder, V. (2017). Effecacy evaluation of treatment and rehabilitation in patients with the first psychotic episode with biological rhythms. ScienceRise: Medical Science, (3 (11), 15–19. https://doi.org/10.15587/2519-4798.2017.97026

Issue

No. 3 (11) (2017)

Section

Medical Science

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Copyright (c) 2017 Liliya Zhyvotovska, Dmitriy Boiko, Lesya Bodnar, Vyacheslav Shinder

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