Личностные особенности больных шизофренией с депрессивной и парадепрессивной симптоматикой в структуре заболевания = Personality features of schizophrenia patients with depressive and predepression symptoms in the structure of the disease

K. A. Sincha

Abstract


Sincha K. A. Личностные особенности больных шизофренией с депрессивной и парадепрессивной симптоматикой в структуре заболевания = Personality features of schizophrenia patients with depressive and predepression symptoms in the structure of the disease. Journal of Education, Health and Sport. 2016;6(4):21-30. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.49386

http://ojs.ukw.edu.pl/index.php/johs/article/view/3443

 

 

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).

755 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Author (s) 2016;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License

(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 05.03.2016. Revised 20.03.2016. Accepted: 05.04.2016.

 

 

Личностные особенности больных шизофренией с депрессивной и парадепрессивной симптоматикой в структуре заболевания

 

К. А. Синча

 

Запорожский государственный медицинский университет МЗ Украины, Запорожье, Украина

 

Реферат

Последние десятилетия рядом исследователей отмечено наличие депрессивных включений в структуре шизофрении. Однако, несмотря на значимую роль депрессивной симптоматики у больных шизофренией, до сих пор не установлены особенности ее структуры, этио- и психопатогенеза, которые бы позволили улучшить качество диагностики и терапии. Цель исследования – установить особенности состояний и свойств личности больных шизофренией с депрессивной и парадепрессивной симптоматикой в структуре заболевания. На базе КУ «Областная клиническая психиатрическая больница» ЗОС было обследовано 137 больных, которые проходили стационарное лечение. Основную группу (ОГ) составили 107 больных шизофренией (F20). Среди них – 55 женщин и 52 мужчины. Средний возраст в группе составил 46,33±1,36 лет. Группу сравнения (ГС) составили 30 больных шизоаффективным расстройством, смешанный тип (F25). Среди них – 18 женщин и 12 человек. Средний возраст в группе составил 48,93±2,47 год. Методы исследования: анамнестический, катамнестический, клинико-психопатологический, психодиагностический. В результате исследования были установлены особенности депрессивной симптоматики у больных шизофренией. Отмечена диссоциация между выявляемостью депрессивных феноменов по данным клинико-психопатологического и психодиагностического исследований, что может свидетельствовать о явлениях гипо- и гипердиагностики, обусловленных как несовершенством диагностического инструментария, так и присущей шизофрении амбивалентности психических процессов. По данным клинико-психодиагностического исследования у ⅓ больных шизофренией диагностировалась симптоматика депрессивного и парадепрессивного круга, доходящая до уровня клинически выраженной депрессии и требующая специфической коррекции. Изучение личностных особенностей больных шизофренией позволили установить различия в генезе депрессивной симптоматики, диагностируемой у пациентов, в полной мере нашедшие отражение в трех вариантах профилей личности больных шизофренией с депрессивными явлениями в структуре заболевания: анозодепрессивный (парадепрессивный), параноидно-невротический (параноидно-дисфорический), социогенно-невротический (ятрогенно-невротический).

 

Ключевые слова: депрессия, шизофрения, психопатогенез, психодиагностика.

 

 

PERSONALITY FEATURES OF SCHIZOPHRENIA PATIENTS WITH DEPRESSIVE AND PREDEPRESSION SYMPTOMS IN THE STRUCTURE OF THE DISEASE

 

K. A. Sincha

 

Zaporizhzhia State medical University Ministry of Health Care of Ukraine

 

Summary

Last decades several researchers noted the presence of depressive inclusions in the structure of schizophrenia. However, despite the significant role of depressive symptoms in patients with schizophrenia, still the peculiarities of its structure, the ethio - and psychopathogenesis, which would allow to improve the quality of diagnosis and therapy. The purpose of the study is to establish the specific conditions and personality traits of patients with schizophrenia with depressive and paradepressive symptoms in the structure of the disease. On the basis of Public Health Institution «Regional clinical mental hospital» of the Zaporizhzhian regional council  examined 137 patients who underwent hospital treatment. Research group were 107 patients with schizophrenia (F20). Among them - 55 women and 52 men. The average age in the group was 46,33 ± 1,36 year  old.

Comparison group consisted of 30 patients with schizoaffective disorder, mixed type (F25). Among them - 18 women and 12 men. The average age in the group was 48,93 ± 2,47 y. o. Research methods: anamnestic, catamnestic, clinico-psychopathological, psychodiagnostic methods. In the result of the study the features of depressive symptoms in patients with schizophrenia. Marked dissociation between the detection rate of depressive phenomena according to clinical psychopathological and psychodiagnostic research that may indicate the phenomena of hypo - and overdiagnosis, due to the imperfection of diagnostic tools and the inherent ambivalence of schizophrenia mental processes. In general, according to clinical and psycho-diagnostic studies in ⅓ of patients with schizophrenia with a history of depressive and paradepressive circle, reaching to the level of clinically significant depressive and requiring specific correction.

To examine the personality characteristics of patients with schizophrenia have revealed the differences in the Genesis of depressive symptoms, of the diagnosed patients fully reflected in the three versions of the personality profiles of patients with schizophrenia with depressive phenomena in the structure of diseases: a nosodepressive (paradepressive), paranoide-neurotic (paranoide-dysphoric), sociogenic -neurotic (iatrogenic disorders).

 

Keywords: depression, schizophrenia, psychopathogenesis, psychodiagnostics.


Keywords


депрессия, шизофрения, психопатогенез, психодиагностика, depression, schizophrenia, psychopathogenesis, psychodiagnostics

Full Text:

PDF (Russian)

References


Jung W.Y., Kim S.G., Lee J.S., Kang D.H., Jung B.J., Shin D.H., Lee Y.M., Choi S.H. (2015) Open prospective study of ziprasidone in patients with schizophrenia with depressive symptoms: a multicenter study. Psychiatry Clin Neurosci, 69(1), 43-48.

Samsom, J.N., Wong, A.H. (2015). Schizophrenia and Depression Co-Morbidity: What We have Learned from Animal Models. Front Psychiatry, (18), 6-13.

Snaith R P., Hamilton M., Morley S., Humayan A., Hargreaves D., Trigwell P. (1995) A scale for the assessment of hedonic tone the Snaith-Hamilton Pleasure Scale. British Journal of Psychiatry, 167(1), 99-103.

Naidu K., van Staden W.C., van der Linde M. (2014) Severity of psychotic episodes in predicting concurrent depressive and anxiety features in acute phase schizophrenia. BMC Psychiatry, 14, 166.

Wysokiński A. (2015) Serum levels of brain-derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3) in depressed patients with schizophrenia. Nord J Psychiatry,7, 1–5.

Anticevic A., Schleifer C., Youngsun T.C. (2015) Emotional and cognitive dysregulation in schizophrenia and depression: understanding common and distinct behavioral and neural mechanisms. Dialogues Clin. Neurosci, 17(4), 421–34.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Journal of Education, Health and Sport

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2  www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website: www.infobaseindex.com

Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)