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Cenestho‐hypohondriac disorders in schizophrenia started in adolescence period
Author(s) -
Prokudin V.
Publication year - 2002
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.106.s413.1_128.x
Subject(s) - neurosis , depersonalization , schizophrenia (object oriented programming) , phobias , disease , psychiatry , derealization , psychology , medicine , paranoid schizophrenia , psychopathology , pediatrics , psychosis , clinical psychology , anxiety , emotional exhaustion , burnout
For 10–15 years we studied the time‐course of neurosis‐like disorders in 46 patients with schizophrenia manifested in adolescence with cenetesthopathic disorders (23 patients presented the cenesthopathic–hypohondriac syndrome, in 17 cenesthopathia was attended by phobias, in six it was combined with manifestations of derealization and depersonalization). The study showed that in 87% of the patients the disease ran continuously (torpidly in 29, by the type of simple form in five and by type of paranoid form in six patients), in 13% of the patients the disease ran a paroxysm‐progressive course. In 10–15 years the clinical picture in half of the patients continued to be characterized by the leading cenestho–hypochondriac symptomatology, in one‐fourth of patients cenestho–hypochondriac disorders were transformed into hallucinational‐paranoid, in another one‐fourth of patients into either psychosis‐like or apatho‐abulic symptomatology. It is discussed the degree of progression of the disease in different variants of its course, the social and marital status of patients, the specificity of personality changes, and peculiarities of disease relapse. In patients with neurosis‐like slack‐course of disease it was the tendency of regredient dynamics and stable remissions. In patients with continuous variant (paranoid form) the degree of progredience was constantly increased and there was not a stable remissions. All patients with neurosis‐like slack course were characterized by good social rehabilitation, but paranoic patients – by desadaptation. Only 17% of adolescents became be married after 10–15 years of our study.