Open AccessFEATURE OF PATHOPLASTIC ENVIROMENTAL FACTORS IN THE CLINICAL PICTURE OF SCHIZOPHRENIA
Author(s) -
A. Sofronov,
A. Sofronov,
V. E. Pashkovskiy,
В. Э. Пашковский,
A. E. Dobrovolskaya,
А. Е. Добровольская,
Igor D Fedorovskiy,
И Д Федоровский
Publication year - 2018
Publication title -
medicinskij akademičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2687-1378
pISSN - 1608-4101
DOI - 10.17816/maj18145-55
Subject(s) - psychosocial , schizophrenia (object oriented programming) , psychopathology , dispensary , psychology , psychiatry , feature (linguistics) , developmental psychology , clinical psychology , medicine , linguistics , philosophy , family medicine
The review presents and analyzes literature data on the influence of environmental pathoplastic factors on the course of the schizophrenic process. One of the most promising areas is the study of social factors. Their interaction with the biological and psychological characteristics of patients is reflected on the nature of psychopathological manifestations and their dynamics. Social functioning also depends on socio-economic changes. A number of authors come to the conclusion that a significant part of the dispensary contingent of mentally ill persons reveals shortcomings of social functioning practically in all spheres of life: labor, family, material and household, as well as social contacts. The review shows that the best personal and social functioning was observed in patients who had family support, permanent employment, the absence of other family members with mental disorders, and treatment in a day hospital. At the same time, many questions remain insufficiently clarified. In particular, this relates to the correlation of psychosocial indicators in various spheres of life activity, features of social functioning at patients with rare hospitalizations and gender peculiarities. These questions determine the trajectory of further research.