Open AccessSTRUCTURE AND TYPES OF RESPONSE TO THE DISEASE DUE TO ADAPTABILITY / MALADAPTATION IN PATIENTS WITH SCHIZOAFFECTIVE DISORDER IN THE STATE OF REMISSION IN CONTEXT OF PATHOPERSONOLOGICAL TRANSFORMATIONS IN POST-MANIFESTATION PERIOD
Author(s) -
M. Ye. Khomitskiy
Publication year - 2019
Publication title -
mužskoe zdorovʹe, gendernaâ i psihosomatičeskaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2414-4339
pISSN - 2413-8843
DOI - 10.37321/ujmh.2019.02-01
Subject(s) - schizoaffective disorder , maladaptation , disease , context (archaeology) , psychology , typology , clinical psychology , schizophrenia (object oriented programming) , medicine , psychiatry , psychosis , paleontology , history , archaeology , biology
The aim of the study of the structure and types of disease response and adaptability / maladaptationin patients with schizoaffective disorder in remission.Contingents and methods. On the basis of the Regional Clinical Psychiatric Hospital (Zaporizhzhia), 102 patients with the diagnosis of «schizoaffectivedisorder» were examined using the TOBOL test method.Results. The analysis of the structure and types of the response to the disease and the adaptation / maladaptation indices in patients with schizoaffectivedisorder in remission period was performed. Schizoaffective disorder is characterized by maladaptive effect on the patient, which is confirmed by low indicators of the demonstration of harmonious response to the disease (7.8%) and prevalence of maladaptive types of response to the disease in patients (71.6%).The typology of the response to the disease for patients with schizoaffective disorder is characterized by the prevalence of «mixed» types over «pure» and«diffuse». The types of response to the disease that occur most often in the schizoaffective disorder are egocentric (42.2%) and ergophatic (35.3%). The mostcharacteristic clinical variants are ergophatic-anosognosic (16.7%) and anxious-egocentric (15.7%).Conclusioms. Schizoaffective disorder is characterized by maladaptive effect on the patient, which is confirmed by low indicators of the demonstration ofharmonious response to the disease (7.8%) and prevalence of maladaptive types of response to the disease in patients (71.6%). The obtained data can beapplied as assessment of the nosospecific pathopersonalogical component when creating a differential diagnostic algorithm and with the aim of developingprograms for reducing the maladaptive effects of the schizoaffective disorder and improving the level of social adaptation.