Characteristics of the social-communicative behavior of patients with endogenous psychoses with an episodic course in the context of post-manifestation pathopersonological transformations
DOI:
https://doi.org/10.14739/2310-1210.2020.1.194543Keywords:
schizophrenia, endogenous psychosis, social and communicative behavior, remissionAbstract
The clinical picture of exacerbations and remission / intermission states in endogenous episodic psychoses (affective disorders (AD), schizoaffective disorder (SAD) and schizophrenia) changes under the influence of true and therapeutic pathomorphosis, which makes it difficult to conduct differential diagnosis and a decision regarding the nosological entity of individual clinical cases. The study of non-verbal characteristics of the social-communicative aspect of functioning with the help of a clinical-ethological method would provide an opportunity to verify the nosological entity, quantify a patient's condition and its dynamics as a result of applying therapeutic and rehabilitation modalities.
The aim - to identify features of social-communicative behavior as a sign of nosospecific pathopersonological transformations in remission / intermission states based on a comparative analysis of clinical-psychopathological, clinical-ethological and clinical-catamnestic characteristics of endogenous psychoses with an episodic course.
Materials and methods. On the basis of “Zaporizhzhia Regional Clinical Psychiatric Hospital”, 312 patients were examined. Among them, 102 patients with AD (53 patients with recurrent depressive disorder and 49 patients with BAD); 102 people suffering from SAD and 108 patients diagnosed with schizophrenia, paranoid form, episodic course, in whom the structure of the disease episodes was characterized by a pronounced affective component. A mandatory inclusion criterion was the state of clinical remission with reduced psychotic symptoms. The main methods of examination were clinical-psychopathological, clinical-ethological, clinical-catamnestic and clinical-anamnestic, as well as medical-statistical analysis.
Results. The signs of nosospecific post-manifestation pathopersonological transformations represented by features of social and communicative behavior were revealed. Patients with schizophrenia demonstrated signs of autism and emotional-volitional deficit during social communication. In patients with AD, subclinical non-verbal anxiety and depressive symptoms occurred. Patients suffering from SAD showed a specific non-verbal complex characterized by a significant content of aggressively warning elements.
Conclusions. Nosospecific non-verbal markers have been identified in social and communicative behavior of patients suffering from endogenous psychosis with an episodic course confirming the presence of pathopersonological transformations. The study of the remission / intermission states in endogenous psychosis provides an opportunity for further identifying nosospecific markers of pathopersonological transformations using the data obtained in differential diagnosis and selection of congruent therapeutic and rehabilitation modalities.
References
Maruta, N. O., Panko, T. V., Fedchenko, V. Yu., Semikina, O. Ye., Kalenska, H. Yu., & Terenkovskyi, D. I. (2017). Diahnostychni kryterii depresyvnykh rozladiv na etapakh nadannia medychnoi dopomohy [Diagnostic criteria for depressive disorders at the stages of the health care delivery]. Ukrainskyi visnyk psykhonevrolohii, 25(1), 135. [in Ukrainian].
Khritinin, D. F., Sumarokova, M. A., & Shchukina, E. P. (2019). Depressiya i ee lechenie u bol'nykh s shizoaffektivnym rasstroistvom [Depression and it’s treatment in patients with schizoaffective disorder]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. Spetsvypuski, 1(2), 50 54. https://doi.org/10.17116/jnevro20191191250 [in Russian].
Peterson, D. L., Webb, C. A., Keeley, J. W., Gaebel, W., Zielasek, J., Rebello, T. J., Robles, R., Matsumoto, C., Kogan, C. S., Kulygina, M., Farooq, S., Green, M. F., Falkai, P., Hasan, A., Galderisi, S., Larach, V., Krasnov, V., & Reed, G. M. (2019). The reliability and clinical utility of ICD-11 schizoaffective disorder: A field trial. Schizophrenia Research, 208, 235–241. https://doi.org/10.1016/j.schres.2019.02.011
Santelmann, H., Franklin, J., Bußhoff, J., & Baethge, C. (2015). Test-retest reliability of schizoaffective disorder compared with schizophrenia, bipolar disorder, and unipolar depression-a systematic review and meta-analysis. Bipolar Disorders, 17(7), 753–768. https://doi.org/10.1111/bdi.12340
Martín-Subero, M., Berk, L., Dodd, S., Kamalesh, V., Maes, M., Kulkarni, J., De Castella, A., Fitzgerald, P. B., & Berk, M. (2014). Quality of life in bipolar and schizoaffective disorder — A naturalistic approach. Comprehensive Psychiatry, 55(7), 1540–1545. https://doi.org/10.1016/j.comppsych.2014.05.009
McGorry, P., & Nelson, B. (2016). Why We Need a Transdiagnostic Staging Approach to Emerging Psychopathology, Early Diagnosis, and Treatment. JAMA Psychiatry, 73(3), 191–192. https://doi.org/10.1001/jamapsychiatry.2015.2868
Fedchenko, V. Yu. (2018). Osobystisni kharakterystyky patsiientiv v dynamitsi depresyvnykh rozladiv [Personality characteristics of patients in the dynamics of depressive disorders]. Medychna psykholohiia, (3), 25 29. [in Ukrainian].
Samokhvalov, V. P., & Samokhvalova, O. E. (2011). Toward a Neuroethology of Schizophrenia: Findings from the Crimean Project. In M. S. Ritsner (Ed.), Handbook of Schizophrenia Spectrum Disorders (Vol. 2, pp. 121–164). Springer Netherlands. https://doi.org/10.1007/978-94-007-0831-0_6
Vieta, E. (2010). Developing an Individualized Treatment Plan for Patients With Schizoaffective Disorder. The Journal of Clinical Psychiatry, 71(suppl. 2), 14–19. https://doi.org/10.4088/jcp.9096su1cc.03
Caruana, N., Stein, T., Watson, T., Williams, N., & Seymour, K. (2019). Intact prioritisation of unconscious face processing in schizophrenia. Cognitive Neuropsychiatry, 24(2), 135–151. https://doi.org/10.1080/13546805.2019.1590189
Khomitskyi, M. Ye. (2018). Psychopathological manifestations of endogenous psychoses in remission / intermission state as a predisposal factor to personological transformations (comparative analysis). Zaporozhye medical journal, 20(5), 696–700. https://doi.org/10.14739/2310-1210.2018.5.141541
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