Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia
Introduction Long-term schizophrenia, even in remission, is necessarily accompanied by residual symptoms that may be quite pronounced and may significantly affect many aspects of the patient’s life, requiring exploration of specific therapeutic approaches. The alleviation of residual symptoms is an...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2023-03-01
|
| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823023192/type/journal_article |
| _version_ | 1827754343190757376 |
|---|---|
| author | V. Mitikhin M. Kuzminova |
| author_facet | V. Mitikhin M. Kuzminova |
| author_sort | V. Mitikhin |
| collection | DOAJ |
| description |
Introduction
Long-term schizophrenia, even in remission, is necessarily accompanied by residual symptoms that may be quite pronounced and may significantly affect many aspects of the patient’s life, requiring exploration of specific therapeutic approaches. The alleviation of residual symptoms is an important factor in the patient’s better adjustment.
Objectives
Assessment and study clinical characteristics long-term schizophrenia.
Methods
Clinical, statistical, psychometric. A total of 90 patients, mean age 66,6±13,3 years, 26 males, 64 females were examined.
Results
Negative symptoms were predominant in patients with long-term schizophrenia (17,8±6,7). It was represented by: abstract thinking disorders (2,8±1,0), stereotyped thinking (2,7±1,1), passive-apathetic social isolation (2,6±1,2), avolition (2,6±0,8), flattening of affect (2,5±0,8). It manifested as lack of expressiveness in facial expressions and gestures, deficit of communicative gestures as well as emotional indifference (2,4±1,1), limitation of contacts with people, and spontaneous and fluent speech impairments. Positive symptoms were rare, mainly represented by suspiciousness (2,2±1,2), sometimes rising to delirium (1,8±1,4). Conceptual disorganization was detected in 1,9±0,7. Agitation and aggression were generally not characteristic of those surveyed. Depression/anxiety was quite pronounced in patients with long-term schizophrenia. Depression (1,8±0,8) was represented by low mood, hopelessness and loss of social interests. Anxiety (2,9±1,2) was even more prominent and predominant amongst all symptoms.
Conclusions
The authors expanded our understanding of the clinical characteristics of residual symptoms of long-term schizophrenia to allow timely identification and provision of medical and rehabilitative care.
Disclosure of Interest
None Declared |
| first_indexed | 2024-03-11T07:47:40Z |
| format | Article |
| id | doaj.art-db8f322669fa4f4faa2bfdbe624294e2 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:47:40Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-db8f322669fa4f4faa2bfdbe624294e22023-11-17T05:07:19ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S1092S109210.1192/j.eurpsy.2023.2319Clinico-psychopathological characteristics of patients with residual states in long-term schizophreniaV. Mitikhin0M. Kuzminova1Department of Mental Health Support Systems Research Centre, Mental Health Research Centre, Moscow, Russian FederationDepartment of Mental Health Support Systems Research Centre, Mental Health Research Centre, Moscow, Russian Federation Introduction Long-term schizophrenia, even in remission, is necessarily accompanied by residual symptoms that may be quite pronounced and may significantly affect many aspects of the patient’s life, requiring exploration of specific therapeutic approaches. The alleviation of residual symptoms is an important factor in the patient’s better adjustment. Objectives Assessment and study clinical characteristics long-term schizophrenia. Methods Clinical, statistical, psychometric. A total of 90 patients, mean age 66,6±13,3 years, 26 males, 64 females were examined. Results Negative symptoms were predominant in patients with long-term schizophrenia (17,8±6,7). It was represented by: abstract thinking disorders (2,8±1,0), stereotyped thinking (2,7±1,1), passive-apathetic social isolation (2,6±1,2), avolition (2,6±0,8), flattening of affect (2,5±0,8). It manifested as lack of expressiveness in facial expressions and gestures, deficit of communicative gestures as well as emotional indifference (2,4±1,1), limitation of contacts with people, and spontaneous and fluent speech impairments. Positive symptoms were rare, mainly represented by suspiciousness (2,2±1,2), sometimes rising to delirium (1,8±1,4). Conceptual disorganization was detected in 1,9±0,7. Agitation and aggression were generally not characteristic of those surveyed. Depression/anxiety was quite pronounced in patients with long-term schizophrenia. Depression (1,8±0,8) was represented by low mood, hopelessness and loss of social interests. Anxiety (2,9±1,2) was even more prominent and predominant amongst all symptoms. Conclusions The authors expanded our understanding of the clinical characteristics of residual symptoms of long-term schizophrenia to allow timely identification and provision of medical and rehabilitative care. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823023192/type/journal_article |
| spellingShingle | V. Mitikhin M. Kuzminova Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia European Psychiatry |
| title | Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia |
| title_full | Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia |
| title_fullStr | Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia |
| title_full_unstemmed | Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia |
| title_short | Clinico-psychopathological characteristics of patients with residual states in long-term schizophrenia |
| title_sort | clinico psychopathological characteristics of patients with residual states in long term schizophrenia |
| url | https://www.cambridge.org/core/product/identifier/S0924933823023192/type/journal_article |
| work_keys_str_mv | AT vmitikhin clinicopsychopathologicalcharacteristicsofpatientswithresidualstatesinlongtermschizophrenia AT mkuzminova clinicopsychopathologicalcharacteristicsofpatientswithresidualstatesinlongtermschizophrenia |