Longitudinal studies of early-onset disorders of the schizophrenic spectrum
Abstract
Long-term observations of patients in child/adolescent clinical and social psychiatry contribute to solving problems of diagnosis, treatment and rehabilitation of this contingent of patients.
Purpose of the review was to present according to scientific publications the historical view and the current state of the problem of clinical and social consequences of childhood and adolescent disorders of the schizophrenic spectrum (DSS), information on the course of which was obtained throughlong follow-up of patients.
Material and method. The analysis of the published researches devoted to thelong tracing of the patients who fell ill with DSS in the childhood-adolescence is carried out.
Results. It is shown that early debuting DSS areless benign than adults. Researchers recognize that patients who became ill in childhood are a special clinically defined group Having reached adulthood they demonstrate a partial or total unformed age social skills, intellectual failure, underdeveloped personality. Their aduttlife is characterized by a reduced level of social functioning. The severity of childhood schizophrenia and DSS is evidenced by a high percentage of children who remain disabled after reaching adulthood.
Conclusions. Studying the clinical and social consequences of children's and adolescent forms of RCS is an actual problem, longitudinal studies are one of the most accurate tools for developing these issues.
About the Author
O. P. ShmakovaRussian Federation
Shmakova Olga P. - candidate of medical sciences MD.
Moscow.
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Review
For citations:
Shmakova O.P. Longitudinal studies of early-onset disorders of the schizophrenic spectrum. Psychiatry (Moscow) (Psikhiatriya). 2018;(78):116-126. (In Russ.)