Typology of Asthenic Disorders in Attack-Like Progressive Schizophrenia in Remission
https://doi.org/10.30629/2618-6667-2019-17-2-16-22
Abstract
The relevance of this study is defined by the absence of clear differential and diagnostic criteria of endogenous asthenia in modern systematics and classifications of mental illnesses which significantly complicates appropriate qualification, diagnostic understanding, preliminary assessment and therapy of these conditions.
The purpose of the study: the research of psychopathological characteristics of asthenic disorders in patients with attack — like progressive schizophrenia in remission.
Material and methods: 63 male patients aged 23–58 with attack — like progressive schizophrenia in remission (at least 6 months), with asthenic disorders prevailing in clinical picture, were examined. During the examination, the following methods were used: clinico-psychopathological, psychometric (with the use of scales PANSS, SANS, CDSS, VAS-A, MFI-20), statistical.
Results: based on the detailed analysis of asthenic symptomatology, its clinical heterogeneity in asthenic symptoms was revealed. It allowed to allocate two types of endogenous asthenia: affective-asthenic type (n = 22; 34,9%) and negative-asthenic type (n = 41;65,1%), which included two subtypes: the 1st subtype — negative-asthenic classical (n = 35; 55,6%), the 2nd subtype — negative-asthenic with overvalued hypochondriac ideas (n = 6; 9,5%).
Conclusions: The allocation of several types of asthenic disorders in remission in the course of endogenous process is significant in respect of syndrome-based diagnostic assessment and could serve as a factor enabling to specify the disease prognosis.
About the Author
A. V. Yakimets
FSI «Oryol Mental Health Facility with Intensive Care» Ministry of Public Health
Russian Federation
Anna V. Yakimets, psychiatrist
Russian Federation
Anna V. Yakimets, psychiatrist
References
1. Dimitrijevicz A. Schizoasthenia. Sarajevo, 1952.
2. Gilya-rovskii VA. Psikhiatriya. Rukovodstvo dlya vrachei i studentov. M.-L.: Biomedgiz; 1935. (In Russ.).
3. Glatzel J. Autochtone Asthenien. F. Neurol. Psychiat. 1972;8:596–619.
4. Olejchik I.V. Sindrom yunosheskoj astenicheskoj nesostoyatel'nosti. Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 1998;98(2):13–19. (In Russ.).
5. Gorchakova LN. Vyalotekushhaya shizofreniya s preobladaniem astenicheskikh rasstro-jstv. Zhurnal nevropatologii i psikhiatrii im. SS Korsa-kova. 1988;88(5):76–82. (In Russ.).
6. Morozov VM, Tarasov YuK. Some types of spontaneous remission in schizophrenia. Zhurnal nevropatologii i psikhiatrii im. S.S. Korsakova. 1951;20(4)44–47. (In Russ.).
7. Zenevich GV. Remissii pri shizofrenii. L.: Meditsina, 1964. (In Russ.).
8. Kotsyubinskii AP, Skorik AI, Aksenova IO i dr. Shizofreniya: uyaz-vimost' — diatez — stress —zabolevanie. SPb.: Gippokrat. 2004. (In Russ.).
9. Morozov VM. Clinic of re-mission in schizophrenia Psikhiatriya i psikhofarma-koterapiya im. P.B. Gannushkina. 2008;(5):5–12. (In Russ.).
10. GP Panteleeva, IV Olejchik, LI Abramova i dr. Clinical and pathopsychological aspects of forming negative disorders in remissions of shift-like schizophrenia treated with different generations of neuroleptics. Zhurnal nevrologii i psihiatrii im. Korsakova. 2015;11(2):62–69. http://dx.doi.org/10.17116/jnevro201511511262-69 (In Russ.).
11. Melekhov D.E. K probleme rezidual'nyh i defektnyh sostoyanij pri shizofrenii (v svyazi s zadachami klinicheskogo i so-cial'no-trudovogo prognoza). Zhurnal nevropatologii i psihiatrii im. S.S. Korsakova. 1981;(1):128–138. (In Russ.).
12. Ivanov MV, Neznanov NG. Negativnye i kognitivnye rasstrojstva pri endogennyh psihozah. SPB.: NIPNI im V.M. Bekh-tereva; 2008. (In Russ.).
13. Huber G. Reine Defectsyndrome und Basisstadien endogener Psychosen. Fortschr. Neurol. Psychiatr. 1966;(34):409–442.
14. Shter-nberg EYa. Chronic progressive asthenia. Zhur-nal nevropatologii i psikhiatrii im. S.S. Korsakova.1961;61(8):1268–1269. (In Russ.).
15. Vnukov V.A. O defekte pri shizofrenicheskom protsesse. V sb.: Trudy 2-go Vsesoyuznogo s"ezda psihiatrov i nevropatologov.M., 1937:466–470. (In Russ.).
16. Potapov AV, Dedyurina YuM, Ushakov YuV i dr. Remis-sions in schizophrenia: results of a population and pharmacotherapeutic study. Sotsial'naya i klinich-eskaya psikhiatriya. 2010;20(3):5–12. (In Russ.).
17. Ts'ona AG, Vlokh II, Danilenko YuM. Psikhopatologicheskaya kartina astenicheskogo sindroma i narusheniya nei-rokognitivnykh funktsionirovaniya pri paranoidnoi shizofrenii v stadii remissii. Ukrainskii Vestnik Psik-honevrologii. 2011,19:2(67):71–73. (In Ukr.).
18. Andreasen NC, Carpenter WT, Kane JM et al. Remission in schizophrenia: proposed criteria and rational for consensus. Psychiatry. 2005;162(3):441–449.
19. Frumkin YaP, Zavilyanskii IYa. O «printsipe sootvetstviya» v diagnostike psikhiches-kikh zabolevanii. V kn. Aktual'nye voprosy psikhonev-rologii. K.: Zdorov’ya; 1964:11–20. (In Russ.).
20. Barkhatova AN. Problems of definition of the concept «defect-symptoms» in schizophrenia. Psychiatry. 2014;02(62):72–83. (In Russ.).
21. Rannyaya diagnostika psikhich-eskikh zabolevanii. Pod red. Bleikhera VM, Voronko-va GL, Bazhina EF. K. Zdorov’ya; 1989. (In Russ.).
Review
For citations:
Yakimets A.V. Typology of Asthenic Disorders in Attack-Like Progressive Schizophrenia in Remission. Psychiatry (Moscow) (Psikhiatriya). 2019;17(2):16-22. (In Russ.) https://doi.org/10.30629/2618-6667-2019-17-2-16-22
Views:
1147
Email this article 
