Psychopathological Features of Remission Formation after a First Psychotic Episode in Adolescence
https://doi.org/10.30629/2618-6667-2019-17-4-57-64
Abstract
Aims of the study: the identification the clinical, features and pathogenetic patterns of remission formation after a first psychotic episode in adolescence, the development of prediction criteria for the future course of the disease.
Patients: 56 male patients aged 16-25 years who have had a manifest endogenous psychotic attack that meets the criteria of schizophrenia (F20) or schizoaffective psychosis (F 25) according to ICD-10. Methods: psychopathological, dynamic observation (observation time up to 3 years).
Results: three stages of remission formation after suffering a first psychotic attack in adolescence were highlighted: (1) reduction and modification of the leading psychotic symptoms; (2) stabilization of mental functions; (3) the stage of reintegration of mental functions. A prospective study allowed us to identify four variants of stabilization of mental functions. It was found that the proportion of patients with established remission was 77%.
Conclusion: the most significant predictive phenomena are postpsychotic depression, residual psychopathological symptoms, pseudoneurotic and deficitaire disorders.
About the Author
D. V. Tikhonov
FSBSI Mental Health Research Centre
Russian Federation
Russian Federation
Denis V. Tikhonov – Researcher.
MoscowReferences
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For citations:
Tikhonov D.V. Psychopathological Features of Remission Formation after a First Psychotic Episode in Adolescence. Psychiatry (Moscow) (Psikhiatriya). 2019;17(4):57-64. (In Russ.) https://doi.org/10.30629/2618-6667-2019-17-4-57-64
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