Social adaptive potential of mentally ill patients with concomitant pathology

Abstract

The paper presents the results of research devoted to determination of social-adaptive potential of schizophrenic patients with concomitant somatic pathology by analyzing the parameters of socio-personal functioning, quality of life and compliance. The analysis of social and personal functioning of patients was carried out according to the results of the PSP scale (Personal and Social Performance Scale), which allowed to assess the social status of patients and their functioning in certain areas of life.

The quality of life of patients with schizophrenia in the surveyed groups was assessed using the results of the health questionnaire The 36-Item Short Form Survey (SF-36). According to the results of the research, it was found that when schizophrenia is combined with somatic disorders, there is a decrease in the level of socio-personal functioning, quality of life and compliance of patients. The social and personal functioning of patients with schizophrenia in its combination with somatic disorders was especially complicated in the areas of socially useful activities and self-care (in schizophrenia with obesity) and in the field of social relations and restless/aggressive patterns of behavior (in schizophrenia with DM 2).

According to the assessment of quality of life in certain areas, it was found that in patients with schizophrenia with CVD and obesity, there was a decrease in physical functioning and limitation of daily functioning due to physical condition, as well as mental depression (the presence of severe depression and anxiety); in patients with schizophrenia with DM 2 - a decrease in daily functioning, due to emotional state; and in patients with obesity - also a decrease in social functioning; and a general decline in general health that was common to all patients with somatic disorders. The decrease in the level of compliance of patients with schizophrenia with somatic disorders was due to insufficient formation of factors related to the patient (perception and awareness of the disease, features and severity of symptoms, relapses, features of social functioning and adaptation) and attitudes towards treatment. According to the data obtained, the most dangerous in focus of social functioning it was the combination of schizophrenia with obesity.

The results of the study show that the combination of schizophrenia with somatic diseases is associated with a decrease in social functioning, quality of life and compliance with patients, which leads to a negative social prognosis and requires the attention of clinicians.