Clinical and psychopathological features of the course and outcome of the first psychotic episode
DOI:
https://doi.org/10.12775/JEHS.2023.48.01.020Keywords
firstpsychotic episode, clinical-anamnestic, clinical-psychopathological, clinical-dynamic featuresAbstract
The article presents the results of the study of the clinical-anamnestic, clinical-psychopathological and clinical-dynamic features ofthefirst psychotic episode (FPE), taking into account the nosological specificity. It was determined that FPE (F20) is characterized by an early onset and significant duration of the prodrome (more than 3 years), the presence in the clinical picture of a moderate level of negative symptoms (apato-abulous symptoms, manifestations of flattening and rigidity of affect and austic tendencies). FPE (F23) defines the shortest (up to 3 months) prodromal period, the presence in the clinical picture of excitement and anxiety of a high and moderate level, disorganization and physical tension. FPE (F25) is characterized by a rather long prodrome (from 3 months) with manifestations in the form of emotional disorders, the presence in the clinical picture of pronounced symptoms of excitement, depression, anxiety, physical tension and impulsivity, negative symptoms in the form of apatho-abolic manifestations and anhedonia - asociality. According to indicators of the dynamics of the condition of patients with FPE, an unfavorable prognosis for recovery at F20 was determined.
References
Cheng S.C., Schepp K.G. Early Intervention in Schizophrenia: A Literature Review. Archives of Psychiatric Nursing. - 2016. - 30 (6). - p. 774 - 781.
The impact of causal explanations on outcome in people experiencing psychosis: a systematic review / L. Carter, J. Read, M. Pyle et al.// Clinical Psychology and Psychotherapy. - 2017. - 24. - p. 332-47.
Early intervention in psychosis (new diagnostic and therapeutic paradigms) / ed: Voloshyn P.V., Maruta N.O. - Kharkiv: Strokov D.V. - 2019. - 335 p.
The first episode of psychosis: possibilities of early intervention (based on the report of prof. Maruta N.O.). Thematic issue “Neurology. Psychiatry. Psychotherapy” nr. 3 (66) 2023. Based on the materials of the Scientific and Practical Conference “Mental and Psychological Disorders during the War: Treatment and Rehabilitation” (May 24-25, 2023) / https://health-ua.com/article/73934-pershij-epzod-psihozu--mozhlivost-rannogo-vtruchannya//
BlazhevychYu.A. Relapse rate and dynamics of clinical presentation of psychoses after the first psychotic episode according to the data of a cathamnestic study // Ukrainian Journal of Psychoneurology. 2017. Vol. 25, issue 1 (90). P. 116. 12.
Mosolov S.N. Scales of psychometric assessment of schizophrenia symptoms and the concept of positive and negative disorders / S.N. Mosolov // Moscow - 2001. - 238p.
Andreasen N.C. The scale for the assessment of negative symptoms (SANS): conceptual and theoretical foundations. British Journal of Psychiatry. – 1989. - 155(S7). – р. 49-52
The Brief Psychiatric Rating Scale (BPRS): Recent developments in ascertainment and scaling / J. E. Overall, D. R. Gorham // Psychopharmacology Bulletin. - 1988. - 24(1). – р. 97–99.
The clinical global impressions scale: applying a research tool in clinical practice/ Busner J., Targum S.D. // Psychiatry (Edgmont). - 2007. - №4(7). - Р. 28-37.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 V. Kosovsky
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 368
Number of citations: 0
