Psychopathology structure of affective disturbances in patients with schizotypal disorder
Keywordsschizophrenia, schizotypal disorder, affective pathology, depression, comorbidity
The study of the structural features of the psychopathological symptomatology of schizophrenic spectrum disorders remains one of the most urgent topics in modern psychiatry; schizotypal disorder deserves special attention in this context. In order to identify the structural characteristics of affective disturbances in patients with schizotypal disorder, during 2019-2020, aprospective study of 128 patients with schizotypal disorder who were on outpatient treatment was conducted. By using clinical-anamnestic, clinical-psychopathological, psychodiagnostic and statistical methods it was revealed, that affective pathology has a significant prevalence among patients with schizotypal disorder, in the vast majority of cases it is represented by unipolar depressive symptoms, the intensity of which varies in a continuum from moderate severity of manifestations to their complete absence; in a quarter of cases affective psychopathological symptoms have a wider spectrum and reach hypomanic states; the prevalence of manic symptoms in the clinical picture lids to a partial elimination of the underlying disease symptoms; the psychopathological content of the affective sphere in one third of the examined patients with schizotypal disorder is represented by specific changes in the form of reduced affect display.
Zayakin, Yu. Yu., Tregubov, L. Z., Sedinina, N. S., Shivirev, N. A. (2011). Klinicheskiye osobennosti fenomenologicheski skhodnykh sostoyaniy pri nevroticheskikh i shizotipicheskikh rasstroystvakh [Clinical features of phenomenologically similar conditions in neurotic and schizotypal disorders]. Perm Medical Journal, 28 (5), 37–41.
Ivanova, L. A. (2020). Suitsidalnoye povedeniye pri shizofrenii I rasstroystvakh shizofrenicheskogo spektra [Suicidal behavior in schizophrenia and schizophrenic spectrum disorders]. Acta Biomedica Scientifica, 5 (1), 60–64.
Hummelen, B., Pedersen, G., Karterud, S. (2012). Some suggestions for the DSM-5 schizotypal personality disorder construct. Comprehensive psychiatry, 53(4), 341–349. https://doi.org/10.1016/j.comppsych.2011.05.009.
Martin, E. A., Cicero, D. C., Kerns, J. G. (2012). Social anhedonia, but not positive schizotypy, is associated with poor affective control. Personality disorders, 3(3), 263–272. https://doi.org/10.1037/a0024488.
Mohr, C., Claridge, G. (2015). Schizotypy – do not worry, it is not all worrisome. Schizophrenia bulletin, 41, (Suppl. 2), 436 – 443. https://doi.org/10.1093/schbul/sbu185.
Premkumar, P., Ettinger, U., Inchley-Mort, S., Sumich, A., Williams, S. C., Kuipers, E., Kumari, V. (2012). Neural processing of social rejection: the role of schizotypal personality traits. Human brain mapping, 33(3), 695–706. https://doi.org/10.1002/hbm.21243.
Raynal, P., Goutaudier, N., Nidetch, V., Chabrol, H. (2016). Typology of schizotypy in non-clinical young adults: Psychopathological and personality disorder traits correlates. Psychiatry research, 246, 182–187. https://doi.org/10.1016/j.psychres.2016.09.042.
How to Cite
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Number of views and downloads: 307
Number of citations: 0