FEATURES OF MODERN GENDER DIFFERENTIATION OF PARANOID SCHIZOPHRENIA
DOI:
https://doi.org/10.11603/1811-2471.2019.v0.i1.10068Keywords:
paranoid schizophrenia, gender differentiationAbstract
This article analyzes the clinical and medical history, clinical and psychopathological features of paranoid schizophrenia, taking into account the gender factor.
The aim of the study – to learn the characteristics of modern gender differentiation of clinical and anamnestic, clinical and psychopathological features of the paranoid schizophrenia.
Material and Methods. A clinical anamnesis, clinical and psychopathological observation of 210 men and 210 women with paranoid schizophrenia using a rating PANSS scale was conducted.
Results and Discussion. It was established that the clinical pathomorphosis of depressive diseases on an important stage was characterized by a degree of asthenic symptomatology (79.9 % against 67.4 %, p<0.01), lack of concentration, and decision solving (71.4 % against 61.0 %, p<0.05) фтчшщгы symptomatology (81.0 % against 73.7 %, p<0.05), pessimism (80.4 % against 79.2 %, p<0.05), suicidal thoughts (70.4 % against 60.2 %, p<0.05), gastrointestinal symptoms (60.3 % against 51.7 %, p<0.05), negative symptoms and symptoms (93.1 % against 81.8 %, p<0.01), and decrease of manifestations in anhedonia (76.2 % against 84.3 %, p<0.05) and underestimated self-interest (80.5 % against 73.0 %, p<0.05). It was found that the intra-syndromological structure of depressive disorders at the present stage is characterized by a decrease in the prevalence of vital depression (from 56.8 % to 42.9 %, p<0.05) and anesthetic depression (from 25.8 % to 18.0 %, p<0.05) with an increase in the prevalence of apathy depression (24.3 % vs. 17.4 %, p<0.05), anxiety-phobic and hypochondria inclusions (56.1 % vs. 47.5 %, p<0.05)), insomnitic disturbances in the form of presmonic, intrasomnitic, post-semantic manifestations with the prevalence of the latter (93.1 % vs. 81.8 %, p<0.01), vegetative-somatic disorders and somatized manifestations in the form of heterogeneous polymorphic senestopathy (77.8 % versus 68.2 %, p<0.05), senesto-Alzheimer's syndrome (11.6 % vs. 6.4 %, p<0.05) and asthenic depression (79.9 % vs. 66.9 %, p<0.01), aged depression (38.6 % vs. 30.1 %, p<0.05) and depression with jumping ideas (28.0 % vs. 20.8 %, p<0.05).
Conclusions. Identified patterns are taken into account in the development of differentiated treatment regimens of paranoid schizophrenia.
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