Kydon P. V.
CLINICAL, DYNAMIC AND PATHOPSYCHOLOGICAL FEATURES OF PFROPFSCHIZOPHRENIA IN MODERN CONDITIONS
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About the author:
Kydon P. V.
Heading:
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Scientific article
Annotation:
Pfropfschizophrenia is a schizophrenic psychosis that occurs in a patient with mental retardation. The study aimed to investigate the clinical, dynamic and pathopsychological features of pfropfschizophrenia in modern conditions. A total of 39 patients were examined. To achieve this goal, the following methods were used: clinical and anamnestic, clinical and psychopathological, experimental psychological (questionnaire to determine the internal picture of the disease), psychometric (Wechsler test to determine the level of intellectual development) and statistical. The study revealed the following features of pfropfschizophrenia. The majority of patients do not have a history of neuropsychiatric diseases. The reason for the first hospitalisation in a psychiatric hospital was mainly intellectual deficit. 77% of patients were diagnosed with mild mental retardation (F70) during their first hospitalisation. Schizophrenic symptoms, which appeared on average after 8.7 years, debuted in 85% of patients with hallucinatory and delusional disorders. The diagnosis of Pfropfschizophrenia (F20.8) was also confirmed by an experimental psychological study, which revealed both organic and endogenous symptom complexes in patients. In all patients, the intellectual deficit corresponded to mild mental retardation, which was classified as undifferentiated. The average IQ, according to the Wechsler test, was 62.8±5.3. All patients were diagnosed with a paranoid form of pfropfschizophrenia. The leading psychotic syndrome was hallucinatory-paranoid. A personality defect was observed in 77% of cases, mainly of the apathetic-abulic type. Most patients had an anosognostic type of internal picture of the disease. 76% of the subjects did not abuse alcohol or take drugs. According to our study, pfropfschizophrenia does not belong to the treatment-resistant conditions.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2024 Issue 2, 173, 235-240 pages, index UDC 616.895.8-06-07
