[Clinico-epidemiologic characteristics of a contingent of chronic schizophrenic patients of the "new type"]. 1985

E D Krasik, and V F Smol'ianinova

Using clinico-epidemiological research methods, the authors have studied 260 schizophrenic patients in whom the disease was first manifested in the period when wide-scale combined rehabilitation programmes were under way. It has been demonstrated that the incidence of chronic schizophrenia shows no tendency to decrease despite the use of modern rehabilitation methods. Chronicity itself has become more variable in its manifestations; thus the population of "chronics" is mostly made up of young people. An analysis of the time-course of invalidization of schizophrenic patients in the first four years of the disease has indicated a clear-cut peak at the second year after the manifestation of the process. The findings obtained made it possible to describe a number of parameters of functioning of "chronic patients of a new type". It has been shown that these patients are young and characterized by a comparatively short duration of the disease, frequent rehospitalization, marked manifestations of social disadaptation in the presence of externally normal behaviour due to rapid incapsulation of the current symptomatology, formally intact familial ties and a high frequency of abnormal behavioural manifestations.

UI MeSH Term Description Entries
D008297 Male Males
D010359 Patient Readmission Subsequent admissions of a patient to a hospital or other health care institution for treatment. Hospital Readmission,Rehospitalization,Unplanned Hospital Readmissions,Unplanned Readmission,30 Day Readmission,Hospital Readmissions,Readmission, Hospital,Readmissions, Hospital,Thirty Day Readmission,30 Day Readmissions,Hospital Readmission, Unplanned,Hospital Readmissions, Unplanned,Readmission, Patient,Readmission, Thirty Day,Readmission, Unplanned,Rehospitalizations,Thirty Day Readmissions,Unplanned Hospital Readmission,Unplanned Readmissions
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012559 Schizophrenia A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior. Dementia Praecox,Schizophrenic Disorders,Disorder, Schizophrenic,Disorders, Schizophrenic,Schizophrenias,Schizophrenic Disorder
D012800 Siberia A region, north-central Asia, largely in Russia. It extends from the Ural Mountains to the Pacific Ocean and from the Arctic Ocean to central Kazakhstan and the borders of China and Mongolia. Russian S.F.S.R., Asian,Russian Federation (Asia)

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