Международная научно
-
практическая конференция
Современные тенденции в психиатрии и медицинской
психологии: интегрированный подход к социальной
психиатрии, лечению аддикций и повышению комплаенса –
II
87
PSYCHOTHERAPY IN ADOLESCENTS WITH PARANOID
SCHIZOPHRENIA
T.F. Sattarov
Tashkent Pediatric Medical Institute
Tashkent, Republic of Uzbekistan
Introduction
The relevance of the problem of studying eating disorders in the adolescent
population with paranoid schizophrenia is one of the most important tasks of
practical health care. In the literature, there are very few scientific works on
digestive disorders in the adolescent population, and they mainly investigate the
clinical manifestations of this phenomenon, without focusing on gender
differences and the peculiarity of clinical differences in the syndromological
aspect. The effectiveness of psychotherapeutic intervention in the adolescent
population with paranoid schizophrenia comorbid with eating disorders remains
a debatable issue in practical psychiatry to this day. In pubertal patients, the
presence of depressive symptoms provokes the formation of suicidal tendencies.
The purpose of the study
was to examine the effectiveness of art therapy
in the adolescent population with digestive disorders occurring in the clinical
picture of paranoid schizophrenia to improve medical and psychological care for
this group of patients.
Materials and methods
37 adolescents with paranoid schizophrenia who were hospitalized in a
psychiatric hospital were included in the study. All examined patients underwent
psycho-correctional work in the form of group sessions of art therapy (coloring
with watercolor stencils, applications with grains of rice, buckwheat, mung bean,
beans, lentils) in combination with rational psychotherapy and music therapy.
Results
37 adolescents were examined, 65% were diagnosed with paranoid
schizophrenia with a continuous type of course F-20.00, 35% of the examined
patients had paranoid schizophrenia with an episodic type of course F-20.01. We
have experimented with the use of art therapy using anti-stress coloring stencils
"Food". Before art therapy, all the examined patients had a level of severity of
depressive symptoms. Art therapy sessions were conducted by clinical and
medical psychologists in closed departments of the city clinical hospital in
Tashkent with a frequency of three times a week, lasting 45-60 minutes, during
three months of observation of patients. Most of the male patients were happy to
complete the tasks of the psychotherapist, mostly using bright, warm colors
during art therapy. Male patients, in most cases, preferred to paint stencils of meat
Международная научно
-
практическая конференция
Современные тенденции в психиатрии и медицинской
психологии: интегрированный подход к социальной
психиатрии, лечению аддикций и повышению комплаенса –
II
88
products, fast food, and the use of natural shades of the watercolor and gouache
paint palette was observed. Unlike female patients, men rarely used mosaics,
appliqué, and decoration of pattern stencils with beads in an art therapy session.
These studies allow optimizing a comprehensive approach to the treatment of
digestive disorders in patients with paranoid schizophrenia, reducing the number
of hospitalizations, prolonging remission periods, and preventing possible
somatic complications.
Conclusions
The use of integrative methods of psychotherapy for patients with paranoid
schizophrenia, taking into account gender differences in psychiatric hospitals, will
help to optimize the rehabilitation of patients with eating disorders, reduce the
number of hospitalizations, and maximize the remission period.
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Международная научно
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практическая конференция
Современные тенденции в психиатрии и медицинской
психологии: интегрированный подход к социальной
психиатрии, лечению аддикций и повышению комплаенса –
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