Dynamics of clinical features of schizoid personality disorder first diagnosed in military age
- Authors: Grigoryeva E.A.1, Lisauskene O.V.2, Abritalin E.Y.3,4, Kolchev A.I.3
-
Affiliations:
- Yaroslavl State Medical University
- Yaroslavl Regional Psychiatric Hospital
- Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 23, No 4 (2021)
- Pages: 113-120
- Section: Clinical trials
- URL: https://journals.rcsi.science/1682-7392/article/view/79265
- DOI: https://doi.org/10.17816/brmma79265
- ID: 79265
Cite item
Abstract
The dynamics of the schizoid personality disorder of 45 conscripts recognized as unfit or partially fit for the military service was investigated. Anamnesis was studied, the severity of the mental disorders and the quality of social adaptation at the time of the call and over the next five years were assessed. Two types of the schizoid personality disorder have been identified: expansive and sensitive. For recruits with a predominance of the sensitive traits (32 (71.11%) people) were characterized by: formally intact intelligence, high level of education, isolation, disinterest in establishing, or maintaining close friendships, difficulties in the social interaction with strangers, avoidance of sexual contacts. Those surveyed with expansive character traits (13 (28.89%) people) were distinguished by a lower intellectual level, decisiveness, high capacity for work, egocentricity; relations with others were distinguished by the formality and an inability to empathize. Both groups were united by the features such as: social isolation, discomfort when communicating with people, inability to form emotional ties with others, underdeveloped empathy, detachment from the real goals, and turning to the sphere of inner experiences. Follow-up analysis in 5-year dynamics showed that the main psychopathological manifestations of the sensitive and expansive types (excessive sensitivity and asthenic affect, emotional coldness and stenic affect) are smoothed out, but they are complicated by the other additional symptoms (originality of hobbies, subjectivism of thinking, weakening of the activity of the mental processes, addictive manifestations) ... A distinct decrease in the level of general functioning in some patients may indicate a possible adverse pathomorphosis: schizoid personality disorder — schizotypal personality disorder — schizotypal disorder. The study indicates the feasibility of developing the therapeutic measures (pharmacological, psychocorrectional, social rehabilitation) in relation to the young patients suffering from schizoid personality disorder due to the further complication of the psychopathological picture, and the appearance of signs of an endogenous process in the several patients.
Full Text
##article.viewOnOriginalSite##About the authors
Elena A. Grigoryeva
Yaroslavl State Medical University
Author for correspondence.
Email: vmeda-nio@mil.ru
SPIN-code: 8294-4308
doctor of medical sciences, professor
Russian Federation, YaroslavlOlga V. Lisauskene
Yaroslavl Regional Psychiatric Hospital
Email: vmeda-nio@mil.ru
psychiatrist
Russian Federation, YaroslavlEvgeny Y. Abritalin
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation; North-Western State Medical University named after I.I. Mechnikov
Email: vmeda-nio@mil.ru
ORCID iD: 0000-0001-9239-2221
SPIN-code: 6886-0304
doctor of medical sciences, professor
Russian Federation, Saint PetersburgAlexander I. Kolchev
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Email: vmeda-nio@mil.ru
SPIN-code: 4128-7377
doctor of medical sciences, professor
Russian Federation, Saint PetersburgReferences
- Shamrey VK. The mental health of servicemen is considered as one of the factors of the combat readiness of the armed forces and national security of Russia today. Doktor.Ru. 2018;1(145):4–5. (In Russ.).
- Borisova D.Yu. Social adaptation of adolescents with schizoid personality disorder. [dissertation]. Moscow; 2007. (In Russ.).
- Nechiporenko VV, Shelepova EV. Znachimost' psihotravmirujushhih faktorov v razvitii pogranichnyh psihicheskih rasstrojstv u voennosluzhashhih srochnoj sluzhby. 1995(1):57–58. Military Medical Journal. 1995;1:57–58. (In Russ.).
- Bukharov VG, Semin IR. Comparative analysis of personality disorders (psychopathies) diagnostics among conscripts in 1998 and 2003. Siberian Herald of Psychiatry and Addiction Psychiatry. 2014;(4):27. (In Russ.).
- Shamrey VK, Marchenko AA, Kurasov ES, et al. Prospects for objective monitoring and forecasting of the servicemen mental health. Doktor.Ru. 2018;(1):27–33. (In Russ.).
- Sitchikhin PV, Belichenko VV. The structure of mental disorders among the conscript contingent in Krasnodar. Kubanskiy meditsinskiy vestnik. 2014;4:103–106. (In Russ.). doi: 10.25207/1608-6228-2014-4-103-106
- Smulevich AB. Rasstrojstva lichnosti. Moscow: Meditsinskoye informatsionnoye agentstvo; 2012. (In Russ.).
- Aleksandrovsky AYu. Pogranichnaja psihiatrija. Moscow: RLS; 2006. 1280 p. (In Russ.).
- Marchenko AA. Katamnez lic, uvolennyh iz vooruzhennyh sil s pogranichnymi psihicheskimi rasstrojstvami. [dissertation]. Saint Petersburg; 2003. 215 c. (In Russ.).
- Behtereva NP. Nejrofiziologicheskie aspekty psihicheskoj dejatel'nosti cheloveka. Leningrad: Medicina; 1971. 152 p.
- Behtereva NP. Zdorovyj i bol'noj mozg cheloveka. Leningrad: Nauka; 1980. 208 p.
- Kocjubinskij AP. Mnogomernaja (holestichekaja) diagnostika v psihiatrii (biologichekij, psihologicheskij, social'nyj i funkcional'nyj diagnozy). Saint Petersburg: SpecLit; 2017. 285 p.