内源性精神病发作性病程的临床、系统、诊断和病理病理学的现代科学观点(文献综述)

В. Л. Підлубний, Микола Хоміцький
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摘要

研究的目的。通过文献研究,探讨内源性发作性精神病的临床、系统、诊断和病理病理学的现代科学观点。结果。对文献的分析表明,内源性精神病的诊断和分类方法具有发作性病程,主要集中在疾病恶化的多态和可变症状上。这导致诊断错误,维持治疗预约错误,依从性恶化,患者社会适应不良进一步加深。拒绝在疾病分类学方法的基础上发展发病机制将不可避免地导致治疗和康复方法水平的倒退——从埃塞俄比亚病因到症状性。结论。因此,目前,诊断技术的重要性在于评估和区分内源性精神病缓解期疾病的持续症状,并与病理病理学转变有关。对这种多成分精神病理症状的研究和正确的诊断评估,可以评估特定临床病例的病理性关联,并确定必要的药理学和社会康复效果,以纠正现有的病理人格转变,防止内源性精神病的恶化。
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MODERN SCIENTIFIC VIEWS ON THE CLINIC, SYSTEMATICS, DIAGNOSIS AND PATHOPERSONALOGY OF ENDOGENOUS PSYCHOSIS WITH EPISODIC COURSE (LITERATURE RIVIEW)
The aim of the study. To study the literature in order to identify modern scientific views on the clinic, systematics, diagnosis and pathopersonalogy of endogenous psychoses with episodic course. Results. The analysis of the literature shows that the diagnostic and classification approaches of endogenous psychoses with episodic course, are focused on polymorphic and variable symptoms of exacerbation of the disease. This leads to diagnostic mistakes, errors in the appointment of maintenance therapy, deterioration of compliance and further deepening of social maladaptation of patients. Refusal to develop the mechanisms of pathogenesis on the basis of the nosological approach will inevitably lead to a regression of the level of treatment and rehabilitation approaches - from ethiopathogenetic to symptomatic. Conclusions. Thus, at present, the importance of diagnostic techniques aimed at assessing and differentiating persistent symptoms of the disease in the period of remission of endogenous psychoses and relate to pathopersonalogical transformations. Research and correct diagnostic assessment of this multicomponent cluster of psychopathological symptoms allows to assess the nosological affiliation of a particular clinical case and to determine the necessary pharmacological and social rehabilitation effects in order to correct existing pathopersonalogical transformations and prevent exacerbation of endogenous psychosis.
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