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Feb 27, 2019

27th European Congress of Psychiatry

FIRST EPISODE PSYCHOSIS IN SCHIZOPHRENIA: INTERNALIZED STIGMA AND SOCIAL ADJUSTMENT. STUDY ON A NUMBER OF PATIENTS OF THE OMSK REGION (RUSSIA)

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stigma

internalized stigma

schizophrenia

fist episode psychosis

adjustment

Abstract

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Abstract

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Keywords

stigma

internalized stigma

schizophrenia

fist episode psychosis

adjustment

Abstract

Introduction The issue of treating patients with a first-episode psychosis in schizophrenia remains highly relevant for a long period of time. To sustain a proper level of social functioning, the rehabilitation measures are needed to be implemented at the early stages of the disease, when psychopathological processes retain their plasticity. The number of studies of internalized stigma in patients with a first episode psychosis in schizophrenia for the purposes of their social and clinical adjustment has been limited. Objective To study the specificity for patient adjustment with a first episode psychosis in schizophrenia, taking into consideration the intensity of self-stigma for the follow-on elaboration of individual psychosocial rehabilitation programs. Methods The study was carried out on a number of 134 patients with a first episode of psychosis in schizophrenia. The diagnosis of schizophrenia was established based on the criteria of the International Classification of Diseases 10th Edition (ICD-10). Adaptation of patients summing up of one of 7 levels of social and clinical adjustment was investigated. The levels 1 to 4 were considered compensated, and the levels 5 to 7 were decompensated. The ISMI scale has been used as a measure of self-stigma (internalized stigma). Kolmogorov-Smirnov Test and Shapiro-Wilk Test have been applied to explore the distribution of values of the quantitative variables. Results During the study the patients corresponding to four types of adaptation were distributed into 4 groups: integrative (83.5%, n = 112), destructive (4.5%, n = 6), extravert (4.5%, n = 6) and introvert (7.5%, n = 10). Decompensated levels of social adaptation coincided to destructive and introvert types. The highest level of self-stigma was detected in these groups in comparison with others (p <0.01). Conclusion Findings of the study point to the importance of interrelation between self-stigma and social adjustment, then with the clinical levels of adjustment that the data of contemporary studies have confirmed. Amid the groups of patients with different types of adjustment the stigma level is significantly different in each group. The data obtained allowed to develop new forms of rehabilitation programs for patients with a first episode of psychosis in schizophrenia based on the organization of destigma measures.

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© Copyright 2019 Morressier GmbH.
All rights reserved.