Ponad 7000 publikacji medycznych!
Statystyki za 2021 rok:
odsłony: 8 805 378
Artykuły w Czytelni Medycznej o SARS-CoV-2/Covid-19

Poniżej zamieściliśmy fragment artykułu. Informacja nt. dostępu do pełnej treści artykułu tutaj
© Borgis - New Medicine 3/2010, s. 92-93
*Ewa Ogłodek, Aleksander Araszkiewicz
The First Episode of Schizophrenia
Chair and Clinic of Psychiatry of the Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, Poland
Head of Clinic: Prof. Aleksander Araszkiewicz, MD, PhD
Summary
Schizophrenia is a mental disease which usually affects young people. More than half of cases begin before the age of 25. The first episode of schizophrenia is a difficult time for a patient and his family. During this period patients experience personality breakdown, their youthful ideals collapse, their dreams face reality. Sudden appearance of hallucinations causes alienation from society. A person diagnosed with schizophrenia may experience hallucinations, delusions and disorganized thinking and speech. The latter may range from loss of train of thought, to sentences only loosely connected in meaning, to incoherence known as word salad in severe cases. There is often an observable pattern of emotional difficulty, for example lack of responsiveness or motivation. During their first episode of schizophrenia patients need specific services that provide rapid and easy access to specialist assessments, swift initiation of treatment in a setting which does not have stigma attached to it, and comprehensive psychosocial interventions and support. The purpose of this study is to present the clinical picture, pathogenesis and ways of treatment of schizophrenia including its first episode. Currently in Poland and worldwide there is a trend to start treatment at the early stage of the disease and to put strong emphasis on breaking down barriers between sane people and those suffering from schizophrenia.
The term "schizophrenia" was introduced in 1911 by the Swiss psychiatrist Eugen Bleuler, pointing out that it covers a group of disorders of common characteristics, called axial symptoms, which occur in every case of schizophrenia. These symptoms, according to Bleuler, include: formal thinking disorders, affective disorders, ambivalence and autism (1, 2, 3). To diagnose schizophrenia using the ICD-10 classification, one has to observe for a month at least one of the typical symptoms: thought echo, imposition and taking away thoughts, as well as revealing thoughts; delusions of influence, impact or capture, delusional observations; commenting hallucination voices, pseudo-hallucinations discussing with one another; fixed delusions of other type, the content of which is bizarre, namely not adjusted culturally and completely unreal, or at least two of the following: fixed hallucinations, if accompanied by delusions or fixed hyperquantivalent thoughts; dissociation or failure to adjust statements, neologisms; catatonic behaviour; "negative" symptoms; significant, consistent and wide-ranging change of behaviour. In addition, after diagnosing the symptoms one has to make sure that they are not only the effect of mood disorders or determined by somatic factors (4, 5).
Epidemiology of schizophrenia
Schizophrenia can be considered as a social disease since it occurs relatively often. 400 000 Poles, i.e. 1% of the population, suffer from it. Incidence, dissemination and even intensification of schizophrenia are higher in cities than villages. Most commonly it affects people between puberty and full maturity, namely between 15 and 30 years of age. Death rate among people with schizophrenia is twice as high as in the general population. It is to a large extent associated with unnatural causes of death, first of all suicide (6, 7, 8).
Aetiology of schizophrenia

Powyżej zamieściliśmy fragment artykułu, do którego możesz uzyskać pełny dostęp.
Mam kod dostępu
  • Aby uzyskać płatny dostęp do pełnej treści powyższego artykułu albo wszystkich artykułów (w zależności od wybranej opcji), należy wprowadzić kod.
  • Wprowadzając kod, akceptują Państwo treść Regulaminu oraz potwierdzają zapoznanie się z nim.
  • Aby kupić kod proszę skorzystać z jednej z poniższych opcji.

Opcja #1

19

Wybieram
  • dostęp do tego artykułu
  • dostęp na 7 dni

uzyskany kod musi być wprowadzony na stronie artykułu, do którego został wykupiony

Opcja #2

49

Wybieram
  • dostęp do tego i pozostałych ponad 7000 artykułów
  • dostęp na 30 dni
  • najpopularniejsza opcja

Opcja #3

119

Wybieram
  • dostęp do tego i pozostałych ponad 7000 artykułów
  • dostęp na 90 dni
  • oszczędzasz 28 zł
Piśmiennictwo
1. Schennach-Wolff R et al.: An early improvement threshold to predict response and remission in first-episode schizophrenia. Br J Psychiatry 2010; 196(6): 460-6. 2. Murphy BP: Beyond the first episode: candidate factors for a risk prediction model of schizophrenia. Int Rev Psychiatry 2010; 22(2): 202-23. 3. Agius M et al.: The staging model in schizophrenia, and its clinical implications. Psychiatr Danub 2010; 22(2): 211-20. 4. Meister K et al.: Dual diagnosis psychosis and substance use disorders in adolescents - part 1. Fortschr Neurol Psychiatr 2010; 78(2): 81-89. 5. Romm KL et al.: Depression and depressive symptoms in first episode psychosis. J Nerv Ment Dis 2010; 198(1): 67-71. 6. Puri BK: Progressive structural brain changes in schizophrenia. Expert Rev Neurother 2010; 10(1): 33-42. 7. Becker HE et al.: Verbal fluency as a possible predictor for psychosis. Eur Psychiatry 2010; 25(2): 105-10. 8. Falcone T et al.: Suicidal behavior in adolescents with first-episode psychosis. Clin Schizophr Relat Psychoses 2010; 4(1): 34-40. 9. Passerieux C, Caroli F, Giraud-Baro E: Persons suffering from schizophrenia and relapses. Encephale 2009; 35(6): 586-94. 10. Roesch-Ely D et al.: Context representation and thought disorder in schizophrenia. Psychopathology 2010; 43(5): 275-84. 11. van Veelen NM et al.: Left dorsolateral prefrontal cortex dysfunction in medication-naive schizophrenia. Schizophr Res 2010; 123(1): 22-9. 12. Romano DM et al.: Reshaping an enduring sense of self: the process of recovery from a first episode of schizophrenia. Early Interv Psychiatry 2010; 4(3): 243-50. 13. Montreuil T et al.: Social cognitive markers of short-term clinical outcome in first-episode psychosis. Clin Schizophr Relat Psychoses 2010; 4(2): 105-14. 14. Agius M et al.: The staging model in schizophrenia, and its clinical implications. Psychiatr Danub 2010; 22(2): 211-20. 15. Luck D et al.: Disrupted integrity of the fornix in first-episode schizophrenia. Schizophr Res 2010; 119(1-3): 61-4. 16. Schultz CC et al.: Increased parahippocampal and lingual gyrification in first-episode schizophrenia. Schizophr Res 2010; 123(2-3): 137-44. 17. Franz L et al.: Stigma and treatment delay in first-episode psychosis: a grounded theory study. Early Interv Psychiatry 2010; 4(1): 47-56. 18. Jahshan C et al.: Course of neurocognitive deficits in the prodrome and first episode of schizophrenia. Neuropsychology 2010; 24(1): 109-20. 19. Shrivastava A et al.: Persistent suicide risk in clinically improved schizophrenia patients: challenge of the suicidal dimension. Neuropsychiatr Dis Treat 2010; 6: 633-8. 20. Andreasen NC: The lifetime trajectory of schizophrenia and the concept of neurodevelopment. Dialogues Clin Neurosci 2010; 12(3): 409-15.
otrzymano: 2010-08-25
zaakceptowano do druku: 2010-09-15

Adres do korespondencji:
*Ewa Ogłodek
Katedra Psychiatrii
19 Kurpińskiego Str., 85-094 Bydgoszcz
phone: +48 52 585 42 60, 585 42 68
fax: +48 52 585 37 66
e-mail: maxeve@interia.pl

New Medicine 3/2010
Strona internetowa czasopisma New Medicine