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2339 – Relationship Between Compliance And Abdominal Obesity In Patients With Paranoid Schizophrenia

Published online by Cambridge University Press:  15 April 2020

V. Korostiy
Affiliation:
Psychiatry, Narcology and Medical Psychology, Kharkov National Medical University, Kharkov, Ukraine
V. Sinayko
Affiliation:
Psychiatry, Narcology and Medical Psychology, Kharkov National Medical University, Kharkov, Ukraine
L. Korovina
Affiliation:
Psychiatry, Narcology and Medical Psychology, Kharkov National Medical University, Kharkov, Ukraine
O. Zemlyanitsyna
Affiliation:
V.Danileysky Institute of Endocrine Pathology Problems at AMS of Ukraine, Kharkov, Ukraine

Abstract

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Introduction

Modern antipsychotics can successfully fight productive symptoms and prevent the development of negative symptoms of schizophrenia. Among them - the development of metabolic disorders, including abdominal obesity. According to researches 40–80% of patients receiving antipsychotics has increased body weight of 20% or more, and obesity in patients with schizophrenia occurs in 2 times more often than in general population. Abdominal obesity pathogenetically linked to hypertension, type 2 diabetes mellitus, it also determines decrease of life quality of these patients and their compliance.

Aims

To study other factors which impact on the condition of these patients and determine the quality of their lives.

Methods

Clinical, PANSS.

Results

Patients reported a lower life quality as compared to patients with normal weight. Their body mass index was 30–35 kg/m2, corresponding to 1 degree of obesity. Analysis of adherence to therapy of the patients showed that compliance was good in patients with a predominance of productive symptoms. At the same time, some of the patients often had thoughts to stop treatment due to the development of obesity. Thus, the results show the relationship between degree of abdominal obesity and adherence to therapy in patients with paranoid schizophrenia.

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2012
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