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Self - evaluation of social adaptation in patients with schizophrenia and metabolic syndrome

Published online by Cambridge University Press:  13 August 2021

V. Khamina ,
E. Kornetova ,
A. Kornetov ,
A. Goncharova  and
A. Boiko
V. Khamina*
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center of Russian Academy of Sciences, Tomsk, Russian Federation Department Of Fundamental Psychology And Behavioral Medicine, Siberian State Medical University, Tomsk, Russian Federation
E. Kornetova
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center of Russian Academy of Sciences, Tomsk, Russian Federation
A. Kornetov
Affiliation:
Department Of Fundamental Psychology And Behavioral Medicine, Siberian State Medical University, Tomsk, Russian Federation
A. Goncharova
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center of Russian Academy of Sciences, Tomsk, Russian Federation
A. Boiko
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center of Russian Academy of Sciences, Tomsk, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Metabolic syndrome (MS) is an often co-occurring condition that occurs during antipsychotic therapy and impairs social functioning

Objectives

We tried to conduct a self - evaluation of social adaptation in patients with schizophrenia and MS

Methods

We examined 150 patients with schizophrenia receiving antipsychotic therapy at the clinics of Mental Health Research Institute. The study was supported by a grant from the Russian Science Foundation 18-15-00011. The IDF criteria were used to diagnose metabolic syndrome. We used «The social adaptation self - evaluation scale» (SASS).

Results

63 patients (42%) had MS and 87 patients (58%) did not. In the subgroup of patients with MS, 59 people (93.65%) had disabilities or were unemployed, in the group without MS - 82 (94.26%) patients. There were no statistically significant differences between the groups (p ≥ 0.05). In the patients with schizophrenia and concomitant MS, the median SSAS scores was 35 [29; 39], which corresponds mainly to a high level of self - evaluation of social adaptation. At the same time, in patients with schizophrenia and without MS, on the contrary, the self - evaluation of social adaptation was 30 [23; 38] points (p = 0.03914). Perhaps this is due to the great attention from relatives and doctors of general somatic practice and the primary medical network in connection with the risk of developing severe somatic pathology.

Conclusions

Patients with MS can give a higher assessment of social adaptation, despite a objectively low social status.

Disclosure

No significant relationships.

Keywords

social adaptationschizophréniaMetabolic syndrome
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S163
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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