Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-17T21:37:28.830Z Has data issue: false hasContentIssue false
  • English
  • Français

Stability of Results of Treatment and Therapeutic Compliance of Patients with Organic Non-psychotic Mental Disorders

Published online by Cambridge University Press:  23 March 2020

V. Rudnitsky ,
V.B. Nikitina ,
M.M. Axenov ,
N.P. Garganeeva  and
E.D. Schastnyy
V. Rudnitsky
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Borderline States Department, Tomsk, Russia
V.B. Nikitina
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Laboratory of Clinical Psychoneuroimmunology and Neurobiology, Tomsk, Russia
M.M. Axenov
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Borderline States Department, Tomsk, Russia
N.P. Garganeeva
Affiliation:
Federal State Budgetary Educational Institution of High Education “Siberian State Medical University” of Ministry of Healthcare of Russian Federation, General Medical Practice and Polyclinic Therapy Department, Tomsk, Russia
E.D. Schastnyy
Affiliation:
Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Affective States Department, Tomsk, Russia

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Non-psychotic mental disorders of organic register tend to have protracted progressive course, to respond poorly to treatment. Traditionally it is explained by features of cerebral-organic process. However, affective, behavioural and cognitive disturbances can be complicated by medico-social problems including treatment-related.

Objective

To analyse efficiency and stability of results of the therapy of organic mental disorders and propose approaches and means of their improvement.

Methods

Clinical-psychopathological, epidemiological, clinical-dynamic, catamnestic, experimental-psychological, medical statistics.

Results

The most frequent causes of decompensations of organic mental disorders in patients with positive results of the therapy were analyzed. Sixty-four percent (58 patients) after 6 months showed partial recurrence of symptoms and after a year the condition practically returned to the initial one. However, only 12.22% (11 patients) passed recommended course of maintenance therapy to sufficiently full extent, 23.33% (21 persons) have discontinued it due to subjective causes during a month after discharge, about 2/3 of patients during the first two months of the therapy. Patients showed low indicators of therapeutic compliance, low level of therapeutic alliance, little familiarity with the illness and treatment and unrealistic expectations about prospects of the therapy. During insignificant difficulties in the therapy, it usually was discontinued and renewed during relapse of symptoms. A medico-social approach with support of psychotherapeutic and psycho-corrective work and information educational programs were developed.

Conclusion

Proposed psychotherapeutic and educational approach heightens efficiency and stability of treatment and can serve a basis for further improvement of psychiatric, psychotherapeutic and medico-social assistance for patients with organic mental disorders.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Personality and personality disorders
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S716
Copyright
Copyright © European Psychiatric Association 2017
Submit a response

Comments

No Comments have been published for this article.