Schizophrenia spectrum disorders in general medical practice

Smulevich A.B.

doi:https://doi.org/10.17116/jnevro2016116114-9

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Abstract:

Based on the conception of correlations between independent endogenous factors (positive and negative disorders), the author present a psychopathological model of psychosomatic (hypochondriac) symptoms in deficit disturbances, comorbid with the changes of «verschroben» type, observed in general medical practice. The psychosomatic symptoms are represented by a wide range of symptom complexes (from idiopathic pain and conversions to restricted hypochondria, organ neuroses, encapsulated organ psychosis) and defined as a syndrome of endoform of somaticized disorders. The syndrome is interpreted beyond schizophrenia as «the second disease», a type of schizophrenia spectrum disorders, in which negative process changes have stopped while the other component (positive psychopathological symptoms) continues to develop.

Keywords:

pathological body sensations

hypochondria

schizophrenia spectrum disorders

syndrome of endoform of somaticized disorders

general somatic practice

Authors:

Smulevich A.B.

Sechenov First Moscow State Medical University of Ministry of health of the Russia, Moscow, Russia

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References:

Moran P, Jenkins R, Tylee A, Blizard R, Mann A. The prevalence of personality disorder among UK primary care attenders. Acta Psychiatr Scand. 2000;102:52-57. doi: 10.1034/j.1600-0447.2000.102001052.x.
Manchikanti L, Pampati V, Beyer C, Damron K. Do number of pain conditions influence emotional status? Pain Physician. 2002;5(2):200-205.
Birnbaum K. Psychopatisch verschrobenen Persönlichkeit. In: Psychopathologische Dokumente Selbstbekenntnisse und Fremdzeugnisse aus dem seelischen grenzlande. Berlin. Verlag von Julius Springer. 1920.
Watanabe Y, Kato S. Recurrence of Screwiness (Verschrobenheit, L. Binswanger) in Chronic Schizophrenia — Psychopathological Considerations of Mitwelt Oriented Screwiness («Verschrobenheit»). Seishin Shinkeigaku Zasshi (Japan). 2004;106(6):712-722.
Vorob'ev V.Yu. Shizofrenicheskii defekt (na modeli shizofrenii, protekayushchei s preobladaniem negativnykh rasstroistv): Avtoref. dis. ... d-ra. med. nauk. M. 1988.
Gruhle HW. Die Psychopatologie. III Allgemeine Symptomatologie. In: Handbuch der geisteskrankheiten. Bumke O. Fünfter teil. Berlin. 1932;135-210.
Binswanger L. Verschrobenheit (I Teil). Monatschrift für Psychiatrie und Neurologie. 1952;124:4:195-210. doi: 10.1159/000139972.
Melekhov D.E. K probleme rezidual'nykh i defektnykh sostoyanii pri shizofrenii (v svyazi s zadachami klinicheskogo i sotsial'no-trudovogo prognoza). Zhurnal nevropatologii i psikhiatrii im. S.S. Korsakova. 1981;81:1:128-138.
Snezhnevskii A.V. Nosos et pathos Schizophreniae. V kn.: Shizofreniya. Mul'tidistsiplinarnoe issledovanie. Pod red. A.V. Snezhnevskogo. M.: Meditsina; 1972;5-15.
Meehl PE. Toward an integrated theory of schizotaxia, schizotypy and schizophrenia. Journal of Personality Disorders. 1990;4:1-99. doi: 10.1521/pedi.1990.4.1.1.
Barron F. Controllable odness as a resourse in creativity. Psychological Inquiry. 1993;4:182-184 doi: 10.1207/s15327965pli0403_3.
Kahn E. Die Verschrobenen Psychopathen. In: Handbuch der Geisteskrankheiten. O. Bumke, Spezieller Teil. 1928;448-460
Verbeck E. La psyhopathie. Psychiat Neurolog Basel. 1960;3(139):140-178.
Polishchuk Yu.I. O klinicheskom polimorfizme shizoidnoi psikhopatii. V kn.: Problemy breda, pogranichnykh sostoyanii i voprosy organizatsii psikhiatricheskoi pomoshchi. M. 1975;349-351.
Polishchuk Yu.I. Osobennosti vzaimodeistviya i sootnosheniya psikhogenii i psikhopatii na primere raznykh variantov dinamiki shizoidnoi psikhopatii. V kn.: Psikhogenii i psikhopatii. M. 1983;53-56.
Kraepelin E. Die Verschrobenen. Psychiatrie 8 Auft. Bd.IV, Teil III, 1915;2039-2043.
Vybornykh D.E., Moiseeva T.N., Gabeeva N.V. i dr. Narusheniya terapevticheskogo sotrudnichestva (non-compliance) c limfogranulematozom. Psikhicheskie rasstroistva v obshchei meditsine. 2009;1:32-34.
Pack GT, Gallo SJ. The Culpability for delay in the treatment of cancer. Am J Cancer. 1938;33:443-462.
Eddy DM, Eddy JF. Delay factors in the detection of cancer. Proc Am Cancer Soc Fourth Natl Conf On Human Values and Cancer. New York, March 15—17. American Cancer Society, New York. 1984;32-40.
Sulestrowska H. The problem of long-term remission in schizophrenia with an early onset. J Psychiat polska. 1972;VI:3:259-264.
Bumke O. Lehrbuch der Geisteskrankheiten. Műnchen. 1928. doi: 10.1007/978-3-642-91449-2.
Mathijsen FP. Anomalous experiences and schizotypy: which comes first? The Hermit Crab syndrome hypothesis. Mental Health, Religion & Culture. 2015. doi: 10.1080/13674676.2015.1004627.
Thiele W. Ŭber das Wesen der Leibgefűlstorűngen bei den Schizophrenien. Fortschritte der Neurol Psychiat. 1971;5:279-286.
Harper RG. Personality-Guided Therapy in Behavioral Medicine. Am Psychological association Washington, DC. 2004;360. doi: 10.1037/10650-000.
Buneev A.N. O shizoidnykh nevrotikakh. Zhurnal nevropatologii i psikhiatrii im. S.S. Korsakova. 1923;23:11:198-211.
Gur'eva V.A. O psikhogennykh razvitiyakh lichnosti. Tezisy dokladov 4-go Vsesoyuznogo s''ezda nevropatologov i psikhiatrov. T. 1. M. 1963;388-389.
Rado S. Dynamics and classification of disordered behavior. Am J Psychiatry. 1953;110:6:406-416. doi: 10.1176/ajp.110.6.406.
Wesseley S, White PD. There is only one functional somatic syndrome. Br J Psychiat. 2004;185:95-96. doi: 10.1192/bjp.185.2.95.
Snezhnevskii A.V. Klinicheskaya psikhopatologiya. Ruk. po psikhiatrii. Pod red. A.V. Snezhnevskogo. M. 1983.
Averbukh E.S. Ipokhondriya i somatofreniya (Bekhtereva). V kn.: Voprosy psikhiatrii i nevropatologii. Sbornik trudov Leningradskogo nauchnogo obshchestva nevropatologov i psikhiatrov. Vyp. II. 1957;31-42.
Piazhe Zh. Psikhologiya intellekta. V kn.: Izbrannye psikhologicheskie trudy. M.: Prosveshchenie; 1969;53-222.
Burenina N.I. Patologicheskie telesnye sensatsii v forme telesnykh fantazii: Avtoref. dis. ... kand. med. nauk. M. 1997.
Huber G. Coenestetische schizophrenie. Fortshr Neurol Psychiatr. 1957;25:9:491-520.
Zhislin S.G. Ocherki klinicheskoi psikhiatrii. Kliniko-patogeneticheskie zavisimosti. M.: Meditsina; 1965.
Eglitis I.R. Senestopatii (klinika, patogenez, lechenie v ramkakh shizofrenii i nekotorykh drugikh psikhicheskikh zabolevanii): Dis. ... d-ra med. nauk. Riga. 1975.
Eglitis I.R. Senostopatii. Riga: Znanie; 1977.
Basov A.M. Senestopaticheskaya shizofreniya: Dis. ... kand. med. nauk. M. 1981.
Dupre E, Camus P. Les Cénestopathies. L’Encéphale. 1907;2:12:616-631.
Shontz F. Body image and its disorders. Am J Psych. 1985;5:419-424.
Rotshtein G.A. Ipokhondricheskaya shizofreniya. M. 1961;7:136.
Smulevich A.B. Maloprogredientnaya shizofreniya i pogranichnye sostoyaniya. M.: MEDpress-inform; 2009.
Serpukhovitina T.V. Kliniko-geneticheskii analiz vyalotekushchei ipokhondricheskoi shizofrenii. Zhurnal nevropatologii i psikhiatrii im. S.S. Korsakova. 1990;90:1:61-69.
Luk'yanova L.L. Bednaya simptomami shizofreniya (kliniko-genealogicheskoe issledovanie): Avtoref. dis. ... kand. med. nauk. M. 1989.
Shmaonova L.M. K klinike otdalennogo etapa vyalotekushchei shizofrenii. Vestnik AMN SSR. 1966;3:74-82.
Kholzakova N.G. Osnovnye printsipy trudoustroistva ogranichenno trudosposobnykh shizofrenikov. V kn.: Ekspertiza trudosposobnosti i trudoustroistva bol'nykh shizofreniei. M. 1940;14:69-89.
Karpenter U.T., Kornli R.R., Bakhanan R.V. Shizofreniya. V kn.: Farmakoterapiya v nevrologii i psikhiatrii. Red. S.D. Enna i Dzh.T. Koila. Per. s angl. 2007;49-60.
Jablensky A. Diagnosis and revision of the classification systems. In: Schizophrenia Carrent Science and Clinical Practice. Ed W. Gaebel. 2011;1-30. doi: 10.1002/9780470978672.ch1.
Smulevich A.B. Shizofreniya ili gruppa endogennykh zabolevanii? Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2015;115:8:4-12.