Prognosis of juvenile schizophrenia with dysmorphophobic disorders (according to catamnestic findings)
Morozov, P.V.
Zhurnal Nevropatologii i Psikhiatrii Imeni S.S. Korsakova 76(9): 1358-1366
1976
ISSN/ISBN: 0044-4588 PMID: 1015144 Document Number: 107957
On the basis of clinico-catamnestical studies of 72 patients with adolescen schizophrenia and dysmorphophobic disturbances the author distinguished 3 variants of the outcome of such conditions. The clinical picture was in correlation with the degree of progressiveness of the disease and the type of development. Some prognostic criteria concerning the development of the disease are given. In favour of a relatively favourable prognosis of dysmorphophobic conditions spoke the following phenomena: a monothematical character of dysmorphophobia, its nondelusional state, the absence of focal cenesthopathy and olfactorial hallucinations, a proximity of the content of dysmorphophobia to pubertal psychological signs, a connection between the exacerbation periods with depressive states, an undulating charcter of dysmorphophobic symptoms during adolescence and the oneset of the disease with psycheastheno-like disturbances. An unfavourable prognosis was characterized by a delusional character of dysmorphophobic disturbances, bizzare delusional hypochondric systems, including dysmorphophobia, ideas of reference, cenesthopathy, tactile and olfactory hallucinations, an insignificant dependence of dysmorphophobia from affective disorders and early appearing distinct personality changes.