Morvanyuk G. The gender approach in the diagnosis and rehabilitation of patients with paranoid schizophrenia

The thesis is devoted to the actual development of measures aimed pharmacotherapy and psychosocial rehabilitation considering gender characteristics of patients with paranoid schizophrenia, assessing their effectiveness. To solve the problems were examined 167 patients with paranoid form of schizophrenia. Were found patopsychological clinical, psycho-emotional and psychosocial features of the patients with paranoid form of schizophrenia, which were due to gender differences in the groups of men and women. Designated maladaptive characteristics of male and female patients with paranoid schizophrenia, became targets of gender-specific pharmacological and psychotherapeutic interventions in the stationary phase and of psychosocial rehabilitation through outpatient period. The effectiveness of implemented complex of therapeutic and rehabilitation activities has been proved by assessing the positive changes that have occurred in the groups of patients in clinical pathopsychological, psycho-emotional and psychosocial areas after treatment. Evaluating the effectiveness of implemented treatment and rehabilitation complex allowed to establish significant positive changes in the clinical and psychopathological, individual psychological and psychosocial characteristics. Using the comprehensive measures we developed pharmacotherapy, psychotherapy and psychosocial rehabilitation possible to reverse the psychotic manifestations and form a stable remission, reduce maladaptive manifestation in psycho-emotional and cognitive areas, improve the social functioning of the patient and his family.