Shyrokov O. Psychosocial rehabilitation of patients with paranoid schizophrenia combined with bone tuberculosis

The thesis is devoted to the currently important problem of psychiatry, namely, the development of measures of psychosocial rehabilitation of paranoid schizophrenia patients with comorbid bone tuberculosis. The study established features of clinical and psychopathological symptoms and response to neuroleptic therapy of patients with paranoid schizophrenia combined with bone tuberculosis. The paper presented features of patients' social functioning and quality of life. After analyzing aggregate data we have proved the fact that the existence of comorbid maladjustment in these patients was due to the presence of their dual diagnosis. The study was formulated that a comprehensive treatment of this patient population should include consideration of the clinical picture of both diseases, individual susceptibility to pharmacotherapy, tuberculosis treatment and side effects of the action. Psychosocial rehabilitation activities should take into account the deterioration of subjective well-being, which limits the functionality of the patient, leads to severe social exclusion, and reduces the quality of life in general. Four strategies are important to use in conducting psychosocial rehabilitation, namely: 1. Cognitive-behavioral therapy. 2. Training programs for patients' neurocognitive deficits filling. 3. Creating of psychological defense mechanisms in patients. 4. Patient education social skills. The thesis has been proven efficiency measures implemented by their effectiveness in terms of increasing the level of social functioning and quality of life of patients and improving patient compliance maintenance therapy.