@article{ref1,
title="Psychotherapeutic interventions in patients with auto-aggressive behavior during the first psychotic episode",
journal="Georgian medical news",
year="2017",
author="Mudrenko, I. and Potapov, A. and Sotnikov, D. and Kolenko, O. and Kmyta, A.",
volume="",
number="270",
pages="81-88",
abstract="In this article the formation of psychopathological predictors auto-aggressive behavior in patients with a first psychotic episode were identified, which became &quot;targets&quot; in the framework of a comprehensive emergency suicide assistance to conduct the crisis psychotherapy. The work was done on the basis of the Sumy regional psychoneurologic dispensary, where 100 patients with a first psychotic episode were examined: 52 of them (core group) had suicidal symptoms and 48 (control group) had not. According to the test results of severity of auto-aggressive predictors (pre-suicidal syndrome) to clinicopsychopathological predictors of auto-aggressive behavior include: the narrowing of the cognitive function (p≤0,001), the avoidance of interpersonal contact (r≤0,001), the presence of affective (p≤0,001) and vegetative (p≤0,01) violations, the autoaggression of moderate severity (p≤0,001) and impulsivity (p≤0,001). Patients of the core group with the auto-aggressive behavior (n=58) completed a course of a crisis psychotherapy comprising the stages of crisis support, crisis intervention and increase the adaptation layer. After a psychotherapy course levels of aggression (6,45±0,41), auto-aggression (of 9,68±0,67), disorders in the affective sphere (18,58±0,66) and impulsivity (of 4,23±0,30) decreased, which was manifested in increasing tolerance to emotional stress factors, control over their emotions and reduce their affective valence (p≤0,001). The expansion of interpersonal interaction, the increase of patients social activity, the blood relationships establishment (of 9,23±0,40) was observed.<p /> <p>Language: ru</p>",
language="ru",
issn="1512-0112",
doi="",
url="http://dx.doi.org/"
}