Medical and social characteristics of patients of the first psychotic episode clinic

Abstract

To study the medical and social characteristics of patients with the first episode of endogenous mental disorders and to compare them with the level of social functioning in the two-year follow-up. The study included 512 case histories of patients with ICD-10 diagnoses F20, F21, F23, F25, F31, F32. Patients were admitted to a 24-hour hospital in the period from 2018 to 2019. Clinical and psychometric methods were used. The level of social functioning was measured with the Personal and Social Performance Scale (PSP). At baseline, 23.8% (n=167) of patients met the criteria of the code F23 and 6.8% (n=35) of the code F25. Two years later the diagnoses were distributed as follows: F25 - 39.96% (n=205) and F21 - 17.4% (n=180). Affective disorders predominated in female patients (women - 23.6%; n=72; men - 18.7%, n=39), schizophrenia spectrum disorders were more frequent in men (81.3%; n=167) compared with women (75.5%, n=156). At the time of admission to the hospital, the number of non-working and non-student patients prevailed (52.4%, n=268). Most of them were female patients (31.5%, n=161). According to PSP, the majority of patients had moderate impairment of social functioning (82.0%) at the start of the study. After 2 years of follow-up, the majority of patients showed mild impairment of social functioning (92.0%). The results obtained indicate a rather favorable variant of the course of endogenous mental disorders over the period studied, which may be due to the volume of complex specialized care provided.