PRINCIPLES OF TREATMENT AND REHABILITATION OF PATIENTS WITH SCHIZOPHRENIA WITH CONCOMITANT DIABETES MELLITUS

Abstract

In the course of the differentiated treatment and rehabilitation measures carried out, in the majority of patients with schizophrenia with concomitant diabetes mellitus, after a course of inpatient treatment, psychotic symptoms were completely or partially reduced, relative criticism of their condition was formed, and the subjective assessment of their quality of life improved significantly. The revealed differences in the frequency of rehospitalizations between the first (with a higher level of QoL at admission) and the second (with a lower level of QoL at admission) subgroups of patients indicate better curability of patients with an initially higher quality of life and the advisability of a differentiated (taking into account QoL) treatment and rehabilitation approach to patients. It is assumed that the further use of the proposed treatment and rehabilitation programs focused on a dynamic detailed (by spheres and sub spheres) study of the quality of life of patients will lead to an increase in the compliance of mentally ill patients, the prevention of stigmatization and self-stigmatization, an increase in long-term remissions, as well as an improvement in their quality of life and social adaptation. Keywords: stigmatization and self-stigmatization, spheres and sub spheres.