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To evaluate and compare clinical characteristics of men and women who were admitted to psychiatric hospital after parasuicide.
Clinical examination, The Pierce Suicide Intent Scale, Beck Suicide Ideation Scale, Beck Hopelessness Scale, Beck Depression Inventory, The Symptom Checklist 90 Revised, Global Quality of Life Self - Rating Scale, The Barratt Impulsiveness Scale, The Toronto Alexithymia Scale.
Object of study:
Suicide attempters over 15 years admitted to the psychiatric hospital within one month after parasuicide (N=264; 114 – men and 149 – women).
Level of depression according to the Beck Depression inventory was higher in women (M=19,1; SD=13,1) than in men (M=12,9; SD=9) with ρ<0,001. The scores of general psychopathological state were higher in women (M=87,7; SD=68,1) than in men (M=69,1; SD=49,7), ρ<0,04. There were no statistical differences in the level of hopelessness according to Beck Hopelessness Scale, impulsivity according to The Barratt Impulsiveness Scale, alexithymia according to The Toronto Alexithymia Scale and perception of quality of life according to the Quality of Life Self- Rating Scale. There was no difference in the level of suicide ideation according to the Beck Suicide Ideation Scale and suicide intention according to The Pierce Suicide Intent Scale.
There weren’t considerable difference of parasuicide risk factors between men and women hospitalized because of mental disorders. At the same time women more often percept their psychological state as more severe.
Three clinical “dimensions” are identified for schizophrenia: positive (delusions, hallucinations, thought automatism), disorganization (inappropriate affect, bizarre behavior, formal-thought disorders), negative (affective flattening, alogia, abulia-apathy, anhedonia-asociality).
To evaluate Individual Profile of Functional Asymmetry (IPFA) influence on schizophrenia's clinical polymorphism.
To compare IPFA in 90 healthy subjects and 90 schizophrenic patients in three clinical groups, depending on prevalence of positive, negative symptoms or disorganization.
SAPS/SANS; dichotic listening; test “card with the hole”, “viewing through a telescope”; accuracy of tracking and key press speed tests; SPSS’10.0. The coefficient of right ear (CRE), the coefficient of right hand (CRH) were calculated; seven IPFA types determined by CRH/CRE ratio, depending on function's laterality type and degree.
Patients unlike controls revealed: higher frequency of right-sided hearing asymmetry (50% vs. 22%), higher average values of CRE (9,57% vs. 3,1%) and |CRE| (19,98% vs. 10,63%), higher rates of IPFA types with minimal excess |CRH| over |CRE| (less than 5 times) (30% vs.20%) and “inverted” types (|CRE|>|CRH|) (15.5% vs. 5.5%). Controls were more likely to have large predominance of CRH over CRE (more than 5 times) (17.8% vs. 5.6%).Ambidexterity dominated in “negative” dimension group, right hand prevailed in others. Positive symptoms degree directly correlated with CRE. “Negative” type inversely correlated with CRH and |CRH|.
Increased right-sided hearing asymmetry points to verbal agnosia of signals coming from the left-side auditory space, which is more related to positive symptoms; negative symptoms are more related to motor function's symmetry. Protective and promoting IPFA types determined.
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