Online ISSN: 2515-8260

Keywords : Schizophrenia


Features of the Metabolic Syndrome and Type 2 Diabetes Mellitus in Schizotypal Disorder

Oleg V. Ermilov; Andrey Yu. Tretyakov; Lyubov V. Romasenko; Nina I. Zhernakova; Elizaveta S. Rudycheva; Inna V. Tikhonova; Irina A. Misan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 122-127

Objective: To describe the features and mechanisms of development of metabolic
syndrome (MS), type 2 diabetes melitus (DM2) and intermediate states of glycemia in
psychosis the occurrence of these disorders, the values of total cholesterol (TC),
fractions of high density lipoproteins (HDL), very low density lipoproteins (VLDL),
triglycerides (TG), values of atherogenic coefficient (AC), insulinemia, С-peptidemia,
insulin resistance (IR) the level of glycated hemoglobin (HbA1c) in a sample of patients
with schizophrenia and in mentally healthy individuals.
Materials and methods: The frequency of carbohydrate metabolism disorders (CMD) was
studied. Fasting glycemia was determined, and in the presence of its violation, a glucose
tolerance test was performed. MS components were studied in patients with DM2,
plasma concentrations of TC, HDL, VLDL, TG, C-peptide (CP), insulin and HbA1c were
determined in patients with DM2, AC values and IR indices were calculated using
HOMA-IR and CARO criteria.
Results: CMD in schizophrenia are more common than among mentally healthy subjects,
amounting to 13.1% (p=0.02), and the main condition here is a significant number of
individuals with impaired fasting glycemia (IFG) and impaired glucose tolerance (IGT)
among women (CMD p=0.01; IGT p<0.001; IFG p=0.03). A feature of psychiatric
sampling is a decrease in HDL by 16.4% (p=0.03) and an increase in AC by 52%
(p=0.02). Mentally ill men with MS are characterized by a significantly large value of AC
(p=0.019), insulinemia (p=0.02), CP level (p=0.02), HOMA-IR (p=0.01) and CARO
(p=0.04) values than in mentally ill patients with DM2 without MS. In comparison with
the control, regardless of gender, the schizophrenic patients with DM2 have significantly
lower values of insulin (p=0.03), C-peptidemia (p=0.04) and IR, according to the criteria of
HOMA-IR (p=0.01) and CARO (p=0.03).

Determinant Factors Related to Relapse of Schizoprenic Patients at the Islamic Mental Hospital

MahyarSuara .; Sandeep Poddar; Roy Rillera Marzo

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 129-139

Background: During the last century, there has been a high increase in health problems in the world, including Indonesia, one of it is mental health. The actual prevalence of mental health disorders worldwide remains poorly understood. Mental health is very much underreported, and under-diagnosed.
Aims
The purpose of this study was to identify factors associated with schizophrenia relapse of patients at the Islamic Mental Hospital in Jakarta, Indonesia.
Settings and Design
The research method with a quantitative approach was performed with a total sample comprisedof 150 respondents using primary data.
Material and Methods
The data collection method used was library research, field research (observation), and questionnaire research design through a cross-sectional approach.
Statistical Analysis
Univariate analysis process (frequency distribution) and Bivariate analysis with the Chi-square test and multi-variate with path analysis was used in this study
Results
Based on the results of the validity of the instrument, the variable of compliance for taking medication (X1), Stress variable (X2), Drug Abuse variable (X3), the Psychology variable (X4), the variable of Emotional Expression (X5), Relapse among schizophrenic patients (Y) was considered. The results revealed that the correlation of the adherence to the antipsychotic drugs consumption (X1), stress level (X2), and psychological response (X4) to the relapse in schizophrenia patients (Z) is acceptable, whereas the strongest or dominant correlation is the stress factor (X2).
Conclusions
The results of this study can provide a plan for schizophrenic patients in the country. Since schizophrenic patients need medication and treatment for a long time, the researchers recommend for the government to provide medical assistance.

A CROSS-SECTIONAL STUDY OF DEPRESSION, ANXIETY, STRESS AND RESILIENCE AMONG THE PRIMARY CAREGIVERS OF PERSONS WITH SCHIZOPHRENIA FROM TERTIARY CARE RURAL HOSPITAL IN CENTRAL INDIA

Rashmi Shukla; Dr. Ajinkya Ghogare; Dr. Pradeep Patil

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2113-2121

Background: Schizophrenia is characterized by disordered thoughts, emotions, perceptions, language, sense of self and behavior. Primary caregivers of individuals with Schizophrenia encounter comprehensive care giving challenges that causes physical as well as mental stress and can deteriorate the family functioning. However, if primary caregivers are resilient enough with strong and positive mindset, they can overcome burden associated with patient care and preserve own health and health of family as well.
Aim: To assess the relationship between depression, anxiety, stress and resilience perceived by primary caregivers of persons with Schizophrenia 
Materials and Methods: Primary caregivers of person diagnosed with Schizophrenia disease reporting to OPD and IPD of Department of Psychiatry of Medical College as per DSM-5 diagnostic criteria will be assessed for depression, anxiety, stress and resilience after taking informed consent for the study by applying inclusion and exclusion criteria. Then psychological scales will be applied on these primary caregivers. The Depression Anxiety and Stress (DASS-21) and Brief Resilience Scale (BRS) scales will be applied and accordingly the points will be given.
Conclusion: We expect to find significant relationship between depression, anxiety, stress and resilience perceived by caregivers of persons with Schizophrenia.