Проблема диагностики шизофрении у больных, потребляющих психоактивные вещества
Рекомендуемое оформление библиографической ссылки:
Фастовцов Г.А., Осколкова С.Н. Проблема диагностики шизофрении у больных, потребляющих психоактивные вещества // Российский психиатрический журнал. 2018. №5. С. 51-63.
В научном обзоре с целью анализа сочетаний симптоматики шизофрении и проявлений потребления психоактивных веществ рассмотрен аспект дифференциации эндогенной и экзогенной психопатологии. Обзор основан на анализе 35 отечественных и 25 зарубежных научных работ, посвящённых вопросам дифференциальной диагностики разных этапов и проявлений шизофрении и последствий употребления наркотиков, особенно интоксикационных психозов. Объектом внимания являлись как давно известные наркотики, так и последнего поколения – синтетические. Проведённый обзор позволил сделать вывод о недостаточной изученности указанных проблем, несмотря на актуальность для общей и судебной психиатрии и наркологии, предупреждения правонарушений, для общества в целом. Дальнейшее изучение интоксикационных психозов и расстройств, обусловленных шизофренией в сочетании с употреблением наркотиков, могут открыть новые страницы патогенеза психопатологии шизофренического спектра и новые возможности профилактики обращения к наркотикам.
Ключевые слова шизофрения; наркология; лечение; медицинская помощь
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