«Современные тенденции в психиатрии и медицинской психологии:
интегрированный подход к социальной психиатрии,
лечению аддикций и повышению комплаенса»
I Международная научно
-
практическая конференция
«Исмаиловские чтения»
61
INTEGRATIVE METHODS OF PSYCHOTHERAPY IN ADOLESCENTS
Sattarov T.F.
Tashkent Pediatric Medical Institute
Timurs1987@gmail.com
Introduction
The relevance of the problem of studying eating disorders in the adolescent
population with paranoid schizophrenia is one of the most important tasks of
practical health care [1,3,7]. In the literature, there are very few scientific works
on digestive disorders in the adolescent population, and they mainly investigate
the clinical manifestations of this phenomenon, without focusing on gender
differences and the peculiarity of clinical differences in the syndromological
aspect [2,6,8,13]. The effectiveness of psychotherapeutic intervention in
adolescent populations with paranoid schizophrenia comorbid with eating
disorders remains a debatable issue in practical psychiatry to this day [4,5,9]. In
pubertal patients, the presence of depressive symptoms provokes the formation
of suicidal tendencies [10,11,12].
The purpose of the research
was to study the effectiveness of art therapy
in the adolescent population with digestive disorders occurring in the clinical
picture of paranoid schizophrenia to improve medical and psychological care for
this group of patients.
Materials and methods of the study:
37 adolescents with paranoid
schizophrenia who were hospitalized in a psychiatric hospital were included in
the study. All examined patients underwent psycho-correctional work in the form
of group sessions of art therapy (coloring with watercolor stencils, applications
with grains of rice, buckwheat, mung bean, beans, and lentils) in combination with
rational psychotherapy and music therapy.
Results of the study:
out of 37 examined adolescents, 65% were diagnosed
with paranoid schizophrenia with a continuous type of course F-20.00, and 35%
of the examined patients had paranoid schizophrenia with an episodic type of
course F-20.01. We have experimented with the use of art therapy using anti-
stress coloring stencils "Food". Before art therapy, all the examined patients had
a level of severity of depressive symptoms. Art therapy sessions were conducted
by clinical and medical psychologists in closed departments of the city clinical
hospital in Tashkent with a frequency of three times a week, lasting 45-60
minutes during three months of observation of patients. Most of the male patients
were happy to complete the tasks of the psychotherapist, mostly using bright
warm colors during art therapy. Male patients, in most cases, preferred to paint
«Современные тенденции в психиатрии и медицинской психологии:
интегрированный подход к социальной психиатрии,
лечению аддикций и повышению комплаенса»
I Международная научно
-
практическая конференция
«Исмаиловские чтения»
62
stencils of meat products, fast food, and the use of natural shades of the
watercolor and gouache paint palette was observed. Unlike female patients, men
rarely used mosaics, appliqué, and decoration of pattern stencils with bead
s in an
art therapy session. These studies allow optimizing a comprehensive approach to
the treatment of digestive disorders in patients with paranoid schizophrenia,
reducing the number of hospitalizations, prolonging remission periods, and
preventing possible somatic complications.
Conclusions
The integrative methods of psychotherapy for patients with paranoid
schizophrenia, taking into account gender differences in psychiatric hospitals, will
help optimize the rehabilitation of patients with eating disorders, reduce the
number of hospitalizations, and maximize the remission period.
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«Современные тенденции в психиатрии и медицинской психологии:
интегрированный подход к социальной психиатрии,
лечению аддикций и повышению комплаенса»
I Международная научно
-
практическая конференция
«Исмаиловские чтения»
63
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