THE STAGE OF "TOO FREQUENT HOSPITALIZATIONS" IN PATIENTS WITH SCHIZOPHRENIA AND SCHIZOPHRENIA SPECTRUM DISORDERS (ROLE OF CLINICAL-PSYCHOPATHOLOGICAL AND SOCIAL FACTORS)
In one of the territories covered by the Moscow Psychiatric Outpatient Clinic No14, the authors studied all the patients with schizophrenia and schizophrenia spectrum disorders with the history of disease more that 20 years (76 persons). Almost half of them (36 persons - 47.4%) at least once during those 20 years had a stage of too frequent hospitalizations (TFH). In this TFH group, the majority of hospitalizations and days in the hospital occurred during the first 5 years of the disease. In the second decade of the disease, the hospitalization rate dropped twice, while the number of days in the hospital dropped three times. The authors analyzed the characteristics of 47 stages of TFH in 36 patients. The TFH duration varied from 1 to 20 years, with average 4.13±1.56 years; the number of hospitalizations per one TFH was from 3 to 25, with average 6.34±2.71 hospitalizations. During the TFH-stage, the number of hospitalizations could reach 4. Average number of hospitalizations increased by 1.53 times a year, which was almost four-fold as compared to average hospitalization rate during the 20 years of the disease (0.4±0.3 times a year). With the help of multiple regressive analysis, authors studied the clinical and social factors that had positive correlations with TFH. The strongest association was found for a constellation of factors, including: presence of dangerous symptoms, living together with parents, autistic tendencies prior to manifestation of disease, interference with habitual lifestyle, diagnosis of paranoid schizophrenia with continuous or recurrent course, with increasing defect (progressive course) and absence of social support from the family.