шизофрения депрессия суицидальность душевный боль
Выводы
Суицидальное поведение пациентов с шизофренией, по-видимому, напрямую может быть не связано с динамикой депрессии при шизофрении, которая предполагает постепенную агглютинацию депрессивных симптомов с негативной симптоматикой, нарастающим дефектом, экстрапирамидными симптомами и прямыми эффектами лекарственной терапии.
Суицидальность при шизофрении наиболее вероятно связана с феноменом душевной боли - трансдиагностическим феноменом, не имеющим до конца общепринятой дефиниции и лишь частично сопоставимым с депрессией. Тематика душевной боли при шизофрении представлена в одном-единственном исследовании и поэтому является актуальной проблемой и темой для научных исследований.
Душевная боль при шизофрении как объект исследования зашторена фундаментальными симптомами шизофрении и чаще всего остается нераспознанной.
Информация о душевной боли может быть получена нетрадиционным способом через самоописания пациентов либо в обстановке полного доверия.
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