Features of adaptive abilities in patients with schizophrenia and metabolic syndrome

The relevance of the work is determined by the demand for research to clarify and concretize the adaptive potential in schizophrenia with concomitant metabolic syndrome (MS) and the need to assess its relationship with the clinical and constitutional characteristics of patients. Objective: to study the features of the adaptive abilities of patients with schizophrenia, depending on the presence or absence of concomitant MS. Material and Methods. We examine 150 patients. Schizophrenia (F20) is diagnosed based on ICD-10 criteria. The diagnosis of MS is verified in accordance with the criteria of the International Diabetes Federation (2005). The adaptation of schizophrenic patients is assessed using the method of G.V. Logvinovich with the definition of the type of compensatory-adaptive defense of patients and the type of adaptation. Psychometric assessment of the clinical state is carried out using the PANSS scale. Discussion. Patients with schizophrenia and MS tend, like patients without MS, in most cases to form a type of compensatory-adaptive defense in the form of “shelter under care”. Among the types of adaptation in patients with schizophrenia and concomitant MS, unfavorable ones (destructive and extraverted) prevail. The severity of the clinical condition in psychometric terms according to PANSS, as well as the constitutional features in patients with concomitant MS, do not differ depending on the type of social adaptation.