2020 issue 2


Volume 36, issue 2

Original article

The assessment of psychopathological symptoms and the course of schizophrenia depending on gender, duration of the disease, somatic comorbidity and suicide attempts

Marta Broniarczyk-Czarniak1, Agata Orzechowska1, Piotr Gałecki1
1. Department of Adult Psychiatry, Medical University of Lodz
Farmakoterapia w Psychiatrii i Neurologii 2020, 36 (2), 107–115
Date of publication: 28-08-2020
DOI: https://doi.org/10.33450/fpn.2020.07.002
Keywords: schizophrenia, positive symptoms, negative symptoms, comorbid illness


Objectives. Schizophrenia is a chronic mental disorder with periods of exacerbation and remission. The prevalence during life is estimated at 0.5–1%. The study aims to prove that there are differences in the prevalence of positive and negative symptoms of schizophrenia depending on the gender and duration of the disease, and to confirm that there is a relationship between the factors such as the occurrence of somatic diseases and the risk of suicide attempts, and a specific clinical picture and course of the disease.

Material and methods. The study included 76 patients with schizophrenia treated with standard antipsychotic pharmacotherapy. The severity of psychopathological symptoms was assessed after admission to hospital using the scale of positive and negative symptoms and the sociodemographic survey created for the purposes of this study.

Results. The first episode of schizophrenia in men occurs earlier than in women. There are no statistically significant differences in the psychopathological picture of the disease in men and women. The severity of negative symptoms increases with the duration of the illness for the entire population of the study. Patients with schizo­phrenia without co-occurring somatic diseases have more severe positive symptoms of illness. There are no statistically significant differences in the group of patients who attempted suicide and who did not.

Conclusions. Positive symptoms of the disease are more common in younger patients without somatic diseases while negative symptoms increase with age. Men develop first symptoms of schizophrenia earlier than women. It is not possible to distinguish the dominant group of psychopathological symptoms for women and men in patients who suffer somatic diseases and attempt suicide more often.

Address for correspondence:
Marta Broniarczyk-Czarniak
Medical University of Lodz
Department of Adult Psychiatry
ul. Aleksandrowska 159
91-229 Lodz
email: martabroniarczyk@op.pl