[Factors of social and occupational adaptation of patients with attack-like schizophrenia].

The clinical dynamics and social labor adaptation of patients with attack-like schizophrenia were examined with the aid of clinico-epidemiological and clinico-catamnestic investigations made in 496 persons. It has been established that the number of patients with decreased social and labor activity is three times higher as compared to that of patients with unfavourable clinical prerequisites. Four main types of adaptation were distinguished, depending on the combination of the clinical and social labor characteristics of patients. Possible factors of social labor adaptation were explored. It has been established that the development or dynamics of certain types of adaptation require the totality of influence including the clinical prerequisites and the individual biological characteristics that form the latter ones, the character of individual psychological adaptation, and a complex of social environmental influences including therapeutic ones.