[The place of insulin coma therapy among the current methods of treating patients with paroxysmal schizophrenia].

The efficacy of intensive insulin coma therapy (IICT) and individually adjusted psychopharmacotherapy (IAT) was studied in schizophrenics in a month after the treatment initiation. Comparison of the efficacy of these 2 methods showed that the insulin treatment led to a sharper differentiation between patients with favourable and unfavourable therapeutic effect. The duration of schizophrenia did not affect the results of IICT. This method was more effective in schizoaffective syndromes in the framework of periodic schizophrenia, as well as in paroxysmal schizophrenia when it closely resembled the former. IICT was poorly effective in neurosis-like and hallucination-paranoid syndromes in the framework of the continuous course of schizophrenia. The rate of disappearance of psychotic symptomatology in the insulin therapy correlated with the degree of the course therapeutic effect.