[Clinical and psychological characteristics of patients with personality disorders complicated by alcohol dependence].

The goal of the current study was to compare the course of relapse of alcohol dependence in patients with and without personality disorders. We studied 68 patients with alcohol dependence in the stage of decompensation and comorbid personality disorder, and 43 patients with lucid alcohol dependence. The patients were studied using a clinical examination and a battery of psychological tests. The group of patients with alcohol dependence and personality disorder was found to have better prognosis than the group with lucid alcoholism, with the exception of patients with histrionic personality disorder who had the lower self-esteem, primitive psychological defense mechanisms, lack of insight, poor social functioning, low stress tolerance, and a dysphoric variant of affective disorders.

[Clinical characteristics of patients with slow progressive schizophrenia combined with alcoholism]. / Klinicheskaia kharakteristika bol'nykh maloprogredientnoi shizofreniei, sochetaiushcheisia s alkogolizmom.

Fifty-eight patients with slow progressive schizophrenia combined with alcoholism have been examined. Different variants of affective pathology described determined an alcohol addiction in patients with slow progressive schizophrenia. According to the structure of affective disorders and related types of excessive drinking, 3 groups of patients were identified. Group 1 was characterized by negative affection with detachment, continuous (progressive) type of alcoholism course and constant type of alcohol use; group 2 was characterized by positive affection with undulatory course of alcoholism and alcohol use, pseudo-drinking-bout type. Group 3 was distinguished by positive affection with distinct timing of disorder appearance, periodic course of alcoholism and spontaneous form of alcohol drinking. The most unfavorable prognosis was for group 1 and favorable one--for group 3.