Solov'eva A D, Fishman E Ia
Zh Nevrol Psikhiatr Im S S Korsakova. 1999;99(5):20-4.
Therapy by bright white light was applied to 51 patients. 4 blocks of psychoautonomic syndromes of neurotic nature were analysed: 1) pronounced (14 cases) and mild (12) hypothalamic dysfunction; 2) moderate and pronounced depression (21) and the state without depression (9); 3) headache of different types--37 patients, including 21 ones with chronic headache of effort, combined with migraine--5 cases, or combined with vascular headache--11 patients; 4) paroxysmal disorders (43 individuals: 25--with typical panic attacks, 18--with atypical panic attacks). More pronounced positive effect was found in the group with atypic PA and in the group with slight hypothalamic dysfunction, accompanied by solitary neuro-endocrine symptoms with moderate or severe depression, with chronic headache of strain including a combination with migraine. Neuroendocrine, motivative, psychovegetative, algesic and psychopathologic symptomatology was decreased significantly in all the groups with positive effect together with the improvement of the objective psychophysiologic indices. Intrahemispheric interactions were also improved, exactly: the power of frequency EEG spectrum increased, in general, because of both the increase of the slow rhythms from both sides and the approach of the coefficient of asymmetry to the control. The least effect was observed in the patients with senesto-hypochondric syndrome, with prevalence of anxiety over depression, with rude hypothalamic dysfunction, with vascular headache, with typic PA.
对51例患者采用强光疗法。分析了4组神经质性心理自主神经综合征：1）明显（14例）和轻度（12例）下丘脑功能障碍；2）中度和明显抑郁（21例）以及无抑郁状态（9例）；3）不同类型的头痛——37例患者，包括21例劳力性慢性头痛，合并偏头痛——5例，或合并血管性头痛——11例患者；4）发作性障碍（43例个体：25例——典型惊恐发作，18例——非典型惊恐发作）。在非典型惊恐发作组和轻度下丘脑功能障碍组中发现了更明显的积极效果，伴有中度或重度抑郁的孤立神经内分泌症状，伴有包括合并偏头痛的紧张性慢性头痛。所有有积极效果的组中，神经内分泌、动机、心理植物神经、痛觉和精神病理症状均显著减轻，同时客观心理生理指标得到改善。半球内相互作用也得到改善，确切地说：脑电图频谱频率功率总体增加，这是由于两侧慢节律增加以及不对称系数接近对照值。在患有衰老疑病症综合征、焦虑多于抑郁、严重下丘脑功能障碍、血管性头痛、典型惊恐发作的患者中观察到的效果最差。
