Semke V Ia, Guzev A N
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(5):47-52.
To study syndrome formation in the course of the development of neuropsychic disorders in oncological practice, a total systems approach including an original model of psychosomatic correlations was used. Two groups of patients, namely of those suffering from the cancerophobic syndrome without any real oncologic pathology and of those with neuropsychic diseases that developed because of an oncological disease are compared. Analysis is made of the hierarchy and mechanism of interaction of the three factors mainly responsible for the syndrome formation: ++somato-organic, constitutional typological and ++psycho-sociogenic depending on the character and stage of disease. The authors indicate areas where the approach may find practical application: diagnosis, the design of prognosis, and pathogenetic therapy of the neuropsychic disorders under consideration.
为了研究肿瘤学实践中神经精神障碍发展过程中的综合征形成，采用了一种全面系统的方法，包括一种心身相关性的原始模型。对两组患者进行了比较，一组是患有恐癌综合征但无任何实际肿瘤病理学的患者，另一组是因肿瘤疾病而发展为神经精神疾病的患者。根据疾病的特征和阶段，分析了主要负责综合征形成的三个因素相互作用的层次结构和机制：躯体 - 器质性、体质类型学和心理 - 社会成因性。作者指出了该方法可能找到实际应用的领域：所考虑的神经精神障碍的诊断、预后设计和病因治疗。
