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[脑供血不足残留期情感障碍的特点]

[Peculiarities of affective disorders in residual cerebral insufficiency].

作者信息

Ivanova G R, Tsygankov B D, Dobrovolskaya Yu V, Kuznetsov E V, Korabelnikova E A

机构信息

Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(1. Vyp. 2):45-49. doi: 10.17116/jnevro20191191245.

Abstract

AIM

To determine clinical and psychopathological features of anxiety-depressive disorders in patients with cerebral residual organic insufficiency.

MATERIAL AND METHODS

One hundred and fourteen patients with anxiety-depressive disorders and cerebral residual-organic insufficiency were studied. Psychopathological, psychometric, statistical methods were used.

RESULTS AND CONCLUSION

Asthenia was identified as a core syndrome in anxiety-depressive disorders developed in patients with cerebral residual-organic insufficiency. Severe anxiety and depression with somatization of symptoms were characteristic of the structure of affective pathology. The somatization of affect, interpersonal sensitivity, marked asthenic and autonomic disorders as well as negative attitudes about their own condition, abilities and activity were main features of affective disorders in patients with cerebral residual-organic insufficiency. Clinical characteristics of cerebral residual-organic insufficiency and the diversity of its manifestations, including the combination with mental disorders, determine the relevance of further research.

摘要

目的

确定脑器质性残留功能不全患者焦虑抑郁障碍的临床和精神病理学特征。

材料与方法

对114例患有焦虑抑郁障碍和脑器质性残留功能不全的患者进行了研究。采用了精神病理学、心理测量学和统计学方法。

结果与结论

虚弱被确定为脑器质性残留功能不全患者所患焦虑抑郁障碍的核心综合征。伴有症状躯体化的严重焦虑和抑郁是情感病理学结构的特征。情感的躯体化、人际敏感性、明显的虚弱和自主神经功能紊乱以及对自身状况、能力和活动的消极态度是脑器质性残留功能不全患者情感障碍的主要特征。脑器质性残留功能不全的临床特征及其表现的多样性,包括与精神障碍的合并,决定了进一步研究的相关性。

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