Vul' F R, Mishkind A D, Gil'burd O A, Vorobeĭchik D A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(10):111-6.
Clinical and epidemiological investigations of mentally ill patients in old and new cities of northern Tyumen Province have revealed a substantial and peculiar impact of demographic dynamics on the indices of hospital dynamics. Thus, the schizophrenia morbidity appeared more than threefold lower in fast-developing cities (Nizhnevartovsk, Surgut, Nefteiugansk) compared to the old ones (Tobolsk, Tyumen). In the former group of cities, the attack form of the disease prevailed. Characteristically, environmental factors played major role in the onset of the disease. The patients were highly adapted in social terms. Alcoholism turned malignant with adaptation disorders progressing rapidly and involving a peculiar type of anosognosia. Alcoholic delirium took shape on the background of an "incomplete" clinical picture of predisposing alcoholism. Adaptation disorders preceded the delirium in which psychotic disorders were colored psycho-organically.
秋明州北部新旧城市精神病患者的临床和流行病学调查显示，人口动态对医院动态指标产生了重大且独特的影响。因此，与老城市（托博尔斯克、秋明）相比，快速发展的城市（下瓦尔托夫斯克、苏尔古特、涅夫捷尤甘斯克）精神分裂症发病率低三倍多。在前一组城市中，疾病的发作形式占主导。具有特征性的是，环境因素在疾病发作中起主要作用。患者在社会方面具有高度适应性。酗酒转为恶性，适应障碍迅速发展，并涉及一种特殊类型的疾病失认症。酒精性谵妄在易患酒精中毒的“不完整”临床症状背景下形成。适应障碍先于谵妄出现，其中精神障碍具有心理器质性特征。
