[Clinical characteristics of neurotic and neurosis-like states in patients with acute myocardial infarct].

Investigated were 400 patients with first acute myocardial infarction. Borderline psychic disorders were detected in all the patients: neurotic--in 150 and neurosis-like--in 250. In the former group psychogenic reactions to the disease prevailed, and in the latter the responses were primarily somatogenic. Leading syndromes were: astheno-depressive (170 patients), anxio-phobic (190), anxio-hypochondriac (75), hystero-hypochondriac (55), obsessive-hypochondriac (10). Clinical features of these disorders were discussed along with the issues of their differentiation and treatment.