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[综合门诊患者中检测到的神经症水平精神障碍的临床-心理病理特征]

[Clinico-psychopathological characteristics of the mental disorders at a neurotic level detected in patients at a general polyclinic].

作者信息

Siriachenko T M, Mitikhina I A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(12):1820-4.

PMID:3447396
Abstract

Examination of patients observed at a general somatic outpatient centre showed that 31.2% of the patients had mental disorders of the borderline level. Most commonly occurring among the psychopathological syndromes were atypical affective conditions with definite somatization of mental disturbances, which was expressed in massive somatic sensations (senestopathies), vegetative irregularities, and somatic pathology of the functional character. Such conditions made up 62.7%. The given syndromologic type is defined as senestopathic-hypochondriac depression which is subdivided into two variants depending on the nature of the symptomatology. The study has shown that the revealed psychopathological syndromes of the borderline level predominantly refer to the endogenic process of low intensity and less frequently to personality pathology at the stage of decompensation.

摘要

对在普通躯体门诊中心观察的患者进行检查发现,31.2%的患者患有边缘水平的精神障碍。在心理病理综合征中最常见的是非典型情感状况,伴有精神障碍的明确躯体化表现,表现为大量躯体感觉(感觉异常)、植物神经功能紊乱以及功能性躯体病变。这类状况占62.7%。这种综合征类型被定义为感觉异常性疑病性抑郁症,根据症状学性质可细分为两种变体。研究表明,所揭示的边缘水平心理病理综合征主要归因于低强度的内源性过程,而在失代偿阶段较少归因于人格病理。

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