Podokrytov V S
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(11):1670-4.
The follow-up findings were studied in 102 patients with long-standing (2-17 years) neuroses (neurasthenia, 49 cases, hysterical neurosis, 53 cases) and compared with those in 40 patients with acute forms of these diseases. The results of the study point out to factors predisposing to an unfavourable course of the illness. Ii is noted that in most cases, protracted neuroses develop in individuals with definite personality characteristics and numerous variants of "biological insufficiency", such as aggravated heredity, frequent colds in childhood, attendant somatic pathology, etc. Some risk factors have been emphasized including a prolonged influence of psychotraumatic circumstances on these patients, their late application for help to the psychiatrist and late initiation of the adequate treatment.
对102例患有长期(2 - 17年)神经症(神经衰弱49例,癔症性神经症53例)的患者的随访结果进行了研究,并与40例患有这些疾病急性形式的患者的结果进行了比较。研究结果指出了导致疾病不良病程的易感因素。值得注意的是,在大多数情况下,迁延性神经症发生在具有明确人格特征和多种“生物功能不全”变体的个体中,如遗传因素加重、童年时期频繁感冒、伴有躯体病理学等。强调了一些风险因素,包括精神创伤情况对这些患者的长期影响、他们向精神科医生求助较晚以及开始适当治疗较晚。