Saratov JOURNAL of Medical and Scientific Research

anxiety

Evaluation of the efectiveness of psychopharmaco-therapy correction with an anxiolytic drug for patients with a periodontal disease and a dentopatiya.

Year: 2019, volume 15 Issue: №2 Pages: 256-260
Heading: Stomatology Article type: Original article
Authors: Savina E.A., Kobzeva Yu.A., Aslanyan M.A., Eremin O.V., Nelovko T.V.
Organization: Saratov State Medical University
Summary:

Objective: to assess the impact of behavioral psychotherapy and psychopharmacocorrection with an anxiolytic drug on the level of anxiety and dentophobia, compliance, and the efectiveness of therapy in patients with infamma-tory periodontal diseases. Material and Methods. Comprehensive examination of 40 patients aged 27–57 years with a diagnosis of refractory periodontitis. The clinical assessment of the periodontal tissues was taken into account and the psycho-emotional status of the patient was assessed using the characterological questionnaire H. Smishek, the hospital anxiety and depression scale and a specially designed questionnaire for determining the level of dentophobia and the dynamics of the doctor-patient relationship. Results. Since the frst visit and till the 26th week consecutive decrease in level of uneasiness, then slight increase by the 52nd week is noted. Conclusion. The use of the developed algorithm for personalized treatment of patients with infammatory periodontal diseases with the inclusion of behavioral psychotherapy and psychopharmacocorrection may reduce the level of anxiety and dental fear, increase compliance and the efectiveness of therapy.

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Features of psychoemotional disorders in patients with multiple sclerosis in different clinical and demographic groups

Year: 2018, volume 14 Issue: №1 Pages: 151-153
Heading: Neurology Article type: Short message
Authors: Lukina E.V., Chernysheva О.А., Eliseeva V.A.
Organization: Saratov State Medical University
Summary:

Purpose: to conduct an analysis of psychoemotional disorders in patients with multiple sclerosis, who are not receiving any treatment for these disorders. Material and Methods. A cohort of patients with a reliable diagnosis of multiple sclerosis, according to the criteria of С Poseur, consisting of 163 people, was selected for the research. A four-dimensional symptomatic questionnaire was used to assess distress, depression, anxiety and somatization (4DSQ) and a self-questionnaire for evaluating the symptoms of fibromyalgia with quantitative measures (WPI, SS, FS). Re-sults. Differences in the average values of the level of distress, depression, anxiety and somatization in patients with multiple sclerosis of different sex, age, with different type of course and duration of the disease are shown. Conclusion. The neuropsychological status of patients depends on the type of course of the disease, the level of distress — from age and sex, the level of somatization —from the age of this category of patients. In the complex treatment of this category of patients it is necessary to use symptomatic treatment in addition to pathogenetic therapy, which has not only neurotrophic and vasoactive effects, but also affects the psychoemotional background of patients.

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Features of the medical and social characteristics and anxiodepressive disorders in patients with little brain insult in the early recovery period

Year: 2018, volume 14 Issue: №1 Pages: 141-144
Heading: Neurology Article type: Original article
Authors: Kutashov V.A., Ulyanova O.V., Zakharov O.P.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

The aim of the study was to study medical and social and anxiodepressive disorders (ADR) in patients with little brain insult (LBI) in the early recovery period. Materials and Methods. 140 patients were examined, the mean age of which was 57.2±2.2 years. The patients were examined in the early recovery period. Among the 140 patients with LBI, 62% were men and 38% women. The level of anxiety and depression was assessed using the Hamilton psychometric scales (HPMS). Results. In 6% of patients there are relatives who have undergone an acute cerebrovascular acident. 50% of patients live with their families, 27.2% lived with relatives and 22.8% lived alone. Only 25.5% of patients had a daily monitor blood pressure (BP), 17.8% of patients — several times a week and 17.8% of people — several times a month. In addition, 16.4% of patients are forced to measure BP in the health facility, since they do not have a personal tonometer. 26.4% of patients did not measure their BP. 16.4% measure blood pressure once a year. A high level of depression occurred in 3.57% of patients, an average level in 27.86% of patients, mild depression in 33.57% of patients and absence of depressive symptoms in 35% of patients. A high level of anxiety was found in 17.50% of patients with Ml, moderate anxiety level in47.86% of patients, low anxiety level in 45.00%, no anxiety in 1.43% of patients. Conclusion. In patients with LBI in the early recovery period a rather high level of ADR severity was revealed. That causes as early as possible the identification and administration of specific therapy for ADR with LBI.

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