Saratov JOURNAL of Medical and Scientific Research

depression

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.

AttachmentSize
2018_01-1_151-153.pdf243.45 KB

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.

AttachmentSize
2018_01-1_141-144.pdf249.01 KB

The study of psycho-emotional state of pregnant women with syphilis

Year: 2017, volume 13 Issue: №3 Pages: 633-635
Heading: Dermatovenerology Article type: Original article
Authors: Gorbenko A.V., Utz S.R., Shnaider D.A.
Organization: Saratov Regional Clinical Dermatovenerologic Dispensary
Summary:

Objective: to study the psycho-emotional state of pregnant women with syphilis. Materials and Methods. The study included 53 pregnant women who had newly registered syphilis. The mean age of patients was 25±2.3 years. Diagnostics was done by Beck's depression inventory, the technique of diagnostics of social frustration level of L. I. Was-serman (modified by V. V. Boiko). Results. Patients had high level of depression on the Beck's method, the technique of diagnostics of social frustration level of L. I. Wasserman (modified by V. V. Boiko) revealed that dissatisfaction with social outcomes in major aspects of life in the majority of patients causes a "position in society" and "life in General" after conducting corrective treatment psycho-emotional state of patients improved. Conclusion. While the use of psychotherapy in combination with drug treatment, syphilis treatment becomes more efficient: decreases the level of depression decreases the level of social frustration in the problematic spheres of life.

AttachmentSize
2017_03-1_633-635.pdf280.39 KB

Depressive disorders development in connection with gut microflora and dietary factors

Year: 2016, volume 12 Issue: №2 Pages: 168-174
Heading: Psychiatry Article type: Review
Authors: Shuldyakov А.А., Barylni Y.B., Lyapina Е.Р., Ramazanova K.Kh., Filippova N.V.
Organization: Saratov State Medical University
Summary:

The morbidity of depressive disorders and their role in the formation of different human pathologies emphasize the actuality of searching for new approaches in the prophylaxis and treatment of depressions. The modification of gut microbiota may be a perspective direction of clinical investigation. Development in this area is based on the review of trials which confirm the significance of gut microflora composition in regulation of mental functions in particular mood and behavior as well as the role of diet in the development of depressions. The hypothesis of the role of gut microbiota in the development of depressive conditions was discussed.

AttachmentSize
2016_02_168-174.pdf294.84 KB

Assessment level of anxiety and depression in patients with multiple sclerosis

Year: 2012, volume 8 Issue: №2 Pages: 484-488
Heading: Neurology Article type: Original article
Authors: Lukina E.V., Kusnetsova D.E.
Organization: Saratov State Medical University
Summary:

In patients with multiple sclerosis observed polymorphism of the emergency psychiatric disorders with a wide range of psychopathological phenomena — from neurotic and personality disorders to psychotic states and epileptiform syndrome. However, the problems of mental health problems in people with MS for a long time little attention was paid. The aim of our study was to analyze the level of anxiety and depression severity in patients with multiple sclerosis. According to this objective have been identifed objectives of the study: to determine the level of depression and anxiety in MS patients according to sex, age, course, duration of disease. For our work was selected group of patients with documented diagnosis of multiple sclerosis, Charles Poser criteria, consisting of 79 persons, with a disease duration of more than 2 years. We used a specially designed questionnaire, which included a table to assess complaints, anamnesis, the neurological status of the patient, and standard questionnaires (test anxiety, Taylor Depression Scale Research psychoneurology them. Spondylitis, the index of overall psychological well-being). The study found that mood disorders such as anxiety, depression, often occurs in patients with multiple sclerosis. However, they are expressed in groups of patients receiving and not receiving DMD, in many ways. Thus, it should be recommended  Vat practical neurologists in the treatment of multiple sclerosis patients to pay attention to whether or not they have a certain range of mental disorders, and above all, anxious-depressive syndrome, which is in need of medical and non-pharmacological correction.

AttachmentSize
201202_484-488.pdf350.14 KB

Chronic pain syndrome at tunnel neuropathies of peripheral nerves. integrative approaches to therapy

Year: 2012, volume 8 Issue: №2 Pages: 371-374
Heading: Neurology Article type: Original article
Authors: Andreyeva G. O., Yemelyanov A. Y.
Organization: Military Medical Academy n.a. S. M. Kirov
Summary:

Painful chronic tunnel syndrome is almost always connected with asthenia and a various degree of anxiety and depressive syndrome. The goal of the research is to investigate prevalence and expressiveness of depressive and astheniс disorders in patients with chronic tunnel pain syndrome and to fnd accommodation of choice. 54 patients with chronic painful tunnel syndrome (35 (64,8 %) male, 19 (35,2 %) female, mean age 39,7+10,9 years) have been examined and treated. Different acupuncture methods in complex treatment were accompanied by a positive dynamics of both subjective and objective clinical neurological and psychological symptoms. Anxiety have been revealed in 79,6 % of patients, depressive syndrome — in 57,3 % of patients, asthenia — in 85,2 % of patients. Acupuncture is tolerable, compare and have not got backside effects. Inclusion of acupuncture in complex treatment chronic tunnel pain syndrome allows to reduce a pain syndrome and asthenia, to normalize psychological condition of the patient.

AttachmentSize
201202_371-374.pdf394.04 KB

Chronic pain: Model of psychosomatic disorder (review)

Year: 2011, volume 7 Issue: №4 Pages: 887-893
Heading: Neurology Article type: Review
Authors: Chernus N.P.
Organization: First Moscow State Medical University n.a. I.M. Sechenov
Summary:

The article presents a detailed review on epidemiology, pathogenesis and interrelation of serotonin neuromedia-tor metabolism in the central nervous system in state of chronic pain and depression. It has been demonstrated that neurophysiological conditions serve as psychological defense of an individual. That mechanism has been proved to «transform» serious emotions onto the inner level (body) and it assists in the development of psychosomatic disorders — chronic pain syndrome

AttachmentSize
201104_887-893.pdf278.42 KB

Topicality of ischemic heart disease prophylaxis in specialists of medical-social expertise

Year: 2011, volume 7 Issue: №2 Pages: 387-389
Heading: Physiology and Pathophysiology Article type: Author's opinion
Authors: Krovyakova Е.А., Kirichuk V.F., Kodochigova A.I.
Organization: Saratov State Medical University
Summary:

Realization of professional duties for specialist of medical-social expertise is accompanied with high intellectual and emotional obligations. Daily extreme and psychogenic situations lead to psychological and occupational maladjustment of physicians, development of anxiety and depression among them, which can be exacerbated by the presence of alexithymia. Negative psycho-emotional factors increase the risk of coronary heart disease. In order to prevent this pathology development in specialists of medical-social expertise, identification of changes in their psycho-emotional sphere and personified correction of revealed disorders are necessary

AttachmentSize
201102_387-389.pdf237.14 KB