CLINICAL PICTURE OF DEPRESSIVE MANIFESTATIONS AMONG PATIENTS WITH COGNITIVE IMPAIRMENTS IN DEPRESSIVE DISORDERS
The problem of depression will remain relevant for many years, due to the extremely widespread prevalence of mental disorders. According to various epidemiological studies, depression affects from 14% to 25% of the population. Timely and adequate treatment of mood disorders is a very important probl...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Ukrainian Medical Stomatological Academy
2020-12-01
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| Series: | Вісник проблем біології і медицини |
| Subjects: | |
| Online Access: | https://vpbm.com.ua/upload/2020-4(158)/35-min.pdf |
| Summary: | The problem of depression will remain relevant for many years, due to the extremely widespread prevalence of mental disorders. According to various epidemiological studies, depression affects from 14% to 25% of the population. Timely and adequate treatment of mood disorders is a very important problem around the world, because according to the WHO, it is one of the leading causes of disability among the working population. Depression negatively affects all components of the lives of patients and their relatives, reduces their standard of living and the degree of social functioning. An important aspect of depressive disorders is that they are characterized by a recurrent course, a tendency to form resistant forms and pose a significant threat due to the development of suicide risk in this category of patients. But at the present stage of development of science and practice, the detection and classification of depression in the general medical network are associated with significant difficulties. Therefore, research aimed at studying the clinical and psychopathological features in patients with CP in different types of DR is relevant and will improve the diagnostic criteria and increase the effectiveness of treatment of different types of DR. The aim of the study was to identify specific manifestations of emotional, psychomotor, somato-vegetative and sensory disorders in patients with cognitive impairment in different types of depressive disorders. Object and methods of research. 362 patients with cognitive impairment in depressive disorders (DD) were examined: 123 patients with recurrent depressive disorder (RDD), 141 patients with bipolar affective disorder (BAD) and 98 patients with prolonged depressive reaction (PDR). A set of research methods was used: clinicalpsychopathological and statistical. Results. Specific clinical and psychopathological features of depressive manifestations were established in patients with cognitive impairment in various types of DD, which were expressed in the presence of psychomotor, somato-vegetative, emotional and sensory impairments. A sleep and appetite disorders, weight loss, cardiovascular symptoms, hypesthesia, anesthesia, inhibition of movements, hypomimia, hypotension, sensitivity, emotional lability and anxiety were recorded in patients with RDD. A constipation, decreased appetite and weight, sexual dysfunctions, hypoesthesia, senestopathy, body structure disorders, inhibition of movements, hypomimia, muscle adynamia, hypotymia, apathy, emotional coldness and ambivalence of emotions were recorded in patients with BAD. A vegetative-visceral crises, headaches, sexual dysfunctions, gastrointestinal symptoms, hyperesthesia, anxiety, hypotension, a sense of fear, emotional lability and sensitivity were recorded in patients with PDR. Conclusions. Clinical and psychopathological analysis of depressive manifestations in patients with cognitive disorders in depressive disorders allowed identifying specific manifestations of emotional, psychomotor, somatoautonomic and sensory disorders that are characteristic of different types of depression, which will further help improve differential diagnosis and preventive measures. |
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| ISSN: | 2077-4214 2523-4110 |