Publisher: Bogomolets National Medical University   (Total: 1 journals)   [Sort by number of followers]

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Psychosomatic Medicine and General Practice     Open Access   (Followers: 1)
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Psychosomatic Medicine and General Practice
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2519-8572
Published by Bogomolets National Medical University Homepage  [1 journal]
  • "Reaction of despair of slow formation" - as a model of
           formation of suicidal behavior

    • Authors: Oleh Chaban
      PubDate: 2021-12-12
      DOI: 10.26766/pmgp.v6i4.348
      Issue No: Vol. 6, No. 4 (2021)
       
  • Analysis of anxiety and depression phenomena in the first weeks of the
           war: gender and age aspects

    • Authors: Lyudmyla Yuryeva, Serhii Vyshnichenko , Andrii Shornikov
      Abstract: Background. There is a high prevalence of psychogenic disorders, in particular depressive and anxiety, in people who have been exposed to extreme intensity of traumatic influences. However, there is no data on depression and / or anxiety in the first weeks of the war. The aim of the study was to assess the prevalence of anxiety and depression, as well as to identify risk factors for the development of these conditions in individuals during the first weeks of the war. Methods. A cross-sectional epidemiological study involving 140 respondents who voluntarily and anonymously have completed a questionnaire with complaints, anamnestic data, and a self-assessment scale for depression PHQ-9 and anxiety GAD-7 was performed. Results. The mean severity of anxiety was 8.0 (4.5; 12.5) points. The prevalence of anxiety on the GAD-7 test with an accuracy cut-off of 4 points was 75% (105/140) of respondents, with an accuracy cut-off of 10 points - 37.86% (53/140) of respondents. The mean severity of depression was 8.5 (5.0; 12.5) points. The prevalence of depression on the test PHQ-9 with an accuracy cut-off of 4 points was 76.4% (107/140) of respondents, with an accuracy cut-off of 10 points - 42.5% (60/140) respondents. The study found no statistically significant differences in gender, age, employment, complaints, chronic diseases, COVID-19 and its vaccination. Conclusions. The prevalence of anxiety and depression in the first weeks of the war was high. The most significant risk factors for anxiety and depression are the number of complaints, the presence of depression / anxiety respectively, and subjectively reduced work capacity. Past COVID-19 and / or vaccination against it have not affected the occurrence of depression and anxiety.
      Issue No: Vol. 6, No. 4
       
  • jats research

    • Authors: vignesh ravi
      Abstract: abstract test
      Issue No: Vol. 6, No. 4
       
  • Features of depressive disorders with a predominance of apathic-adynamic
           or anxiety-phobic clinical symptoms

    • Authors: Алевтина Лисюк, Galyna Pyliagina
      Abstract: SUMMARY Topicality. In today's world, depressive disorders (DD) are one of the most common mental disorders. DD causes disturbances in various areas of human mental activity, significantly affecting the quality of life, as well as impairing the ability to understand and properly assess the future. The need to develop new strategies for diagnosis and therapy. In addition to the main groups of symptoms in DD should pay attention to clinical and psychopathological syndromes: depressive, asthenic, apathetic, anxiety-phobic, somato-vegetative and hypochondriac. at DD and will need further research. The aim of the study. Explore the severity of apathic-adynamic or anxiety-phobic symptoms in DD, their nosological affiliation in relation to the level of MLO. Methods. We examined 66 patients of both sexes (36 women and 30 men) aged 18 to 40 years (24.4 ± 3.8) with different types of DD, diagnosed according to the criteria of the International Classification of 10 revisions. A clinical-psychopathological method (semi-structured clinical-diagnostic interview) was used to determine apatic-adynamic (AA) or anxiety-phobic (AF) variants of DD. According to the clinical picture, patients are divided into 2 groups: the first - patients with apatic-adynamic symptoms, the second - with anxiety-phobic symptoms. The PHQ-9 patient health questionnaire was used to assess the severity of depression. We used the Test of meaningful life orientation, Leontiev), adapted by D. Leontiev version of the test J. Crambo, L. Maholic "Purpose-in-Life Test". The article examines and analyzes the difference between depressive disorders (DD) and the leading anxiety-phobic and apathic-dynamic symptoms. Results. Significantly lower indicators were found in the scales of goal presence, interest in life, life satisfaction (effectiveness, self-realization) and the ability to control one's life in general in the presence of apatic-dynamic symptoms of DD compared to anxiety-phobic symptoms. The presence of a statistically significant difference indicates possible therapeutic targets in patients of these two groups.
      Issue No: Vol. 6, No. 4
       
  • Repetitive and stereotyped behaviors in autism spectrum disorders and
           frontal epilepsy: clinical case discussion.

    • Authors: Тетяна Скрипник
      Abstract:
      Repetitive and stereotyped behaviors in autism spectrum disorders and frontal epilepsy: clinical case discussion.   Tetiana Skrypnyk   SI «Institute of Psychiatry, Forensic Psychiatric Examination and Monitoring of Drugs of the Ministry of Health of Ukraine», Kyiv, Ukraine   Background: Autism spectrum disorders (ASD) have a prevalence of 1-2% among the world's child population and belong to the spectrum of neurodevelopmental disorders. ASD are characterized by significant genetic and clinical polymorphism, in particular comorbidity with neurological and mental disorders. In 15 - 30% of children with ASD, epilepsy is diagnosed throughout life. Repeated movements and vocalizations in ASD are often similar and require differential diagnosis with motor and vocal phenomena in the structure of epileptic seizures, with motor and vocal tics, in particular with Tourette's disorder, obsessions and compulsions in obsessive-compulsive disorder. The polymorbidity of ASD complicates the typology of recurring motor and vocal phenomena. Polymorphism of repetitive movements and vocalizations is also inherent in developmental encephalopathy.   Objective : to investigate clinical polymorphism, variants of motor phenomena during 6 years of life in a child with dual diagnosis of ASD and frontal epilepsy. Materials and methods: A child with ASD and frontal focal epilepsy was observed for 6 years on the basis of the Department of Mental Disorders of Children and Adolescents of the Scientific Research Institute of Psychiatry of the Ministry of Health of Ukraine. The child underwent a comprehensive psychiatric and neurological examination every three months. For the diagnosis and assessment of the course of mental disorders, DAWBA and K-SADS-PL were used. To assess autistic symptoms, ADOS and ADI-R were used, and tics symptoms were YGTSS, and obsessive-compulsive disorders in children with ASD were CYBOCS ASD. The cognitive functioning of the child was assessed using PEP-R and the test WISC, the socially adaptive behavior of Vineland and SRS. Every six months and during unscheduled visits, an EEG study was conducted with a mathematical analysis of the results.   Results: Child autism in a child was diagnosed in accordance with the ICD-10 diagnostic criteria, according to the results of a semi-structured interview with parents - ADI-R and assessment of current behavior by ADOS. During the period of controlled observation, epileptic paroxysms were characterized by the absence of complete loss of consciousness, polymorphism of seizures with numerous motor and vocal phenomena, which differentiated with symptoms of ASD, tics, obsessive-compulsive disorders. Stereotypic movements in the form of automatically repeated actions were observed in the proximal extremities, looked like a continuation and repetition of previous performed and daily performed automatic actions. The episodes of involuntary grimaces with distorted facial muscles during the first two years of observation looked like a violent act of activity, and not like epileptic paroxysms. EEG results also did not confirm the diagnosis of epilepsy.       Dynamic, longitudinal monitoring of the clinical pathomorphism of repeated motor and vocal phenomena, analysis of therapeutic responses to treatment at different time periods: aripiprazole, guanfacin, sertraline, lamotrigine, analysis of symptoms that are qualified as comorbid, a gradual increase in focal epileptiform changes in the EEG allowed to diagnose frontal epilepsy with autism spectrum disorder.  Conclusions:    Most children with ASD have vocal and motor phenomena that may resemble symptoms of comorbid mental disorders. Repeated movements and vocalizations in ASD, as manifestations of tics, obsessive-compulsive disorders, are difficult to differentiate; they can be superimposed in the case of comorbidity disorders. With the appearance of specific epileptic activity and epileptic seizures in such patients, it is necessary to conduct differential diagnosis with developmental encephalopathy. The frontal form of epilepsy can be accompanied by seizures without complete loss of consciousness with characteristic automatic repeated stereotypic movements that have significant variability throughout life. The given clinical case supports the point of view that ASD and epilepsy are manifestations of a single pathological process - impaired neurodevelopment. Keywords: autism spectrum disorders, frontal epilepsy, repetitive and stereotyped movements, epileptic seizures.
      Issue No: Vol. 6, No. 4
       
 
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