CLINICAL AND PSYCHOPATHOLOGICAL FEATURES OF DEPRESSIVE DISORDERS IN YOUNG PATIENTS
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Abstract
Relevance. Depressive disorders in young people constitute one of the most significant problems of contemporary psychiatry, which is due to their high prevalence, their clinical polymorphism and their pronounced negative influence on the social and professional adaptation of patients. Aim of the study. To examine the clinical and psychopathological features of depressive disorders in young patients. Materials and methods. Ninety patients aged from 18 to 29 years with depressive disorders who were receiving outpatient and inpatient treatment were examined. Clinical-psychopathological and psychometric methods, analysis of medical records, and methods of descriptive and variational statistics were used. Results. It was established that depressive states of moderate severity predominated in the majority of patients. The clinical picture was characterized by pronounced polymorphism with a dominance of anxious, asthenic and somatovegetative manifestations, sleep disturbances and emotional lability. Classical depressive affect was identified in fewer than half of those examined. A high prevalence of mixed depressive-anxiety and atypical forms of depression was noted. Conclusion. Depressive disorders in young patients are distinguished by clinical heterogeneity and by a shift of the symptom structure towards anxious-asthenic and somatovegetative components, which requires early diagnosis and an individualized therapeutic approach.
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Всемирная организация здравоохранения. Депрессия и другие распространённые психические расстройства: глобальные оценки. – Женева: ВОЗ, 2023. – 32 с.
Sartorius N. Depression and public health // World Psychiatry. – 2020. – Vol. 19, № 1. – P. 1–3.
Смулевич А.Б. Депрессивные расстройства: клиника, диагностика, терапия. – М.: ГЭОТАР-Медиа, 2021. – 352 с.
Кекелидзе З.И., Мазаев Н.А. Современные проблемы клинической психиатрии. – М.: Медицина, 2020. – 288 с.
Иванов М.В. Особенности депрессивных расстройств у лиц молодого возраста // Журнал психиатрии и медицинской психологии. – 2021. – № 3. – С. 12–18.
Бек А.Т., Алфорд Б.А. Депрессия: причины и лечение. – СПб.: Питер, 2019. – 416 с.
Zimmerman M., Ellison W. Young adult depression: clinical heterogeneity // Journal of Affective Disorders. – 2020. – Vol. 277. – P. 554–560.
Поляков Ю.Ф., Семёнов А.В. Соматизация депрессивных расстройств в клинической практике // Социальная и клиническая психиатрия. – 2019. – Т. 29, № 4. – С. 45–50.
Baldwin D.S., Stein D.J. Anxiety and depression comorbidity // CNS Spectrums. – 2019. – Vol. 24, № 1. – P. 1–6.
Русцио А.М. Эпидемиология тревожных и депрессивных расстройств // Depression and Anxiety. – 2018. – Vol. 35, № 1. – P. 1–10.
Миронов В.А., Кузнецова И.А. Клинический полиморфизм депрессивных расстройств и проблемы диагностики // Психиатрия. – 2020. – № 2. – С. 27–33.