[Late manic-depressive psychosis manifested by an endoreactive depression syndrome].
Among 140 patients with psychogenically induced depressive states first developing in old age the author identified a group of patients (n = 33) whose clinical picture of depressive disturbances was determined by a combination of reactive and endogenic features and corresponded to the description of the so-called endoreactive depressions. Four successive stages in their development are described. On the basis of analysis of the mechanisms of the development of these depressions, their clinico-psychopathologic structure, follow-up and constitutional-genetic data, these diseases have been referred to borderline forms of manic-depressive psychosis. It is suggested that the premorbid structure of the personality of the studied patients is the expression of the constitutional-genetic predisposition for affective disturbances while its premanifest time-course may be considered as a latent stage of the disease development.
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Siuniakov
D000275:Adjustment Disorders / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D000368:Aged; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D002908:Chronic Disease; D003866:Depressive Disorder / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D011599:Psychopathology
Pozdniĭ maniakal'no-depressivnyĭ psikhoz, manifestiruiushchiĭ sindromom éndoreaktivnoĭ depressii.