title: [Psychosomatic aspects of diagnosis and treatment of neuromuscular esophageal diseases].
abstract: The authors examined a group of 42 patients with neuromuscular diseases of the esophagus. They distinguished a group of patients who were not treated previously, a group with recurrent neuromuscular diseases of the esophagus in high tonues of the cardia, and a group of patients with a recurrence in normal or low tonus of the cardia. All patients underwent roentgenoscopy of the esophagus and stomach, esophagogastroscopy, and esophagomanometry, as well as clinico-psycho-diagnostic examination. Polymorphism of psychic reactions with predominance of anxiety and depression was revealed in the group of untreated patients, tendency to develop static forms of psychic and somatic responses and mild excitability were encountered in the group of patients with a recurrence in increased cardiac tonus. In patients with a recurrence in low tonus of physiological cardia the condition was determined by hystero-hypochondriac, alarming-depressive disorders. Clinocopsycho-diagnostic examination made it possible to develop averaged schemes of psychotropic therapy according to the groups of patients.
authors.forename: A F
authors.initials: AF
authors.lastname: Chernousov
authors.forename: M V
authors.initials: MV
authors.lastname: Vinogradov
authors.forename: A L
authors.initials: AL
authors.lastname: Shestakov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D004931:Esophageal Achalasia / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D004945:Esophagoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011602:Psychophysiologic Disorders; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D012008:Recurrence; D013514:Surgical Procedures, Operative / Q000379:methods
chemical_list: D011619:Psychotropic Drugs
vernacular_title: Psikhosomaticheskie aspekty diagnostiki i lecheniia nervno-myshechnykh zabolevaniĭ pishchevoda.