[The correlation of depressive and negative symptoms in the picture of post-schizophrenic depressions].
To analyze psychopathological and phenomenological post-schizophrenic depressions (PSD) (F20.4 according to ICD-10) 40 patients with shift-like schizophrenia were examined. 6 PSD types are described: apatho-adynamic with disorders of thinking, adynamic, melancholic-adynamic, asthenic-hypochondriac, psychoasthenic-phobic, dysphoric with heterogeneous elements. Dynamics and the degree of reversibility on the background of antidepressive therapy of both depressive and negative symptoms in clinical picture of typologic PSD variations were studied clinically using Hamilton's scale (HAM-D) and negative disorders' subscale (PANSS) estimation. There wasn't observed any correlation in reduction of depressive and negative symptoms in each type of PSD. It was found that the more atypical were clinical manifestations of PSD (as compared with endogenous depression), the more pronounced were negative signs conditioned by schizophrenic disease and the less was their reverse dynamics. Participation of the primary deficiency disorders in forming clinical picture of different types of PSD is discussed.
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D000293:Adolescent; D000328:Adult; D003863:Depression / Q000145:classification / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011599:Psychopathology; D012559:Schizophrenia / Q000150:complications*; D012565:Schizophrenic Psychology
Sootnoshenie depressivnykh i negativnykh simptomov v kartine postshizofrenicheskikh depressiĭ.