[Integrative estimation of depression, anxiety and somatoform disorders].
A comparative analysis was carried out of depressive and anxiety disorders in accordance to ICD-10 criteria in the group of patients with pain variant of somatization disorder (SD), vegetative dysfunction (VD) with monolocal pathological body sensations (PBS) and VD with be- and polylocal PBS (analogous of somatoform vegetative dysfunction without of an accent on disturbances of physiological functioning of any organs or system). Results of this analysis compared with frequency of depressive and anxiety symptomatic in the group of patients with depressive episode (DE). As a result of discriminative analysis 20 depressive and anxiety symptoms were established with possibility of determination of mutual distant/near of 4 clinical groups in feature's space. The SD and VD with monolocal PBS groups take place extreme position in the continuum of 4 clinical groups, DE and VD with be- and polylocal PBS - middle position. Pain variant of SD with primary light (rare middle) severe of depressive episode, as a rule, anxiety modality of low mood can be qualified as masked (somatization) depression. VD patients with be- and polylocal PBS were attributed to atypical monopolar depression; depressive episode without pathological body sensations (to the exclusion of possible vitalization of verbalization/no verbalization melancholy affect) occupied middle position in the continuum of monopolar depression as an affective psychosis.
Bobrov
A S
AS
Petrun'ko
O V
OV
Ivanova
L A
LA
D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology; D016584:Panic Disorder / Q000453:epidemiology; D012720:Severity of Illness Index; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*