title: [Hypochondriasis as a personality pathology (to a problem of postaddictive hypochondriasis)].
abstract: Based on a clinical follow-up observation of 20 patients with dissocial personality disorder, a particular variant of prolonged hypochondriac state (postaddictive hypochondriasis) has been singled out. Postaddictive hypochondriasis manifests itself after a transient psychosis arising as an existential crisis. It is a syndrome of nondelusional hypochondriasis, with a clinical picture presented by obsessive thoughts of the damage to mental and/or somatic well-being caused by the illness which are combined with a phenomenon of medical addiction. Postaddictive hypochondriasis is formed as an opposite/reversive phenomenon replacing premorbid addictions by means of antinomic shift. The sample has been stratified into two groups depending on disease course and comorbid disorders. In the first group (n=7), postaddictive hypochondriasis manifests itself in the structure of reversible psychopathic phases and pathologic personality developments. It is not accompanied by a social disability and considered to be a representation of personality disorder dynamics. In contrast, postaddictive hypochondriasis in the second group (n=13) is characterized by chronic disease pattern and a variety of comorbid disorders including additional hypochondriac, phobic and affective syndromes. Postaddictive hypochondriasis in this group is considered as a debut of slow progressive pseudopsychopathic schizophrenia (schizotypic disorder).
authors.forename: A B
authors.initials: AB
authors.lastname: Smulevich
authors.forename: B A
authors.initials: BA
authors.lastname: Volel
authors.forename: D V
authors.initials: DV
authors.lastname: Romanov
mesh_terms: D000293:Adolescent; D000328:Adult; D000987:Antisocial Personality Disorder / Q000150:complications* / Q000523:psychology; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006998:Hypochondriasis / Q000209:etiology* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011605:Psychoses, Substance-Induced / Q000150:complications* / Q000523:psychology; D055815:Young Adult