title: [The systematics of psychogenic depressions (reactions of complicated grief)].
abstract: OBJECTIVE
  Reactive depression provoked by the loss of loved ones is a controversial problem of modern psychiatry based on the diametrically opposite conceptions. The author suggests a clinical typology of these depressions based on a psychopathological analysis of trigger mechanisms and constitutional predisposition.
  
  
  METHODS
  Fifty-five patients, aged from 31 to 65 years (mean age 46.9±13.9 years), were examined. The course of depression, including previous psychogenia, was followed up for 5-15 years (mean 11.5±3.6 years).
  
  
  CONCLUSIONS
  Three types of catathymic complexes (affective dissonance, affective resonance and affective imbalance) can be considered as a significant parameter responsible for trigger mechanisms of these psychogenias and their further dynamics. Each type determines not only the psychopathological structure of psychogenic depression but has a predictive validity thus allowing to predict the dynamics of depression and its nosological attribution.
authors.affiliation: Sechenov First Moscow State Medical University, Moscow, Mental Health Research Center, Moscow.
authors.forename: E I
authors.initials: EI
authors.lastname: Voronova
mesh_terms: D000275:Adjustment Disorders / Q000145:classification* / Q000209:etiology / Q000523:psychology*; D000328:Adult; D000368:Aged; D005260:Female; D006117:Grief; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis