[Clinical characteristics of neurotic and neurosis-like states in patients with acute myocardial infarct]. / Klinicheskie osobennosti nevroticheskikh i nevrozopodobnykh sostoianii u bol'nykh ostrym infarktom miokarda.

Investigated were 400 patients with first acute myocardial infarction. Borderline psychic disorders were detected in all the patients: neurotic--in 150 and neurosis-like--in 250. In the former group psychogenic reactions to the disease prevailed, and in the latter the responses were primarily somatogenic. Leading syndromes were: astheno-depressive (170 patients), anxio-phobic (190), anxio-hypochondriac (75), hystero-hypochondriac (55), obsessive-hypochondriac (10). Clinical features of these disorders were discussed along with the issues of their differentiation and treatment.

[Clinico-psychological analysis of the complaints of patients with neurotic and neurosis-like conditions (based on material from a general-somatic hospital)]. / Kliniko-psikhologicheskii analiz zhalob bol'nykh s nevroticheskimi i nevrozopodobnymi sostoianiiami (na materiale obshchesomaticheskogo statsionara).

To study the patient's insight into the disease, the authors have reviewed the results of the follow-up of 366 patients with such somatic illnesses as coronary heart disease, essential hypertension, gastric and duodenal ulcers, chronic non-specific colitis, bronchial asthma, and chronic pneumonia. Four types of complaints have been identified, including (1) concrete-sensitive; (2) affective; (3) conceptualizing; and (4) evaluative-esthetising. These complaints were established to depend on the development of the psychological defense mechanisms. The data obtained are necessary not only for solving the questions of the differential diagnosis and multimodality therapy but also complying with the principles of medical deontology in the work of the physician of a general somatic hospital, encountering borderline psychopathologic disturbances.