[Regional differences in the incidence of affective disorders]. / Regional'nye razlichiia v pokazateliakh pervichnoi zabolevaemosti affektivnymi rasstroistvami.

AIM: To analyze the dynamics of the primary indicator of morbidity of affective psychotic and non-psychotic disorders. MATERIAL AND METHODS: The article uses the data of State statistical observations for the period from 2005 to 2015 years. Regional (eight federal districts) primary indicators of diagnosis of mental disorders were subjected to epidemiological analysis in general, schizophrenia and mood disorders were analyzed in more detail. RESULTS AND CONCLUSION: The rate of reduction in the incidence of primary psychiatric disorders in this period varied as in Russia in whole as well as in federal districts. It was 22.5% for all mental disorders, 36.0%, for schizophrenia, 50.3% for psychotic forms of mood disorders and 29.6% for non-psychotic disorders, which demonstrated the relatively greater stability of the latter indicator. An analysis of world literature of the last decade shows the convergence of views of foreign and russian researchers on the need for careful clinical assessment of mood disorders in order to form a more differentiated approach to their prevention, diagnosis, treatment and prognostic evaluation.

[Depression in women - the victims of domestic violence (forensic psychiatry aspects)]. / Depressii u zhenshchin - zhertv domashnego nasiliia (sudebno-psikhiatricheskie nabliudeniia).

AIM: To study the development of depressive disorders in women, the victims of domestic violence, who committed aggressive acts. MATERIAL AND METHODS: Patients (n=12) were divided into two groups depending on acute depressive reaction in response to violence from husbands, which resulted in criminal acts. The first group included 4 women who killed their children and the second group included 8 women who killed their husbands. A psychopathological method was used in the study. RESULTS AND CONCLUSION: Women of both groups shared the same features of the development of depression: the transition from a neurotic stage to a psychotic stage (with aggression) and then to the prolonged depression. Every stage had its own features, in particular during the criminal act, which are described in the article.

[Network planning of psychiatric services and professional education in contemporary psychiatry]. / Setevoe planirovanie psikhiatricheskikh sluzhb i podgotovki kadrov na sovremennom étape.

Necessity of perfection of both facilities and professional activity of psychiatric service in Russia was grounded. The analysis of legislation and standardized documents of the last 5 years illustrates the process of elaboration and realization of both federal and regional programs of financial and technical support of psychiatric institutions in the country. This process was considered with regard of the region's type, necessity of continuous (both pre- and postdiploma) education of psychiatrists, psychotherapeutists, medical psychologists and specialists on social care. Mechanisms of financial support of the measures directed at differentiation of psychiatric care were proposed.

[Comparative analysis of the clinico-epidemiological and prognostic data in schizophrenic and epileptic psychoses]. / Sravnitel'nyi analiz kliniko-épidemiologicheskikh i prognosticheskikh dannykh pri shizofrenicheskikh i épilepticheskikh psikhozakh.

Based on a material of a clinico-epidemiological study of 451 cases of schizophrenia and 329 cases of epilepsy with psychotic manifestations, the clinico-prognostic correlations were established in the two aspects: nosological and from the standpoint of the progress of the pathological process. The concept of isomorphism and the concept of varying prediction of the psychotic manifestations in schizophrenia and epilepsy are interpreted from the viewpoint of the primary localization of brain derangement.

[Psychoses and dementia in epilepsy (clinical picture, syndromokinesis, prognosis)]. / Psikhozy i slaboumie pri épilepsii (klinika, sindromokinez, prognoz).

Using clinical, biographic and social parameters the authors analyzed the results of long-term observation on a group of patients (n = 450) with epilepsy accompanied by psychotic disturbances. Prognostic signs of a favourable variant included the predominance of homogeneous attacks and an affective structure of psychotic disorders. In cases with a moderately severe variant paroxysmal manifestations were presented by an array of temporal and unfolded convulsive forms. Psychotic disorders of the hallucinatory-delirious type serve as signs of a late exacerbation of the epileptic process. An unfavourable variant was characterized by polymorphic attacks with predominance of postural and psychomotor components, frequent states of decompensation, an increase in signs of epileptic dementia and a wide spectrum of psychotic disturbances, ranging from overworship ideas to affective-delirious and catatonic-delirious psychoses.

[Criteria for the long-term prognosis of epilepsy occurring with psychotic disorders]. / O kriteriiakh dolgosrochnogo prognoza pri épilepsii, protekaiushchei s psikhoticheskimi rasstroistvami.

On the basis of analysis of 450 epileptic cases the authors have established positive correlations between the suspected ethological factors (endogenic predisposition in the form of epileptoid personality characteristics in relatives, alcoholism in parents, birth-related traumas, the history of intracranial infections at the early stages of ontogenesis) and the main structural dynamic manifestations of the disease in delayed periods. The above factors have been frequently associated with an unfavourable course of the disease, largely characterized by catatonic disturbances, and have been less common in patients with torpid and mixed patterns of the disease. The form of the psychosis course (transitory, paroxysmal and chronic) is poorly correlated with epilepsy progression.

[Prognostic significance for disability of catatono-delusional and catatonic psychoses in epilepsy patients]. / O znachenii dlia prognoza trudosposobnosti katatonobredovykh i katatonicheskikh psikhozov u bol'nykh épilepsiei.

Examination of 145 epileptic patients revealed the clinical characteristics of the formation of psychoses with the predominance of catatonic disturbances. The latter correlated with a paroxysmal and chronic course of psychosis. When catatonic symptomatology was combined with chronic affective-delirious disorders the outcome was usually more favourable than in paroxysmal psychoses.

[Role of the clinical polymorphism of epileptic psychoses in determining the prognosis for patient disability]. / O znachenii klinicheskogo polimorfizma épilepticheskikh psikhozov pri opredelenii prognoza trudosposobnosti bol'nykh.

The clinical findings obtained during an examination of 98 epileptic patients make it possible to outline some criteria of occupational prognosis in diseases running with transitory, paroxysmal and chronic psychoses of the complicated structure. The variability of the outcomes of these psychoses is explained by the differences in their psychopathological structure and duration as well as in the degree of the productive symptomatology at different stages of the epileptic process.

[Chronic delusional disorders in epileptic dementia (from the social-work aspect of the adaptation of invalids)]. / K voprosu o khronicheskikh bredovykh rasstroistvakh pri épilepticheskom slaboumii (v aspekte sotsial'no-trudovoi adaptatsii invalidov)

The author gives a detailed description of the structure and dynamics of paranoid epileptical dementia. The first type includes expressed affective disorders and overvalued structures. The second-disturbances of thinking and paranoial delusions. The third type is characterized by a definite intellectual decline and a deactualization of delusional experiences.