[Structure of mental diseases of the 2d half of life according to the results of an epidemiologic study]. / Struktura psikhicheskikh zabolevanii vtoroi poloviny zhizni po dannym épidemiologicheskogo issledovaniia.

An investigation of all patients (with the exception of alcoholics) residing in a city district and registered at a psychoneurological dispensary revealed that after 40 years the disease began in almost one-fourth of the cases (24.7%). In the majority of cases (56%) these were diseases characteristic of the second half of life: vascular pathology (45.3%), involutional psychoses (6.6%), presenile dementia (2.2%) and senile dementia (1.9%). Other findings included schizophrenia in 24.3%, manic-depressive psychoses in 2.7%, psychogenias in 7.6%, consequences of head trauma in 2.2% and other exogenias in 3.7%. The clinical and social parameters of the prognosis in mental diseases first expressed after 40 years of age were on the whole lower but they reflected the modern tendency to attenuation of pathological manifestations: by the time of examination the status of 48% of patients was characterized by intermission or syndromes of a nonpsychotic level.

[Conditions for the transition of premorbid states into borderline forms of pathology]. / Ob usloviiakh perekhoda sostoianii predbolezni v pogranichnye formy patologii.

Conditions for the transformation of some premorbid states into borderline forms of pathology in the menopausal and pubertal periods are analyzed. It has been established that factors of higher risk of the transformation of a menopausal preneurosis-like condition into a neurosis-like one in women with a history of complete or partial castration are as follows: older (over 45 years) age by the time of surgical intervention, complete castration, a combination of the previous operation and attendant additional hazards (psychogenias and somatogenias) as well as the occurrence of the menopause before the operation. In the pubertal period behavioural deviations and neuropsychic disturbances usually reach a degree of obvious pathology (psychopathies, psychogenias) in cases where a long-standing psychotraumatic situation is combined with unfavourable biological factors such as minimum brain deficit, severe and prolonged debilitating somatic disease, a shain of infections, and pathological heredity.

[Reproduction among the mentally ill]. / O reproduktivnosti psikhicheski bol'nykh

The authors conducted a comparative analysis of the reproductiveness fertility and familial position of 2035 mental patients and 5358 normal females. It was possible to demonstrate a general drop during the past several years in the fertility, especially in the patients. The index of fertility and brutto-coefficient of reproductiveness in the group of patients is equal to 30-70% from the level of normal reproductiveness. However, in some forms of pathology (in patients with periodic schizophrenia) the level of reproductiveness falls more slowly than in the general population. It has been established that more than half of the children of schizophrenic patients (50.9%) are born after the onset of the disease. The level of fertility and the number of children or normals depends upon social factors (educational census, family budget). In mental patients these indices depend upon the degree of malignancy and the age of the onset of the pathological process.