ABSTRACT
To study formation of the internal picture of coronary heart disease (CHD), 116 patients with schizophrenia and manic depressive psychosis who suffered angina pectoris attacks and myocardial infarction were followed up. The control group was made up of 106 CHD patients treated at the cardiological hospitals. Of these, 88.6% manifested borderline neuropsychic disorders due to the underlying heart disease. It has been established, that in patients suffering from psychoses, the hyponosognosic and anosognosic types of CHD survival (79.3% of cases) prevailed as compared to the control group (4.8% of cases). Unlike the control group patients, in patients with endogenous psychoses, the psychological and social factors lose their crucial importance in formation of the internal picture of CHD. Correct assessment of interrelations between the mental and somatic disease may contribute to improvement of the diagnosis and treatment of CHD as well as to the carrying out of rehabilitation measures.
Subject(s)
Attitude to Health , Bipolar Disorder/psychology , Body Image , Coronary Disease/psychology , Schizophrenia/complications , Schizophrenic Psychology , Adult , Aged , Bipolar Disorder/complications , Coronary Disease/complications , Female , Humans , Male , Middle AgedABSTRACT
Using the ++clinico-psychopathological method and experimental psychological techniques the mechanisms of psychological defence were studied in 46 patients with chronic renal failure. The adaptation character of the mechanisms of psychological defence was shown in terms of the dynamics of their types depending on the stage and treatment of the disease. The role of the sex, premorbid personality type of the patient, the type of the disease course, nature of mental traumas in the formation of psychological defence is validated. The relationship between the development of mental disorders and the mechanisms of psychological defence is analyzed.
Subject(s)
Attitude to Health , Defense Mechanisms , Kidney Failure, Chronic/psychology , Renal Dialysis , Conversion Disorder/etiology , Displacement, Psychological , Female , Humans , Kidney Failure, Chronic/therapy , Male , Rationalization , Severity of Illness Index , Time FactorsSubject(s)
Alcohol Drinking , Pancreatitis/etiology , Adult , Alcoholism/complications , Chronic Disease , Drug Tolerance , Humans , Male , Middle Aged , Time FactorsABSTRACT
It was shown that the absence of the alcoholic treatment was responsible for the deterioration of the patient's condition after the operation for chronic pancreatitis of the alcoholic nature and resumption of taking alcohol. Labour rehabilitation of the patients made up as little as 50%. Psychotherapy and psychopharmacotherapy of alcoholism if performed before and after operation under conditions of specialized hospitals resulted in a considerable improvement of the patients' condition, in better labour and social rehabilitation of patients with chronic alcoholic pancreatitis. Labour rehabilitation in such patients made up 80%.