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1.
Artigo em Russo | MEDLINE | ID: mdl-9606897

RESUMO

11 adolescents at the age from 14 to 17 years with epilepsy were observed. Depressive states (27 ones) arose in such patients in the course of the main disease. It has been established that the depressive states in epilepsy can be caused by both the epileptic illness itself and psychic trauma. The following depressive syndromes were described: anxious, depressive-dysphoric, simple (melancholic), anergic. Depressions were atypical in terms of manifestations of the separate components of depressive triad, daily changes of the mood, etc. The depressive states appearing in the course of epilepsy can proceed on both the psychotic and neurotic level. The depressive states of the psychotic level can be found more often within the general framework of the polymorphous psychotic syndrome (so-called "schizoepilepsy" type). The latter was observed in 7 patients. The therapeutic recommendations are given.


Assuntos
Depressão/complicações , Epilepsia/complicações , Adolescente , Ansiolíticos/uso terapêutico , Anticonvulsivantes/uso terapêutico , Antidepressivos/uso terapêutico , Antipsicóticos/uso terapêutico , Depressão/diagnóstico , Depressão/terapia , Diagnóstico Diferencial , Quimioterapia Combinada , Epilepsia/psicologia , Epilepsia/terapia , Feminino , Humanos , Masculino , Psicoterapia
2.
Artigo em Russo | MEDLINE | ID: mdl-3811708

RESUMO

The authors followed up (for 5-15 years) 256 male patients in whom disease first manifested in adolescence. They identified prognostic signs in the period of manifestations. Stable (over 4 years) remission correlated with an onset characterized by a depressive background, a syndrome of metaphysical intoxication and a correlation between the type of accentuation of the character as determined with help of the Pathocharacterological Diagnostic Questionnaire for adolescents and the clinically-determined premorbid type. Unfavourable prognostic signs included an early onset (at the age of 10-13 years), hereditary aggravation by endogenic psychoses through only the maternal line, untidiness, shamelessness, purposeful malice and sadism directed against the mother, and also characteristic delirious behaviour without formed delirium.


Assuntos
Psicologia do Adolescente , Psicologia do Esquizofrênico , Transtorno da Personalidade Esquizotípica/diagnóstico , Adolescente , Adulto , Criança , Seguimentos , Humanos , Masculino , Prognóstico , Esquizofrenia Paranoide/diagnóstico , Transtorno da Personalidade Esquizotípica/psicologia
3.
Artigo em Búlgaro | MEDLINE | ID: mdl-6880522

RESUMO

On the basis of studying the characteristic features of the clinical pattern of depression in 105 patients, the author specifies four variants of psychogenic depressive states in adolescence: (1) the basic variant characterized by the development of typical depression; (2) a variant of subclinical psychogenic depressions with behavioral disturbances; (3) a variant of recurrent depressions; (4) a variant of the so called anaclitic depressions. Specific characteristics of their clinical picture and course were ascertained and the features distinguishing them from psychogenic depressions in adults are presented.


Assuntos
Transtornos de Adaptação/diagnóstico , Transtornos de Adaptação/genética , Adolescente , Ansiedade/diagnóstico , Criança , Feminino , Humanos , Hipocondríase/diagnóstico , Inibição Psicológica , Masculino , Transtornos Paranoides/diagnóstico , Personalidade , Recidiva , Suicídio , Síndrome
4.
Artigo em Russo | MEDLINE | ID: mdl-7435038

RESUMO

The clinical follow-up study of 181 adolescent patients, suffering from so-called schizoaffective psychoses allowed 3 main variants to be singled out on the basis of the clinical symptoms and features of the disease course: in the first variant the clinical picture and disease course were very similar to those of the manic-depressive syndrome; in the second one the clinical symptomatology was characterized from the disease onset by the presence of the depressive-paranoid syndrome, and the third variant was characterized by delusional symptomatology in a bipolar circular disease course.


Assuntos
Transtornos Psicóticos/diagnóstico , Adolescente , Automatismo/diagnóstico , Delusões/diagnóstico , Transtorno Depressivo/diagnóstico , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Masculino , Transtornos Paranoides/diagnóstico , Personalidade , Síndrome
5.
Artigo em Russo | MEDLINE | ID: mdl-425769

RESUMO

A clinico-catamnestical study of 200 adolescents with depressive conditions in endogenous psychoses revealed 28 patients who suffered from schizophrenia and manic-depressive psychosis with manifestations of larvate depressions. It was established that larvate depressions in adolescents in the majority of the cases proceed with disorders of behaviour and poor school progress. The clinical picture is characterized by diverse somatic complaints in the absence of actual somatical pathology. Larvate depressions in adolescents differ significantly from similar states in adults, inasmuch as poor progress in school is due to disorders of cognitive activity during the disease.


Assuntos
Transtorno Bipolar/diagnóstico , Depressão/diagnóstico , Esquizofrenia/diagnóstico , Depressão/psicologia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Puberdade
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