Structure of psychic sphere pathology of patients of the regional medical consultative and diagnostic center of sub-arctic territory

• Published in: European Psychiatry
• Main Authors: Shapovalov, K., Shapovalova, L.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Cambridge University Press (CUP) 2017
• Subjects: Arctic
• Online Access: http://dx.doi.org/10.1016/j.eurpsy.2017.01.865; https://api.elsevier.com/content/article/PII:S0924933817308805?httpAccept=text/xml; https://api.elsevier.com/content/article/PII:S0924933817308805?httpAccept=text/plain; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0924933800210390

In the structure of pathology 5356 psychiatric patients according to nosology forms, the first place ranking diagnosed by a psychiatrist of the regional advisory diagnostic center occupy organic, including symptomatic, mental disorders (F00–F09) to 48.2%. The second place ranking occupied by neurotic, stress-related and somatoform disorders (F40–F49) to 37.8%. This pathology includes various phobic, anxiety, depressive, hypochondria, obsessive-compulsive, dissociative (conversion), somatoform disorders, as well as response to heavy stress and adjustment disorders. The combination of anxiety and depression observed took place in 70.0% of patients. The majority of patients with anxiety disorders only part of the symptoms is found, however, and they are extremely painful. These people are in most cases not immediately come to the attention of psychiatrists, moving from a general practitioner to a neurologist, cardiologist and doctors of other medical specialists. They have initially diagnoses as vegetative-vascular dystonia, and then diencephalic crises, etc. The third rank place took patients with mental retardation - the proportion of an average of 1.3%. Mental disorder primarily characterized by impaired ability, manifested in the ripening period, provides a common level of intelligence: cognitive, speech, motor and social abilities. For the most part the clinical manifestations of these patients there are two groups of disorders: (1) Disorders of cognitive functions (memory, intelligence, learning, attention); (2) perception of disorder, the content of the thoughts, emotions and behavior. Disclosure of interest The authors have not supplied their declaration of competing interest.