Phenomenon itself gipotimii at ...

Phenomena actually gipotimii at nozogennyh depression does not go beyond the light of their doldrums. The clinical picture is revealed not so much a steady decline in the affective background as mood lability with a predominance of mild depression, irritability (dysphoria), insomnia. In some cases, was characterized by heightened anxiety with self-observation, careful recording of the slightest signs of bodily distress. Distinct signs of vital affect (daily fluctuations of symptoms, a marked decrease in appetite and body weight), usually not observed. However, sufficiently expressed somatovegetative symptoms: disturbances of appetite, poor sleep, algii etc. An important component of clinical depression - a meaningful complex, reflecting a pessimistic assessment of severity of coronary artery disease, fears of intervention on the heart, in particular, in 13 cardiac surgery patients in the structure of the so-called preoperative depression (psychogenic reaction to a situation out) [28. 30]. The clinical picture is defined by persistent fears of negative (down to the fear of death), the result of bypass surgery, accompanied by a feeling of bodily discomfort, stress, insomnicheskimi disorders (mainly insomnia early in updating fears of imminent intervention, vivid dreams awesome content). The phenomena of pathological anxiety act against gipotimii not beyond the mild to moderate severity from mild severe depression, a pessimistic estimate perpektiv treatment, disability and occupational unfitness in the distant future. Dysthymia in the studied patients is characterized by the predominance of asthenia (not related to the severity and dynamics of CHD complaints about fatigue, marked weakness, palpitations, poor sleep). Anxiety, depressed mood buy Physical touch (discomfort in the chest area, "sucking" sensation in the stomach, etc.), and in a number of observations (5 patients with a duration distimicheskogo state over 4 years), accompanied by panic attacks. The results of the dynamics of the total score of SdH during therapy Pirazidolom shown in Figure 1. The trend towards a decrease in performance is clearly manifested by the end of the 2 nd week of treatment (T = 0; Z = 0,89; pDepressiya and suicide in the practice of somatic hospitals

VE Pelipas Ph.D., R. I. Strelnikov , Research Institute on Addictions, Moscow

In May 1998 the Ministry of Health of the Russian Federation issued a decree № 148 "About specialist care for people with crisis states and suicidality, which was an indirect admission that the relevant authorities and health institutions should be given adequate attention at last the problem of suicide among the population. A growing number of suicides, most authors attributed to socio-economic crisis facing the country. Meanwhile, we must distinguish the causes of suicide and factors promoting and impeding commit suicide, as well as an increase or decrease their numbers.