This phenomenon - nozognoziya -...

This phenomenon - nozognoziya - is connected not only with the social unacceptability of the subjective limitations imposed by mental illness, but also with the clinical characteristics of depression observed in general practice. Their preferred feature is the predominance of somatic complaints (fatigue, sleep disturbances, appetite, libido, menstrual cycle and other autonomic dysfunction, functional neurological symptom, a variety of pain). Depressive manifestations that mimic the somatic pathology may be combined with actual bodily illness and complicate the picture of the disorder. On the other hand, the strategy of outpatient treatment of depression, including general medical link is in the process of development. Several key provisions of such a strategy, providing high quality medical care and clinically informed choice of effective treatments already formulated [SN Mosolov, 1995; AB Smulevich et al., 1997]. Nevertheless, current approaches have not yet widespread in the everyday practice of internists. Table 1. Somatic and neurological disorders, detecting affinity for depression system of the body

Research depressive reactions in patients with chronic pancreatitis:

Lipatov, VA (E-mail drli@ok.ru), Evdokimova EM Dedicated 50-dutiyu student scientific circle chair of operative surgery and topographic anatomy of the Kursk State Medical University. GE Ostroverkhova Depression is the most frequent clinical manifestation of mental pathology in patients with chronic somatic diseases, which include and chronic pancreatitis (CP). For example, studies AB Smulevicha et al (1997) showed that the frequency nozonennyh depressions in somatic hospitals reaches 50-80%. In addition manifestation of depressive disorder contributes to deterioration of clinical course and outcome of somatic diseases, provides an increase in the frequency of relapses. Early diagnosis and therapeutic correction can improve the quality of care and quality of life for patients. The purpose of this study was to evaluate the level of depression in patients with CP. This was done using a structured interview version to determine the level of the Hamilton Depression (Hamilton M., 1960, 1988), includes 21 assessment of the symptom. The main indicator of the scale is the sum of scores (total score) in which depression is divided into light (7-16 points), moderate (17-27 points) and heavy (more than 27 points). Clinico-psychopathological characteristics of these depressions were generally consistent, as described in ICD-10. Its results are supplemented by interviews with patients during which refined the reason, durability and dynamic features of the deteriorating emotional condition. Was investigated 30 patients with CP and 30 clinical and sonographic healthy people (control group). The study found that in chronic pancreatitis observed depressive reaction mild to moderate.