Individual-psychological and pathocarterological features of patients with depressive disorders

Abstract

The problem of depressive disorders is one of the most important problems of modern psychiatry due to the high prevalence and signifi cant medical and social consequences of depression, which determines the relevance of the study of individual psychological and pathocharacterological characteristics of patients with depressive disorders for prevention of depression. The aim of the study: to determine the individual psychological and pathocharacterological characteristics of patients with depressive disorders, taking into account age and sex of patients. Objectives of the study: to determine the structure and quantify the severity of individual psychological and pathocharacterological characteristics, as well as to establish their relationship with the severity of aff ective symptoms in patients with depressive disorders in diff erent age groups and taking into account sex of patients. Methods: using Mini-Mult test clinically and psychologically examined 107 men and 138 women with depressive disorders. Results. It was found that patients with depressive disorders have stable characteristics of dysthymia (84.1±4.6 T-points in men, 81.3±1.9 T-points in women, p<0.01), anxiety (respectively 78,8±9.5 T-points and 83.7±8.3 T-points, p<0.01) in combination with hypochondriac fi xations (71.4±8.5 T-points and 75.6±5.7 T-points, p<0.01), and moderate manifestations of rigidity, dissociative traits and psychopathy. Sex diff erences are more pronounced in men with persistent dysthymic and rigid traits, and in women – hypochondriac, anxious traits and manifestations of aff ective lability. The most signifi cant pathocharacterological features are manifested in the initial stages of the disease, which is manifested by the greatest diff erences in their manifestations between younger and middle age groups, especially in relation to hypochondriac, dissociative, rigid, schizoid characteristics and manifestations of psychopathy. Persistent hypochondriac, dysthymic and aff ectively labile traits are positively correlated with the severity of depression and anxiety, however, this relationship is not absolute and refl ects the complex clinical, pathogenetic and pathopsychological patterns of personality change in depressive disorders.