Depersonalization and psychosensory disorders amongst young people who do not seek psychiatric help appeal for psychiatrysts (prevalence, clinical features and classification)

V. Ruzhenkova, В В Руженкова, V. Ruzhenkov, В. А. Руженков, A. Bykova, А А Быкова, M. Kolosova, М А Колосова
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Abstract

The importance of this study is justified by the high occurance frequency of this phenomenon amongst young people in the clinical structure of mental disorders and as well as in the framework of psychological defense mechanisms in psychiatrically healthy population. The question of the limits of depersonalization remains unresolved, as there is no single point of view regarding the syndromological affiliation, rendering it ambiguous to evaluate it as a productive or negative disorder. Aim. This study was aimed at verifying the prevalence and clinical structure of depersonalization symptoms amongst young people. Materials and M ethods. A continuous sample consisting of 96 medical students – 68 (71%) female and 28 (29%) male, from 18 to 23 (19±1.2) years was studied using medico-social, clinico-psychopathological, psychometric and statistical methods. Results. Depersonalization symptoms were found amongst 94% of respondents. Different forms of autopsychic depersonalization were identified in the different psyche spheres – effector-volitional sphere, thinking and self-awareness (except the depersonalization in emotional sphere – «pathological insensitivity», which were previously identified). The validity of their separation was confirmed by cluster analysis. Along with depersonalization disorders, in more than half of the cases, a variety of psychosensory disorders were observed. Conclusions. Depersonalization phenomena along with various psychosensory disorders are widespread amongst adolescents without obvious mental disorders or gender preference. Therapy is useful if depersonalization obstructs social functioning and coupled with anxiety and depression.
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不寻求精神帮助的年轻人中的人格解体和心理感觉障碍对精神科医生有吸引力(患病率、临床特征和分类)
在精神疾病的临床结构中,这种现象在年轻人中以及在精神健康人群的心理防御机制框架中发生的频率很高,这证明了这项研究的重要性。去人格化的界限问题仍然没有解决,因为关于综合症的关系没有单一的观点,使得将其评估为生产性或负面障碍变得模棱两可。的目标。本研究旨在验证年轻人人格解体症状的患病率和临床结构。材料和方法。采用医学-社会、临床-精神病理学、心理测量学和统计学方法,对96名年龄在18 ~ 23(19±1.2)岁的医学生进行连续研究,其中女性68人(71%),男性28人(29%)。结果。在94%的应答者中发现了人格解体症状。在不同的心理领域——效应-意志领域、思考和自我意识领域——发现了不同形式的自心去人格化(除了之前发现的情感领域的去人格化——“病理性不敏感”)。聚类分析证实了它们分离的有效性。随着人格解体障碍,在超过一半的病例中,观察到各种心理感觉障碍。结论。在没有明显精神障碍或性别偏好的青少年中,人格解体现象和各种心理感觉障碍普遍存在。如果人格解体阻碍了社会功能,并伴有焦虑和抑郁,治疗是有用的。
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