Pub Date : 2024-01-03DOI: 10.30629/2618-6667-2023-21-6-42-49
S. N. Vasilieva, G. Simutkin, E. D. Schastnyy, E. V. Lebedeva, N. Bokhan
Background: numerous studies indicate a high level of comorbidity of bipolar disorder with other psychiatric disorders. Alcohol dependence is one of the most common comorbid pathologies, along with anxiety disorders and personality disorders. Objective: determination of the frequency of comorbidity of BAR with alcohol dependence in patients of a specialized psychiatric hospital and identiашcation of clinical and dynamic features of BAR with this comorbidity. Patients and methods: in the psychiatric unit, 188 patients with bipolar disorder diagnosed according to ICD-10 (136 women and 52 men) were examined. The age of female patients was 41.6 ± 14.4 years, male — 39.4 ± 14.0 years. Depending on the current affective disorder, patients were distributed as follows: a depressive episode — 62.2 % (n = 117), a hypomanic episode — 2.7 % (n = 5), a manic episode (ME) — 1.6 % (n = 3), mixed episode — 33.5 % (n = 63). A comparative assessment of the clinical and dynamic characteristics of bipolar disorder was carried out in 2 groups of patients: with bipolar disorder and comorbid alcohol dependence — 30 individuals (14 women and 16 men), aged 43 years [29; 55] and without comorbidity with alcohol dependence — 59 individuals (39 women and 20 men), age 36 years [29; 50]. During the study, clinical-psychopathological, clinical-catamnestic, psychometric, statistical methods were used. Results and discussion: the level of comorbidity of bipolar disorder with alcohol dependence was determined — 15.9 %. It was found that in BD with comorbid alcohol dependence, compared with BD without alcohol dependence, patients have an early onset age of BD, more often have mixed episodes during an affective disorder. In addition, such patients have a higher risk of suicidal behavior, bipolar-I, and exacerbation of affective symptoms. It has also been shown that alcohol dependence makes it difficult to recognize bipolar disorder during the primary visit to specialized psychiatric care. Conclusion: addition of alcohol dependence to bipolar disorder affects negatively its main clinical and dynamic parameters and delays the terms of its diagnostics.
{"title":"Influence of Alcohol Dependence on the Clinical and Dynamic Characteristics of Bipolar Disorder with Their Comorbidity in Psychiatric Hospital Patients","authors":"S. N. Vasilieva, G. Simutkin, E. D. Schastnyy, E. V. Lebedeva, N. Bokhan","doi":"10.30629/2618-6667-2023-21-6-42-49","DOIUrl":"https://doi.org/10.30629/2618-6667-2023-21-6-42-49","url":null,"abstract":" Background: numerous studies indicate a high level of comorbidity of bipolar disorder with other psychiatric disorders. Alcohol dependence is one of the most common comorbid pathologies, along with anxiety disorders and personality disorders. Objective: determination of the frequency of comorbidity of BAR with alcohol dependence in patients of a specialized psychiatric hospital and identiашcation of clinical and dynamic features of BAR with this comorbidity. Patients and methods: in the psychiatric unit, 188 patients with bipolar disorder diagnosed according to ICD-10 (136 women and 52 men) were examined. The age of female patients was 41.6 ± 14.4 years, male — 39.4 ± 14.0 years. Depending on the current affective disorder, patients were distributed as follows: a depressive episode — 62.2 % (n = 117), a hypomanic episode — 2.7 % (n = 5), a manic episode (ME) — 1.6 % (n = 3), mixed episode — 33.5 % (n = 63). A comparative assessment of the clinical and dynamic characteristics of bipolar disorder was carried out in 2 groups of patients: with bipolar disorder and comorbid alcohol dependence — 30 individuals (14 women and 16 men), aged 43 years [29; 55] and without comorbidity with alcohol dependence — 59 individuals (39 women and 20 men), age 36 years [29; 50]. During the study, clinical-psychopathological, clinical-catamnestic, psychometric, statistical methods were used. Results and discussion: the level of comorbidity of bipolar disorder with alcohol dependence was determined — 15.9 %. It was found that in BD with comorbid alcohol dependence, compared with BD without alcohol dependence, patients have an early onset age of BD, more often have mixed episodes during an affective disorder. In addition, such patients have a higher risk of suicidal behavior, bipolar-I, and exacerbation of affective symptoms. It has also been shown that alcohol dependence makes it difficult to recognize bipolar disorder during the primary visit to specialized psychiatric care. Conclusion: addition of alcohol dependence to bipolar disorder affects negatively its main clinical and dynamic parameters and delays the terms of its diagnostics.","PeriodicalId":516298,"journal":{"name":"Psikhiatriya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-02DOI: 10.30629/2618-6667-2023-21-6-17-30
A. G. Alekseeva, T. Vladimirova, E. Gedevani, G. Kopeyko, O. Borisova
Background: God’s abandonment in religious literature is defined as the loss of divine grace, the feeling of distance from God, abandonment by God, God’s departure from man, which is manifested in the weakening of divine support, often perceived as a period of spiritual crisis and accompanied by despair and heartache. At present, there are lack of a psychopathological andclinical studies in the scientiашc literature concerning the phenomenon of God’s abandonment. This phenomenon is complex and little studied neither in the spiritual life nor in the context of clinical psychiatry. The phenomenon of God’s abandonment requires further research for proper diagnosis, choice of the correct treatment, psychotherapeutic support, and adequate tacticsof pastoral care. Objectives: identification of clinical and psychopathological features and structure of the phenomenon of God’s abandonment in order to determine the syndromal and nosological affiliation, prognosis issues and right choice of therapeutic tactics. Patients and methods: 35 patients (16 male and 19 female) aged 18–55 years (mean 39.8 ± 11.6), who had a sense of God’s abandonment in the clinical picture of endogenous depression and depression-delusional disorders, were examined. Clinical-psychopathologic, psychometric (HDRS, CRS, SAG) and statistical methods were used. As a control group, 5 male individuals who were monastic residents and were not in the psychiatrist’s ашeld of vision and not demonstrated obvious signs of psychiatricdisorders were examined. For this group, a retrospective analysis of the peculiarities of the phenomenon of God’s abandonment was carried out on the basis of the assessment of subjective and objective data. Results: the conducted research has revealed that the phenomenon of God’s abandonment is a special psychopathological symptom complex specific for the studied group of patients, regardless the syndromal or nosological affiliation. The main manifestation of this phenomenon is the religiousanesthesia (as the religious equivalent of anaesthesia psychica dolorosa) with the leading manifestations of the absence of sensations of religious feeling with the key experience of abandonment by God in close link with the other psychopathological disorders. Three types of conditions with the phenomenon of God’s abandonment have been identiашed: type 1 — depressions with the phenomenon of God’s abandonment and manifestations of affective delusion (22 patients, 62 %; 12 men, 10 women; mean age 43.4 ± 11.2 years) in the structure of affective psychosis; type 2 — acute psychotic states with the phenomenon of God’s abandonment and noncongruent delusional disorders (13 patients, 37 %; 4 men, 9 women; mean age 31.7 ± 8.2 years) in the structure of schizoaffective disorder or schizophrenia spectrum; type 3 — crisis of faith (5 men from the control group; mean age 40 ± 11.8 years) which is the psychological crisis with experience of God’s abandonment within the framework of pers
{"title":"The Phenomenon of God’s Abandonment in Clinical Psychiatry","authors":"A. G. Alekseeva, T. Vladimirova, E. Gedevani, G. Kopeyko, O. Borisova","doi":"10.30629/2618-6667-2023-21-6-17-30","DOIUrl":"https://doi.org/10.30629/2618-6667-2023-21-6-17-30","url":null,"abstract":" Background: God’s abandonment in religious literature is defined as the loss of divine grace, the feeling of distance from God, abandonment by God, God’s departure from man, which is manifested in the weakening of divine support, often perceived as a period of spiritual crisis and accompanied by despair and heartache. At present, there are lack of a psychopathological andclinical studies in the scientiашc literature concerning the phenomenon of God’s abandonment. This phenomenon is complex and little studied neither in the spiritual life nor in the context of clinical psychiatry. The phenomenon of God’s abandonment requires further research for proper diagnosis, choice of the correct treatment, psychotherapeutic support, and adequate tacticsof pastoral care. Objectives: identification of clinical and psychopathological features and structure of the phenomenon of God’s abandonment in order to determine the syndromal and nosological affiliation, prognosis issues and right choice of therapeutic tactics. Patients and methods: 35 patients (16 male and 19 female) aged 18–55 years (mean 39.8 ± 11.6), who had a sense of God’s abandonment in the clinical picture of endogenous depression and depression-delusional disorders, were examined. Clinical-psychopathologic, psychometric (HDRS, CRS, SAG) and statistical methods were used. As a control group, 5 male individuals who were monastic residents and were not in the psychiatrist’s ашeld of vision and not demonstrated obvious signs of psychiatricdisorders were examined. For this group, a retrospective analysis of the peculiarities of the phenomenon of God’s abandonment was carried out on the basis of the assessment of subjective and objective data. Results: the conducted research has revealed that the phenomenon of God’s abandonment is a special psychopathological symptom complex specific for the studied group of patients, regardless the syndromal or nosological affiliation. The main manifestation of this phenomenon is the religiousanesthesia (as the religious equivalent of anaesthesia psychica dolorosa) with the leading manifestations of the absence of sensations of religious feeling with the key experience of abandonment by God in close link with the other psychopathological disorders. Three types of conditions with the phenomenon of God’s abandonment have been identiашed: type 1 — depressions with the phenomenon of God’s abandonment and manifestations of affective delusion (22 patients, 62 %; 12 men, 10 women; mean age 43.4 ± 11.2 years) in the structure of affective psychosis; type 2 — acute psychotic states with the phenomenon of God’s abandonment and noncongruent delusional disorders (13 patients, 37 %; 4 men, 9 women; mean age 31.7 ± 8.2 years) in the structure of schizoaffective disorder or schizophrenia spectrum; type 3 — crisis of faith (5 men from the control group; mean age 40 ± 11.8 years) which is the psychological crisis with experience of God’s abandonment within the framework of pers","PeriodicalId":516298,"journal":{"name":"Psikhiatriya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-02DOI: 10.30629/2618-6667-2023-21-6-6-16
H. R. Slobodskaya, O. S. Kornienko, I. Leto, T. Ryabichenko, A. Varshal, E. N. Petrenko, E. A. Kozlova, M. E. Grishkevich, S. Loginova
Background: research on time trends in child mental health is needed to clarify the effects of the COVID-19 pandemic, and to predict later developmental pathways. However, the results obtained in different countries may be relatively culture specific. The aim was to compare levels of child mental health in three comparable cohorts assessed with identical measures before and during the COVID-19 pandemic, taking age, gender and family sociodemographic characteristics into account. Participants and methods:: three cohorts of 2–14-year-old children from a large Siberian city were compared: 1436 (52 % boys) assessed in 2001–2004, 1508 (49 % boys) assessed in 2014–2017 and 1276 (52 % boys) assessed in 2020–2021. Parents completed the Strengths and Difficulties Questionnaire designed for a quantitative assessment of child and adolescent psychiatric problems and prosocial behaviour. Linear regression analyses examined cross-cohort changes by age and gender controlling for family composition, parental education and occupation. Results: from 2001 to 2021, levels of child psychiatric problems and their impact on daily functioning decreased, whereas levels of prosocial behaviour increased. During the COVID-19 pandemic, there was an increase in levels of emotional symptoms and conduct problems and a decrease in levels of prosocial behaviour compared to the prepandemic period. Time trends in child mental health were similar for both boys and girls of different ages and did not depend on family composition or parental education and occupation. Conclusions: over 20 years, there were positive trends in child mental health; however, psychosocial stress during the pandemic was accompanied by negative changes. Further studies will need to clarify possible determinants of secular trends in Russian child mental health and different developmental pathways.
{"title":"Cross-Cohort Changes in Parent-Rated Child Mental Health over Two Decades","authors":"H. R. Slobodskaya, O. S. Kornienko, I. Leto, T. Ryabichenko, A. Varshal, E. N. Petrenko, E. A. Kozlova, M. E. Grishkevich, S. Loginova","doi":"10.30629/2618-6667-2023-21-6-6-16","DOIUrl":"https://doi.org/10.30629/2618-6667-2023-21-6-6-16","url":null,"abstract":" Background: research on time trends in child mental health is needed to clarify the effects of the COVID-19 pandemic, and to predict later developmental pathways. However, the results obtained in different countries may be relatively culture specific. The aim was to compare levels of child mental health in three comparable cohorts assessed with identical measures before and during the COVID-19 pandemic, taking age, gender and family sociodemographic characteristics into account. Participants and methods:: three cohorts of 2–14-year-old children from a large Siberian city were compared: 1436 (52 % boys) assessed in 2001–2004, 1508 (49 % boys) assessed in 2014–2017 and 1276 (52 % boys) assessed in 2020–2021. Parents completed the Strengths and Difficulties Questionnaire designed for a quantitative assessment of child and adolescent psychiatric problems and prosocial behaviour. Linear regression analyses examined cross-cohort changes by age and gender controlling for family composition, parental education and occupation. Results: from 2001 to 2021, levels of child psychiatric problems and their impact on daily functioning decreased, whereas levels of prosocial behaviour increased. During the COVID-19 pandemic, there was an increase in levels of emotional symptoms and conduct problems and a decrease in levels of prosocial behaviour compared to the prepandemic period. Time trends in child mental health were similar for both boys and girls of different ages and did not depend on family composition or parental education and occupation. Conclusions: over 20 years, there were positive trends in child mental health; however, psychosocial stress during the pandemic was accompanied by negative changes. Further studies will need to clarify possible determinants of secular trends in Russian child mental health and different developmental pathways.","PeriodicalId":516298,"journal":{"name":"Psikhiatriya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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