Кататонические расстройства в структуре приступа эндогенной депрессии

Abstract

Objectives. Studying of psychopathological manifestations, tendencies of dynamics of catatonic features in the structure of endogenous depression, and prognostic factors of the disease.Material and methods. 38 patients aged 16-58 years with depression occurring with catatonic disorders were examined by clinical-psychopathological method.Results. Psychopathological heterogeneity of catatonic features in the structure of complex endogenous depressions was revealed. 3 subtypes of catatonic disorders were defined in the structure of depression: 1) exclusively with hypokinetic symptoms of catatonia; 2) with a discreteness of the manifestations of catatonic disorders of polar registers; 3) with partial dyskinetic catatonia. It is shown that between the examined groups there are significant differences not only in the psychopathological manifestations, but in patokinesis of affective and catatonic disorders. It is revealed the importance of particular catatonic signs in the structure of depression for nosological assessment and determination of prognosis of the disease.