Psychopathological Features of Asthenic Syndrome in Persons Accidentally Exposed to Radiation
https://doi.org/10.30629/2618-6667-2022-20-1-58-66
Abstract
Background: CNS functional impairment is observed even in cases of low radiation doses. The results of epidemiological studies show the relevance of the problem of mental health disorders in persons affected by ecological disasters. Asthenic syndrome is one of the main complex of symptoms in case of both acute and accidental radiation exposures although there are no accurate data about pathway of development, categories of asthenic syndrome and factors determining its course so far.
The objective of the research is to study asthenic syndrome in persons accidentally exposed to radiation.
Patients: the main group included 81 persons (average age 68.9 ± 5.0 y.o.) with clinically pronounced asthenic manifestations and soft tissue dose ≥ 0.07 Gy. The comparison group included 50 persons (average age 65.8 ± 7.0 y.o.) with exposure dose < 0.07 Gy and also pronounced asthenic manifestations.
Methods: psychopathological, clinical, neurophysiological (EEG), psychological (MFI-20 and MMSE scales) and psychophysiological (Simple Hand-Eye Reaction, A.R. Luria “Remembering 10 words”, Schulte table) methods have been used in the study.
Results and conclusion: a significantly pronounced asthenic manifestation was observed in both groups. Autonomous disorders, general asthenia, pre-dement cognitive changes, slow rate of sensorimotor reaction, moderate disorders of the functioning of cortical structures, predominant infiuence of stem structures on the brain bioelectric activity, more frequent changes in the right hemisphere, dysfunction of the reticular formation with its enhanced activation were identified significantly more often in a group of irradiated patients.
About the Authors
T. E. Kantina
Urals Research Center for Radiation Medicine, FMBA of Russia
Russian Federation
Russian Federation
Tatiana E. Kantina, Junior Researcher, Ecological Pathopsychology Laboratory
Chelyabinsk
E. Yu. Burtovaia
Urals Research Center for Radiation Medicine, FMBA of Russia
Russian Federation
Russian Federation
Elena Yu. Burtovaia, Cand. of Sci. (Med.), Head of Laboratory, Ecological Pathopsychology Laboratory
Chelyabinsk
E. A. Litvinchuk
Urals Research Center for Radiation Medicine, FMBA of Russia
Russian Federation
Russian Federation
Elena A. Litvinchuk, Junior Researcher, Ecological Pathopsychology Laboratory
Chelyabinsk
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Review
For citations:
Kantina T.E., Burtovaia E.Yu., Litvinchuk E.A. Psychopathological Features of Asthenic Syndrome in Persons Accidentally Exposed to Radiation. Psychiatry (Moscow) (Psikhiatriya). 2022;20(1):58-66. (In Russ.) https://doi.org/10.30629/2618-6667-2022-20-1-58-66
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