Korostiy V. Emotional disorders in young persons wih psychosomatic diseases (system of forecasting, psychotherapy and rehabilitation)

In 956 young people with psychosomatic diseases (PSD), bronchial asthma (BA), with peptic ulcer of the stomach and duodenum (PU) and arterial hypertension (AH) from the position of a systematic approach investigated the clinical features of the structure and formation of emotional disorders in young persons with psychosomatic diseases. In the clinical structure of emotional disorders (ED) dominated depressive disorders (43,4 ± 2,2%) due to depressive reactions in which the clinical picture was dominated by asthenic-depressive and depressive-hypochondriacal symptoms. Anxiety disorders were observed in 25,1 ± 1,2% of the total number of patients with ED, also dominated by anxiety reactions (10,8 ± 2,2%). In patients with asthma significantly more frequently met panic disorder, agoraphobia, isolated phobia in patients with hypertension in many cases found generalized anxiety disorder (p < 0,01). The frequency of psychopathological symptoms that met ICD-10 F54 category (38% ± 3,1% of patients with PSD) and their role as risk factors for ER and in the course of somatic diseases. Identified pathogenetically significant clinical, biological, psychological and psychosocial factors in the development of ER in young people with PSD. Pathogenetic role of psychological characteristics in the development of EP in patients with PSD determined by a combination of psychological traits: aleksytymia, low productivity of psychological defense, low predictive ability, high levels of aggression and hostility (p < 0,05). Sets out the general principles of pathogenesis-based psychotherapy ER at PSD in young persons, scientifically founded, developed and implemented in practice the system of psychological adjustment and medical and social rehabilitation of patients with PSD, which confirmed the effectiveness of data of observation after 12 mounth.