СOMPARATIVE CHARACTERISTICS OF CLINICAL-PSYCHOPATHOLOGICAL FEATURES OF DEPRESSIVE DISORDERS OF EMMIGRANTS AND RE-EMIGRANTS SUFFERING FROM PSYCHOGENIC, ENDOGENOUS AND ORGANIC DEPRESSIVE DISORDERS
DOI:
https://doi.org/10.11603/2415-8798.2016.4.7155Keywords:
emmigrants, re-emigrants, depressive disorders, social-psychological, phenomenological, clinical-psychopathological differences.Abstract
This work provides an analysis of clinical-psychopathological features of depressive disorders in emmigrants and re-emigrants suffering from psychogenic, endogenous and organic depressive disorders, using clinical data (main and additional symptoms of depressive disorder according to ICD-10 criteria, typology leading affect, syndromologic structure) and psychometric examination. We used depressive scale M. Hamilton (HRDS), anxiety scale M. Hamilton (HARS), questionary Symptom Check List-90-Revised – SCL-90-R. Comparative analysis showed the significance of differences between groups of emigrants and re-emigrants with a predominance manifestations of anxiety, fear, agitation in emmigrants, and anhedonia, the inability to concentrate and make decisions, prevalence of thoughts about death and suicide, and asthenia in re-emigrants. Analysis of the dominant type of affect found statistically significant dominance of anxiety-depressive in emigrants, and the sadness and apathetic types of affects in re-emigrants. In syndromologic structure of emigrants significantly more often were detected atypical affective syndromes, including displays of agitation, anxiety and somatovegetative disorders, while re-emigrants had typical affective syndromes (vital, apathetic and anestenic depression). Psychometric investigation of manifestations of depression and anxiety showed significantly greater prevalence among emigrants of anxiety-depressive disorders, depression and agitated depression, fear, mental and somatic anxiety, while re-emigrants showed prevalence of adynamic and undifferentiated forms of depression. Comparison of psychopathological structures had shown the predominance of anxiety, somatization, obsessive-compulsive symptoms at emigrants, and depression and interpersonal sensitivity at re-emigrants. Thus, the main clinical and psychopathological patterns of depressive disorders in emigrants is higher prevalence of anxiety-depressive and vehetative-somatization forms of depression, and the predominance of asthenic-depressive and adynamic forms of depressive disorders in re-emigrants.References
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