Individual-psychological and pathocarterological features of patients with depressive disorders
Abstract
The problem of depressive disorders is one of the most important problems of modern psychiatry due to the high prevalence and
signifi cant medical and social consequences of depression, which determines the relevance of the study of individual psychological and
pathocharacterological characteristics of patients with depressive disorders for prevention of depression.
The aim of the study: to determine the individual psychological and pathocharacterological characteristics of patients with
depressive disorders, taking into account age and sex of patients.
Objectives of the study: to determine the structure and quantify the severity of individual psychological and pathocharacterological
characteristics, as well as to establish their relationship with the severity of aff ective symptoms in patients with depressive disorders in
diff erent age groups and taking into account sex of patients.
Methods: using Mini-Mult test clinically and psychologically examined 107 men and 138 women with depressive disorders.
Results. It was found that patients with depressive disorders have stable characteristics of dysthymia (84.1±4.6 T-points in men,
81.3±1.9 T-points in women, p<0.01), anxiety (respectively 78,8±9.5 T-points and 83.7±8.3 T-points, p<0.01) in combination with
hypochondriac fi xations (71.4±8.5 T-points and 75.6±5.7 T-points, p<0.01), and moderate manifestations of rigidity, dissociative traits
and psychopathy. Sex diff erences are more pronounced in men with persistent dysthymic and rigid traits, and in women – hypochondriac,
anxious traits and manifestations of aff ective lability. The most signifi cant pathocharacterological features are manifested in the
initial stages of the disease, which is manifested by the greatest diff erences in their manifestations between younger and middle age
groups, especially in relation to hypochondriac, dissociative, rigid, schizoid characteristics and manifestations of psychopathy. Persistent
hypochondriac, dysthymic and aff ectively labile traits are positively correlated with the severity of depression and anxiety, however, this
relationship is not absolute and refl ects the complex clinical, pathogenetic and pathopsychological patterns of personality change in
depressive disorders.
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References
Lim G.Y., Tam W.W., Lu Y., Ho C.S., Zhang M.W., Ho R.C. Prevalence of Depression in the Community from 30 Countries between 1994 and 2014. Sci Rep. 2018. No. 8, pp. 2861. https://doi.org/10.1038/s41598-018-21243-x
Read J.R., Sharpe L., Modini M., Dear B.F. Multimorbidity and depression: A systematic review and meta-analysis. J Aff ect Disord. 2017. No. 221, pp. 36-46. https://doi.org/10.1016/j.jad.2017.06.009
Almeida S.S., Zizzi F.B., Cattaneo A., Comandini A., Dato G.D., Lubrano E., Pellicano C., Spallone V., Tongiani S., Torta R. Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach. Front Psychol. 2020. No. 11, p. 542444. https://doi.org/10.3389/fpsyg.2020.542444
Summergrad P. Investing in global mental health: the time for action is now. Lancet Psychiatry. 2016, No. 3(5), pp. 390-391. https://doi.org/10.1016/S2215-0366(16)30031-1
Matcham F., Norton S., Scott D.L., Steer S., Hotopf M. Symptoms of depression and anxiety predict treatment response and long-term physical health outcomes in rheumatoid arthritis: secondary analysis of a randomized controlled trial. Rheumatology (Oxford). 2016. No. 55(2), pp. 268-278. https://doi.org/10.1093/rheumatology/kev306
Fiest K.M., Hitchon C.A., Bernstein C.N., Peschken C.A., Walker J.R., Graff L.A., Zarychanski R., Abou-Setta A., Patten S.B., Sareen J., Bolton J., Marrie R.A. Systematic Review and Meta-analysis of Interventions for Depression and Anxiety in Persons With Rheumatoid Arthritis. J Clin Rheumatol. 2017. No. 23(8), pp. 425-434. https://doi.org/10.1097/RHU.0000000000000489
Choo C.C., Harris K.M., Ho R.C. Prediction of Lethality in Suicide Attempts: Gender Matters. Omega (Westport). 2019. No. 80(1), pp. 87-103. https://doi.org/10.1177/0030222817725182
Pokhrel N.B., Khadayat R., Tulachan P. Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study. BMC Psychiatry. 2020. No. 20(1), pp. 298. https://doi.org/10.1186/s12888-020-02645-6
Zhao L., Han G., Zhao Y., Jin Y., Ge T., Yang W., Cui R., Xu S., Li B. Gender Diff erences in Depression: Evidence From Genetics. Front Genet. 2020. No. 11, p. 562316. https://doi.org/10.3389/fgene.2020.562316
Zhou J., Yuan X., Qi H., Liu R., Li Y., Huang H., Chen X., Wang G. Prevalence of depression and its correlative factors among female adolescents in China during the coronavirus disease 2019 outbreak. Global Health. 2020. No. 16, p. 69. https://doi.org/10.1186/s12992-020-00601-3
Boldrini T., Tanzilli A., Di Cicilia G., Gualco I., Lingiardi V., Salcuni S., Tata M.C., Vicari S., Pontillo M. Personality Traits and Disorders in Adolescents at Clinical High Risk for Psychosis: Toward a Clinically Meaningful Diagnosis. Front Psychiatry. 2020. No. 11, p. 562. https://doi.org/10.3389/fpsyt.2020.562835
Nikčević A.V., Marino C., Kolubinski D.C., Leach D., Spada M.M. Modelling the contribution of the Big Five personality traits, health anxiety, and COVID-19 psychological distress to generalised anxiety and depressive symptoms during the COVID-19 pandemic. J Aff ect Disord. 2021. No. 15(279), pp. 578–584. https://doi.org/10.1016/j.jad.2020.10.053
Prince E.J., Siegel D.J., Carroll C.P., Sher K.J., Bienvenu O.J. A longitudinal study of personality traits, anxiety, and depressive disorders in young adults. Anxiety Stress Coping. 2021. No. 34(3), pp. 299-307. https://doi.org/10.1080/10615806.2020.1845431.
Gutiérrez-Rojas L., Porras-Segovia A., Dunne H., Andrade-González N., Cervilla J.A. Prevalence and correlates of major depressive disorder: a systematic review. Braz J Psychiatry. 2020. No. 42(6), pp. 657–672. https://doi.org/10.1590/1516-4446-2020-0650.
Zajtsev V.P. Variant of psychological test Mini-Mult. Psychological Journal. 1981. No. 3, pp. 118-123. [in Russ.]