RESUMEN
The prevalence of affective disorders in patients with Parkinson's disease (PD) is significantly higher than in the general population of people of the same age. It is known that the effectiveness of antidepressants in PD with depressive disorder is lower than in patients with primary depression. For depression resistant to standard treatments, other therapeutic strategies are available. Transcranial magnetic stimulation (TMS) is one of the most popular and safe brain stimulation methods that has been successfully used to treat primary depression. The accumulation of experience in the use of TMS has made it possible to expand the application of the method to other diseases, including PD. The article provides literature data on the use of different TMS protocols for the treatment of depressive disorder in patients with PD.
Asunto(s)
Trastorno Depresivo , Enfermedad de Parkinson , Encéfalo , Trastorno Depresivo/etiología , Trastorno Depresivo/terapia , Humanos , Enfermedad de Parkinson/complicaciones , Enfermedad de Parkinson/psicología , Enfermedad de Parkinson/terapia , Estimulación Magnética Transcraneal/métodos , Resultado del TratamientoRESUMEN
AIM: To study self-medication and its factors in patients with depressive and neurotic disorders at premorbid stage. MATERIAL AND METHODS: The sample included 131 first-time admitted patients and 85 recurrent patients with depressive or neurotic disorders, who reported taking medication to cope with the symptoms during preadmission period. Lazarus coping strategies test, Shmishek personality test, test on disease attitude and patient activation were used. Social and demographic characteristics, subjective characteristics of disease, medical literacy and behavioral coping strategies were studied. RESULTS AND CONCLUSION: Over 50% of the patients used self-medication to cope with the symptoms during the preadmission period. Coping anxiety and insomnia was a key motivation to self-medication. Most frequently used medications included tranquilizers and herbal anxiolytics. Misunderstanding of origin of their state, searching for information about treatment of disease via internet, increased emotiveness and tension, lack of their correction with psychotherapy were the factors of self-medication.
Asunto(s)
Trastornos Neuróticos , Automedicación , Trastornos del Inicio y del Mantenimiento del Sueño , Adaptación Psicológica , Ansiedad , Trastornos de Ansiedad , Depresión , Humanos , Trastornos Neuróticos/psicología , Trastornos del Inicio y del Mantenimiento del Sueño/psicologíaRESUMEN
AIM: To find out the factors effecting time from onset of symptoms of psychiatric disorders to help-seeking. MATERIAL AND METHODS: The sample included 166 inpatients with affective or neurotic, stress-related and somatoform disorders. Clinical, psychometric, anamnestic methods were used. RESULTS AND CONCLUSION: The multiple regression model of help-seeking by inpatients with depressive and neurotic disorders is characterized by the high level of multiple correlation (r=0.85). This model allows the prediction of the time of help-seeking in the group of inpatients or individually, which can be used as a basis for programs of prevention of delayed help-seeking behavior.
Asunto(s)
Conducta de Búsqueda de Ayuda , Modelos Lineales , Trastornos Neuróticos , Humanos , Pacientes Internos , PsicometríaAsunto(s)
Alcoholismo/epidemiología , Alcoholismo/psicología , Mecanismos de Defensa , Trastorno de Pánico/epidemiología , Trastorno de Pánico/psicología , Adulto , Alcoholismo/rehabilitación , Femenino , Hospitalización , Humanos , Masculino , Persona de Mediana Edad , Trastorno de Pánico/diagnósticoRESUMEN
Comorbid diagnosis of panic disorder and alcoholism is common in clinical practice. There are several theories that explained the comorbidity but no one of them has been completely proved. Sequence of disease manifestation in patients with comorbid pathologies remains unclear but different combinations may exist. Many studies suggest that anxiety disorders precede the development of alcoholism. Moreover, the prospective research has revealed that panic disorder is a highly significant predictor of alcoholism. The effectiveness of therapy was shown to be several times lower in the presence of comorbid anxiety disorders. At the same time, the problems of adequate therapy of patients with comorbid pathology remain unsolved.