RESUMO
Low back pain occupies one of the leading places among pain syndromes and is an urgent medical, social, and economic problem of our time. A review of modern domestic and foreign literature data on the features of diagnosis, treatment and rehabilitation of chronic dorsalgia in patients with comorbid pathology was carried out. The article reflects the main etiological factors, describes the types of back pain: non-specific (musculoskeletal), radiculopathy, pain associated with potentially dangerous diseases, in addition, issues of the pathogenesis of pain syndromes are highlighted with an indication of nociceptive, neuropathic, psychogenic components. The most common comorbidity in patients with chronic pain in the lower back is characterized. Diagnostic algorithms for the problem under study, measures of drug and non-drug therapy, the possibility of practicing yoga for chronic lower back pain from the standpoint of evidence-based medicine are considered. It was stated that the treatment of chronic pain in the lower back should be individual, with an impact on different links in the pathogenesis of the pathological process. At the same time, the practice of yoga allows you to comprehensively influence the body at various levels: physical, psychological, mental. However, further research is required in this area.
Assuntos
Dor Crônica , Dor Lombar , Yoga , Dor nas Costas , Dor Crônica/terapia , Humanos , Dor Lombar/diagnóstico , SíndromeRESUMO
Because of the high prevalence of nonpsychotic anxiety-depressive disorders, the authors discuss the necessity and possibility of their diagnosis and treatment by primary care physicians. Arguments supporting this suggestion are presented.
Assuntos
Depressão , Transtorno Depressivo , Médicos de Atenção Primária , Depressão/diagnóstico , Transtorno Depressivo/diagnóstico , Humanos , Prevalência , Atenção Primária à SaúdeRESUMO
AIM: To study the structure of aggression of the patients with paranoid schizophrenia depending on sex and illness duration. MATERIAL AND METHODS: 102 patients with paranoid schizophrenia and 101 healthy people, aged from 18 to 64 years, were examined. Quantitative indicators of cognitive, emotional, and behavioral components of aggression were measured using the Buss-Perry questionnaire. The projective Hand-test was administered to assess aggressive behavioral tendencies and inclinations to aggressive behavior. RESULTS AND CONCLUSION: The authors identified the dissociated structure of aggressiveness in patients with paranoid schizophrenia that manifested with dissociated cognitive, emotional, and behavioral components. The specifics of the structure of aggression and compensatory behavioral trends are described.