The issue of neuropsychiatric disorders in patients with hypothyroidism
Year: 2016, volume 12 Issue: №3 Pages: 375-378
Heading: Neurology Article type: Original article
Authors: Kutashov V.A., Budnevsky A.V., Ulyanova O.V., Priputnevich D.N.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Heading: Neurology Article type: Original article
Authors: Kutashov V.A., Budnevsky A.V., Ulyanova O.V., Priputnevich D.N.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:
The aim of the study was assessment of thyroid function in patients with psychiatric and psychological assistance; to study the structure of AR in patients with hypothyroidism, to reveal alexithymical identifying of personality characteristics of patients with hypothyroidism and AP Materials and Methods. 406 patients with AR at the age of 51.3±4.7 years. To verify the useofTSH hypothyroidism rate and to assess depressive disorder — Hamilton Scale and the Montgomery— Asberg; with clinical and psychopathological study: 1) the scale of self-BH alarm Spielberger (Y. L. Hanin), 2) questionnaire G. Shmisheka 3) Toronto alexithymia scale. Results. Hypothyroidism is set at 116 (28.6%) of 406 patients suffering from RA. Among the 374 patients with depressive disorders hypothyroidism was observed in 116: subclinical — in 76 patients (65.5%), symptomatic — in 40 (34.5%). The first group consisted of 258 patients with the presence of depressive disorders and without hypothyroidism; second — 116 patients with the presence of depression and hypothyroidism. TSH in patients suffering AR, without thyroid dysfunction was 5.2 times lower than in patients with the presence of hypothyroidism. Among AP comorbid with hypothyroidism, are predominant depressive with a predominance of mild and moderate forms. Dominating are anxious-depressive, dysphoric, adynamic, sad, depressive disorders. Conclusion. In patients with AR and hypothyroidism predominant types of personality accentuation are dysthymic, anxious, demonstrative and meticulous.
Keywords: thyroid hormone deficiency, thyroid gland, psychoemotional status, mental disorders, hypothyroidism
Bibliography:
1. Fadeev V.V., Melnichenko G.A. Hypothyroidism (Guide for Doctors). M.: North RCTs press, 2002; 288 p.
2. Budnevsky A.V., Priputnevich D.N., Kutashov V.A., Kravchenko A.Y. Hypothyroidism and depression: psychosomatic relationships. Voronezh: VSMU, 2016; 140 p.
3. Avedisova A. Neuroplasticity and the pathogenesis of depression: new data. Psychiatry and psychopharmacotherapy 2004; 6 (6): 312-314
4. Veltishchev D.Y. Clinico-pathogenetic patterns situational depressive spectrum disorders: PhD diss. Moscow, 2001; 146 p.
5. Krasnov V.N. Depression in primary care practice. Psychiatry and psychopharmacotherapy 2002; (5): 181-183
6. Hanin JL. Quick guide to the use of reactive and personal anxiety Spielberger scale. L: LenNllfizich Culture, 1976; 65 p.
7. Sakharova V. Accentuation nature and use of the G. Shmishek questionnaire: Methodical recommendations for practical psychologists. Vladivostok, 2003; 32 p.
8. Khabarova TY, Kutashov VA, Ulyanova OV. Study procedure medical, social and psychological and neurological characteristics of patients with affective disorders. System Analysis and Control in Biomedical Systems 2015; 14 (3): 588-592
9. Levchenko IA, Fadeev VV Subclinical hypothyroidism (literature review). Problems Endocrinology 2002; (2): 15
10. Smulevich А.В. Psychosomatic disorders. Social and Clinical Psychiatry 1997; (1): 5-18
11. Dayan CM, Panicker V Thyroid hormones association with depression. Eur Thyroid J 2013; 2: 168-179
12. Samuels MH. Psychiatric and cognitive manifestations of hypothyroidism. Curr Opin Endocrinol Diabetes Obes 2014; 21 (5): 37-83.
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