Hysteroform depressions in young female patients

Close metadata

OBJECTIVE

To study the features of the psychopathological structure of depression in young women with hysteroform symptoms, as well as the features of auto-aggressive non-suicidal and suicidal behavior in these conditions.

MATERIAL AND METHODS

The results of a clinical/psychopathological examination of 50 female adolescent patients, aged 16 to 25 years, with endogenous depressions with one of the following ICD-10 diagnosis: (F31.3-4, F34.0, F21.3-4 + F31.3-4, F60.X + F31.3-4) and prevail of hysteroform symptoms in the form of conversion/dissociative disorders in their clinical picture were analyzed.

RESULTS

Depression was characterized by an acute onset due to a traumatic situation represented by difficulties in personal or family relationships (36%, n=18), bereavement reactions (28%, n=14) and problems in school/work (22%, n=11). The depressive triad had an erased character, the thymic component was represented by a variable character of affect with a predominance of dysphoria (38%, n=19) and anxiety (32%, n=16). The ideational component of the triad was detected in 50% of cases (n=25), while in 38% (n=19) there was ideational acceleration. In 44% of cases (n=22), dissociative disorders were noted in the form of delusional fantasizing, represented by symptoms close to the «multiple personality» phenomenon. Often there were obsessional disorders (58%, n=29), anxiety-phobic symptoms in the form of panic attacks (46%, n=23), isolated phobias (28%, n=14), social phobias (30%, n=15). In 40% of cases (n=20) the formation of overvalued hypochondriacal ideas was noted. Non-suicidal self-harm occurred in 41 patients (82%), in 42% of cases (n=21) the patients made suicide attempts that were distinguished by a low danger to life.

CONCLUSION

Hysteroform depressions in girls are characterized by polymorphism of the psychopathological structure, erosion of the depressive triad, originality of the clinical picture of dissociative disorders, presence of comorbid disorders, and frequent, but with a low danger to life suicidal attempts.

Keywords:

: endogenous depression

adolescence

dissociative and conversion disorders

non-suicidal auto-aggressive behavior

suicidal attempts

Authors:

Oleĭchik I.V.

Mental Health Research Centre

Baranov P.A.

Mental Health Research Centre

Yunilaynen O.A.

Mental Health Research Centre

Khoang S.Z.

Mental Health Research Centre

Received:

03.03.2022

Accepted:

22.03.2022

List of references:

Mazaeva NA, Kravchenko NE. Risk Factors for the Increase in Frequency and Earlier Manifestation of Depression in Adolescent Population of Today. Psikhiatriya. 2020;18(3):6-13. (In Russ.). https://doi.org/10.30629/2618-6667-2020-18-3-6-13
Finning K, et al. The association between child and adolescent depression and poor attendance at school: A systematic review and meta-analysis. Journal of Affective Disorders. 2019;245:928-938. https://doi.org/10.1016/j.jad.2018.11.055
Byrne ML, et al. Adolescent-onset depression: are obesity and inflammation developmental mechanisms or outcomes? Child Psychiatry & Human Development. 2015;46(6):839-850. https://doi.org/10.1007/s10578-014-0524-9
Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin. 2017;143(8):783. https://doi.org/10.1037/bul0000102
Uryvaev VA. Rossiyskaya molodezh v epokhu transformatsii obshchestva pokolenie XP i pokoleniya X, Y, Z. Meditsinskaya Psikhologiya v Rossii Elektronnyy Nauchnyy Zhurnal. 2017;9(5):46. (In Russ.). https://www.mprj.ru/archiv_global/2017_5_46/nomer11.php
Kravchenko NE, Mazaeva NA. Nosomorphosis of mental pathology observed in adolescent pnd contingent. Sovremennaja Terapija v Psihiatrii i Nevrologii. 2020;(3-4):4-8. (In Russ.). https://cyberleninka.ru/article/n/nozomorfoz-psihicheskoy-patologii-nablyudaemoy-u-podrostkovogo-kontingenta-pnd/viewer
Bor W, et al. Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Australian & New Zealand Journal of Psychiatry. 2014;48(7):606-616. https://doi.org/10.1177/0004867414533834
Oleĭchik IV. Psychopathology, typology and nosological evaluation of juvenile endogenous depressions: a clinical and follow-up study. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2011;111(2):10-18. (In Russ.). https://www.mediasphera.ru/issues/zhurnal-nevrologii-i-psikhiatrii-im-s-s-korsakova/2011/2/031997-7298201122
Kravchenko NE. Klinicheskaia effektivnost’ stimulotona pri lechenii nepsikhoticheskikh depressivnykh rasstroistv u podrostkov. Psikhiatriia. 2005;1(1):50-54. (In Russ.). https://www.psychiatry.ru/stat/190
Lewinsohn PM, Rohde P, Seeley JR. Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clinical psychology Review. 1998;18(7):765-794. https://doi.org/10.1016/S0272-7358(98)00010-5
Gledhill J, Garralda ME. Sub-syndromal depression in adolescents attending primary care: frequency, clinical features and 6 months outcome. Social Psychiatry and Psychiatric Epidemiology. 2013;48(5):735-744. https://doi.org/10.1007/s00127-012-0572-z
Breslau J, et al. Racial/ethnic differences in perception of need for mental health treatment in a US national sample. Social Psychiatry and Psychiatric Epidemiology. 2017;52(8):929-937. https://doi.org/10.1007/s00127-017-1400-2
Lu W. Adolescent depression: national trends, risk factors, and healthcare disparities. American Journal of Health Behavior. 2019;43(1):181-194. https://doi.org/10.5993/AJHB.43.1.15
Watson R, et al. Understanding anhedonia: A qualitative study exploring loss of interest and pleasure in adolescent depression. European Child & Adolescent Psychiatry. 2020;29(4):489-499. https://doi.org/10.1007/s00787-019-01364-y
Gaupp R, Berrios GE, Pomarol-Clotet E. Depressive states in old age. History of Psychiatry. 2000;11(42):213-215. https://doi.org/10.1177/0957154X0001104205
Reiss E. Konstitutionelle Verstimmung und manisch-depressives Irresein. Zeitschrift Für die Gesamte Neurologie und Psychiatrie. 1910;2(1):347-628. https://doi.org/10.1007/BF02866357
Belyakov MI. Psikhogennye depressii v sudebnopsikhiatricheskoy praktike. Problemy Sudebnoy Psikhiatrii. Moscow, 1959;67-189. (In Russ.).
Felinskaya NI. O ponyatii i klassifikatsii pogranichnykh sostoyaniy. Problemy Sudebnoy Psikhiatrii. 1970;(19):86-88. (In Russ.).
Eliseev YuI. K klinicheskoy dinamike reaktivnoy depressii po dannym katamnesticheskikh nablyudeniy Zhurnal Nevropatologii i Psikhiatrii. 1966;(12):1841. (In Russ.).
Dubnitskaya EB, About the clinical features of the syndrome of hysterical hypochondria. Zhurnal Nevropatologii i Psikhiatrii. 1977;(5):733-739. (In Russ.).
Plotnikov SM, Kovalev YuV. Istericheskie maski tsiklotimii v klimaktericheskom vozraste. I.: Izdatelstvo Udmurtskogo gosudarstvennogo universiteta; 1992. (In Russ.).
Subbotskaya Nv. Psychopathy like depressions with hysterical disorders (part 1). Psikhiatriya. 2018;1(77):32-38. (In Russ.). https://doi.org/10.30629/2618-6667-2018-77-32-38
Levchenko NS, Oleichik IV. Clinical and psychopatological features of endogenous depressions in young women. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2021;121(5-2):27-34. (In Russ.). https://doi.org/10.17116/jnevro202112105227

Close metadata