Типология смешанных депрессивных состояний в клинике биполярного аффективного расстройства

Авторы:
  • А. С. Аведисова
    Государственный научный центр социальной и судебной психиатрии им. В.П. Сербского Минздрава России, Москва
  • Р. В. Воробьев
    Психиатрическая клиническая больница №12 Департамента здравоохранения, Москва
Журнал: Журнал неврологии и психиатрии им. С.С. Корсакова. 2014;114(1): 16-25
Просмотрено: 2472 Скачано: 756
На основе дименсиональной оценки смешанных депрессивных состояний, возникающих при биполярном аффективном расстройстве, выделены три клинических варианта: ажитированная депрессия, депрессия со скачкой идей и гиперреактивная депрессия. Для каждого варианта установлены тяжесть депрессивных и маниакальных симптомов и характерный симптоматический профиль. Подтверждено, что для смешанных депрессивных состояний характерны явления активации и гиперреактивности. Установлена высокая значимость преморбидного аффективного темперамента в формировании различных вариантов смешанных расстройств. Отмечены некоторые особенности течения и прогноза биполярного аффективного расстройства в зависимости от варианта смешанных депрессивных состояний.
Ключевые слова:
  • смешанное состояние
  • биполярное аффективное расстройство
  • ажитированная депрессия
  • депрессия со скачкой идей
  • гиперреактивность

КАК ЦИТИРОВАТЬ:

Аведисова А.С., Воробьев Р.В. Типология смешанных депрессивных состояний в клинике биполярного аффективного расстройства. Журнал неврологии и психиатрии им. С.С. Корсакова. 2014;114(1):16-25.

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