The phenomenology of depersonalization in depressive disorders

Close metadata

OBJECTIVE

To establish the psychopathological characteristics of depersonalization disorders in patients with depressive states of varying severity and nosological affiliation.

MATERIAL AND METHODS

Fifty-five patients (39 women, mean age 36.89±12.9 years and 16 men, mean age 37.11±13.7 years) were studied using a psychopathological method and psychometric scales.

RESULTS

There is a certain syntropy between the various variants of depressive and depersonalization disorders. Depersonalization of change, the mildest variant of the disorder of self-consciousness, is observed both in so-called endogenous affective disorders (phases of recurrent depressive disorder (DDR) and bipolar affective disorder (BAR)), and in predominantly psychogenic depressive disorders (impaired adaptation). Depersonalization of loss is characteristic of the more severe phases of DDR and BAR, as well as periods of exacerbation of dysthymia.

CONCLUSION

The synergism between depressive affect and depersonalization disorders determines the choice of therapeutic tactics.

Keywords:

depersonalization

phenomenology

systematics

depressive disorders

prognosis

Authors:

Krylov V.I.

Pavlov First St. Petersburg State Medical University

Demeneva A.A.

Sverdlovsk Regional Clinical Psychiatric Hospital

Retyunsky K.Yu.

Cerebromed Clinic

Received:

14.11.2019

Accepted:

04.03.2020

List of references:

Megrabyan AA. Depersonalizatsiya. Yerevan; 1962. (In Russ.).
Nuller YuL, Mikhalenko IN. Affektivnye psikhozy. Leningrad; 1988. (In Russ.).
Tsygankov BD, Ovsyannikov SA. Psikhiatriya. Osnovy klinicheskoj psikhopatologii. Moscow; 2007. (In Russ.).
Morozov GV, Shumsky NG. Vvedenie v klinicheskuyu psikhiatriyu (propedevtika v psikhiatrii). Nizhny Novgorod; 1998. (In Russ.).
Bleikher VM, Kruk IV. Tolkovyj slovar’ psikhiatricheskikh terminov. Voronezh; 1995. (In Russ.).
Petrova NN. Psikhiatriya. Moscow; 2017. (In Russ.).
Shamrey VK, Marchenko AA, eds. Voennaya psikhiatriya. St. Petersburg; 2015. (In Russ.).
Zharikov NM, Tyulpin YuG. Psikhiatriya: uchebnik. 2-e izd. Moscow; 2009. (In Russ.).
Lytkin VM, Nechiporenko VV. Semiologiya psikhicheskikh rasstrojstv. Moscow; 2014. (In Russ.).
Mikirtumov BE, Ilichev AB. Kurs obshchej psikhopatologii. St. Petersburg; 2008. (In Russ.).
Tiganov AS, ed. Psikhiatriya: rukovodstvo dlya vrachej. V 2 t. Moscow; 2012. (In Russ.).
Soldatkin VA, ed. Psikhiatriya. Rostov-on-Don; 2016. (In Russ.).
Neznanov NG. Psikhiatriya. Moscow; 2018. (In Russ.).
Dyakonov AL. Eshche raz o depersonalizatsii. Yaroslavl; 2007. (In Russ.).
Bezzubova EB. Depersonalizatsiya kak rasstrojstvo razvitiya samosoznaniya. S.S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 1993;74:40-44. (In Russ.).
Grigorieva EA, Khokhlov LK, Dyakonov AL. Psikhopatologiya: simptomy i sindromy. Yaroslavl; 2007. 228 p. (In Russ.).
Krasnov VN. Rasstroystva affektivnogo spektra. Moscow; Prakticheskaya meditsina; 2011. (In Russ.).
Ivanets NN, Tyulpin YuG, Chirko VV, Kinkulkina MA. Psikhiatriya. Moscow; 2012. (In Russ.).
Haug K. Die Stoerungen des Percolichkeits bewusstseins und verwandt Entfremd und seriebnisseeine (Klinische und Psychologischt Studie). Stuttgart; 1936. 221 p. (In Germ.).
Snezhnevsky AV. Obshchaya psikhopatologiya (kurs lektsij). 2-e izd. Moscow; 2004. (In Russ.).
Michal M, Zwerenz R, Tschan R, et al. Screening for depersonalization-derealization with two items of the Cambridge depersonalization scall. Psychother Psychosom Med Psychol. 2010;60(5):175-179. (In Germ.). https://doi.org/10.1055/s-0029-1224098
Anufriev AK. O psikhopatologii nachal’nykh proyavlenij bredoobrazovaniya. Nezavisimyj psikhiatricheskij zhurnal. 1992;(1-2):14-24. (In Russ.).
Voitsekh VF. K voprosu o sootnoshenii psikhopatologicheskoj struktury i prediktorov techeniya endogennykh depressij. Depressii v ambulatornoj i obshchesomaticheskoj praktike (voprosy diagnostiki i terapii). Moscow; 1984. (In Russ.).
Smulevich AB. K psikhopatologicheskoy kharakteristike vyalotekushchey shizofrenii. S.S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2009;(11):4-15. (In Russ.).
Smulevich AB. Maloprogredientnaya shizofreniya i pogranichnye sostoyaniya. 4-e izd. Moscow: MEDpress-inform; 2019. (In Russ.).
Hamilton M. Standardized assessment and recording of depressive symptoms. Psychiatr Neural Neurochir. 1969;72:201-205.
Krylov VI. Depersonalizatsionnye rasstrojstva (psikhopatologicheskie osobennosti i simptomatika). Trudnyj patsient. 2019;17(5):43-50. (In Russ.).
Vertogradova OP, ed. Psikhopatologicheskie kriterii diagnostiki depressii: metodicheskie rekomendatsii. Moscow; 1980. (In Russ.).

Close metadata