Role of anxiety and depressive disorders in the genesis of psychosomatic disorders
Patients and methods. The results of clinical and psychodiagnostic examination using the Minnesota Multiphasic Personality Inventory (MMPI) were analyzed in 210 therapeutic inpatients from 4 groups of psychosomatic diseases (coronary heart disease, hypertensive disease, duodenal ulcer disease, asthm...
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IMA-PRESS LLC
2013-11-01
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| Series: | Неврология, нейропсихиатрия, психосоматика |
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| Online Access: | https://nnp.ima-press.net/nnp/article/view/250 |
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| author | Aleksandr Anatolyevich Shatenshtein |
| author_facet | Aleksandr Anatolyevich Shatenshtein |
| author_sort | Aleksandr Anatolyevich Shatenshtein |
| collection | DOAJ |
| description | Patients and methods. The results of clinical and psychodiagnostic examination using the Minnesota Multiphasic Personality Inventory (MMPI) were analyzed in 210 therapeutic inpatients from 4 groups of psychosomatic diseases (coronary heart disease, hypertensive disease, duodenal ulcer disease, asthma, and bronchitis with an asthmatic component) and 3 groups of diseases in whose genesis the psychosomatic mechanisms (pneumonia, gastritis, renal diseases) played a lesser role. Healthy individuals (n=38) served as a control group. The correlation coefficients between the first scale reflecting the number of somatic complaints and the magnitude of their hypochondriacal fixation and the second one characterizing the degree of anxiety and depressive disorders were calculated within each disease group. Results. In psychosomatic diseases, the correlation coefficients between the first and second MMPI scales proved to be insignificant and substantially lower than those in the healthy individuals. This suggests that in such patients, a larger number of somatic complaints and their enhanced hypochondriacal fixation alleviate anxiety and depressive disorders, which may be regarded as an indication that there is psychosomatic defense that lessens anxiety due to a somatic disease. In somatic diseases that are not referring to as psychosomatic ones, the correlation coefficient between the first and second scales is highly significant and considerably higher than that in the healthy individuals and particularly higher than in the group of psychosomatic diseases. In the patients of these groups, an increase in anxiety and depression aggravates autonomic dysregulation reflecting in the larger number of hypochondriacal complaints. This direct relationship between autonomic functions and the level of anxiety and depression may be a risk factor for developing these disorders. |
| format | Article |
| id | doaj-art-1ab3b701e27c4d499a2f2ae548e1175a |
| institution | OA Journals |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| publishDate | 2013-11-01 |
| publisher | IMA-PRESS LLC |
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| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj-art-1ab3b701e27c4d499a2f2ae548e1175a2025-08-20T02:15:58ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422013-11-0153283110.14412/2074-2711-2013-2336250Role of anxiety and depressive disorders in the genesis of psychosomatic disordersAleksandr Anatolyevich Shatenshtein0Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaPatients and methods. The results of clinical and psychodiagnostic examination using the Minnesota Multiphasic Personality Inventory (MMPI) were analyzed in 210 therapeutic inpatients from 4 groups of psychosomatic diseases (coronary heart disease, hypertensive disease, duodenal ulcer disease, asthma, and bronchitis with an asthmatic component) and 3 groups of diseases in whose genesis the psychosomatic mechanisms (pneumonia, gastritis, renal diseases) played a lesser role. Healthy individuals (n=38) served as a control group. The correlation coefficients between the first scale reflecting the number of somatic complaints and the magnitude of their hypochondriacal fixation and the second one characterizing the degree of anxiety and depressive disorders were calculated within each disease group. Results. In psychosomatic diseases, the correlation coefficients between the first and second MMPI scales proved to be insignificant and substantially lower than those in the healthy individuals. This suggests that in such patients, a larger number of somatic complaints and their enhanced hypochondriacal fixation alleviate anxiety and depressive disorders, which may be regarded as an indication that there is psychosomatic defense that lessens anxiety due to a somatic disease. In somatic diseases that are not referring to as psychosomatic ones, the correlation coefficient between the first and second scales is highly significant and considerably higher than that in the healthy individuals and particularly higher than in the group of psychosomatic diseases. In the patients of these groups, an increase in anxiety and depression aggravates autonomic dysregulation reflecting in the larger number of hypochondriacal complaints. This direct relationship between autonomic functions and the level of anxiety and depression may be a risk factor for developing these disorders.https://nnp.ima-press.net/nnp/article/view/250anxietydepressionpsychosomatic diseases |
| spellingShingle | Aleksandr Anatolyevich Shatenshtein Role of anxiety and depressive disorders in the genesis of psychosomatic disorders Неврология, нейропсихиатрия, психосоматика anxiety depression psychosomatic diseases |
| title | Role of anxiety and depressive disorders in the genesis of psychosomatic disorders |
| title_full | Role of anxiety and depressive disorders in the genesis of psychosomatic disorders |
| title_fullStr | Role of anxiety and depressive disorders in the genesis of psychosomatic disorders |
| title_full_unstemmed | Role of anxiety and depressive disorders in the genesis of psychosomatic disorders |
| title_short | Role of anxiety and depressive disorders in the genesis of psychosomatic disorders |
| title_sort | role of anxiety and depressive disorders in the genesis of psychosomatic disorders |
| topic | anxiety depression psychosomatic diseases |
| url | https://nnp.ima-press.net/nnp/article/view/250 |
| work_keys_str_mv | AT aleksandranatolyevichshatenshtein roleofanxietyanddepressivedisordersinthegenesisofpsychosomaticdisorders |