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P0292 - Mental disorders in children, affected with bronchial asthma

Published online by Cambridge University Press:  16 April 2020

S.A. Ovsyannikov
Affiliation:
Moscow State University of Medicine and Dentistry, Department of Psychiatry, Moscow, Russia
B.D. Tsygankov
Affiliation:
Moscow State University of Medicine and Dentistry, Department of Psychiatry, Moscow, Russia
A.G. Arutyunov
Affiliation:
Moscow State University of Medicine and Dentistry, Department of Psychiatry, Moscow, Russia
Y.V. Dobrovolskaya
Affiliation:
Moscow State University of Medicine and Dentistry, Department of Psychiatry, Moscow, Russia
Y.I. Samsonova
Affiliation:
Moscow State University of Medicine and Dentistry, Department of Psychiatry, Moscow, Russia

Abstract

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The importance of neuropsychic factors in aetiology and pathogenesis of bronchial asthma in children is generally acknowledged. The affective abnormalities range among the most common mental disorders in children and adolescents. 120 children with the diagnosis of atopic bronchial asthma were evaluated in the children's polyclinic. Together with the general disturbances of health status, affective disturbances in the form of depression of different stage of severity were revealed in 108/120 subjects (90%). In all 108 people the sufficiently significant somatic and autonomic nervous disorders were observed. In our study the subdivision of depression into 3 types proved to be possible: asthenic depression – in 10 patients (8,5%), worried depression – in 74 (60,5%), astheno-worried depression – in 36 (30%). Asthenic depression (10 observations - 8,5%) was defined by a mild, free of specific depressive particularities, but continued decline of holothymia. The decreased mood was combined with the exhaustion and the irritable weakness. Worried depression (74 cases - 60,5%) was defined by the sensation of internal discomfort, indescribable unrest, expectation of the future events, distressing anxieties connected with the past. Astheno-worried depression (36 cases - 30%). The decreased mood was commonly combined with the severe emotional lability, asthenia, slight anxiety, hypersensibility to any exogenous irritant. Thus, in children, suffering from the bronchial asthma, the most frequently occurring psychosomatic disorders revealed in the ambulance situations, present as various typological forms of depressions with a distressing aspect.

Type
Poster Session II: Epidemiology
Copyright
Copyright © European Psychiatric Association 2008
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