Results of complex rehabilitation of patients of specialized psychiatric hospital suffering from depressive disorders combined with oncologic diseases
Автор: Lebedeva E.V., Schastnyy E.D., Simutkin G.G., Vasilieva S.N., Lukiyanova E.V., Balycheva T.A., Yakovleva A.L., Surovtseva A.K., Smirnova N.S., Sosnina M.V.
Рубрика: Новые медицинские технологии
Статья в выпуске: 4 (93), 2016 года.
At the present stage affective disorders can often take severe chronic or recurrent course with high comorbidity with other mental and behavioural disorders as well as oncologic diseases, the most severe in comparison with other mental disorders suicidal behavior. According to our data, in oncologic patients affective disorders were associated with extremely high risk of suicidal behavior (according to Beck suicidal behavior and hopelessness rating scales), even after rehabilitative activities it remained clinically significant, although its reliable decrease was noted. The low level of social support and presence of cooccurring personality pathology were aggravating factors. A technology proposed by us included pharmacotherapy with antidepressants (mood stabilizers in the case of high risk or presence of bipolarity) with account for time of administration and interactions with specific anti-tumor therapy. In addition, methods of psychotherapeutic (humanistic, cognitive-behavioral therapy and psychoeducation) and psychosocial influence both in group and individually were used. Developed complex rehabilitative program showed its efficiency: significant improvement and improvement were noted in 75% of patients, in 8.3% -insignificant improvement, 16.7% of patients were discharged without changes of mental state.
Affective disorders, comorbidity, suicidal behavior, malignant neoplasms, complex rehabilitation, antidepressant psychopharmacotherapy, psychotherapy
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