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Mental Disorders in Patients Breast Cancer: Differentiated Approach to the Study Nozogeny

Published online by Cambridge University Press:  23 March 2020

O. Shushpanova*
Affiliation:
Scientific Center of Mental Health, Department for the Study of Children and Adolescent Psychiatry problems, Moscow, Russia

Abstract

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Objective

The problem of mental disorders in patients with breast cancer is relevant due to the high prevalence of pathological changes in the mental health patients, insufficient development of clinical typology of psychosomatic correlations of the contribution of constitutional features.

Methods

Nozogeny disorders are clinically heterogeneous and are represented by two nosologic categories: reaction and nosogenic patho-characterological personal development. The basic method of work was a clinical follow-up and statistical research methods (method using contingency tables and Fechner coefficient method using the χ2 – test).

Results

The manifestation of a nozogeny reaction is closely correlated with his premorbid personality characteristics. Anxious-depressive nozogeny reaction was recorded in 17 patients of the first sample with high direct correlation (coefficient Fechner F = 0.76, P < 0.01) with respect to accentuation of personality in the alarm type, and the weak direct link to the personal characteristics of the affective (bipolar) range (F = 0.22, P < 0.01). Anxious-nozogeny dissociative response was detected in 9 patients with hysterical (55.5%) and expansive schizotypal (vershrobene) (44.4%) lung cancer with a significant (F = 0.65, P < 0.01) a direct correlation with constitutional hyperthymia, anxiety-hypomanic nozogeny response was observed in patients c schizotypal RL (n = 4) paired with symptoms of persistent hyperthymia (F = 0.39, P = 0.012).

Conclusion

Patho-characterological development of personality are formed on the remote catamnestic stage breast cancer and show the clinical heterogeneity of differentiation into 4 types: (1) the type of hypochondriacal dysthymia, (2) the type of “paranoia struggle”, (3) in an “aberrant hypochondria” and (4) the type of “new life”.

Disclosure of interest

The author has not supplied his/her declaration of competing interest.

Type
e-Poster Viewing: Oncology and psychiatry
Copyright
Copyright © European Psychiatric Association 2017
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