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Structure of early signs of affective pathology in adolescents

Published online by Cambridge University Press:  13 August 2021

N. Osipova ,
L. Bardenshteyn ,
N. Beglyankin ,
G. Aleshkina  and
M. Dmitriev
N. Osipova*
Affiliation:
Department Of Psychiatry And Narcology, A. I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
L. Bardenshteyn
Affiliation:
Department Of Psychiatry And Narcology, A. I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation Department Of Psychiatry And Narcology, A. I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
N. Beglyankin
Affiliation:
Department Of Psychiatry And Narcology, A. I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
G. Aleshkina
Affiliation:
Department Of Psychiatry And Narcology, A. I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
M. Dmitriev
Affiliation:
Department Of Physics, Mathematics And Medical Informatics, Smolensk State Medical University, Smolensk, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Studies in adults with bipolar disorder (BD), shows that in 25% of cases first affective episode occurs under the age of 13 and in 63-69% under the age of 19. The most difficult problem is the early identification of BD, which starts in adolescence as a result of polymorphism of clinical symptoms, their syndromic incompleteness.

Objectives

Study of the structure of adolescents affective disorders on primary appointment in outpatient psychiatric unit.

Methods

Content analysis, sampling method, statistical method. 120 disease histories of adolescents who first applied for outpatient psychiatric unit in 2019 were used. 93 (77.5%) of them were girls and 27 (22.5%) of them were boys. The average age was 17 years.

Results

In the structure of initial diagnoses, according to ICD-10, mood disorders [F30-F39] - 56.0% prevailed. [F40-F49] - 25%, [F00-F09] - 6.6%, [F20-F29] - 6.6%, [F50-F59] – 4,2%, [F90-F99] – 1,6% were less likely. Structure of complaints of adolescents and their parents on primary appointment for specialized psychiatric care is shown in Table 1 (p<0,05).

Conclusions

Initial signs of emotional disorders in adolescence are polymorphic, nosologically nonspecific, and can lead to diagnoses that are not limited only by the affective pathology. The most common symptoms (irritability, anxiety, mood falls) can act as transdiagnostic phenomena that must be taken into consideration both in the diagnostic study and in further clinical and dynamic follow-ups and treatment.

Disclosure

No significant relationships.

Keywords

adolescentsearly diagnosisaffective pathology
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S631
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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