somatogenic psychoses

(Psychiatric disorders in somatic diseases). Psihichesskie violations arising from the pathology of internal organs and systems that make up a special section of psychiatry - somatopsihiatriyu. Despite the diversity of psychopathology and clinical forms of somatic pathology, they share a common pathogenetic mechanisms and patterns of development. Diagnosis "somatogenic psychosis" is put under certain conditions: you must have physical illness; temporary connection between physical and mental disorders, interdependence and mutual influences in their flow.
Symptoms and course depend on the nature and stage of the underlying disease, its severity, the effectiveness of the treatment, as well as the individual characteristics of the patient, such as heredity, constitution, character, sex, age, state of the body's defenses and the availability of additional psychosocial hazards. On the mechanism of distinguished 3 groups of mental disorders.
1. Mental disorders as a reaction to the fact of illness, hospitalization and the associated separation from the family, familiar surroundings. The main manifestation of this reaction is varying degrees of depressed mood with a particular hue. Some patients are full of agonizing doubt in the effectiveness of their assigned treatment in the successful outcome of the disease and its consequences. Other prevalent anxiety and fear of the possibility of serious and long-term treatment, before surgery and complications, probability of disability.
Some patients burdened by the fact of staying in the hospital, homesick, you know. Their thoughts are occupied not so much a disease as household chores, memories and dreams of the extract. Outwardly, these patients look sad, somewhat inhibited. With long-term, chronic course of the disease, when there is no hope of improvement, there may be indifferent attitude to himself and to the outcome of the disease. Patients lezhag blankly in bed, refusing to eat, treatment "do not care one way." However, in such seemingly emotionally inhibited patients, even with little influence from the outside may occur anxiety, tearfulness, self-pity and a desire to gain support from others.
The second, much larger group consists of patients who have mental health problems are like a part of the clinical picture of the disease. These are patients with psychosomatic natayugiey (see. Psychosomatic illness), along with severe symptoms of internal diseases (hypertension, yazvechnaya disease, diabetes mellitus) and patoharakterologicheskie observed neurotic reaction.
The third group, refers patients with acute narushennyamya mental activity (psychosis). Such states are developing or in severe acute diseases with high temperature (lobar pneumonia, typhoid fever) or severe intoxication (Oshiro renal failure), or in chronic diseases in terminalnoi stage (cancer, tuberculosis, diseases nochek)
In the clinic of internal diseases, despite the wide variety of psychological reactions and more severe mental disorders are the most common: 1) asthenia; 2) affective (mood disorders); 3) variations in the characterological reactions; 4) delirium; 5) syndromes stupefaction; 6) organic psychosyndrome.