Psychopathological disorders in patients suffering from diseases of the peripheral nervous system, accompanied by chronic painful syndrome
G. O. Andreeva , A. Y. Emelyanov , I. N. Barsukov
Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (3) : 118 -121.
Psychopathological disorders in patients suffering from diseases of the peripheral nervous system, accompanied by chronic painful syndrome
The chronic pain syndrome is almost connected with a various degree of asthenic and affective disorders. It is accompanied by asthenia in 76,5% of patients, anxiety – in 72,9% of patients, depressive disorders – in 31,4% of patients. Pain parameters on visual analogue scale are connected with a neuropathic component of pain, severity of anxiety disorders and degree of asthenia. The parameters of neuropathic component of pain is closely associated with a data on state and trait anxiety. It was found, that in patients with a long history of chronic pain syndrome, anxiety impairment reliably decreases, depression impairment reliably increases during the time. It is necessary to include psychopharmacological and not pharmacological methods in complex therapy at the earliest stages of chronic pain syndrome to treat or prevent psychological disorders and to raise efficiency of treatment.
chronic pain / association with affective disorders / asthenia / anxiety / depression / algorithm of therapy
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