Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Neurasthenia: State-of-the-art and therapeutic approaches

Full Text:


Objective: to study the efficacy of metaprot in the treatment of neurasthenia. Patients and methods. Thirty patients aged 18 to 45 years with neurasthenia (F48.0) were followed up. The patients were examined using a subjective asthenia rating scale (Multidimensional Fatigue Inventory (MFI-20)), a 10-point anesthesia visual analog scale, Spielberger’s self-report scale modified by Yu.L. Khanin, and a computed Test of Variables of Attention (TOVA). Metaprot was given in a dose of 0.25 g b.i.d. after morning and evening meals as two administrations for 10 days (5 days at a 2-day interval). The results of therapy were assessed on day 30 after its course. Results. There was clinical improvement in 21 (70.0%) patients after metaprot therapy. Evaluation of the patient’s status using the MFI-20 showed a significant improvement in the items of general asthenia, physical asthenia, psychic asthenia, and decreased activity. Psychophysiological examination using the TOVA revealed a significant reduction in response times, as compared to the scores obtained before the treatment, and a decrease in the number of errors in the second half of the test, which allows us to state that there is a reduction in the degree of mental exhaustion and an increase in work capacity after the treatment. Psychological tests showed no significant reduction in anxiety scores. There were no adverse reactions or complications. It has been concluded that it is promising to use metaprot to treat neurasthenia.


1. <div><p>Овсянников С.А. История и эпистемология пограничной психиатрии. М.:Альпари, 1995;205 с.</p><p>Белицкий Ю. Неврастения. СПб., 1906;432 с.</p><p>Тиганов А.С. Руководство по психиатрии. М.:Медицина, 1999: 784 с.</p><p>Карвасарский Б.Д. Неврозы. М.: Медицина, 1980;448 с.</p><p>Божко С.А., Тювина Н.А. Эффективность сочетаний нелекарственных методов (психотерапии, фитотерапии и рефлексотерапии) при лечении пациентов с неврастенией. Рос психиатр журн 2008;3:76-81.</p><p>Price R.K, North C.S, Wessely S. Estimating the prevalence of chronic fatigue syndrome and associated symptoms in the community. Public Health Rep 1992;107:514-22.</p><p>Hickie I., Hadzi-Pavlovic D., Ricci C. Reviving the diagnosis of neurasthenia. Psychol Med 1997;27:989-93.</p><p>Акарачкова Е.С. Хроническая усталость и подходы к ее лечению. Журн неврол и психиатр 2010;11(2):48—53.</p><p>Zohar D. When things go wrong: The effects of daily work hassels on effort exertion and negative mood. J Occupation and Organization Psychol 1999;72:265-83.</p><p>Лазарус Р. Теория стресса и психофизиологические исследования. Эмоциональный стресс. М., 1970;178—209.</p><p>Анохин П.К. Узловые вопросы теории функциональных систем. М.: Наука, 1980;196 с.</p><p>Григорьева В.Н. Психосоматические аспекты нейрореабилитации. Хронические боли. Н. Новгород: Изд-во Нижегородской гос. мед. академии, 2004;420 с.</p><p>Шабанов П.Д. Применение метапрота в неврологии. Terra medica nova 2009;3(58):18—21.</p></div><br />


For citation:

Chutko L.S., Surushkina S.Yu., Nikishena I.S., Yakovenko E.A., Anisimova T.I. Neurasthenia: State-of-the-art and therapeutic approaches. Neurology, Neuropsychiatry, Psychosomatics. 2013;5(2):42-45. (In Russ.)

Views: 715

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)