Mental disorders in cervical dystonia – clinical heterogeneity, impact on disease severity and quality of life
https://doi.org/10.14412/2074-2711-2022-6-20-24
Abstract
Objective: to establish the clinical structure of mental disorders in patients with verified diagnosis of cervical dystonia (CD), as well as their impact on the severity of a neurological disease and quality of life.
Patients and methods. 43 patients (35 women, 8 men, mean age 40.67±10.4 years) with primary CD were examined using clinical and psychopathological methods, i.e. anamnestic data and psychometric methods (CDQ24, HADS, PSQI, TAS, SF-36).
Results and discussion. Four groups of patients were distinguished: 1) without mental pathology, 2) with conversion and dissociative symptoms, 3) with social phobia, and 4) with a history of psychotic episodes. It was shown that the severity of CD increased in the row of the described groups, however, psychopathological symptoms determined the severity of CD only in patients with social phobia and psychotic episodes. The only predictor of a decrease in the mental component of quality of life was a high level of anxiety.
Conclusion. Some patients with CD have comorbid mental disorders that require psychotherapeutic and psychopharmacological assistance.
Supporting agencies: The work was performed using a unique scientific installation of the National Research University Higher School of Economics “Automated system for non-invasive brain stimulation with the possibility of synchronous registration of brain biocurrents and eye movement tracking” with the financial support of the Government of the Russia, grant No. 075-15-2021-673.
About the Authors
A. A. Ragimova
National Research University “Higher School of Economics”
Russian Federation
Competing Interests:
Russian Federation
Aynur Aligeydarovna Ragimova
109028, Moscow, Pokrovsiy Blvd., 11
Competing Interests:
There are no conflicts of interest.
D. S. Petelin
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
119991, Moscow, Bolshaya Pirogovskaya St., 2, Build. 4
Competing Interests:
There are no conflicts of interest.
T. Y. Avseytseva
National Medical Research Center for High Medical Technologies – A.A. Vishnevsky Central Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation
Competing Interests:
Russian Federation
143409, Krasnogorsk, Moscow region, Svetlaya St., 11
Competing Interests:
There are no conflicts of interest.
M. A. Samushia
Central State Medical Academy, Office of the President of Russia
Russian Federation
Competing Interests:
Russian Federation
121359, Moscow, Marshal Timoshenko St., 19, Build. 1A
Competing Interests:
There are no conflicts of interest.
A. F. Ivolgin
National Medical Research Center for High Medical Technologies – A.A. Vishnevsky Central Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation
Competing Interests:
Russian Federation
143409, Krasnogorsk, Moscow region, Svetlaya St., 11
Competing Interests:
There are no conflicts of interest.
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Review
For citations:
Ragimova A.A., Petelin D.S., Avseytseva T.Y., Samushia M.A., Ivolgin A.F. Mental disorders in cervical dystonia – clinical heterogeneity, impact on disease severity and quality of life. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(6):20-24. (In Russ.) https://doi.org/10.14412/2074-2711-2022-6-20-24
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