Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Clinical and psychopathological features of depressions with panic attacks

https://doi.org/10.14412/2074-2711-2017-3-18-23

Full Text:

Abstract

Objective: to study the clinical and psychopathological features of depressions with panic attacks.
Patients and methods. A total of 100 in- and outpatients aged 18 to 60 years, who had been treated in the S.S. Korsakov Clinic of Psychiatry for mild and moderate depression with panic attacks, were clinically examined using the psychometric scales: the Montgomery–Asberg Depression Rating Scale, the Atypical Depression Diagnostic Scale, and the Sheehan Clinical Anxiety Rating Scale.
Results. The clinical and psychopathological picture of depression with panic attacks differed significantly in three identified groups of patients with neurotic depression (ND), recurrent depressive disorder (RDD), and bipolar affective disorder (BAD). NDs with panic attacks were characterized by insignificant short-term symptoms of dreariness, indistinct anhedonia with the maximum manifestation of personality sensitivity, and a tendency to alcohol abuse. DDRs with panic attacks were inherent in melancholic and dreary symptoms, anhedonia, classical circadian mood fluctuations, and the most marked reactivity of mood. Depressions with panic attacks within BAD were typical of apathetic manifestations, hypersomnia, hyperphagia, and alcohol craving.
Conclusion. Depressions with panic attacks have psychopathological features depending on whether they develop within ND, RDR, or BAD.

About the Authors

N. N. Ivanets
Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation

11, Rossolimo St., Build. 9, Moscow 119021
Department of Psychiatry and Narcology



K. M. Tartynsky
Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation

11, Rossolimo St., Build. 9, Moscow 119021
Department of Psychiatry and Narcology



G. L. Krenkel
Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation
11, Rossolimo St., Build. 9, Moscow 119021 Department of Psychiatry and Narcology


S. V. Prokhorova
Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation

11, Rossolimo St., Build. 9, Moscow 119021
Department of Psychiatry and Narcology



References

1. Редчиц ОА. Тревожно-фобические расстройства (клинико-динамический и реабилитационный аспекты). Автореф. дисс. канд. мед. наук. Томск; 2003. 25 с. [Redchits OA. Anxiety phobic disorders (clinical, dynamic, and rehabilitation aspects). Autoref. diss. cand. med. sci. Tomsk; 2003. 25 p.]

2. Тювина НА, Коробкова ИГ. Сравнительная характеристика клинических особенностей депрессии при биполярном аффективном расстройстве I и II типа. Неврология, нейропсихиатрия, психосоматика. 2016;8(1):22-8. [Tyuvina NA, Korobkova IG. Comparative clinical characteristics of depression in bipolar affective disorders types I and II. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;8(1):22-8. (In Russ.)]. doi:10.14412/2074-2711-2016-1-22-28

3. Stein D, Hollander E. Textbook Of Anxiety Disorders. Washington, DC: American Psychiatric Pub.; 2002.

4. Wittchen HU, Hö fler M, Merikangas K. Toward the Identification of Core Psychopathological Processes?. Arch Gen Psychiatry. 1999 Oct;56(10): 929-31. doi:10.1001/archpsyc.56.10.929.

5. Liebowitz MR, Quitkin FM, Stewart JW, et al. Antidepressant Specificity in Atypical Depression. Arch Gen Psychiatry. 1988 Feb;45(2):129-37. doi:10.1001/archpsyc.1988.01800260037004.

6. Klein DF. The treatment of atipical depression. Eur Psychiat. 1993;8(5):251-5.

7. Akiskal H, Benazzi F. Atypical depression: a variant of bipolar II or a bridge between unipolar and bipolar II? Journal of Affective Disorders. J Affect Disord. 2005 Feb;84(2-3):209-17. doi:10.1016/j.jad.2004.05.004.

8. Аведисова АС, Марачев МП. Клиническая типология атипичной депрессии при биполярном и монополярном аффективном расстройстве. Журнал неврологии и психиатрии им. С.С. Корсакова. 2012;(3):18-24. [Avedisova AS, Marachev MP. Clinical typology of atypical depression in bipolar and unipolar affective disorder. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2012;(3):18-24. (In Russ.)].

9. Смулевич АБ, редактор. Депрессии при психических и соматических заболеваниях. Москва: МИА; 2015. С. 205-6. [Smulevich AB, editor. Depressii pri psikhicheskikh i somaticheskikh zabolevaniyakh [Depression in mental and somatic diseases]. Moscow: MIA; 2015. P. 205-6.]

10. Морозов ГВ, Шумский НГ. Введение в клиническую психиатрию (пропедевтика в психиатрии). Нижний Новгород: НГМА; 1998. 426 с. [Morozov GV, Shumskiy NG. Vvedenie v klinicheskuyu psikhiatriyu (propedevtika v psikhiatrii) [Introduction to clinical psychiatry (propaedeutics in psychiatry)]. Nizhnii Novgorod: NGMA; 1998. 426 p.]

11. West ED, Dally PJ. Effects of Iproniazid in Depressive Syndromes. Br Med J. 1959 Jun 13; 1(5136):1491-4. doi:10.1136/bmj.1.5136.1491.

12. Zisook S, Shuchter SR, Gallagher T. Atypical depression in an outpatient psychiatric population. Depression. 1993;1(5):268-74. doi:10.1002/depr.3050010506.

13. Sargant W. Drugs in the Treatment of Depression. Br Med J. 1961 Jan 28;1(5221):225-7. doi:10.1136/bmj.1.5221.225.

14. Sargant W. Some Newer Drugs in the Treatment of Depression and Their Relation to Other Somatic Treatments. Psychosomatics. 1960;1(1):14-7. doi:10.1016/s0033-3182(60)73041-x.

15. Ravaris CL, Nies A, Robinson DS, et al. A Multiple-Dose, Controlled Study of Phenelzine in Depression-Anxiety States. Arch Gen Psychiatry. 1976 Mar;33(3):347-50. doi:10.1001/archpsyc.1976.01770030057008.

16. Ravaris CL, Robinson DS, Ives JO, et al. Phenelzine and Amitriptyline in the Treatment of Depression. Arch Gen Psychiatry. 1980 Sep;37(9): 1075-80. doi:10.1001/arcpsyc.1980.01780220113013.

17. Maser J. Comorbidity Of Mood And Anxiety Disorders. Washington, DC: American Psychiatric Pr.; 1990.

18. Liebowitz MR, Klein DF. Hysteroid dysphoria. Am J Psychiatry. 1982 Nov;139(11):1520-1.

19. Лакосина НД. Клинические варианты невротического развития. Москва: Медицина; 1970. 120 с. [Lakosina ND. Klinicheskie variantynevroticheskogo razvitiya [Clinical variants of neurotic development]. Moscow: Meditsina; 1970. 120 p.]

20. Лакосина НД, Трунова ММ. Неврозы, невротические развития личности. Клиника и лечение. Москва: Медицина; 1994. 190 с. [Lakosina ND, Trunova MM. Nevrozy, nevroticheskie razvitiya lichnosti. Klinika i lechenie [Neurosis, neurotic development of personality. Clinic and treatment]. Moscow: Meditsina; 1994. 190 p.]

21. Paykel E, Parker R, Rowan P, et al. Nosology of atypical depression. Psychol Med. 1983 Feb;13(1):131-9. doi:10.1017/s0033291700050133.

22. Rowan PR, Paykel ES, Parker RR. Phenelzine and amitriptyline: effects on symptoms of neurotic depression. Br J Psychiatry. 1982 May;140:475-83. doi:10.1192/bjp.140.5.475.

23. Тювина НА, Коробкова ИГ. Терапия депрессии при биполярном аффективном расстройстве. Неврология, нейропсихиатрия, психосоматика. 2016;8(2):36-43. [Tyuvina NA, Korobkova IG. Therapy for depression in bipolar affective disorder. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;8(2):36-43. (In Russ.)]. DOI:10.14412/2074-2711-2016-2-36-43.

24. Тиганов АС, редактор. Психиатрия: руководство для врачей. Москва: Медицина; 2012. 896 с. [Tiganov AS, editor. Psikhiatriya: Rukovodstvo dlya vrachey [Psychiatry: a Guide for physicians]. Moscow: Meditsina; 2012. 896 p.]

25. Stewart JW, McGrath PJ, Rabkin JG, Quitkin FM. Atypical depression. A valid clinical entity? Psychiatr Clin North Am. 1993 Sep;16(3):479-95.

26. Parker G, Thase M. Atypical Depression: A Valid Subtype? J Clin Psychiatry. 2007 Mar; 68(3):e08. doi:10.4088/jcp.0307e08.


For citation:


Ivanets N.N., Tartynsky K.M., Krenkel G.L., Prokhorova S.V. Clinical and psychopathological features of depressions with panic attacks. Neurology, Neuropsychiatry, Psychosomatics. 2017;9(3):18-23. (In Russ.) https://doi.org/10.14412/2074-2711-2017-3-18-23

Views: 333


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


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