Addictive status in neurotic disorders

IntroductionAt the present stage of psychiatry development, the problem of co-morbidity, which is an important factor determining the effectiveness of treatment. One of such tendencies is the combination of neurotic pathology and addictive behavior (AB).ObjectivesTo research AB features in neurotic disorders.MethodologyOne hundred and forty-eight patients with neurotic disorders: neurasthenia (F48.0), dissociative disorder (F44.7), anxiety-phobic disorder (F40.8), according to ICD-10 criteria. Clinical-psychopathological, psychodiagnostic (AUDIT-like tests), statistical methods were used.ResultsIt was found out that the patients with neurotic disorders had a high risk of AB formation (59.73%). The most prominent among AB were: the use of psychoactive substances (tea/coffee [11,682], tobacco [8,091], sedatives [6,964], food addiction [14,036]), as well as socio-acceptable AB, such as Internet (13,527), watching television (9,982), computer games (2,909), shopping (7,264), workaholism (15,018). Socio-demographic characteristics of the generation of neurotic disorders with AB were determined: young age (50.46%), AB presence among the surrounding people (91.64%), a short interval of time between the psychogenic factor exposure and the first signs of neurotic disorder (50.46%). The clinical pattern of neurotic disorders with AB was characterized by a predominance of anxiety-obsessive (35.78%), as well as anxiety-phobic (45.95%) syndromes associated with AB: “Shopping” (−0.32; −0.51, respectively), “Sleeping pills, sedatives” (−0.37; −0.42), “Sex” (−0.41; −0.37) and “Tea/coffee” (−0.34; −0.39).ConclusionsThe data obtained determine AB specificity and should be taken into account in pharmaco – and psychotherapy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Parental practices contributing to the child's neuroses emergence

The article is devoted to the overview of modern foreign studies exploring the nature, symptomatology and factors of neurotic disorders. The matter of estimating prevalence of neurotic disorders is being discussed. It provides information about somatic-vegetative and affective symptoms of neurotic disorders, depending on psychological factors (in particular, attachment, parenting style, marriage relationships, parental business, degree of awareness of psychogenic character of disorders). It also describes foreign studies, which show the role of psychogenic factor in the development of such disorders as ADHD, opposition-defiant disorder and learning disabilities. Parental practices contributed to child neurotic disorders emergence is analyzed. The "helicopter parents" and "lawnmower parents" are described. Authors use their experience of psychological work with families to describe some of these practices: "rejection of differentiation", "anxiety escort", "child's rectification".

The Psychogenic Factor in Infertility

The influence of the psyche upon human fertility continues to be underestimated by many workers in the field. For certain individuals and couples there appears to be an unconscious link between a lowering of the level of fertility, and psychosocial, interpersonal or intrapsychic situation rendering it an unsuitable time to allow a baby to come. Such matters need to be explored in an unhurried way. We need time also for a gradual integration of findings from many related fields of knowledge. These issues are discussed and three case studies presented.

About one of the forms of a reactive state in menopause

68 women with various neuropsychiatric disorders in menopause were examined. A significant place among these disorders was occupied by reactive states, in which menopause itself was a psychogenic factor. A peculiar change in behavior was revealed in 12 women. It manifested itself as a reaction of the hysterical type in the form of "reality mystification" and was observed, on average, 1-2 months after the onset of menopausal disorders. The reaction of the personality to menopause as a significant phenomenon arose in the form of hysteroid behavior only in those women who, before the menopause, were inclined to hysterical forms of reaction that had not previously reached a significant degree of severity.