Social and psychological aspects of psychosomatic disorders in patients with depressionwith concomitant addiction to drugs
Background. In the article the clinical signs of psychosomatic syndromes are described in depressive patients with narcotic drug abuse. The types of psychical abnormalities depending on a psychosomatic symptomatology, the inﬂuence of family status and social status on the manifestation of psychosomatic disorders are set. The psychological features of patients in case of presence of psychosomatic disorders are considered (by behavioral pattern, type of temperament, treatment of disease, type of interpersonal relations). Aim. To perform epidemiological factors of psychosomatic disorders and to assess their possible contribution to diversity and the prevalence of psychosomatic symptoms in patients with depression, who abuse drugs. Materials and methods. We examined 308 patients with depression on a background of substance abuse. This group included patients aged 18 to 45 years (mean age 31,1±7,46). The presence of psychosomatic symptoms have 238 people (77,3%), who formed the main group, the absence of somatic symptoms in 70 people (22,7%) (respectively made up the comparison group). In the main group of male patients was 138 people (58,0%), female - 100 people (42,0%) in the control, respectively 43 people (61.4 per cent) and 27 women (38.6 per cent), p>0.05. All patients of the main (238) and control group (70 people) groups surveyed, which included a screening survey by ﬁlling out special cards designed for this work, as well as clinical-psychopathological, clinical, psychometric, clinical and psychological study. Results and discussion. In analyzing the distribution of patients with different types of drug addiction in depressive disorders it was found that at ephedron drug - 100 people (42,0%), psychosomatic symptoms occur more frequently than in other types of addiction, p<0.05. You can also mark a signiﬁcantly higher values of body mass index with somatization 25,8±4,7 22.4±2,8 (p<0.05). Thus, the body mass index is associated primarily with the presence of psychosomatic symptoms in depressed patients.Conclusion. The presence of psychosomatic disorders is most characteristic in the group of patients with ephedron dependence. Classic somatic disorder occurs in approximately in 2 times more often than other types of somatic disorders in patients with depression, who abuse drugs. The increase in body mass index reﬂects the severity of the manifestations of psychosomatic disorders in patients with depressive syndrome who abuse drugs. Social risk factors of psychosomatically in this category of patients is the presence of higher education, the status of orphans/halforphans, the death of a spouse or of a child, the changing social status of the patient.