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At least 19 recordsLinked to original sources

[Experiences with the Berlin Procedure for the Diagnosis of Neuroses-Self-Evaluation in symptom oriented detection of markers in the diagnosis of neuroses].

The 'Berliner Verfahren zur Neurosendiagnostik' (BVND-SB) contains scales for complaints and personality traits and can be used for diagnostical and differential diagnostical classification of neuroses. Its structure is related to symptoms, which is compared with a syndrome orientated construction strategy. The factorially validated scales were mentioned. They can be used for description of symptomatology. A diagnostical screening contains 3 scales. The single-scales allow a description of syndromes based on profiles at the same symptom-area. The BVND-SB can be used as an economic instrument for diagnostical purposes.

Arousal↗

[Choice of symptoms in neuroses. Hysterical and obsessive-phobic neuroses].

This publication is a first attempt to verify our hypothesis that symptom choice in the classical neuroses depends on a disequilibrium between assimilation and accommodation, in the Piagetian sense, of reflective thinking. Results of tests derived from classical paradoxes of Western thought, from genetic psychology and from a neuropsychological test of the habituation of the alpha-blocking response support the following hypothesis; the reflective thinking of hysterical patients appears dominated by a primacy of assimilation and that of obsessional patients by a primacy of accommodation.

Alpha Rhythm↗

[Visceral neuroses: clinical approaches to the problem].

Visceral neuroses are regarded as psychosomatic pathology represented by functional symptom complexes common for both psychic (personality, psychopathologic disorders of anxietyphobic, affective, hypochondriac spectrum) and somatic pathology. Two hundreds fourteen patients: 67 with hyperventilation syndrome (HVS), 77 with Da Costa syndrome (DCS), 70 with irritable bowl syndrome (IBS) have been studied. The study suggest that visceral neuroses represent a group of independent diseases. In contrast to converse neuroses, a topical projection (respiratory, cardiovascular system, gastrointestinal tract, etc.) of visceral neuroses reflects not only a psychosomatic disorder's specificity but also the course and prognosis regularities inherent to them. HVS course is wavy with periodic exacerbations and incomplete remissions, DCS one is phased (remissive), IBS is chronic without distinct phases and intervals. HVS and DCS are comorbid to milder psychic (personality and anxiety phobic disorders) and somatic pathology. IBS is associated with not only more severe mental disorders (overvalued, hypochondriac, affective) but also with chronic somatic diseases (alimentary system).

Adult↗

[Study results and prospects in the pathogenesis of neuroses].

An attempt is made to highlight the modern state of investigations concerning the experimental neuroses, to show new branches in studying pathogenesis of neuroses. A new concept is substantiated on a participation of the cerebral circulatory hypoxia at neuroses. Is demonstrated a high efficiency of prophylaxis and therapy of neuroses using the anti-oxidants of anti-hypoxic action.

Animals↗

[The clinical pathomorphosis of neuroses].

Comparison of data on neuroses in a selective group of patients which were treated in day hospital in 1988 (226 patients) and in 1996 (244 individuals) was made. In this period there was an increase of both the number of 16-20 year old patients (from 1,0 to 13%) and of women (from 58.9 to 81.2%) as well as occurrence of the group (18.9%) of unemployment patients (they were absent in 1988). In the structure of the forms of neuroses diagnosed according to ICD-9, there was a decrease of neurasthenic and obsessive-phobic forms (from 50.0 down to 30.3% and from 12.4 down to 7.4%, respectively) as well as an increase of depressive neuroses (from 19.5 to 54.4%). Moreover, the depressive symptoms were more often included in all forms of neuroses. Combinations of different psychogenic influences and especially psychogenic multifactorial situations with displacement of significance from family-personal to social-economic factors play increasingly important role in pathogenesis of different neurotic disorders.

Adolescent↗

An Operationalized Multisymptomatic Model of Neuroses (OMMON): toward a reintegration of diagnosis and treatment in behaviour therapy.

Experimental results from a sample of 216 patients with four different "symptom-neuroses" show that 65% to 90% of these patients have different combinations of multiple symptomatology. With a background of these data, we present an Operationalized Multisymptomatic Model of Neuroses (OMMON), based on self-rating assessment of these patients on 4 symptom scales. Individual ratings on each scale are dichotomized into (+) or (-) results with regard to defined cut-off points and the model is derived from their 16 mathematically possible combinations. Subsequent analysis of these data (from a single test application) with our Varying Cut-Off Point Assessment (VACOPA) leads to hypotheses regarding causal symptom interactions and prediction of symptom changes over time, easily evaluated by repeated test application. In treatment research the model seems suitable to: (a) build more homogeneous diagnostic groups; (b) operationalize varying degrees of "neurotic" disturbance, from "normal" via "client" to "patient"--independently of existing illness theories; (c) support prognoses of individual developments within and without treatment; (d) specify treatment aims and optimal sequences of interventions; (e) monitor predicted outcome; (f) reconsider earlier apparently contradictory outcome studies; (g) evaluate theoretical concepts regarding "neurotic" symptom formations in neuroses, psychoses, and psychosomatic disturbances. For treatment purposes, OMMON should only be used together with "clinical" hypotheses; its prognostic potential can be increased by additional application of our Operationalized Multivariate Model of Motivation (OMMOM). All three diagnostic approaches may be used for mutual evaluation.

Adolescent↗

An epidemiological survey on neuroses of urban elderly in Beijing.

With Present State Examination (PSE)-12, PSE-54 and General Health Questionnaire-28, an epidemiological survey on neuroses in a sample aged 60 and over living in an urban area of Beijing showed that the prevalence of total neuroses was 20.56/1000 (35.27 in women and 3.98 in men), with the highest rate seen in those aged 60-64 years and a general decline in prevalence with increasing age. By subtype, it was 11.21/1000 for neurasthenia, 4.67/1000 for depressive neurosis and 2.80/1000 for anxiety neurosis. The onset age in the most patients was before the age of 60, with a course of 10 years or more. The implications of these findings and directions for the future study of neuroses in the elderly are also discussed.

Aged↗

[Organic neuroses as psychosomatic problem].

To study a role of psychogenic and somatogenic factors in the development of organic neuroses, 302 patients were examined: 199 with cardioneurosis and 103 with irritable-bowel syndrome (IBS) with mental and subclinical somatic pathology or without it. Two types of organic neuroses were distinguished: a conversive one--somatized hysteria (psychogenically determined subsyndromal hysterohypochondriac phobic or affective reactions with clear difference of algesic and autonomic disorders from symptoms of the somatic pathology, with polymorphism of the involved organic systems); and autonomic neurosis that is a central link in the structure of psychosomatic correlations, which, on the one hand, was overdone by clinical manifestations of the somatic pathology (mitral prolapse--35%, ventricular extrasystoles--12%, etc. in cardioneurosis, lymphoid hyperplasia of colonic mucosa--100%, dysbiopsis--10%, etc. in IBS); on the other hand, autonomic neurosis is a somatopsychic component of psychopathologic disorders of anxious-phobic, affective and hypochondriac sphere (panic disorder--59%, generalized anxiety--15%, anxious depression--18% in cardioneurosis, melancholic or hypochondriac cyclothymic depressions--76%, hypochondriac development--24% in IBS). Psychosomatic correlations were considered in autonomic neurosis in the context of some continuum, where somatic disorders amplified by functional disorders are on the one pole and true mental pathology including somatoautonomic disorders--on the other pole. Recommendations have been formulated on therapy of organic neuroses with anxiolytics, antidepressants and atypical neuroleptics in combination with somatotropic drugs.

Adult↗

[Clinical and neurochemical features of depressive syndrome in neuroses and slowly progressive schizophrenia].

The examination was made of 78 patients (57 women, 21 men) with depression of neurotic level in slow progredient neurosis-like schizophrenia or neurosis. In all the cases of neuroses depressive syndrome correlated with relevant premorbid structure of the person. Meanwhile, such correlation was not clearly observed in schizophrenic patients. Complication of the clinical picture of the depression wasn't the same in cases of schizophrenia and neuroses, and resulted from productive symptomatics of different registers. The results of neurochemical studies evidence, that physiologic inactivation of serotonin, in terms of a removal of the active molecules from a zone of interaction with the receptors, was considerably increased in patients with neuroses as compared with schizophrenic patients. This suggests treatment of neurotic patients with the drugs, which inhibit serotonin reuptake selectively.

Adult↗

[Differential diagnosis of neuroses and neurosis-like conditions in residual-organic diseases of the brain].

The study is based on a clinical and X-ray examination of 481 patients where in 270 cases different forms of neuroses were found and in 211--neurotic-like conditions of an organic character (arachno-encephalitis, cerebral arachnoiditis, diencephalitis). Craniograms depicted changes only in 18% of the patients with neuroses while in organic brain lesions in 52% of the cases. In the group of patients with neuroses there were no convincing changes in the pneumoencephalograms. A total of 172 patients with neurotic-like conditions demonstrated polymorphic pial and brain changes. Cerebral angiography in 65% of the examined patients depicted pathological changes of circulation.

Arachnoiditis↗

[Problems in the pathomorphosis of neuroses].

Overall 2,991 case reports of patients who stayed at the department for neuroses and psychotherapy during 1948-1988 underwent a clinico-socio-psychological analysis. Certain aspects of interisomorphism, intranosomorphism and intersyndromic pathomorphism of neuroses for the 40-year period are indicated. It is assumed that the main causes of pathomorphism as applicable to the patterns of neuroses are social and psychological mechanisms whereas the dominant syndrome is the combination of individual psychological factors with social and psychological ones as well as organic insufficiency.

Diagnosis, Differential↗

[Neuroses among the rural population (data of the epidemiological study) and the organization of therapeutic and rehabilitation measures].

Studies into the neurosis incidence among the rural community of two agricultural regions of the Ukraine (Western and Eastern) were made with the aid of mass epidemiological screening of the community. A study was also made of factors promoting the occurrence of neuroses as well as of those favouring the recovery from neuroses. In accordance with the data obtained, the number of neurotic patients registered at the dispensary turned out 4 times less on the average as compared to that identified among the community. Analysis of the medical services rendered to the rural community suffering from neuroses has demonstrated that these services require material improvement. It is emphasized that the improvement of the medical aid rendered to the neurotic patients living in the country should be exercised at the expense of the already available services (rural ambulatory centers, doctor's assistant and midwifery stations) of the general somatic network rather that at the expense of the enlargement of the psychiatry services network.

Adolescent↗