[A psychovegetative symptom complex in the structure of didactogenic depression].

Aim: To study clinical characteristics of didactogenic depression.

Material And Methods: Eighty elementary and middle school students with psychogenic didactogenic depression were studied.

Results And Conclusion: The following variants of didactogenic depression were described: timid, with «intellectual collapse», behavioral disturbances and with psychosomatic masking.

[Somatopsychic synergism as a variant of masked depression in children and adolescents].

Aim: To analyze a variant of a combination of psychopathological (subdepressive) state with inflammatory diseases of non-specific infectious origin.

Material And Methods: The paper was based on the study of 45 patients, aged from 12 to 19 years, examined using psychopathological and follow-up methods. A detailed somatic examination was performed as well.

[The problems of diagnosis and correction of autism in children (an example of Asperger's syndrome)].

Based on the analysis of literature and own clinical experience, we discuss diagnostic issues of early autistic disorders in children. Main differential-diagnostic signs that permit to differentiate mild forms of autism in childhood diagnosed as Asperger's syndrome from childhood schizophrenia, residual organic CNS damage, circular affective disorders are described. Cases of Asperger's syndrome followed up for many years and recommendations for social and psychological adaptation of children and adolescents with Asperger's syndrome in different age periods are presented.

[Mental pathology in general pediatric practice: a problem of psychovegetative diathesis].

An examination of patients of a pediatric inpatient clinic revealed a variety of psychopathological disorders concomitant to functional autonomic/somatic pathology in children and adolescents as well as the variants of personality deviations and features of the patient's family. Based on this study, we suggest a concept of psychoautonomic diathesis and describe features of its symptoms and course as well as its relation to psychopathological diathesis. Main problems that should be solved to treat effectively functional autonomic/somatic disorders in the frames of psychoautonomic syndrome are presented.

[Issues in mental health services for children and adolescents].

Existing system of psychiatric care for children and adolescents is in need of basic reorganization. The authors propose: 1) reestablishment of the speciality of children's and adolescent psychiatrist, a specialist in children's and adolescent narcology, a psychiatrist of early child's age and a pediatric medical psychologist; 2) carrying out the reform of child mental care equal in rights with general psychiatry; 3) preservation and widening of both specialized inpatient and outpatient clinics in general system of child's mental care; 4) legislative and public rehabilitation of children's psychiatry, which suffered considerably from antipsychiatric campaign; 5) professionally organized systematic elevation of psychohygienic, psychiatric and psychotherapeutic knowledges of allied medical and other specialists as well as of parents and of all population too; 6) integration and interaction of govermental services concerning mental health of children and adolescent; 7) organization of regional psychoprophylaxic interdisciplinary centers for children and adolescent.

[Mental disorders in a pediatric clinic].

In general pediatric clinic 262 children aged 1-15 years with functional hyperthermia, functional disorders of cardiac rhythm (extrasystole, paroxysmal and recurrent tachycardia), arterial hyper- and hypotension, autonomic dysfunctions were examined. 21 children with organic cardiac diseases were examined too. Mental disorders were revealed in all the cases: mono- and bipolar affective disorders (58.

[Psycho-autonomic correlations in neurocirculatory asthenia in young age].

As many as 91 patients aged 17-25 years seen at the students' outpatient hospital for autonomic disorders, namely for vegetovascular dystonia (VVD) were examined. The data of somatovegetative and psychiatric examinations were compared. It has been shown that the symptomatic diagnosis of VVD may mask both vegetative lability common to the mentally normal and practically healthy subjects and vegetative dystonia syndrome proper, which is a component of psychovegetative syndromes.

[Clinico-psychopathologic and somato-autonomic studies of functional hyperthermia in adolescents].

In a non-psychiatric clinic a combined psychiatric and somato-autonomic investigation was performed in 75 prepuberty and puberty children with functional hyperthermia . Syndromal and nosological characterization was performed on a spectrum of psychic disorders in these patients. Some correlations were found between syndromal and nosological distributions and grouping based on somato-autonomic++ picture.

[Specificity of electroencephalographic correlations of asthenic disorders in atypical juvenile asthenic-depressive conditions].

Amplitude-interval factor analysis was made to study the EEG in young patients with atypical ++sub-depressive states (n-15) and depressive states (n-43) defined in the literature as "asthenic juvenile deficiency". It has been discovered that patients suffering from sluggish schizophrenia with prominent asthenic disorders differ from healthy test subjects, patients suffering from cyclothymia and those suffering from sluggish schizophrenia without well-defined asthenic symptomatology in significantly higher values of EEG factor related to the index, regularity and frequency of low-amplitude beta-activity as well as in the reduced values of the other EEG factor connected with the mean period of alpha-waves and with the theta-index. Based on the psychophysiological testing of structurally similar EEG factors, carried out earlier on healthy test subjects, the data obtained may be treated as reflection of the neurodynamic unbalance common to asthenic disorders in sluggish schizophrenia, which lies in abundance processes of cortical excitation and deficit of inhibitory processes of the active selective character.

[Psychoautonomic syndrome in non-infectious subfebrile conditions in children].

To ascertain the cerebral organization and the importance of its specific levels in the occurrence of the thermopathological syndrome associated with vegetovascular dystonia, 40 children aged 8-15 years with non-infectious subfebrile conditions of long standing were examined. The children's status was marked by polysystemic shifts common to the neurogenous disorders. Of crucial significance was dysfunction of the structures of the suprasegmental level (the limbic-reticular complex) of vegetative regulation with the involvement of the specialized hypothalamic centers of thermoregulation, with excessive sympathetic influences at the periphery and formation of the psychovegetative syndrome.

[Clinico-electroencephalographic correlations in asthenoadynamic subdepressions].

In patients with atypical, torpid and poorly identifiable asthenoadynamic subdepressions with predominant disorders of intellectual activity the authors analyzed the spatial structure of the ECG activity. They also studied the psychophysiologic mechanisms underlying the psychopathologic condition. The feasibility of the objective verification of the clinical status and of the prognosis of the depressive condition have been demonstrated.

[Symptoms of somatopsychic synergy].

The author describes the phenomenon of somatopsychic synergy as a variant of combination of somatic pathology in the form of adenovirus and coccal infections with subclinical affective syndromes of cyclothymic and schizophrenic nature which is exactly opposite to the synergy of somatic and psychic diseases denoted as "somatopsychic antagonism". In practice somatopsychic synergy is assessed as a complicated form disguising some subdepressive states. The main clinical criteria for the recognition of these states from the internist's view-point have been formulated.

[Clinico-psychopathologic analysis of so-called juvenile asthenic incompetence].

On the material of 72 young students, the author describes psychopathological manifestations of atypical juvenile subdepressions defined in the literature as "asthenic juvenile deficiency". It has been shown that the syndrome has a polymorphic structure, is usually endogenic but does not posses nosological specificity. Cognitive dicturbances due to vital asthenia and a vital change of affectiveness are predominant manifestations which lead to social disadaptation.

[Personality dynamics during prolonged lithium prevention].

The preventive lithium therapy of paroxysm-like endogenic psychoses is associated with a change in the personality responses, in particular to the patient's own mental disease which makes it possible to speak about certain personality changes that manifest themselves phenomenologically by the formation of the adequate criticism of the disease, the psychological dependence on the lithium therapy and by peculiar reduction of emotional responses. The pathogenetic treatment of the described phenomena is sophisticated and calls for the consideration of both therapy and features of the endogenous process.

[Concerning a single variety of intermediate or "mixed" psychoses].

A clinical follow-up examination was conducted in 61 patients (10 males and 51 females) with schizoaffective psychoses and a social and personality preservation, where the disease persisted not less than 10 years and where the amount of acute schizoform attacks did not exceed 3 years. It was established that the combination of some pathogenetic and clinical signs may lead to a formation of a special "intermediate" psychoses with "schizophrenic" symptomatology in the attacks and an absence of defect symptoms in the outcome of the disease, when there is a slight decline of the vital tone in a preserved personality kernel.

[Effect of discontinuation of long-term preventive lithium therapy].

The development of manic-depressive psychoses (15 cases) and attack-like schizophrenia (20 cases) was studied, following a withdrawal of a durable and successful prophylactic intake of lithium preparations. A comparison with a control group selected according to the double method, not suspending the administration of lithium salts, demonstrated a statistically significant increase of phases-attacks, their aggravation as well as an increased amount of hospitalizations due to lithium withdrawal. The conclusion is made that there is a necessity for durable and continuous lithium prophylaxis even after obtaining complete remissions.

[Clinical aspects of lithium prevention of endogenous phasic-affective psychoses].

The report deals with the results of a long-term (up to 7 years) therapeuticoprophylactic use of lithium salts in 80 patients with manic-depressive psychosis and attack-like schizophrenia. It was possible to confirm the nosological predictiveness of this method in manic-depressive psychosis. The authors show some indications for the use of lithium in periodical schizophrenia with affective and affective-delusional attacks.