[Mental disorders in patients with complete heart block before and after a pacemaker implantation].

Mental disorders were studied in 52 patients with acquired complete heart block (CHB) before and after pacemaker implantation. Mental state of the patients was characterized primarily by borderline mental pathology--asthenia, affective pathology, hysteria spectrum disorders with autonomic symptoms and hypochondriac disorders. The structure and expression of mental disorders depend on premorbid personality traits of the patients, duration, severity and stage of the disease, the phase in respect to surgery intervention as well as preoperative period duration.

[Treatment of insomnia in patients with borderline mental diseases].

Zolpidem, non-benzodiazipine preparation, was used for therapy of 56 patients with insomnia. 4 groups of patients were treated: a) with a prevalence of asthenic symptomatology in psychogenic disorders; b) with polymorphic neurotic symptomatology and autonomic disorders; c) with affective pathology of neurotic level; d) with nervous anorexia and bulimia. Zolpidem was quite effective in all groups of patients in terms of normalization of falling asleep, improvement of quality of sleep without changing of daily activity.

[Characteristics of mental disorders in patients with rheumatoid arthritis].

Peculiarities of mental disorders in patients with rheumatic arthritis were studied in 70 patients aged 20-60 years. The most typical mental disorders were: asthenic symptomatology, depressive phenomena with anxiety, fears, ideas of self-accusation, a peculiar variation of the syndrome of dysmorphophobia due to defects of appearance, stable disorders of sleep, psychopathic-like disorders and, quite frequently, manifestations of psycho-organic syndrome.

[Obsessive-phobic disorders in anorexia and bulimia nervosa].

The data on 1500 patients with syndrome of anorexia and bulimia nervosa were summarised in terms of clinical-psychopathological, catamnestic and experimental-psychological investigation. This syndrome was considered as one disease which presented the variation of borderline mental pathology or the manifestation of schizophrenic process. Obsessive-phobic disorders were observed in majority of patients (95%).

[Characteristics of families of patients with anorexia nervosa (psychocorrective measures)].

The paper is concerned with an examination of the families of patients suffering from anorexia nervosa and the role they play in rehabilitation and resocialization of patients. 103 families (103 patients and 268 persons from their family environment) were examined. 65 patients suffered from anorexia nervosa of schizophrenic etiology and 38 from anorexia nervosa as a borderline disease.

[Association of schizophrenia and Recklinghausen's disease].

Two cases of associated Recklinghausen's disease and different forms of schizophrenia (sluggish psychopathlike and shift-like paranoid) are described. Of special interest was the fact that such association was observed in two brothers. Based on the clinical material suggested, the conclusion was made about the modifying influence of the organism process in Recklinghausen's disease (brain gliosis) on the schizophrenic process, thereby creating certain difficulties in the diagnosis.

[Conditions for developing mental disorders in myocardial infarction].

Conditions for mental disorders formation at different stages of the underlying disease have been specified as a result of clinico-psychopathological, clinico-catamnestic and experimental psychological studies carried out in 55 patients with myocardial infarction. The authors show an important role of the clinical features of myocardial infarction in the formation of asthenic symptomatology and affective pathology in the acute period of myocardial infarction. In the subacute period of the illness, the premorbid characteristics and psychotraumatic factors preceding the disease exert a noticeable effect on the development of depressive and ++astheno-hypochondriac disorders.

[Bulimic disorders in anorexia nervosa].

As many as 108 patients with anorexia nervosa were examined. Of these, 83 patients manifested bulimic symptomatology. In all the examined patients, the formation of bulimic symptomatology was preceded by the typical dynamics of the syndrome of anorexia nervosa in the form of the stage of dysmorphophobia-dysmorphomania, of the stage of looks correction with the aid of different methods of weight reduction, and of the stage of an appreciable body weight decrease with marked secondary ++somato-endocrine abnormalities up to cachexia.

[Clinico-psychological correlations of mental rigidity in anorexia nervosa].

A study was made of mental rigidity in patients suffering from anorexia nervosa and their relatives using the Tomsk rigidity questionnaire. Based on examinations of 40 patients with anorexia nervosa, 22 of whom suffered from schizophrenia, 18 with borderline pathology (16 with an active method of weight losing, 24 with the bulimic variant of anorexia nervosa) and of 58 close relatives (mothers, fathers, sisters) the data were obtained on the level of mental rigidity. In the patients' group, it was found to depend to a greater measure on the stage of anorexia nervosa, whereas in the relatives, on the nosological appurtenance of the syndrome in their children.

[Disorders of self perception and feeding behavior in patients with the syndrome of anorexia nervosa (clinico-psychological analysis)].

An experimental psychological examination involved 87 patients with anorexia nervosa of different nosological origin. Patients with anorexia nervosa as part of borderline disease and schizophrenia presented specific characteristics of perception of their own appearance and of feeding habits. Patients with anorexia nervosa combined with borderline mental diseases showed close relationship between the orientation and degree of distortion of perception of the size of their own body and the nature of emotional value judgements.

[A peculiar variant of drive pathology in schizophrenia with the anorexia nervosa syndrome].

Detailed clinical and psychological experimental study of 103 schizophrenia patients with anorexia nervosa revealed its most characteristic correlations with a specific variant of the pathology of drive--bulimia bouts and induced vomiting. This variant of the pathology of drive appeared to be similar to narcomania.

[Dynamics and mental disorders in patients with portal hypertension after surgical treatment].

On the basis of the clinical, experimental-psychological and electroencephalographic examinations of 173 patients with portal hypertension (intrahepatic--110 and extrahepatic--63) the authors elucidated the regularities of the formation of mental disorders, their clinical characteristics and the course following surgical treatment. The asthenic syndrome with marked vegetative disturbances was the most prominent feature in the clinical picture. Patients with hepatic cirrhosis were characterized by a more severe asthenia and greater intensity of vegetative symptomatology as compared to patients with an extrahepatic form of portal hypertension.

[Clinical features of asthenic conditions in young persons].

On the basis of examining 293 young patients (predominantly individuals with intelectual occupations) with asthenia the authors have established the clinical characteristics of asthenic states of various genesis. Psychogenic asthenias, asthenias in patients with a history of a craniocerebral injury and so-called adaptation asthenias are described in greater detail. The data obtained are important for the diagnosis, treatment and prophylaxis of the asthenic syndrome of variable genesis.

[Features of catatono-oneiroid paroxysms of schizophrenia manifesting in the puerperal period].

A total of 131 puerperas with manifest paroxysms of schizophrenia were examined to correlate the time- course of their psychic and somatic state (puerperal characteristics and complications). Specific features of schizophrenia in the postpartum period were disclosed. The authors analyzed the course of manifest paroxysms (patients with predominant catatono-oneiroidal symptomatology) accompanied by pyrexia associated with acute endometritis, the subclinical forms of schizophrenia and also its course during an uncomplicated puerperium and correlated the clinical picture of psychoses in the presence of fever and without it.

[Dynamics of the mental disturbances in primary biliary liver cirrhosis with allowance for a hemosorption procedure].

The authors followed the time course of the psychic disturbances in 37 patients with primary biliary liver cirrhosis who received hemosorption as part of the combined therapy. The peculiarities of the psychic disturbances and their time course before and after the hemosorption were specified. It was found that after the hemosorption a regression of asthenoneurotic disturbances took place.

[Psychiatric aspect of patient rehabilitation in the late stages of chronic kidney failure using surgical treatment methods (hemodialysis and kidney transplant)].

A complex examination of 270 patients with chronic renal insufficiency at late stages treated by hemodialysis was carried out. In 70 of them the operation of kidney transplantation had been performed. As a result of the examination data on objective possibilities of social and occupation re-adaptation of such patients were obtained.

[Anorexia nervosa in men].

Nervous anorexia seen in males (25 cases), having a certain similarity in the clinical picture with female anorexia, has nevertheless, some special traits. Cases of anorexia in males are characterized by a higher predominance of hereditary loading, by an earlier onset (10--14 in comparison to 15--20 of female anorexia), a rather early appearance of refined deficitary symptomatology, and frequently enough a rapid psychopathization. However, these patients preserve formal abilities for a rather long period.

[Relationship between the dynamics of mental disorders in patients with primary hypogonadism and surgical intervention (testicular transplantation)].

Clinico-catamnestical, experimental-psychological and EEG studies were made of 60 patients with primary hypogonadism. Variants of protracted pathological reactions to the disease and pathological personality development are described. The studies indicate an intercorrelation of the dynamics of mental disorders and the character of the main disease.

[Atyptical forms of anorexia nervosa].

The paper is concerned with a description of a special form of nervous anorexia related to the presence of vomitophobia. The disease appears on the background of a somatogenic asthenia as a psychogenic reaction and leads to an expressed vomiting reaction. The vomiting reaction becomes fixated with a habitual form of reaction and eventually leads to an emaciation and a development of a special vomitophobic syndrome (vomitophobia proper, voluantary and involuntary vomiting, limitation in food as a measure against vomiting, depression, special ideas of reference).