PSYCHOSOMATIC RELATIONS IN HOSPITAL PATIENTS OF GASTROENTEROLOGICAL PROFILE


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Abstract

In gastroenterological practice, actual psychosomatic disorders (36% of hospital patients in need of psychiatric counseling) can be differentiated as: a) somatogenic and psychogenic mental disorders on the background of current gastroenterological diseases (37%); b) somatized mental disorders (47%); c) psychiatric disorders, comorbid to somatic diseases (16%). Long-term experience confirms the effectiveness of interdisciplinary collaboration of gastroenterologists and psychiatrists, allowing to exhaustively assess the condition of the patient, justify the optimal treatment tactics depending on the specificity of psychosomatic relations in the individual clinical manifestation of the disease.

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About the authors

L. V Romasenko

FSBI “Federal Medical Research Center of Psychiatry and Narcology n.a. V.P. Serbsky" of RMH

Email: lromasenko@mail.ru
MD, Prof., Honored Doctor of the Russian Federation, Head of the Department of Psychosomatic Disorders Moscow

V. M Makhov

SBEI HPE “First Moscow State Medical University n.a. I.V. Sechenov" of RMH

Moscow

I. M Parkhomenko

FSBI “Federal Medical Research Center of Psychiatry and Narcology n.a. V.P. Serbsky" of RMH

Moscow

T. V Turko

SBEI HPE “First Moscow State Medical University n.a. I.V. Sechenov" of RMH

Moscow

L. N Ugryumova

SBEI HPE “First Moscow State Medical University n.a. I.V. Sechenov" of RMH

Moscow

References

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  8. Rundell J.R. Medical conditions associated with psychiatric disorder. New Oxford Textbook of Psychiatry. 2012:1081-90.
  9. Hamilton J., Campos R., Creed F. Anxiety, depression and management of medically unex-plained symptoms in medical clinics. J. R. Coll. Physicians Lond. 1996;30(1): 18-20.
  10. Александровский Ю.А. Пограничные психические расстройства. М., 2000. 496 с.
  11. Смулевич А.Б. Психосоматическая медицина. Психические расстройства в общей медицине. М., 2007;1:3-9.
  12. Walker E.A. Dealing with patients who have medically unexplained symptoms. Semin. Clin. Neuropsychiatry. 2002;7(3):187-95.
  13. Скворцов К.А. Психика соматического больного. Соматопсихические расстройства. М., 1946. C. 11-5.
  14. Ромасенко Л.В. Психосоматические расстройства в общей медицинской практике: диагностика, терапия. М., 2014. 153 с.

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