Influence of motor disorders on the formation of attitude to the disease in post-stroke period
Journal Title: Neurodynamics. Журнал клинической психологии и психиатрии - Year 2019, Vol 1, Issue 1
Abstract
Purpose. Study of the types of internal picture of the disease( ICD), their dependence on motor function disorders, as well as the impact of ICD on the syndrome and the severity of maladjustment in patients at different periods of the chronic phase of stroke. Materials and methods. Clinical and psychopathological method was used to examine 161 patients in the recovery, early and late residual stages of the post-stroke period. The main group included 131 patients with motor disorders (MD), 30 people did not have them (control group). The study of auto-plastic image of the disease was carried out by means of psychological diagnosis of types of attitude to the disease. Results and discussion. The correlation of psychopathological syn-dromes with the types of auto-plastic image of the disease showed in pa-tients of the recovery and early residual stages the correspondence of the adaptive attitude to the disease to the lightest psychopathological symp-toms – asthenic and neurosis-like syndromes. In patients of the late re-sidual stage in adaptive types of auto-plastic image of the disease devel-oped and more severe syndromes-psychopathic and astheno-depressive with some advantage over neurosis-like, reflecting the progressive dy-namics of the vascular process and the additional role of psychogeny in relation to the organic process. Conclusion. A significant role of the traumatic impact of motor disorders in patients with a defect in motor function in the rehabilitation and priority (relative to organic pathology) in the residual periods of a stroke on the dynamics of border neuropsychiatric disorders and auto-plastic image of the disease.
Authors and Affiliations
E. B. Chalaya, V. G. Budza, V. А. Chaly, I. V. Chalaya, V. V. Tarabrina
Keywords
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