Features of astenic and obsession symptomatics in patients with primary episodes of bipolar affective disorder

Authors

DOI:

https://doi.org/10.15587/2519-4798.2020.193357

Keywords:

bipolar affective disorder, primary episode, asthenic, obsessive symptoms

Abstract

The aim of the work is to establish the features of asthenic, somatovegetative and obsessive symptoms in the primary episode of bipolar affective disorder, taking into account the gender factor and clinical variant.

Materials and methods. Clinically examined 153 patients with primary episode of bipolar affective disorder: with prevalence of depressive symptomatology (44 men and 75 women), with prevalence of manic symptoms (15 men and 8 women) and with simultaneous presence of depressive and manic symptomatology or with rapid or severe manic symptoms and 5 women).

Results and discussion. Feeling depleted and reduced energy potential were found in 40.3 % of all patients, 40.9 % of men and 40.0 % of women with depression, and 45.5 %, 66.7 % and 20.0 % with mixed variant; decrease in working capacity – in 68.9 %, 65.9 %, 70.7 %, and 81.8 %, 83.3 %, 80.0 %; rapid fatigue – in 68.1 %, 65.9 %, 69.3 %, and 54.5 %, 50.0 %, 60.0 %; attention disorders – in 45.4 %, 36.4 %, 50.7 %, and 72.7 %, 83.3 %, 60.0 %. In the manic variant, there is only a violation of concentration of attention: 56.5 %, 46.7 % and 75.0 %. In the depressive variant, 62.2 % of all patients, 59.1 % of men and 64.0 % of women were obsessive, while 18.2 %, 33.3 %, and 0.0 % had mixed opinions, ideas of self-humiliation – in 40.3 %, 29.5 % and 46.7 %, and in 27.3 %, 33.3 % and 20.0 %. Somatic vegetative disorders in the depressive variant were found in 98.3 % of all patients, in 97.7 % of men and in 98.7 % of women; at manic - in 30.4 %, 26.7 % and 37.5 % respectively; when mixed - 100 %. Gender differences in asthenic, somatovegetative, and obsessive symptoms are insignificant.

Conclusions. The prevalence of asthenic, somatovegetative, and obsessive symptoms in the primary episode of bipolar affective disorder is determined by the clinical option, and gender differences are insignificant

Author Biographies

Yuriy Mysula, Ivan Horbachevsky Ternopil National Medical University Ministry of Health of Ukraine Voli ave., 1, Ternopіl, Ukraine, 46001

PhD, Associate Professor

Department of Psychiatry, Narcology and Medical Psychology

Olena Venger, Ivan Horbachevsky Ternopil National Medical University Ministry of Health of Ukraine Voli ave., 1, Ternopіl, Ukraine, 46001

MD, Professor, Head of Department

Department of Psychiatry, Narcology and Medical Psychology

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Published

2019-01-30

How to Cite

Mysula, Y., & Venger, O. (2019). Features of astenic and obsession symptomatics in patients with primary episodes of bipolar affective disorder. ScienceRise: Medical Science, (1 (34), 41–45. https://doi.org/10.15587/2519-4798.2020.193357

Issue

No. 1 (34) (2020)

Section

Medical Science

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Copyright (c) 2020 Yuriy Mysula, Olena Venger

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