[To the problem of somatic-hypochondriac paranoia].

Autor:	Smulevich AB; Mental Health Research Center, Moscow, Russia.; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Lvov AN; Central State Medical Academy Department for Presidential Affairs of the Russian Federation, Moscow, Russia.; Medical Research and Education Center of Lomonosov Moscow State University, Moscow, Russia., Volel BA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Romanov DV; Mental Health Research Center, Moscow, Russia.; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Fomina DS; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.; City Clinical Hospital No. 52, Moscow, Russia., Lobanova VM; Mental Health Research Center, Moscow, Russia., Yakimets AV; Mental Health Research Center, Moscow, Russia., Yuzbashyan PG; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Skandaryan AA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Stakanov PA; Mental Health Research Center, Moscow, Russia., Mikhailova VI; City Clinical Hospital No. 52, Moscow, Russia., Michenko AV; Central State Medical Academy Department for Presidential Affairs of the Russian Federation, Moscow, Russia.; Medical Research and Education Center of Lomonosov Moscow State University, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Zh Nevrol Psikhiatr Im S S Korsakova] 2023; Vol. 123 (4. Vyp. 2), pp. 6-13.
DOI:	10.17116/jnevro20231230426
Abstrakt:	Objective: To unite within the framework of a single clinical entity (based on the model of hypochondriacal paranoia) phenomena of the somatopsychotic and hypochondriacal range, which, in accordance with modern systematics, are classified as various categories of psychosomatic, affective disorders and personality disorders. Material and Methods: The sample for analysis consisted of 29 patients (with the diagnosis of delusional disorder (ICD-10; F22.0 in ICD-10), 10 men (34.5%) and 19 women (64.5%), the average age was 42.9±19.9 years; men - 10 nab. (34.5%), women - 19 nab. (64.5%). The average duration of the disease iswas 9.4±8.5 years. The psychopathological method was used as the main one. Results: The article forms an alternative concept of somatic paranoia based on the model of hypochondriacal paranoia. The fundamental difference between the construct of somatic paranoia is an obligate connection between somatopsychic and ideational disorders. Somatopsychic (coenesthesiopathic) symptoms do not exist as an independent (equivalent to the structure of somatic clinical syndromes) dimensions and are formed exclusively with the participation of ideational phenomena. Conclusion: In accordance with the presented concept, coenesthesiopathic symptoms within the framework of somatic paranoia act as a somatic equivalent of delusional disorders.
Databáze:	MEDLINE
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