[Mental disorders in victims of the earthquake in Armenian SSR].
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Biomedical subjects
Publications and source records attributed to A S Chudin.
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Examination of 160 patients with craniocerebral trauma combined with extracranial injuries has demonstrated that psychopathological disorders are largely due to cerebral abnormalities. They are manifested in negative or deficiency disturbances, with the syndrome of disturbed consciousness being dominant among them. Other disturbances include the psychoorganic syndrome and emotional and asthenic abnormalities. Extracerebral pathology aggravates these disturbances in the acute period of trauma due to shock and later on due to somatogenic asthenia but causes no specific disorders.
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On the basis of a comparative analysis of the incidence of psychic disturbances seen in two groups of patients with craniocerebral trauma (subjects receiving HBO treatment and those without it), it is concluded that HBO is effective in preventing trauma-associated psychoses. The effect of HBO on the external respiration and central hemodynamics was also examined. The obtained results formed the basis for discussing possible pathogenetic mechanisms of hyperbaric oxygen action in this pathology.
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The paper is concerned with the study of 86 patients from 9--18 years who suffered from hysterical, affective-shock reactions and reactive depressions, accompanied by suicidal acts. Suicidal tendencies in these conditions appeared following acute psychic traumas. Their formation was facilitated by different unfavourable factors. As the children become older there is a complication not only of the clinical picture of the psychogenic disorder, but of the suicidal syndrome. The suicidal act in children proceeds impulsively, while in adolescency there is a presuicidal period. The stability of suicidal tendencies depends upon the depth of depressions; repeated suicides from the expressiveness of psychopathical personality traits and the existence of unsolved psychotraumatizing situations.
In order to study the mental, neurological and EEG changes due to strangulative asphyxia, the authors studied 163 patients who attempted suicide by selfhanging. In the poststrangulative period there was changed consciousness, disorders of memory, emotions, as well as neurological symptoms which eventually had a reversible course. All these data were confirmed by EEG studies. The convened investigation demonstrated a high therapeutical effect of modern resuscitative measures which can be rendered to this contingent of patients.
The authors studied 76 patients from 51-87 years who attempted to commit suicide. The main diagnostic categories were involutional, senile and reactive psychoses, alcoholism, and schizophrenia. The main syndromes during which such acts were attempted were anxious-depressive, depressive-hypochondriacal and depressive-delusional. The formation of suicidal tendency was precipitated by age involution, somatical disorders, psychogenic traumas. In most of the patients following the suicidal attempt, there were mental disorders, conditioned both by the main psychic disturbance and by the personality reaction to the suicidal act, due to which special psychiatric treatment was necessary.
In order to study some mental disorders due to poisoning by sleeping and sedative drugs 258 patients with mental and boderline conditions (who had taken these drugs in toxic doses) were studied in the Sklifosovskiy Moscow Research Institute of Emergency Medical Aid. The revealed mental disorders on different stages of poisoning were less differentiated in the acute period (clouded consciousness, coma) and most diverse in pre- and postcomatose stages, where they were characterized by disturbed consciousness, hallucinatory and delusional experiences, epileptiformal syndromes, emotional, motor and other disturbances. The symptomatology depended upon the type of medical drug, intensity of medical procedures, the mental or boderline disease itself which influences the clinical picture of every stage of the intoxication.
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