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Клиническая картина тревожных расстройств у больных с инсультом
Клиническая картина тревожных расстройств у больных с инсультом
Петрова Е.А., Кольцова Е.А., Савина М.А. Клиническая картина тревожных расстройств у больных с инсультом. Consilium Medicum. 2015; 17 (9): 37–41. DOI: 10.26442/2075-1753_2015.9.37-41
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Аннотация
Обследованы 198 больных с первичным церебральным инсультом. Аффективные расстройства, включающие депрессию, генерализованное тревожное расстройство, фобии, были выявлены у 71,2% больных. Проведенное исследование показало, что постинсультные тревожные расстройства различаются по факторам риска и особенностям развития. Тревожные расстройства сочетаются с молодым возрастом, фобии связаны с женским полом и наследственной предрасположенностью.
Ключевые слова: церебральный инсульт, тревожные расстройства, факторы риска.
Ключевые слова: церебральный инсульт, тревожные расстройства, факторы риска.
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198 patients with first-ever cerebral stroke were studied. Аffective disorders included depressions, generalized anxiety disorder, phobias were exposed in 71.2% of patients. Our study demonstrated that post-stroke anxiety disorders have different risk and pathogenetic factors. Anxiety disorders are associated with young age, phobias associated with women sex and inherited predisposition.
Key words: cerebral stroke, anxiety disorders, risk factors.
Key words: cerebral stroke, anxiety disorders, risk factors.
Полный текст
Список литературы
1. Давыдов А.Т., Литвинцев С.В., Бутко Д.Ю. и др. Опыт диагностики и лечения тревожного расстройства в постинсультном периоде у больных, перенесших ишемический инсульт. РМЖ. 2008; 16 (5). / Davydov A.T., Litvintsev S.V., Butko D.Iu. i dr. Opyt diagnostiki i lecheniia trevozhnogo rasstroistva v postinsul'tnom periode u bol'nykh, perenesshikh ishemicheskii insul't. RMZh. 2008; 16 (5). [in Russian]
2. Давыдов А.Т., Литвинцев С.В., Бутко Д.Ю. и др. Опыт диагностики и лечения тревожного расстройства в постинсультном периоде у больных, перенесших ишемический инсульт. Рус. мед. журн. 2010; 12. / Davydov A.T., Litvintsev S.V., Butko D.Iu. i dr. Opyt diagnostiki i lecheniia trevozhnogo rasstroistva v postinsul'tnom periode u bol'nykh, perenesshikh ishemicheskii insul't. Rus. med. zhurn. 2010; 12. [in Russian]
3. Дамулин И.В. Постинсультные двигательные расстройства. Consilium Medicum. 2003; 5 (2): 64–70. / Damulin I.V. Postinsul'tnye dvigatel'nye rasstroistva. Consilium Medicum. 2003; 5 (2): 64–70. [in Russian]
4. Дамулин И.В. Особенности депрессии при неврологических заболеваниях. Фарматека. 2005; 17: 25–34. / Damulin I.V. Osobennosti depressii pri nevrologicheskikh zabolevaniiakh. Farmateka. 2005; 17: 25–34. [in Russian]
5. Ермакова Н.Г. Психологическая коррекция в реабилитации больных с выраженными двигательными и когнитивными нарушениями после инсульта. Известия Рос. гос. пед. ун-та им. А.И.Герцена. 2010; 128. / Ermakova N.G. Psikhologicheskaia korrektsiia v reabilitatsii bol'nykh s vyrazhennymi dvigatel'nymi i kognitivnymi narusheniiami posle insul'ta. Izvestiia Ros. gos. ped. un-ta im. A.I.Gertsena. 2010; 128. [in Russian]
6. Калинский П.П., Назаров В.В., Улитина М.М. Тревожно-депрессивные расстройства в восстановительном периоде ишемического инсульта. Consilium Medicum. 2010; 12 (2). / Kalinskii P.P., Nazarov V.V., Ulitina M.M. Trevozhno-depressivnye rasstroistva v vosstanovitel'nom periode ishemicheskogo insul'ta. Consilium Medicum. 2010; 12 (2). [in Russian]
7. Лященко Е.А. Аспекты терапии тревожных расстройств у постинсультных больных. Рус. мед. журн. 2010. / Liashchenko E.A. Aspekty terapii trevozhnykh rasstroistv u postinsul'tnykh bol'nykh. Rus. med. zhurn. 2010. [in Russian]
8. Маркин С.П. Терапия постинсультных депрессий. Материалы конференции «Терапия постинсультных депрессий», 2012. / Markin S.P. Terapiia postinsul'tnykh depressii. Materialy konferentsii «Terapiia postinsul'tnykh depressii», 2012. [in Russian]
9. Петрова Е.А., Концевой В.А., Савина М.А. и др. Депрессивные расстройства у больных с церебральным инсультом. Журн. неврологии и психиатрии. 2009; 109 (2): 4–9. / Petrova E.A., Kontsevoi V.A., Savina M.A. i dr. Depressivnye rasstroistva u bol'nykh s tserebral'nym insul'tom. Zhurn. nevrologii i psikhiatrii. 2009; 109 (2): 4–9. [in Russian]
10. Рачин А.П., Михайлова Е.В. Депрессивные и тревожные расстройства. М.: ГЭОТАР-Медиа, 2010. / Rachin A.P., Mikhailova E.V. Depressivnye i trevozhnye rasstroistva. GEOTAR-Media, 2010. [in Russian]
11. Angst J, Vollrath M. The natural history of anxiety disorders. Acta Psychiatrica Scandinavica 1991; 84: 446–52.
12. Aström M, Adolfsson R, Asplund K. Major depression in stroke patients: a 3-year longitudinal srudy. Stroke 1993, 24: 976–82.
13. Aström M. Generalized Anxiety Disorder in Stroke Patients. A 3-year longitudinal study. Stroke 1996, 27: 270–5.
14. Broda M. Wahrnehmung und Bewältigung chronischer Krankhaiten. Eine Vergleichsstudie unterschiedlicher krankheitbilder. Deutscher Studienverlag. Weinheim 1987.
15. Brown C, Schulberg HC, Madonia MJ. Shear M.K. Treatment outcomes for primary care patients with major depression and lifetime anziety disorders. Am J Psychiatry 1996; 153: 1293–300.
16. Burwill PW, Johnson GA, Jamrozik KD et al. Anxiety disoders after stroke: results from the Perth community stroke study. Br J Psychiatry 1995; 166 (3): 328–32.
17. Castillo CS, Strakstein SE, Fedoroff JP et al. Generalized anxiety disorder following stroke. J Nerv Ment Dis 1993; 81: 100–6.
18. Castillo CS, Schultz SK, Robinson RG. Clinical correlates of early-onset and late-onset poststroke generalized anxiety. Am J Psychiatry 1995; 152 (8): 1174–9.
19. Durham RC, Allan T, Hackett CA. On predicting improvement and relapse in generalized anxiety disorder following psychotherapy. Br J Clin Psychol 1997; 36: 101–19.
20. Freud S. Üver Berechtigung von Neurasthenie einen bestimmten Szmptomokomplex als "Angstneurose" abzutrennen. Im F. Deutike Verlag. Leipzig und Wien, 1895.
21. Hackett M, Anderson CS. Predictors of Depression after Stroke A Systematic Review of Observational Studies. Stroke 2005; 36: 2296–031.
22. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32: 50–5.
23. Herrmann N, Black SE, Lawrence J et al. The Sunnybrook Stroke Study: A prospective study of depressive symptoms and functional outcome. Stroke 1998; 29: 618–24.
24. Klein DF, Fink M. Psychiatric reactiob patterns to imipramine. Am J Psychiatry 1962; 433–8.
25. Kraepelin E. Psychiatrie. Ein Lehrbuch fuer Studierende und Ärzte (achte, vollständich umgearbeitete Aufgabe). Leipzig: Verlag von Johann Ambrosius Barth, 1913.
26. Kuptniratsaikul V, Kovindha A, Dajpratham P, Piravej K Main outcomes of stroke rehabilitation: a multi-centre study in Thailand J Rehabil Med 2009; 41 (1): 54–8.
27. Leppavuori A, Pohjasvara N, Vataja R et al. Generalized anxiety disorder three to four month after ischemic stroke. Cardiovascular Dis 2003; 16 (3): 257–64.
28. Marks LM. The classification of phobic disorders. Br J Psychiatry 1970; 116: 377–86.
29. Paykel ES. Classification of depressed patients: a cluster analysis derived grouping. Br J Psychiatr Mar 1971; 118 (554): 275–88.
30. Robinson RG. The clinical neuropsychiatry of stroke. Cognitive, behavioral and emotional disorders following vascular brain injury. Second edition 2006; p. 319–21.
31. Sagen U, Vik TG, Moum T et al. Screening for anxiety and depression after stroke: comparison of the hospital anxiety and depression scale and the Montgomery and Asberg depression rating scale. J Psychosom Res 2009; 67 (4): 325–32.
32. Schultz SK, Castillo CS, Kosier JT et al. Generalized anxiety and depression following stroke. Am J Geriatr Psychiatr 1997; 5: 229–37.
33. Shimoda K, Robinson RG. Effect of anxiety disorder in impairment and recovery from stroke. J Neuropsychiatr Clin Neurosci 1998; 10: 34–40.
34. Spitzer RL, Williams JBW. Diagnostic issues in the DSM-IV classification of anxiety disorders. In: Psychiatry update. American Psychiatric Association Annual Review. American Psychiatric Press, Washington D.C. 1984; p. 392–402.
35. Starkstein SE, Robinson RG, Honig MA et al. Mood changes after right-hemisphere lesions. Br J Psychiatry 1989; 155: 79–85.
36. Strine TW, Chapman DP, Kobau R et al. Associations of self-reported anxiety symptoms with healh-related quality of life and health behaviors. Soc Psychyatry Psychiatr Epidemol 2005; 40 (6): 432–8.
37. Wittchen HU, Zhao S, Kessler RC, Eaton WW. DSM-III-R generalized anxiety disorder in National Comorbidity Survey. Arch Gen Psychiatry 1994; 52: 355–64.
2. Davydov A.T., Litvintsev S.V., Butko D.Iu. i dr. Opyt diagnostiki i lecheniia trevozhnogo rasstroistva v postinsul'tnom periode u bol'nykh, perenesshikh ishemicheskii insul't. Rus. med. zhurn. 2010; 12. [in Russian]
3. Damulin I.V. Postinsul'tnye dvigatel'nye rasstroistva. Consilium Medicum. 2003; 5 (2): 64–70. [in Russian]
4. Damulin I.V. Osobennosti depressii pri nevrologicheskikh zabolevaniiakh. Farmateka. 2005; 17: 25–34. [in Russian]
5. Ermakova N.G. Psikhologicheskaia korrektsiia v reabilitatsii bol'nykh s vyrazhennymi dvigatel'nymi i kognitivnymi narusheniiami posle insul'ta. Izvestiia Ros. gos. ped. un-ta im. A.I.Gertsena. 2010; 128. [in Russian]
6. Kalinskii P.P., Nazarov V.V., Ulitina M.M. Trevozhno-depressivnye rasstroistva v vosstanovitel'nom periode ishemicheskogo insul'ta. Consilium Medicum. 2010; 12 (2). [in Russian]
7. Liashchenko E.A. Aspekty terapii trevozhnykh rasstroistv u postinsul'tnykh bol'nykh. Rus. med. zhurn. 2010. [in Russian]
8. Markin S.P. Terapiia postinsul'tnykh depressii. Materialy konferentsii «Terapiia postinsul'tnykh depressii», 2012. [in Russian]
9. Petrova E.A., Kontsevoi V.A., Savina M.A. i dr. Depressivnye rasstroistva u bol'nykh s tserebral'nym insul'tom. Zhurn. nevrologii i psikhiatrii. 2009; 109 (2): 4–9. [in Russian]
10. Rachin A.P., Mikhailova E.V. Depressivnye i trevozhnye rasstroistva. GEOTAR-Media, 2010. [in Russian]
11. Angst J, Vollrath M. The natural history of anxiety disorders. Acta Psychiatrica Scandinavica 1991; 84: 446–52.
12. Aström M, Adolfsson R, Asplund K. Major depression in stroke patients: a 3-year longitudinal srudy. Stroke 1993, 24: 976–82.
13. Aström M. Generalized Anxiety Disorder in Stroke Patients. A 3-year longitudinal study. Stroke 1996, 27: 270–5.
14. Broda M. Wahrnehmung und Bewältigung chronischer Krankhaiten. Eine Vergleichsstudie unterschiedlicher krankheitbilder. Deutscher Studienverlag. Weinheim 1987.
15. Brown C, Schulberg HC, Madonia MJ. Shear M.K. Treatment outcomes for primary care patients with major depression and lifetime anziety disorders. Am J Psychiatry 1996; 153: 1293–300.
16. Burwill PW, Johnson GA, Jamrozik KD et al. Anxiety disoders after stroke: results from the Perth community stroke study. Br J Psychiatry 1995; 166 (3): 328–32.
17. Castillo CS, Strakstein SE, Fedoroff JP et al. Generalized anxiety disorder following stroke. J Nerv Ment Dis 1993; 81: 100–6.
18. Castillo CS, Schultz SK, Robinson RG. Clinical correlates of early-onset and late-onset poststroke generalized anxiety. Am J Psychiatry 1995; 152 (8): 1174–9.
19. Durham RC, Allan T, Hackett CA. On predicting improvement and relapse in generalized anxiety disorder following psychotherapy. Br J Clin Psychol 1997; 36: 101–19.
20. Freud S. Üver Berechtigung von Neurasthenie einen bestimmten Szmptomokomplex als "Angstneurose" abzutrennen. Im F. Deutike Verlag. Leipzig und Wien, 1895.
21. Hackett M, Anderson CS. Predictors of Depression after Stroke A Systematic Review of Observational Studies. Stroke 2005; 36: 2296–031.
22. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32: 50–5.
23. Herrmann N, Black SE, Lawrence J et al. The Sunnybrook Stroke Study: A prospective study of depressive symptoms and functional outcome. Stroke 1998; 29: 618–24.
24. Klein DF, Fink M. Psychiatric reactiob patterns to imipramine. Am J Psychiatry 1962; 433–8.
25. Kraepelin E. Psychiatrie. Ein Lehrbuch fuer Studierende und Ärzte (achte, vollständich umgearbeitete Aufgabe). Leipzig: Verlag von Johann Ambrosius Barth, 1913.
26. Kuptniratsaikul V, Kovindha A, Dajpratham P, Piravej K Main outcomes of stroke rehabilitation: a multi-centre study in Thailand J Rehabil Med 2009; 41 (1): 54–8.
27. Leppavuori A, Pohjasvara N, Vataja R et al. Generalized anxiety disorder three to four month after ischemic stroke. Cardiovascular Dis 2003; 16 (3): 257–64.
28. Marks LM. The classification of phobic disorders. Br J Psychiatry 1970; 116: 377–86.
29. Paykel ES. Classification of depressed patients: a cluster analysis derived grouping. Br J Psychiatr Mar 1971; 118 (554): 275–88.
30. Robinson RG. The clinical neuropsychiatry of stroke. Cognitive, behavioral and emotional disorders following vascular brain injury. Second edition 2006; p. 319–21.
31. Sagen U, Vik TG, Moum T et al. Screening for anxiety and depression after stroke: comparison of the hospital anxiety and depression scale and the Montgomery and Asberg depression rating scale. J Psychosom Res 2009; 67 (4): 325–32.
32. Schultz SK, Castillo CS, Kosier JT et al. Generalized anxiety and depression following stroke. Am J Geriatr Psychiatr 1997; 5: 229–37.
33. Shimoda K, Robinson RG. Effect of anxiety disorder in impairment and recovery from stroke. J Neuropsychiatr Clin Neurosci 1998; 10: 34–40.
34. Spitzer RL, Williams JBW. Diagnostic issues in the DSM-IV classification of anxiety disorders. In: Psychiatry update. American Psychiatric Association Annual Review. American Psychiatric Press, Washington D.C. 1984; p. 392–402.
35. Starkstein SE, Robinson RG, Honig MA et al. Mood changes after right-hemisphere lesions. Br J Psychiatry 1989; 155: 79–85.
36. Strine TW, Chapman DP, Kobau R et al. Associations of self-reported anxiety symptoms with healh-related quality of life and health behaviors. Soc Psychyatry Psychiatr Epidemol 2005; 40 (6): 432–8.
37. Wittchen HU, Zhao S, Kessler RC, Eaton WW. DSM-III-R generalized anxiety disorder in National Comorbidity Survey. Arch Gen Psychiatry 1994; 52: 355–64.
2. Давыдов А.Т., Литвинцев С.В., Бутко Д.Ю. и др. Опыт диагностики и лечения тревожного расстройства в постинсультном периоде у больных, перенесших ишемический инсульт. Рус. мед. журн. 2010; 12. / Davydov A.T., Litvintsev S.V., Butko D.Iu. i dr. Opyt diagnostiki i lecheniia trevozhnogo rasstroistva v postinsul'tnom periode u bol'nykh, perenesshikh ishemicheskii insul't. Rus. med. zhurn. 2010; 12. [in Russian]
3. Дамулин И.В. Постинсультные двигательные расстройства. Consilium Medicum. 2003; 5 (2): 64–70. / Damulin I.V. Postinsul'tnye dvigatel'nye rasstroistva. Consilium Medicum. 2003; 5 (2): 64–70. [in Russian]
4. Дамулин И.В. Особенности депрессии при неврологических заболеваниях. Фарматека. 2005; 17: 25–34. / Damulin I.V. Osobennosti depressii pri nevrologicheskikh zabolevaniiakh. Farmateka. 2005; 17: 25–34. [in Russian]
5. Ермакова Н.Г. Психологическая коррекция в реабилитации больных с выраженными двигательными и когнитивными нарушениями после инсульта. Известия Рос. гос. пед. ун-та им. А.И.Герцена. 2010; 128. / Ermakova N.G. Psikhologicheskaia korrektsiia v reabilitatsii bol'nykh s vyrazhennymi dvigatel'nymi i kognitivnymi narusheniiami posle insul'ta. Izvestiia Ros. gos. ped. un-ta im. A.I.Gertsena. 2010; 128. [in Russian]
6. Калинский П.П., Назаров В.В., Улитина М.М. Тревожно-депрессивные расстройства в восстановительном периоде ишемического инсульта. Consilium Medicum. 2010; 12 (2). / Kalinskii P.P., Nazarov V.V., Ulitina M.M. Trevozhno-depressivnye rasstroistva v vosstanovitel'nom periode ishemicheskogo insul'ta. Consilium Medicum. 2010; 12 (2). [in Russian]
7. Лященко Е.А. Аспекты терапии тревожных расстройств у постинсультных больных. Рус. мед. журн. 2010. / Liashchenko E.A. Aspekty terapii trevozhnykh rasstroistv u postinsul'tnykh bol'nykh. Rus. med. zhurn. 2010. [in Russian]
8. Маркин С.П. Терапия постинсультных депрессий. Материалы конференции «Терапия постинсультных депрессий», 2012. / Markin S.P. Terapiia postinsul'tnykh depressii. Materialy konferentsii «Terapiia postinsul'tnykh depressii», 2012. [in Russian]
9. Петрова Е.А., Концевой В.А., Савина М.А. и др. Депрессивные расстройства у больных с церебральным инсультом. Журн. неврологии и психиатрии. 2009; 109 (2): 4–9. / Petrova E.A., Kontsevoi V.A., Savina M.A. i dr. Depressivnye rasstroistva u bol'nykh s tserebral'nym insul'tom. Zhurn. nevrologii i psikhiatrii. 2009; 109 (2): 4–9. [in Russian]
10. Рачин А.П., Михайлова Е.В. Депрессивные и тревожные расстройства. М.: ГЭОТАР-Медиа, 2010. / Rachin A.P., Mikhailova E.V. Depressivnye i trevozhnye rasstroistva. GEOTAR-Media, 2010. [in Russian]
11. Angst J, Vollrath M. The natural history of anxiety disorders. Acta Psychiatrica Scandinavica 1991; 84: 446–52.
12. Aström M, Adolfsson R, Asplund K. Major depression in stroke patients: a 3-year longitudinal srudy. Stroke 1993, 24: 976–82.
13. Aström M. Generalized Anxiety Disorder in Stroke Patients. A 3-year longitudinal study. Stroke 1996, 27: 270–5.
14. Broda M. Wahrnehmung und Bewältigung chronischer Krankhaiten. Eine Vergleichsstudie unterschiedlicher krankheitbilder. Deutscher Studienverlag. Weinheim 1987.
15. Brown C, Schulberg HC, Madonia MJ. Shear M.K. Treatment outcomes for primary care patients with major depression and lifetime anziety disorders. Am J Psychiatry 1996; 153: 1293–300.
16. Burwill PW, Johnson GA, Jamrozik KD et al. Anxiety disoders after stroke: results from the Perth community stroke study. Br J Psychiatry 1995; 166 (3): 328–32.
17. Castillo CS, Strakstein SE, Fedoroff JP et al. Generalized anxiety disorder following stroke. J Nerv Ment Dis 1993; 81: 100–6.
18. Castillo CS, Schultz SK, Robinson RG. Clinical correlates of early-onset and late-onset poststroke generalized anxiety. Am J Psychiatry 1995; 152 (8): 1174–9.
19. Durham RC, Allan T, Hackett CA. On predicting improvement and relapse in generalized anxiety disorder following psychotherapy. Br J Clin Psychol 1997; 36: 101–19.
20. Freud S. Üver Berechtigung von Neurasthenie einen bestimmten Szmptomokomplex als "Angstneurose" abzutrennen. Im F. Deutike Verlag. Leipzig und Wien, 1895.
21. Hackett M, Anderson CS. Predictors of Depression after Stroke A Systematic Review of Observational Studies. Stroke 2005; 36: 2296–031.
22. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32: 50–5.
23. Herrmann N, Black SE, Lawrence J et al. The Sunnybrook Stroke Study: A prospective study of depressive symptoms and functional outcome. Stroke 1998; 29: 618–24.
24. Klein DF, Fink M. Psychiatric reactiob patterns to imipramine. Am J Psychiatry 1962; 433–8.
25. Kraepelin E. Psychiatrie. Ein Lehrbuch fuer Studierende und Ärzte (achte, vollständich umgearbeitete Aufgabe). Leipzig: Verlag von Johann Ambrosius Barth, 1913.
26. Kuptniratsaikul V, Kovindha A, Dajpratham P, Piravej K Main outcomes of stroke rehabilitation: a multi-centre study in Thailand J Rehabil Med 2009; 41 (1): 54–8.
27. Leppavuori A, Pohjasvara N, Vataja R et al. Generalized anxiety disorder three to four month after ischemic stroke. Cardiovascular Dis 2003; 16 (3): 257–64.
28. Marks LM. The classification of phobic disorders. Br J Psychiatry 1970; 116: 377–86.
29. Paykel ES. Classification of depressed patients: a cluster analysis derived grouping. Br J Psychiatr Mar 1971; 118 (554): 275–88.
30. Robinson RG. The clinical neuropsychiatry of stroke. Cognitive, behavioral and emotional disorders following vascular brain injury. Second edition 2006; p. 319–21.
31. Sagen U, Vik TG, Moum T et al. Screening for anxiety and depression after stroke: comparison of the hospital anxiety and depression scale and the Montgomery and Asberg depression rating scale. J Psychosom Res 2009; 67 (4): 325–32.
32. Schultz SK, Castillo CS, Kosier JT et al. Generalized anxiety and depression following stroke. Am J Geriatr Psychiatr 1997; 5: 229–37.
33. Shimoda K, Robinson RG. Effect of anxiety disorder in impairment and recovery from stroke. J Neuropsychiatr Clin Neurosci 1998; 10: 34–40.
34. Spitzer RL, Williams JBW. Diagnostic issues in the DSM-IV classification of anxiety disorders. In: Psychiatry update. American Psychiatric Association Annual Review. American Psychiatric Press, Washington D.C. 1984; p. 392–402.
35. Starkstein SE, Robinson RG, Honig MA et al. Mood changes after right-hemisphere lesions. Br J Psychiatry 1989; 155: 79–85.
36. Strine TW, Chapman DP, Kobau R et al. Associations of self-reported anxiety symptoms with healh-related quality of life and health behaviors. Soc Psychyatry Psychiatr Epidemol 2005; 40 (6): 432–8.
37. Wittchen HU, Zhao S, Kessler RC, Eaton WW. DSM-III-R generalized anxiety disorder in National Comorbidity Survey. Arch Gen Psychiatry 1994; 52: 355–64.
________________________________________________
2. Davydov A.T., Litvintsev S.V., Butko D.Iu. i dr. Opyt diagnostiki i lecheniia trevozhnogo rasstroistva v postinsul'tnom periode u bol'nykh, perenesshikh ishemicheskii insul't. Rus. med. zhurn. 2010; 12. [in Russian]
3. Damulin I.V. Postinsul'tnye dvigatel'nye rasstroistva. Consilium Medicum. 2003; 5 (2): 64–70. [in Russian]
4. Damulin I.V. Osobennosti depressii pri nevrologicheskikh zabolevaniiakh. Farmateka. 2005; 17: 25–34. [in Russian]
5. Ermakova N.G. Psikhologicheskaia korrektsiia v reabilitatsii bol'nykh s vyrazhennymi dvigatel'nymi i kognitivnymi narusheniiami posle insul'ta. Izvestiia Ros. gos. ped. un-ta im. A.I.Gertsena. 2010; 128. [in Russian]
6. Kalinskii P.P., Nazarov V.V., Ulitina M.M. Trevozhno-depressivnye rasstroistva v vosstanovitel'nom periode ishemicheskogo insul'ta. Consilium Medicum. 2010; 12 (2). [in Russian]
7. Liashchenko E.A. Aspekty terapii trevozhnykh rasstroistv u postinsul'tnykh bol'nykh. Rus. med. zhurn. 2010. [in Russian]
8. Markin S.P. Terapiia postinsul'tnykh depressii. Materialy konferentsii «Terapiia postinsul'tnykh depressii», 2012. [in Russian]
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Авторы
Е.А.Петрова*1, Е.А.Кольцова1, М.А.Савина2
1 ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 125412, Россия, Москва, ул. Талдомская, д. 2;
2 ФГБНУ Научный центр психического здоровья. 115522, Россия, Москва, Каширское шоссе, д. 34
*elizapetr@rambler.ru
1 ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 125412, Россия, Москва, ул. Талдомская, д. 2;
2 ФГБНУ Научный центр психического здоровья. 115522, Россия, Москва, Каширское шоссе, д. 34
*elizapetr@rambler.ru
________________________________________________
E.A.Petrova*1, E.A.Koltsova1, M.A.Savina2
1 N.I.Pirogov Pediatrics Medical University of the Ministry of Health of the Russian Federation. 125412, Russian Federation, Moscow, ul. Taldomskaia, d. 2;
2 Mental Health Research Cente. 115522, Russian Federation, Moscow, Kashirskoe shosse, d. 34
*elizapetr@rambler.ru
1 N.I.Pirogov Pediatrics Medical University of the Ministry of Health of the Russian Federation. 125412, Russian Federation, Moscow, ul. Taldomskaia, d. 2;
2 Mental Health Research Cente. 115522, Russian Federation, Moscow, Kashirskoe shosse, d. 34
*elizapetr@rambler.ru
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