Марченко В.Ю., Петелин Д.С. Вегетативные нарушения при тревожном расстройстве. Consilium Medicum. 2023;25(11):736–740. DOI: 10.26442/20751753.2023.11.202486
Marchenko VYu, Petelin DS. Vegetative disorders in anxiety disorder: A review. Consilium Medicum. 2023;25(11):736–740. DOI: 10.26442/20751753.2023.11.202486
Вегетативные нарушения при тревожном расстройстве
Марченко В.Ю., Петелин Д.С. Вегетативные нарушения при тревожном расстройстве. Consilium Medicum. 2023;25(11):736–740. DOI: 10.26442/20751753.2023.11.202486
Marchenko VYu, Petelin DS. Vegetative disorders in anxiety disorder: A review. Consilium Medicum. 2023;25(11):736–740. DOI: 10.26442/20751753.2023.11.202486
Вегетативные нарушения (ВН) характерны для пациентов с тревожными расстройствами (ТР). Данное заболевание становится все более распространенным и негативно влияет на качество жизни как самих пациентов, так и окружающих их людей. Почти 20% населения страдают от ТР, причем женщины чаще подвержены им, чем мужчины. ТР включают паническое расстройство, генерализованное ТР и другие их виды. В большинстве случаев они сопровождаются вегетативными симптомами, такими как учащенное сердцебиение, потливость, дрожь, изменение аппетита. ВН нередко имитируют соматические и неврологические нарушения у пациентов с ТР, создавая проблемы для диагностики. В нашей стране значительная часть пациентов с ТР наблюдаются у неврологов с диагнозом «соматоформная дисфункция вегетативной нервной системы, или вегетативная дистония». Ведущее значение в уменьшении ВН имеет терапия основного заболевания, которая включает оптимизацию образа жизни, психотерапию и прием лекарственных средств.
Vegetative disorders are characteristic of patients with anxiety disorders, which are becoming more common and negatively affect the quality of life of both the patients themselves and their environment. Almost 20% of the population suffers from anxiety disorders, and women are more prone to these diseases than men. Anxiety disorders include panic disorder, generalized anxiety disorder, and other disorders. In most cases, anxiety disorders are accompanied by vegetative symptoms, such as palpitations, sweating, trembling, changes in appetite and others. Vegetative disorders often mimic somatic and neurological disorders in patients with anxiety disorders, therefore they create problems for diagnosis. In our country, a significant part of patients with anxiety disorders are observed by neurologists with a diagnosis of somatoform dysfunction of the autonomic nervous system or autonomic dystonia. The therapy of the underlying disease, which includes lifestyle optimization, psychotherapy and medications, is of leading importance in reducing vegetative disorders.
Keywords: vegetative disorders, anxiety disorders, treatment of anxiety disorders
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1. Wittchen HU, Jakobi F. Size and burden of mental disorders in Europe – a critical review and appraisal of 27 studies. Eur Neuropsychopharmacol. 2005;15(1):357-76. DOI:10.1016/j.euroneuro.2005.04.012
2. Vorobyeva OV. Psychogenically conditioned autonomic dysfunction: diagnosis and treatment of “difficult” symptoms. Nervous Diseases. 2017;3:12-8 (in Russian).
3. Vorobyova OV. Vegetative dystonia – what is hidden behind the diagnosis? Difficult Patient. 2011;9(10):16-20 (in Russian).
4. Andryushchenko AV. Prevalence and structure of mental disorders in general medicine. Mental Disorders in General Medicine. 2011;1:14-27 (in Russian).
5. Mandy HX, Femke L, Eco JC, Penninx B. Differential reactivity of the autonomic nervous system in depression and anxiety during stress, depending on the type of stressor. Psychosomatic Medicine. 2016;78(5):562-72. DOI:10.1097/PSY.0000000000000313DE
6. Hert M, Correll CU, Bobes J, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10:52-7. DOI:10.1002/j.2051-5545.2011.tb00014.x
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9. Romanenko ON. Classical ideas about anxiety. Forum of Young Scientists. 2019;3(31):690-7 (in Russian).
10. Semple D, Smyth R. Oxford handbook of psychiatry. 4th ed. Oxford: Oxford University Press, 2019.
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24. Yakhno NN, Parfenov VA, Reichart DV, et al. Multicenter non-interventional prospective observational program to study the practice of prescribing teraligen in patients with a diagnosis of vegetative disorder (START-2: Russian experience of using the Russian-language validated version of the 4DSQ questionnaire. Intermediate analysis). Zh Nevrol Psikhiatr Im SS Korsakova. 2015;114(5):27-33 (in Russian).
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26. Petelin DS, Istomina NS, Tsapko DS, et al. Approaches to psychotherapy for chronic musculoskeletal pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(3):68-73 (in Russian). DOI:10.14412/2074-2711-2022-3-68-73
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29. Blase K, Vermetten E, Lehrer P, Gevirtz R. Neurophysiological approach by self-control of your stress-related autonomic nervous system with depression, stress and anxiety patients. Int J Environ Res Public Health. 2021;18(7):3329. DOI:10.3390/ijerph18073329
Авторы
В.Ю. Марченко*, Д.С. Петелин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*Marvlad123@mail.ru
________________________________________________
Vladislav Yu. Marchenko*, Dmitry S. Petelin
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*Marvlad123@mail.ru