ГоловнаArchive of numbers2022Volume 30, issue 1 (110)Structure of remissions of bipolar affective disorder in persons living in conditions of constant stress influence and having a property
Title of the article Structure of remissions of bipolar affective disorder in persons living in conditions of constant stress influence and having a property
Authors Pidkorytov Valerii
Syerikova Olga
Skrynnyk Olga
Serikova Olga
Baіbarak Natalia Anatoliivna
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND NARCOLOGICAL DISORDERS
Year 2022 Issue Volume 30, issue 1 (110) Pages 60-62
Type of article Scientific article Index UDK 616.8-008.64:616.89-008.441.44 Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V30-is1-2022-11

 The article presents an analysis of remission in 40 patients with bipolar affective disorder (BAD) with suicidal behavior who were under the emotionally significant stress influence. The mean duration of remission in the studied patients was (6.53 ± 3.82) months. The main number of patients 67.50 % (27 patients) were in partial remission — a period of significant improvement, which no longer met the syndromic criteria of the BAD episode on ICD-10 but remained minimal residual symptoms. Among the latter, the syndrome of transient anxiety was identified (48.15 % of cases), the syndrome of mild asthenic insufficiency occurred in 9 patients (33.33 % of cases), chronic subdepressive syndrome (18.52 % of patients). Complete clinical remission, when there are no manifestations of the disease at both syndromic and symptomatic levels, occurred in 10 cases (25.00 %). Complete functional remission was observed in 3 patients (7.50 %). It meant not only the absence of any clinical manifestations of the disease but also a complete return to the previous social life. The following prognostic signs of suicidal behavior in biologically active patients were also identified in patients exposed to significant stress: duration of previous remission less than 6 months (DC = 11.36; MI = 3.32); partial remission (DC = 6.1; MI = 1.32) and transient anxiety syndrome in the remission structure (DC = 12.02; MI = 3.88). In the future, the above factors should be taken into account when predicting suicide risk in patients with BAD.
Key words bipolar affective disorder, remission, suicide, stress
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