DIFFERENTIAL DIAGNOSTICS OF MASKED DEPRESSIONS IN THE CLINICAL PICTURE OF PSYCHOSOMATIC DISEASES
DOI:
https://doi.org/10.32689/2663-0672-2024-4-12Keywords:
masked depression, psychosomatic diseases, clinical manifestationsAbstract
The article is devoted to the study of the problems of masked depressions in the clinic of psychosomatic diseases. The problem of depressive disorders is one of the most topical in medicine today. Unlike other types of mental disorders, depressive states in 40% of cases remain undiagnosed in time, especially in the case of masked depressions. The aim of this study is to analyze and systematize data on the problem of masked depression in the clinical picture of psychosomatic diseases at the present stage. Materials and methods. The materials of the study were international and national concepts and strategies, regulatory documents, clinical guidelines, information from scientific databases such as Scopus, Web of Science, Cochrane Library, PubMed. The methods of comparative analysis, systematization and generalization of information on the problem of masked depression at the current stage of development of medicine and society were used. Results and discussion. Masked depression is a group of affective disorders, in the clinical picture of which somatic and vegetative symptoms and symptoms of atypical “algic syndrome” prevail, while true affective depressive symptoms are relegated at the background or absent. The similarity of symptoms of somatic pathology and depression determines the course of depression under different “masks”: “masks” in the form of psychopathological disorders; “masks” in the form of biological rhythm disturbances; “masks” in the form of vegetative, somatic and endocrine disorders; “masks” in the form of algia; “masks” in the form of pathocharacterological disorders. Due to the significant polymorphism of symptoms of masked depression, diagnosis of this condition is often complicated, patients get help not from psychiatrists, but from general practitioners, do not receive timely adequate treatment, this makes the course of the disease worse and contributes to the chronicity of the process. Conclusions. The necessity of a more significant study of the problem of masked depression in the clinical picture of psychosomatic diseases, its etiology, pathogenesis, clinical manifestations, diagnostics and timely specialized treatment has been substantiated.
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