Psychosomatic motor disorders in the structure of depression in children and adolescents

• Published in: Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Vol. 97; no. 1; p. 19
• Main Authors: Antropov, Iu F, Piliia, S V
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 1997
• Subjects: Adolescent; Antidepressive Agents - therapeutic use; Child; Child, Preschool; Chronic Disease; Combined Modality Therapy; Depression - complications; Depression - diagnosis; Depression - drug therapy; Diagnosis, Differential; Disease Susceptibility; Drug Therapy, Combination; Female; Humans; Male; Movement Disorders - diagnosis; Movement Disorders - drug therapy; Movement Disorders - etiology; Movement Disorders - psychology; Psychophysiologic Disorders - diagnosis; Psychophysiologic Disorders - drug therapy; Psychophysiologic Disorders - etiology; Tranquilizing Agents - therapeutic use
• ISSN: 1997-7298

106 patients (40 boys and 66 girls) at the age from 3 to 15 years with depression of neurotic level with motor disorders (hyperkinetic, hypokinetic, pseudoepileptic) were examined. The motor disorders were estimated as pseudoneurological ones. The treatment of such patients must be performed with estimation of the typological variations of depression (asthenic type was observed in 31 cases, anxious type--in 37, melancholic type--in 6, combined type--in 32), of the degree of depressions manifestation, of their etiology as well as the pathological "basis" and personal peculiarities of the patients. 81 patients were treated by antidepressants (AD) in combination with tranquilizers and nootropes. AD weren't applied in 25 cases. Of all the patients in which AD were used complete correction of pseudoneurological and depressive disorders was observed in 46 cases (56.8%), considerable improvement--in 26 patients, the improvement--in 9 cases. Meanwhile improvement was observed only in 15 cases and slight improvement in 10 persons in patients who had not received any AD (group differences were significant).