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INFLUENCE OF AFFECTIVE DISORDERS ON THE INTENSITY OF THE CHRONIC PAIN SYNDROME IN PATIENTS WITH DISEASES OF PERIPHERAL NERVOUS SYSTEM

https://doi.org/10.25016/2541-7487-2013-0-4-23-27

Abstract

446 patients with diseases of the peripheral nervous system accompanied with chronic pain syndrome were examined and treated. Pain syndrome in diseases of the peripheral nervous system, lasting more than 3 months, becomes chronic. Not only peripheral but central nervous system becomes involved in the pathological process. Along with neuropathic pain, severe autonomic, emotional disorders, a high level of state and trait anxiety is reported, with high level of fatigue and, to a lesser extent, depressive disorders. Severity and frequency of anxiety disorders reduces, as opposed to depressive ones, with longer duration of a disease. Affective and asthenic disorders affect the nature and intensity of pain, significantly worsens the prognosis of the disease. Targeted treatment of psychophysiological disorders helps to stop chronic pain and prevent disability more efficiently.

About the Authors

G. O. Andreeva
Kirov Military Medical Academy, Saint-Petersburg
Russian Federation
Andreeva Galina Olegovna - Ph, assistant of nervous diseases Chair


S. G. Grigoriev
Kirov Military Medical Academy, Saint-Petersburg
Russian Federation
Grigoriev Stepan Grigorjevich - M.D., Prof., Senior scientist of Research Center


A. U. Emelianov
Kirov Military Medical Academy, Saint-Petersburg
Russian Federation
Emelianov Alexandr Uryevich - M.D., Prof., of nervous diseases Chair


References

1. Andreeva G.O., Barsukov I.N., Emel'yanov A.Yu. Kompleksnaya terapiya posttravmaticheskikh plechevykh pleksopatii [Complex therapy of posttraumatic humeral plexopathies]. Medikobiologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medical-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2010. N 2. Pp. 25–28. (In Russ.)

2. Andreeva G.O., Emel'yanov A.Yu. Kompleksnaya terapiya bol'nykh s khronicheskimi bolevymi radikulopatiyami [Complex therapy in patients with chronic painful radiculopathies]. Medikobiologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medical-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2012. N 1. Pp. 22–25. (In Russ.)

3. Andreeva G.O., Emel'yanov A.Yu. Lechenie kompleksnogo regional'nogo bolevogo sindroma i ego oslozhnenii [Treatment of complex regional pain syndrome and its complications]. Vestnik psikhoterapii [Bulletin of Psychotherapy]. 2012. N 42. Pp. 46–50. (In Russ.)

4. Evdokimov V.I., Marishchuk V.L. , Shevchenko T.I. Psikhologicheskie mekhanizmy genezisa negativnykh emotsional'nykh sostoyanii v deyatel'nosti sotrudnikov Gosudarstvennoi protivopozharnoi sluzhby MChS Rossii [The development of negative emotional states in the activities of the State FireFighting Service staff of the Ministry of emergency situations of Russia]. Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [MedicalBiological and Socio-Psychological Problems of Safety in Emergency Situations]. 2007. N 2. Pp. 46–54. (In Russ.)

5. Odinak M. M., Zhivolupov S.A., Samartsev I.N. Bolevye sindromy v nevrologicheskoi praktike [Pain syndromes in neurological practice]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [S.S. Korsakov Journal of Neurology and Psychiatry]. 2009. N 9. Pp. 80–88. (In Russ.)

6. Odinak M.M., Zhivolupov S.A. Zabolevaniya i travmy perifericheskoi nervnoi sistemy (obobshchenie klinicheskogo i eksperimental'nogo opyta) [Diseases and injuries of the peripheral nervous system (summary of clinical and experimental experience).]. Sankt-Peterburg. 2009. 367 p. (In Russ.)

7. Pomnikov V.G., Roskov R.V., Andrievskaya A.O. MSE i reabilitatsiya invalidov pri posledstviyakh oslozhnennykh travm pozvonochnika i povrezhdenii perifericheskikh nervov [Medical sanitary appraisal and rehabilitation of disabled persons in the effects of complicated spinal and peripheral nerve injuries]. Sankt-Peterburg. 2007. 86 p. (In Russ.)

8. Khanin Yu.L. Kratkoe rukovodstvo k primeneniyu shkaly reaktivnoi i lichnostnoi trevozhnosti Ch.D. Spilbergera [A Brief Guide to the application of the scale of reactive and personal anxiety by Ch.D. Spielberger]. Leningrad. 1976. 18 p. (In Russ.)

9. Yunkerov V.I., Grigor'ev S.G., Rezvantsev M.V. Matematiko-statisticheskaya obrabotka dannykh meditsinskikh issledovanii [Mathematical and statistical processing of medical research data]. SanktPeterburg. 2011. 318 p. (In Russ.)

10. Bouhassira D., Attal N., Alchaar H. [et al.]. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnosis questionnaire (DN4). Pain. 2005. Vol. 114, N 1/2. Pp. 29–36.

11. Montgomery S.A., Asberg M. A new depression scale designed to be sensitive to change. Br. J. Psychiatry. 1979. Vol. 134. Pp. 382–389.

12. Smets E.M., Garssen B. Bonke B. [et al.]. The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue. J. Psychosom. Res. 1995. Vol. 39. Pp. 315–325.

13. Masur H., Papke K. , Althoff S. [et al.]. Visual analogue scale (VAS). Scales and scores in neurology. Quantification of neurological deficits in research and practice. Thieme Stuttgart : New York, 2004. 94 p.


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For citations:


Andreeva G.O., Grigoriev S.G., Emelianov A.U. INFLUENCE OF AFFECTIVE DISORDERS ON THE INTENSITY OF THE CHRONIC PAIN SYNDROME IN PATIENTS WITH DISEASES OF PERIPHERAL NERVOUS SYSTEM. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2013;(4):23-27. (In Russ.) https://doi.org/10.25016/2541-7487-2013-0-4-23-27

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ISSN 1995-4441 (Print)
ISSN 2541-7487 (Online)