The importance of neuropsychic factors in aetiology and pathogenesis of bronchial asthma in children is generally acknowledged. The affective abnormalities range among the most common mental disorders in children and adolescents. 120 children with the diagnosis of atopic bronchial asthma were evaluated in the children's polyclinic. Together with the general disturbances of health status, affective disturbances in the form of depression of different stage of severity were revealed in 108/120 subjects (90%). In all 108 people the sufficiently significant somatic and autonomic nervous disorders were observed. In our study the subdivision of depression into 3 types proved to be possible: asthenic depression – in 10 patients (8,5%), worried depression – in 74 (60,5%), astheno-worried depression – in 36 (30%). Asthenic depression (10 observations - 8,5%) was defined by a mild, free of specific depressive particularities, but continued decline of holothymia. The decreased mood was combined with the exhaustion and the irritable weakness. Worried depression (74 cases - 60,5%) was defined by the sensation of internal discomfort, indescribable unrest, expectation of the future events, distressing anxieties connected with the past. Astheno-worried depression (36 cases - 30%). The decreased mood was commonly combined with the severe emotional lability, asthenia, slight anxiety, hypersensibility to any exogenous irritant. Thus, in children, suffering from the bronchial asthma, the most frequently occurring psychosomatic disorders revealed in the ambulance situations, present as various typological forms of depressions with a distressing aspect.
Diseases of the temporomandibular joint (TMJ), manifested in the form of "dysfunctional disorders", are socially significant and are quite common. Purpose of the study: to find correlations between postural and neuropsychiatric disorders in patients with dysfunctional disorders of the TMJ to improve diagnosis, treatment and follow-up. Materials and research methods. In the period from 2015 to 2021, 63 patients with a dysfunctional condition of the temporomandibular joint were examined, including 10 men (15.87%) and 53 women (84.13%) aged 18 to 79 years (average age 43.58). A statistical analysis of the results of the examination of patients with a dysfunctional state of the TMJ was carried out using a visual analogue scale, the Spielberger–Hanin test, the depression scale of the Center for Epidemiological Studies and the Kerdo vegetative index. At the first stage, the results of the questionnaire data, subjective and objective examination were processed, which included an assessment of the function of the dental system, determination of postural status and identification of neuropsychiatric disorders. At the second stage, a correlation analysis was carried out between the results obtained. Results of own researches. In the course of the study, statistical data on 6 parameters of the Hamburg test were revealed. Correlations were found for the prevalence of nosological forms and pathological changes in the examined patients. The study found patterns of postural and neuropsychiatric disorders. Conclusion. Based on the correlation analysis, it was proved that postural imbalance has a more pronounced effect on the formation of dysfunctions of the ventricular system than neuropsychiatric disorders. Defects of the dentition, increased wearing of the hard tissues of the teeth and secondary deformities, accompanied by a decrease in the height of the lower part of the face, mutually load each other and distort the clinical picture of TMJ dysfunction at the stage of diagnosis, treatment and follow-up.
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