Peculiarities of depressive disorders of “working” emigrants and re-emigrants

Abstract

IntroductionThe problem of emigration and re-emigration in Ukraine is among the most actual state and social problems.ObjectivesTo research clinical-psychopathological peculiarities of depressions in “working” emigrants and re-emigrants.MethodologyThe investigation was carried out in Ternopil Region. Psychogenic depressive disorders (F43.21 and F43.22 according to ICD-10) were diagnosed in 69 non-emigrants, 68 emigrants, and 67 re-emigrants; endogenous ones (F31.3, F31.4, F32.1, F32.2, F33.1, and F33.2 according to ICD-10) were diagnosed in 65, 66, and 63 persons correspondingly; and organic ones (F06.3 according to ICD-10) were diagnosed in 64, 62, and 61 persons correspondingly.ResultsIt was found out an influence of emigration and re-emigration factors on psychoemotional sphere of the patients. The influence of the emigration factor was the most manifested in patients with psychogenic depressive disorders and was a less manifested in patients with endogenous and organic depression. Re-emigrants had the most severe depressive symptoms that might be explained by an impact of psychosocial factors. In the syndromological structure of depressive disorders it was determined that re-emigrants were more affected by typical affective syndromes – vital and apathic depression, whereas emigrants were more affected by atypical affective syndromes, including anxious-depressive and agitation ones. It might be explained by an influence of objective social-psychological factors as well as an intrapsychic transformation of actual stressors connected with emigration and re-emigration.ConclusionsEmigration should be considered as a factor promoting a pathologically characterological development towards anxious-depressive changes, whereas re-emigration should be considered as a factor of asthenic-depressive and apathic-depressive transformations.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Features of Sexual Dysfunctions in Patients With Neurotic Disorders

“…The mechanisms of development and course of sexual dysfunctions have their own features related to the form and nature of the mental disorder that caused them [4,5]. With a prolonged course of neurotic disorder, patients may change sexual motivation and motives for sexual intercourse, sometimes there is a deactualization of sexual life or even aversion to it [6].…”