К вопросу о роли биологических и психологических факторов в развитии постинсультной депрессии

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Рекомендуемое оформление библиографической ссылки:

Кутлубаев М.А., Менделевич В.Д., Ахмадеева Л.Р. К вопросу о роли биологических и психологических факторов в развитии постинсультной депрессии // Российский психиатрический журнал. 2018. №1. С. 71-77.

Аннотация

Депрессия – одно из самых частых нейропсихиатрических расстройств после инсульта. Она ухудшает качество жизни пациентов и прогноз инсульта. По мнению ряда авторов, развитие постинсультной депрессии связано с поражением левого полушария, особенно его передних отделов. Однако эти данные подтвердились не во всех исследованиях. Другие теории объясняют развитие постинсультной депрессии хроническим поражением головного мозга (лейкоареоз, атрофия), нейроиммунными и нейроэндокринными нарушениями, а также генетической предрасположенностью. Важная роль в развитии постинсультной депрессии отводится психологическим механизмам. Постинсультную депрессию условно можно подразделить на преимущественную эндоформную (органическую) и реактивную формы. Соотношение роли биологических и психологических факторов в развитии постинсультной депрессии индивидуально в каждом случае. Будущие исследования должны уточнить роль биологических и психологических факторов в развитии постинсультной депрессии с помощью современных методов исследования.

Ключевые слова Психиатрия; Неврология

Литература

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