COMPREHENSIVE ASSESSMENT OF CLINICAL-SYNDROMIC AND SOCIOPSYCHOLOGICAL CHARACTERISTICS OF PATIENTS WITH SOMATOFORM DISORDERS AND WORKING IN THE NUCLEAR INDUSTRY; [КОМПЛЕКСНАЯ ОЦЕНКА КЛИНИКО-СИНДРОМАЛЬНЫХ И СОЦИАЛЬНО-ПСИХОЛОГИЧЕСКИХ ХАРАКТЕРИСТИК ПАЦИЕНТОВ С СОМАТОФОРМНЫМИ РАССТРОЙСТВАМИ, РАБОТАЮЩИХ В АТОМНОЙ ПРОМЫШЛЕННОСТИ]

Introduction. The paper presents the results of a study of the quality of life, individual psychological characteristics, clinical and syndromic picture of somatoform disorders of 90 patients admitted for inpatient treatment at the Federal State Budgetary Institution «Central Psychiatric Hospital of the Federal Medical and Biological Agency» of Russia. Material and methods. The examination was conducted in two groups of 45 patients: the main group - women employees of nuclear production and the control group, including people working under normal conditions. The assessment of the level of alexithymia, quality of life, individual psychological characteristics of patients and features of the clinical picture of somatoform disorders in patients working in the nuclear industry was carried out. Results and discussion. The patients employed in nuclear production mainly suffered from somatized disorder (71.1%), hypochondriac disorder (20.0%) and, most rarely, somatoform dysfunction of the autonomic nervous system (8.9%). Psychopathological symptoms of somatoform disorders in nuclear industry employees are characterized by asthenic and senestopathic syndromes. The indicators for assessing their quality of life are reduced according to the scales: general health, physical functioning, role-based functioning due to physical condition. Patients working in harmful conditions are at risk due to the high level of alexetimia in somatoform disorders and have difficulties with recognizing emotions, feelings and their verbalization. Focusing on the features of the clinical picture of somatoform disorder and timely identification of the targets of exposure will allow us to develop in more detail the strategy and tactics of specialized care, improve the social adaptation of patients and, as a result, improve their quality of life. Conclusion. Employees of nuclear production are in a state of increased responsibility, neuropsychic stress, which increases the risk of neurotic disorders. The state of neuroticism may be aggravated by a high level of alexithymia in this group of patients, which probably leads to the formation and maintenance of somatoform disorders. The results obtained indicate the importance of organizing preventive measures aimed at maintaining the health of personnel working in the nuclear industry. © Vestnik Sovremennoi Klinicheskoi Mediciny.All rights reserved.