CONDITIONS FOR MENTAL-DISORDERS FORMATION IN MYOCARDIAL-INFARCTION

Conditions for mental disorders formation at different stages of the underlying disease have been specified as a result of clinico-psychopathological, clinico-catamnestic and experimental psychological studies carried out in 55 patients with myocardial infarction. The authors show an important role of the clinical features of myocardial infarction in the formation of asthenic symptomatology and affective pathology in the acute period of myocardial infarction. In the subacute period of the illness, the premorbid characteristics and psychotraumatizing factors preceding the disease exert a noticeable effect on the development of depressive and asthenohypochondriac disorders. In the clinical picture of acute myocardial infarction, a less significant role is played by age-associated factor. At the outpatient stage of myocardial infarction treatment, the psychotraumatizing factors due to chronic disease and related situations assume a particular significance in the formation of depressive hypochondriac symptomatology.