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Расстройства депрессивного спектра в неврологической практике: есть ли место под солнцем, или кто должен лечить пациентов?

Научная статья
DOI: 10.21661/r-553461
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Ежемесячный международный научный журнал «Интерактивная наука»
Авторы:
Анцыборов А.В. 1 , Дубатова И.В. 2
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1 ООО КМЗ «Психея»
2 ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России
Для цитирования:
Анцыборов А. В. Расстройства депрессивного спектра в неврологической практике: есть ли место под солнцем, или кто должен лечить пациентов? / А. В. Анцыборов, И. В. Дубатова // Интерактивная наука. – 2021. – С. 9-30. – ISSN 2414-9411. – DOI 10.21661/r-553461.

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УДК 61

Аннотация

При большинстве неврологических заболеваний симптомы депрессии оказывают значимое влияние на ухудшение качества жизни пациентов, вне зависимости от тяжести неврологических нарушений. В клинике нейродегенеративных заболеваний симптомы депрессии чаще всего предшествуют появлению неврологических симптомов. За последние годы опубликовано множество работ, доказывающих, что расстройства депрессивного спектра могут выступать в качестве предиктора при некоторых типах деменций. Имеющиеся данные о методах терапевтической интервенции депрессии в клинике неврологических заболеваний достаточно немногочисленны, носят разрозненный характер и зачастую основаны на «личном опыте» врачей-неврологов и психиатров. У ряда пациентов диагностика депрессии в рамках неврологических расстройств может представлять довольно трудную задачу из-за трудностей в установлении контакта с пациентом и когнитивных искажений, свойственных неврологическим расстройствам. С целью облегчения данной задачи, для диагностики депрессии при неврологических заболеваниях были разработаны достаточно эффективные скрининговые диагностические инструменты. Результаты проведенных в последние годы клинических исследований подтверждают огромную роль врача-невролога при оценке и лечении симптомов депрессии как на начальном этапе, так на стадии ремиссии. Целью настоящего обзора является систематизация накопленных данных о расстройствах депрессивного спектра в неврологической практике наряду с демонстрацией важной роли врача-невролога в процессе диагностики и лечения симптомов депрессии при неврологических заболеваниях.

Благодарности

Финансирование исследования осуществлялось фармацевтической компании Adamed.

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