Профессор Черносвитов Евгений Васильевич

Заведующий кафедрой, консультант-психиатр, психотерапевт, основоположник СОЦИАЛЬНОЙ МЕДИЦИНЫ и СОЦИАЛЬНОЙ ЮРИСПРУДЕНЦИИ в России


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2nd International Congress of Biological Psychiatry, 17-27 April 2007, Santiago de Chile



E. Samoylova and E. Chernosvitov

Moscow, Russia


The analysis of treatment of 56 men (outpatients) in the age from 25 to 30 years with residual radiational reactions after contamination (23 - 30 roentgens) which took part in the liquidation of the consequences of the Chernobyl disaster. The patients were observed for twenty years.

It was shown by phenomenological method that these patients suffered from so-called 'chronic post-radiational psycho-somatosis' (term of E. Chernosvitov). All of these patients complained of weakness, anxiety and astheno-hypochondrical sensations, flabbiness, dizziness, headache, insomnia, cardiac and intestinal pains, constipation, renal cramps, impotentia and absence of libido and decline of weight. However, there was no real organic somatic nature to their complaints.

The patients were dying during 10-15 years. At present 15 of them in the mean age of 40 were died from unexpected cardiac (heart) attack. Five patients were committed suicide. As well seven patients were died from gastric (stomach) cancer and thirteen from lung cancer.

Sixteen patients are alive and continue to be observed. All of them suffer from invalidity (apathy abulia syndrome). In our study we have nine cases of recurrent depressive disorders and other patients with life dissatisfaction.

Depressive symptoms were assessed by the Beck Depression Inventory (BDI) and the Depressive Delusional Fears Questionnaire (DDFQ). States of mood were measured by a visual analogue scale (VAS), the Bright – Dark Scale (BDS) and the Profile of Mood States (POMS).

For these patients special schemes of psychotherapeutical and psychopharmacological treatment were created.

Combinations of rational psychotherapy, autogenic relaxation and hypnotical suggestion with varied psychopharmacotherapy using small doses of eglonil-sulpirid, teralen-alimemazin, merlit-lorazepam, phenazepam, xanaxalzolam and tofizopam-grandaxin were the most effective. At the same time amitriptylin and anxiolitics with sedative components (valium-diazepam and librium-chlordiazepoxid) reinforced manifestations of astheno-hypochodrical.

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© Черносвитов Е.В., 2007

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