711 – Non-Psychotic Mental Disorders in Female Patients with Climacteric Hysteria

Abstract

Objective:

Identify spectrum of non-psychotic mental disorders in climacteric hysteria in women.

Material and methods:

127 female patients of climacteric age. Clinical-psychopathologic, clinical-dynamic, mathematicstatistical methods were used. Diagnoses have been verified according to ICD-10 (have been introduced in order of lessening number of female patients): adjustment disorders - 47; organic emotional-labile (asthenic) disorder - 30; personality disorders - 11; anxiety disorders - 9; somatoform disorders - 7; organic anxiety disorder - 7; combined organic emotional-labile (asthenic) disorder and adjustment disorder - 6; agoraphobia - 3; organic affective disorder - 2; organic dissociative disorder - 2; dissociative disorders - 2; affective disorders (depressive episode of mild degree of severity, dysthymia) - 1. Large range of non-psychotic mental disorders defines climacteric hysteria as a psychopathologic complex.

Results:

Clinical examination was added by analysis of archive medical records and retrospective assessment of dynamic of the disease. Study of clinical typology, dynamic of non-psychotic mental disorders in women with climacteric hysteria has allowed distinguishing 3 variants. Somatized-hypochondriac (72 - 55,69%) - with persistent hypochondriac fixation on body sensations, somatovegetative disorders, nosophobias (cardio-, stroke-, infarction-, cancer-, lissophobia). Anxiety-depressive (44 - 34,65%) - with decreased mood, irritability, tearfulness in the period of hormonal changes of body in climax, accompanying severity of heart, mediastinum, epigastrium, fluctuating arterial pressure, sleep disorders. Psychopath-like (11 - 8,66%) - with explosiveness, increased emotional excitability, stormy affective manifestation of emotions.

Conclusions:

Based on distinguished variants we have defined algorithms of therapy of non-psychotic mental disorders in women with climacteric hysteria.