PSYCHOGENIC DEPRESSION IN PEDIATRIC PRACTICE

The purpose of the research was to clarify the clinical and pathogenetic features of psychogenic affective (depressive) disorders and their role in the pathogenesis of a number of somatic disorders in children and adolescents treated in a pediatric hospital. Materials and methods of the research: 1164 patients with various psychosomatic disorders (mainly gastroenterological, dermatological, motor, endocrine and algic) aged from 1 year and 9 months till 17 years old were observed using the clinical and psychopathological method with the determination of the nature and severity of mental disorders. Additionally, the anamnestic, clinical, paraclinical (ECG, EchoCG, CIG, EEG, EchoEG, REG, Doppler) and clinical-psychological - psychometric (Hamilton depression scale and Spielberger-Khanin test for situational and personal anxiety), as well as mathematical and statistical methods were used. Results: based on the observation, a higher incidence of psychogenic depression (71.2%) in children and adolescents with psychosomatic disorders was found, as well as a greater number of psychosocial and slightly less biological risk factors that determine the occurrence and development of depressive and somatic disorders. There was a predominance of mild depression in the form of repetitive short-term negative emotional reactions that make it difficult to diagnose depressive conditions with more frequent anxiety-asthenic and anxiety symptoms and rare anxiety-dreary, asthenic and melancholy vymi manifestations against the background of the prevailing manifestations of sanguine temperament. Anxiety and depressive disorders were diagnosed rather frequently. Conclusion: the data obtained contribute to the optimization of both psychopharmaco- and somatotherapy of this group of patients with the possibility of the use of phytotherapy at early age stages.