SYNDROME OF JUVENILE ASTHENIC DEFICIENCY

A clinical and follow-up study of 155 young adults with a symptomcompl ex of ''juvenile asthenic deficiency'' - ''endogener juveniler astheni scher Versagensyndrome'' (J.Glatzel, G.Huber,1968) was carried out. It was found that protracted states in the youth with prevalence of educ ational disadaptation, weakening of initiative, psychophysical fatigua bility should be attributed to atypical depressions, characterized by predominance of ideatoric disturbances with obliterated thymic and mot or components. Depending on the specificities of ideatoric disturbance s, 3 basic typological varieties of such depressions were recognized, i.e. depressions with prevalence of inhibition, disautomatization or d istortion of cognitive processes, which statistically correlated relia bly with definite nosological forms (affective disorders, schizophreni a). Depending on the nosologic belonging the studied states differed a lso in frequency of comorbid disturbances (obsessive-phobic, depersona lization, overvalued ideas), which occured significantly rarer in the cases of affective disorders, than in schizophrenia. On the whole, fol low-up study revealed relatively favourable prognosis of youth endogen ous depressions with a clinical picture of ''juvenile asthenic deficie ncy'': in cases of affective disorders the course of disease was more frequently in the form of a single cyclothymic attack, while in cases of schizophrenia it took the form of protracted atypical pubertal atta ck.