Algesic phenomena in panic disorders

Citation
Na. Averkina et al., Algesic phenomena in panic disorders, ZH NEVR PS, 99(11), 1999, pp. 4-9
Citations number
13
Categorie Soggetti
Neurology
Journal title
ZHURNAL NEVROPATOLOGII I PSIKHIATRII IMENI S S KORSAKOVA
ISSN journal
00444588 → ACNP
Volume
99
Issue
11
Year of publication
1999
Pages
4 - 9
Database
ISI
SICI code
0044-4588(1999)99:11<4:APIPD>2.0.ZU;2-3
Abstract
There were examined 35 patients with panic disorders (PD) which were divide d into 2 groups. In patients of the 1-st group there were observed headache s of tension type (17 individuals), meanwhile in the patients of the 2-nd g roup (18 cases) there weren't observed any algesic syndromes. A <<saturatio n>> of the life of a patient with the different algesic phenomena were esti mated as well as the level of a depression according to Beck's scale and th e manifestations of psychopathologic symptoms according to SCL scale were a lso studied. To estimate neurophysiologic parameters there were used a meth od of a contingent negative deviation (CND) and nociceptive flexor reflex. For the patients of the 1-st group there was quite characteristic a <<satur ation>> of life with algesic events, an atypicity of the algesic attacks an d more pronounced connection of PD debut with biologic but not with emotion al factors. Psychometric observation revealed a significantly higher levels of bath the depression according to Beck's and the somatization according to SCL scales as compared with the 2-nd group. Alterations in CND parameter s (a decrease of the amplitude of the late wave, increase of postimperative negative wave) and an increase of a subjective algesic perception in the p atients of the 1-st group had testified the pronounced desadaptive disorder s. In the patients of the 2-nd group these indices were normal. Thus, on th e PD model there were studied some psychophysiologic factors, which caused a formation of chronic algesic syndromes in the patients.