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Main arrow Archive of previous Issues arrow ╣2 2012 (24) arrow Development of depressive disorders: medical social aspects and risk factors
Development of depressive disorders: medical social aspects and risk factors Print
Friday, 13 April 2012

N.Yu.Trifonova1, Yi.K.Chachayeva2
1
I.M. Sechenov First Moscow State Medical University, Moscow
2Municipal purulent septic combatting center, Grozny, Chechen Republic

Summary. The problem of depressive disorders is one of the most actual in contemporary clinical and social psychiatry. In the whole population of patients with psychic disorders, subjects with non-psychotic disorders amounted to 51.3%, while subjects with depressive disorders amounted to 20%. Some specialists note a great number of patients with organic lesions of the brain that were not committed to medical care.

At the same time clinical epidemiologic peculiarities of depressive disorders and the role of social factors in their emerging, developing, clinical constitution and pathologic course are still insufficiently explored in national psychiatry.

There existed high rate of morbidity of the population as concerns socially significant pathology and non-infectious diseases, and certain prevention programs have been launched to this end in Russia. One of the hopeful schemes of preventive and therapeutic care was training in Health Schools, designed for patients/subjects charged with risk factors. The training in Health Schools was not only clinically efficient, but also economically expedient, as expenditure for hospital stay, outpatient care, and calls of emergency crew eventually arising through a disease attack was significantly reduced in this setting.

In recent years the focus in Russia has been on psychosocial rehabilitation programs for the patients with depressive conditions. However, there has been lack of unification in fulfilling programs for education, prevention and rehabilitation. No model of medical social care for patients with organic lesions of non-psychotic nature has been elaborated as yet. Still, no completed concept of Health Schools training has been presented to become part of a suitable model for it.

Keywords. Depressive condition;risk factors;medical care;aspects of emerging depression;prevention programs.

 

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