The clinical and psychological aspects of the reaction to disease (the problem of nosogenias)
Smulevich, A.B.; Tkhostov, A.S.; Syrkin, A.L.; Ovcharenko, S.I.; Drobizhev, M.I.; Ishchenko, Z.N.; Almaev, N.A.; Lebedeva, O.I.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 97(2): 4-9
1997
ISSN/ISBN: 1997-7298 PMID: 9139510 Document Number: 472872
"Nosogenias" is the term describing some reactive states. They account for 15-90% of all the patients of somatic hospital. They are due to constellation of some psychotraumatic events related to somatic disease. A total of 166 patients were examined, among them 55 patients with ischemic heart disease, 56 cases with hypertension and 56 ones with bronchial asthma. The results evidence for the existence of two independent vectors which characterise "extremal" points of continuum of disease perception. The importance of somatic trouble (hyper- or hyponosognomia) was the basis of the first vector while the degree of completeness of independent and the whole image of disease as something which differed from "self" (ego-dystonic and ego-syntonic perception of disease) was the basis of the second vector. Combination of the above vectors with clinical and psychological characteristics in the whole clinical pattern of disease was recorded.