Abstract

According to literature data, anxiety and depressive disorders are the most common mental diseases worldwide. Currently, a hypothesis of possible immune metabolic regulation of the central nervous system was put forward. The authors evaluated the indicators of humoral, cellular, and metabolic immunity in patients suffering from mixed anxiety and depressive disorder, who were under the supervision of a psychiatrist at the day hospital of the Voronezh Regional Clinical Psychoneurological Dispensary. Indicators of anxiety and depression were assessed by means of psychometric method, clinical interview, and clinical psychopathological examination, and the indicators of immune and metabolic status were examined. It was found that symptoms of anxiety and depression were accompanied by changes in immune and metabolic status. It is supposed that variations in clinical, immunological, and metabolic parameters are coordinated elements of a single pathogenetic mechanism for the formation of anxiet y-depressive spectrum disorders.

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