Clinical variants of acute psychotic conditions in alcohol withdrawal patients

Abstract

The aim of the study was to examine the variety of acute psychotic disorders in patients with alcohol dependence and clinical variants of alcohol withdrawal with delirium, hospitalized in a specialized hospital. Under observation were 560 men addicted to alcohol, in a state of withdrawal with acute psychotic disorder (primary hospitalization in this study); average age — 38.7 ± 2.9 years, average experience of alcoholism — 9.4 ± 0.9 years. Patients were examined in the dynamics of re-hospitalization after 5 years, the average age — 43.7 ± 2.9 years, the average experience of alcoholism — 14.4 ± 0, 9 years. The psychopathological typology of acute psychotic disorders, the dependence of the course of acute psychotic disorders on the characteristics of the temporal characteristics of alcohol dependence, the presence of somatic diseases and lesions of the nervous system were studied. Peculiarities of alcohol dependence after acute psychotic disorder have been studied. The clinical and psychopathological structure of acute psychotic disorders in patients with alcohol dependence in the state of alcohol withdrawal was studied. A comparison of clinical and dynamic patterns of alcohol dependence and psychopathological disorders in the structure of alcoholic psychosis were done. The influence of permanent and temporary factors on the clinical picture and pathoplasty of alcohol withdrawal with delirium has been studied. It is proved that in re-hospitalizations metal-alcoholic psychoses in most cases repeat the clinical picture of the primary clinical episode. This is evidenced by the fact that in the group of patients with psychotic conditions due to alcohol use (F10.5 according to ICD-10) in the subsequent 95 % of cases were diagnosed and diagnosed with acute psychotic disorders. In the group of patients with withdrawal from alcohol with delirium in the future in 93 % of cases were diagnosed with withdrawal from alcohol with delirium.