Evaluation of therapy targets in recurrent depressive disorders

Abstract

According to the WHO, more than 350 million people suffer from depres- sive disorders. The etiology and pathogen- esis of depressive episodes and recurrent depressive disorders have not yet been definitively established. The formation of depressive disorders is due to a com- bination of such factors as biological (constitutional and genetic), psychological and social. Taking into account the level of prevalence of depressive disorders, the assessment of their clinical and psy- chopathological features and approaches to their therapy continues. In order to de- termine the targets of thera py for recur- rent depressive disorders, an examination of patients with recurrent depressive dis- orders was conducted. In the conditions of the Department of borderline psychiatry of the "Institute of Neurology, Psychiatry and Narcology of the NAMS of Ukraine" SI: 175 patients with recurrent depression were examined, among them 74.85 % were women and 25.15 % were men. The ave- rage age of the examinees was 46.79 years (women — 52.25, men — 41.32). Based on the assessment of clinical and psychological manifestations of recurrent depressive disorders and psychopatho- logical aspects, the targets of therapeutic influence are established: the severity of a depressive episode (mild, moderate, severe), the specificity of psychotraumatic experiences, parameters of anti-vitality and vitality, structural features of adaptation potential.