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P01-06 - Bipolar Depression of the II type: Psychopathology, Therapy

Published online by Cambridge University Press:  17 April 2020

E. Antokhin
Affiliation:
Orenburg State Medical Academy, Orenburg, Russia
V. Bardyurkina
Affiliation:
Department of Neuroses, Orenburg, Russia
V. Budza
Affiliation:
Orenburg State Medical Academy, Orenburg, Russia
E. Kryukova
Affiliation:
Orenburg Regional Clinical Psychiatric Hospital 1, Orenburg, Russia
O. Baldina
Affiliation:
Orenburg Regional Clinical Psychiatric Hospital 1, Orenburg, Russia

Abstract

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50 patients with difficult depressive episode without psychotic symptoms were examined: 25 in the structure of bipolar depression of the II type (BD), 25 recurrent depression (RD).

Methods

Clinico-psychopathological with the data verification to SCL-90-R, statistic - Mann-Whitney U-test, Spearmen Rank Order Correlations, Wilcoxon Matched Pairs test. Among patients BD, as opposed to the patients RD, the stronger direct correlation interconnection of “depression” and “somatization”, “obsessivness” is defined (r 0,62-0,81). Compared indications of depression level and basical “index of symptoms’ evidence” (p>0,05) in droups, the patients BD as opposed to the patients RD at p< 0,05 the indications of “anxiety” (2,08&1,67), “somatization” (1,97&1,68), “obsessivness” (1,76&1,4) are higher. These data may show the “residual manic equivalent” in the form of somatization, obsessivness symptoms in the structure of the BD depression, its atypical type and differential - diagnostic symptoms with depression in RD structure is identified. The effectiveness of hospital complex therapy of BD patients is estimated. During 56 days the patients got Seroquel therapy in a dose 150-600 mg/day, group behavioral therapy, sociotherapy. Up to the 10th day of the treatment the indications of “anxiety” (p< 0,05), “depression” (p< 0,05), up to 14th day “somatization” (p< 0,05), up to 21st day “obsessivness” (p< 0,05) were reduced. After hospital complex therapy patients got supporting Seroquel therapy in a dose 50-200 mg/day. In catamnesis in 6 months 11 patients were examined, their state was defined as “stably positive”. These data indicate that the complex therapy of bipolar depression of the II type patients, including Seroquel is effective.

Type
Affective disorders / Unipolar depression / Bipolar disorder
Copyright
Copyright © European Psychiatric Association 2010
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