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P02-14 - Anxiety as a Core Symptom of Acute Stress Reaction in Disaster Suffered Persons

Published online by Cambridge University Press:  17 April 2020

F. Nasrullaev
Affiliation:
State Centre of Science of Social and Forensic Psychiatry, Moscow, Russia
A. Portnova
Affiliation:
Emergency Psychiatry, State Centre of Science of Social and Forensic Psychiatry, Moscow, Russia

Abstract

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Acute stress reaction (ASR) is remarkable for variability displays in which basis of main symptom of ASR -- anxiety.

Aim

Revealing of clinical features of anxiety in victims of disaster for definition of the treatment and forecast.

Methods

Clinical, psychological testing, statistical. Clinical features of anxiety are investigated at 471 victims of disaster -- were staying in hostages (women -- of 68,4%, men -- of 31,6%) in the age of 18-60 years. Diagnostics of ASR was carried out according to diagnostic criteria МКБ-10.

Results

Clinical variants of anxiety are allocated within the framework of ASR with: vegetative symptoms - 34,2%; asthenia - 52 (11,0%); emotional instability - 9,5%; somatoform symptoms - 8,7%; phobia - 11,3%; depressive symptoms - 17,0%; apathy - 3,1%); the others - 8,1%. On behavioural features with: hyperknezia - 60,9%; hypoknezia - 22,7%; mixed condition -- 16,3%. On current: undulant - 59,9%; constant - 30,8%; attack - 9,3%. After 1 year of dynamics of a mental condition has revealed formation of PTSD at 40,1% of injured, adjustment disorder at 24,2% anxiety disorder - at 18,7%, at 17,0% - recovery.

Conclusion

The least favorable forecast was marked at hostages with prevalence of somatoform symptoms (р≤0,001), emotional instability (р≤0,001) and apathy (р≤0,05). Favorable forecast -- at persons with vegetative (р≤0,05) and depressive symptoms (р≤0,05).

Type
Emergency psychiatry
Copyright
Copyright © European Psychiatric Association 2010
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