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DOI: https://doi.org/10.22263/2312-4156.2021.5.78

Kirpichenka A.A.1, Martynova E.V.2, Fomin F.A.1
The dynamics of neurotization in patients with cholelithiasis
1Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
2Vitebsk Regional Clinical Center of Psychiatry & Narcology, Vitebsk, Republic of Belarus

Vestnik VGMU. 2021;20(5):78-83.

Abstract.
The results of the study dealing with the level of neurotization in patients with cholelithiasis in dynamics on the 1st-2nd days after surgery, in 6 months and in 5 years after surgery are presented. The aim of the work was to study the impact of intracrisis psychotherapeutic intervention on the recovery of patients with cholelithiasis in the near and long term. Already on the 1st-2nd days after the operation, a decrease in situational anxiety was detected in patients who had undergone psychotherapy, and after 6 months all indicators of anxiety-depression disorders did not differ from those of healthy people, while in patients without psychotherapy, the indicators of situational, personal anxiety and depression remained significantly higher than those in the control group of healthy people. In 5 years after discharge, the primary incidence of non-psychotic mental disorders in patients with cholelithiasis was 20.3%, and in patients who underwent intracrisis intervention – 2.7%. Thus, the implementation of intracrisis psychotherapeutic intervention improves the long-term results of treatment of patients with cholelithiasis.
Key words: anxiety, depression, neurotization, psychotherapy, rehabilitation, cholelithiasis.

References

1. Laskov VB, Masaleva IO. Effect of endoscopic cholecystectomy on the neurological status, cognitive functions, and emotional state of women with chronic calculous cholecystitis. Zhurn Nevrologii Psikhiatrii im SS Korsakova. 2013;113(3 vyp 1):9-14. (In Russ.)
2. Masaleva IO, Laskov VB. Causes of anxiety in patients with chronic cholecystitis before and after endoscopic cholecystectomy. Fundam Issled. 2011;(9-2):270-4. (In Russ.)
3. Kirpichenko AA, Fomin FA. Psychological characteristics of patients with cholelithiasis after surgical treatment. Vestn VGMU. 2017;16(5):96-104. (In Russ.)
4. Fomin FA, Kirpichenko AA. Personality profile of patients with cholelithiasis. Med Zhurn. 2018;(1):85-8. (In Russ.)
5. Khismatullina GIa, Uliamaeva VV, Volevach LV, Bashirova ES. Evaluation of the effectiveness of person-centered educational programs in the rehabilitation of young patients with chronic non-calculous cholecystitis. Kazan Med Zhurn. 2012;93(4):637-41. (In Russ.)
6. Malkina-Pykh IG. Psychological help in crisis situations. Moscow, RF: Eksmo; 2005. 960 р. (In Russ.)

Information about authors:
Kirpichenka A.A. – Doctor of Medical Sciences, associate professor, head of the Chair of Psychiatry & Narcology with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Martynova E.V. – Candidate of Medical Sciences, head doctor of Vitebsk Regional Clinical Center of Psychiatry & Narcology;
Fomin F.A. – senior lecturer of the Chair of Psychiatry & Narcology with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University.

Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Psychiatry & Narcology with the course of the Faculty for Advanced Training & Retraining. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Fyodor A. Fomin.

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