On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department

Differential diagnosis of somatic and somatoform pathology is a pressing issue in general practice. The aim of this study was to develop an algorithm for identification of the patients with indications for psychiatrist's consultation and possible psychotropic therapy at the stage of admission t...

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Autores principales:	M. V. Dorofeikova, S. F. Zadvoryev, N. N. Petrova, A. A. Yakovlev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	psychosomatic medicine cardiology mental disorders screening psychotropic medications Science Q
Acceso en línea:	https://doaj.org/article/f9df7fe301e1430c90c6e04be3f1bc42
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spelling	oai:doaj.org-article:f9df7fe301e1430c90c6e04be3f1bc422021-11-23T06:14:39ZOn the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department2541-94202587-959610.12737/article_5a3a0e794aff80.62275471https://doaj.org/article/f9df7fe301e1430c90c6e04be3f1bc422017-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/518https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Differential diagnosis of somatic and somatoform pathology is a pressing issue in general practice. The aim of this study was to develop an algorithm for identification of the patients with indications for psychiatrist's consultation and possible psychotropic therapy at the stage of admission to multi-disciplinary hospital. Material and methods. Regression analysis of data of 1031 patient hospitalized in the cardiology department of a multiprofile hospital was done with the aim of identifying factors determining the recommendation for receiving psychotropic therapy at discharge. Results. An algorithm for allocation among patients of cardiological profile individuals that require a multidisciplinary approach to treatment involving experts in the field of mental health is proposed. Factors included in the formula were labile or paroxysmal hypertension, the number of associated (non-cardiological) diagnosis, female gender and heart rate or heart rhythm disorders with the debut at the age below 55 or 50 years: I = 8 х L + D + 3 х F + 3 (6) х H. Conclusion. The revealed pattern may be useful in the clinic of internal diseases for screening of patients with a high contribution of the emotional state the severity of the condition. The doctors of the hospitals of somatic (therapeutic) profile should pay more attention to the psycho-emotional condition of patients with labile hypertension, early onset of cardiac arrhythmias, and large number of comorbidities. Patients that meet the criteria are likely to need a consultation of a psychotherapist or psychiatrist because of the presence of psychosomatic or other mental disorders.M. V. DorofeikovaS. F. ZadvoryevN. N. PetrovaA. A. YakovlevScientific Сentre for Family Health and Human Reproduction Problemsarticlepsychosomatic medicinecardiologymental disordersscreeningpsychotropic medicationsScienceQRUActa Biomedica Scientifica, Vol 2, Iss 5(2), Pp 114-120 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	psychosomatic medicine cardiology mental disorders screening psychotropic medications Science Q
spellingShingle	psychosomatic medicine cardiology mental disorders screening psychotropic medications Science Q M. V. Dorofeikova S. F. Zadvoryev N. N. Petrova A. A. Yakovlev On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
description	Differential diagnosis of somatic and somatoform pathology is a pressing issue in general practice. The aim of this study was to develop an algorithm for identification of the patients with indications for psychiatrist's consultation and possible psychotropic therapy at the stage of admission to multi-disciplinary hospital. Material and methods. Regression analysis of data of 1031 patient hospitalized in the cardiology department of a multiprofile hospital was done with the aim of identifying factors determining the recommendation for receiving psychotropic therapy at discharge. Results. An algorithm for allocation among patients of cardiological profile individuals that require a multidisciplinary approach to treatment involving experts in the field of mental health is proposed. Factors included in the formula were labile or paroxysmal hypertension, the number of associated (non-cardiological) diagnosis, female gender and heart rate or heart rhythm disorders with the debut at the age below 55 or 50 years: I = 8 х L + D + 3 х F + 3 (6) х H. Conclusion. The revealed pattern may be useful in the clinic of internal diseases for screening of patients with a high contribution of the emotional state the severity of the condition. The doctors of the hospitals of somatic (therapeutic) profile should pay more attention to the psycho-emotional condition of patients with labile hypertension, early onset of cardiac arrhythmias, and large number of comorbidities. Patients that meet the criteria are likely to need a consultation of a psychotherapist or psychiatrist because of the presence of psychosomatic or other mental disorders.
format	article
author	M. V. Dorofeikova S. F. Zadvoryev N. N. Petrova A. A. Yakovlev
author_facet	M. V. Dorofeikova S. F. Zadvoryev N. N. Petrova A. A. Yakovlev
author_sort	M. V. Dorofeikova
title	On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
title_short	On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
title_full	On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
title_fullStr	On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
title_full_unstemmed	On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
title_sort	on the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/f9df7fe301e1430c90c6e04be3f1bc42
work_keys_str_mv	AT mvdorofeikova ontheissueofallocationofariskgroupforthepresenceofmentaldisordersinthepracticeofcardiologydepartment AT sfzadvoryev ontheissueofallocationofariskgroupforthepresenceofmentaldisordersinthepracticeofcardiologydepartment AT nnpetrova ontheissueofallocationofariskgroupforthepresenceofmentaldisordersinthepracticeofcardiologydepartment AT aayakovlev ontheissueofallocationofariskgroupforthepresenceofmentaldisordersinthepracticeofcardiologydepartment
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On the issue of allocation of a risk group for the presence of mental disorders in the practice of cardiology department

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