Preview

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

Advanced search
Vol 59, No 1 (2025)
View or download the full issue PDF (Russian)

SCIENTIFIC REVIEW

8-17 2109
Abstract

With epilepsy, behavioral disorders are possible, including criminal ones. Criminal incidents can occur in the preictal, interictal, ictal and postictal periods, and may be due to adverse events of anticonvulsants and other factors. The most dangerous postictal behavioral disorder, including in terms of criminal incidents, is postictal psychosis.
Often people with epilepsy need experienced neurologists and lawyers to resolve criminal situations. The International League Against Epilepsy recommends criteria for determining whether a particular criminal act committed by a patient with epilepsy is the result of an epileptic seizure.
In general, a forensically sound, comprehensive interdisciplinary approach to the diagnosis of criminal behavior in epilepsy is required, which combines neuropsychiatric, neuropsychological and psychophysiological methods, taking into account risk factors and aggravating factors.

18-30 1945
Abstract

The article analyzes the influence of the factor of total network digitalization on the psyche of an individual and on the mental health of society as a whole. Today, two main concepts have been proposed: the concept of dependence on digital technologies and the concept of their excessive use. However, none of them provides a clear interpretation of the etiopathogenesis of disorders observed when using digital devices. The lack of a consensus approach among world psychiatry to the problem of the impact of the Internet on human mental health entails a number of negative socio-medical consequences. The article, based on a detailed analysis, shows that the Internet has a number of institutional properties that increase the anxiety and neuroticism of people immersed in the virtual reality of the Network. Among others, the phenomenon of depersonalization effect generated by the Network is considered. The problem of information business as a factor of increased social neuroticism is also touched upon. The complex of stress factors created by the Internet and negatively affecting public mental health is assessed as constant anomie, which is a consequence of information chaos generated by the post-information era and which has become especially socio-psychologically virulent in the «network era».  

INVESTIGATIONS

31-41 1886
Abstract

Purpose. The purpose of the study is to describe the basic profiles of perception of rheumatic diseases and a comparative analysis of negative emotional response to the disease, coping behavior and adherence to treatment as parameters of psychological self-regulation in groups of patients with different types of perception of the disease.
Materials and methods. 160 women with rheumatic diseases undergoing hospital treatment were examined: 60 with systemic lupus erythematosus, 50 with rheumatoid arthritis, 50 with systemic scleroderma. Average age—34.00±17.46 years. The study was conducted based on Research Institute of Rheumatology named after. V.A. Nasonova.
Results. During the study, basic profiles of disease perception were described, and on their basis, groups of patients with different types of disease perception were identified: group 1—unformed perception of the disease, group 2—positive perception of disease control, group 3—negative perception of the disease threat. A comparative analysis of the parameters of psychological self-regulation in three groups showed that anxiety and depression were less pronounced in the group with an unformed perception of the disease than in the other two groups. At the same time, the coping strategies “Self-control” and “Planning to solve problems” are statistically significantly higher in the group of patients with a positive perception of the possible control of their disease. The level of adherence to treatment was statistically significantly higher in the group of patients with a positive perception of the controllability of the disease.
Conclusion. Indicators of psychological self-regulation are specific in groups of patients with different types of perception of rheumatic disease. The identification of basic profiles and a description on their basis of the types of perception of rheumatic disease complement the existing data on the mechanisms of personality adaptation to the disease, and expand the possibilities of psychological support for the treatment and rehabilitation of patients with rheumatic diseases.

42-52 1834
Abstract

The purpose of this work was to find out which of the cortical areas, usually activated when solving insight problems, are sources of evoked activity under conditions of induced insight—insight caused by the presentation of a ready-made solution to the problem. A group of 35 adults took part in the experiment. During the experiment, the participants solved compound remote associates (CRA) task, i.e. they tried to find a word that could be used to form a word combination with three given visually presented words. A high-density EEG (128 channels) was recorded using a computer electroencephalograph (Geodesic EEG System GES 400 Series). The results of an analysis of cortical activity evoked by the presentation of a cue word in selected regions of interest are reported. These results are in agreement with what is known about the functions of the cortical areas involved in solving problems. The issue of improving the experimental technique is discussed.

53-66 1836
Abstract

The absence of reliable, valid, and widely accepted measurement tools hinders the study of opioid anosognosia. The aim of this study: to develop, validate, and standardize a self-report questionnaire for the rapid and comprehensive assessment of opioid anosognosia. Statistical analyses confirmed the questionnaire’s reliability and validity, showing its accuracy in assessing opioid anosognosia and enhancing comprehension of this complex phenomenon. Materials and Methods. The study included 92 patients with opioid dependence syndrome (F11.20; F11.21). The mean age of the participants was 39.95 (SD = 4.7) years, the duration of opioid dependence was 11.3 (SD  =  7.0) years, and the mean age of onset of dependence was 14.0 (SD  =  6.0) years. Results. The structure of the questionnaire was developed, and statements for seven subscales were defined: unawareness, denial of symptoms of the disease, overall disease denial, denial of the consequences of the disease, emotional non-acceptance of the disease, disagreement with treatment, and non-acceptance of sobriety.
The psychometric properties of the questionnaire were analyzed, including external criterion validity, testretest reliability, and internal consistency. A standardization procedure for the questionnaire was conducted, and average empirical values were determined for each subscale. Opioid-dependent individuals were found to have moderate to elevated levels of anosognosia. Conclusions. The developed diagnostic tool for assessing anosognosia in opioid dependence is a novel, validated, and standardized clinical-psychological diagnostic questionnaire. This methodology enables a comprehensive diagnosis of the level of anosognosia across its individual components and the creation of a profile of opioid anosognosia. It can be noted that anosognosia is a complex multidimensional phenomenon, which is one of the characteristic manifestations of opioid dependence.

67-72 1365
Abstract

Recent literature has shown convincing results of cold vestibular stimulation in central pain syndromes. Galvanic vestibular stimulation is an analog of cold vestibular stimulation. Both methods can be combined under the general name of vestibular neuromodulation.
Objective: To evaluate the effectiveness of the method of galvanic vestibular stimulation for the treatment of chronic pain syndromes in spinal osteochondrosis.
Methods: The study included 46 patients diagnosed with osteochondrosis of the spine in adults with chronic pain syndrome (more than 3 months). Patients were divided into 2 groups. The first group consisted of patients who received only conservative therapy according to clinical recommendations, and the second group consisted of patients receiving similar conservative therapy in combination with a course of galvanic vestibular stimulation. The patients of the first and second groups underwent pain syndrome scaling, as well as a study of the psycho-emotional sphere using a number of psychometric techniques.
Results: According to all scales and questionnaires, the patients of the second group had better results than the first group. The results obtained were significantly different not only in terms of pain syndrome assessment scales, but also in terms of the results of the psychometric methods used.
Conclusion: Medical treatment combined with a course of anodic galvanic vestibular galvanization significantly improves the quality of life and is more effective in reducing the intensity of pain syndrome in patients with chronic pain syndrome in spinal osteochondrosis, compared with the use of conservative treatment alone.

73-80 1336
Abstract

Due to the relationship of inner speech with other cognitive processes and its role in psychopathological syndrome formation, the problem of deficit of objective methods of its study is relevant. The tools that reflect the content side of this mental process are self-report methods. The article deals with a questionnaire aimed at measuring the frequency of self-talk and the specific functions of self-regulation it performs (Self-Talk Scale). The purpose of this article is the linguistic and cultural adaptation of the questionnaire. The procedure for translation into Russian, the pilot testing procedure, as well as statistical parameters that substantiate the prospects for further validation of the questionnaire are considered are described.

GUIDELINES FOR THE PRACTITIONER

81-89 1412
Abstract

Trazodone is an FDA-approved antidepressant used to treat depression. However, mental health professionals also use it to treat various psychiatric and medical conditions, including substance use disorders, which have FDA- not approved indications. The problem of addiction to these substances is an important part of modern psychiatric care. Among all the risk factors for premature death, tobacco use ranks second, while alcohol use ranks seventh. Direct exposure to these substances and their negative health effects contribute significantly to premature mortality. Thus, the issue of proper treatment for disorders associated with their use remains important and relevant. Trazodone has been shown to have antagonistic effects on serotonin receptors (5-HT2) and is also a serotonin reuptake inhibitor. It has been demonstrated to be effective in individuals with alcohol, benzodiazepine, and opiate addictions, as well as other dependencies. Although the exact mechanism of trazodone’s action in the body has not been fully understood, its advantage lies in its relatively low number of side effects compared to other medications. Despite this, trazodone may be a suitable option for improving depressive symptoms and sleep issues in patients, potentially reducing the risk of relapsing into substance abuse.

90-97 1652
Abstract

The article discusses the problems of timely diagnosis, clinical features and treatment of progressive paralysis as a variant of delayed complication of neurosyphilis. As an example, the clinical case of a patient of the department of the first psychotic episode suffering from progressive paralysis is presented. The features of the course and symptoms of the disease at all stages of the steady progression of pathology against the background of psychopharmacotherapy are considered. Due to the polymorphism of symptoms in the initial stages of the disease and the multidisciplinary approach to the management of patients with a syphilitic history, the article is addressed to doctors of all specialties who in their practice may face the treatment of such patients and the solution of questions about their further routing.

PSYCHIATRIC NEWSPAPER

98-103 1310
Abstract

The article examines the life path, scientific and organizational activities of Doctor of Medical Sciences, Professor Vladimir Aleksandrovich Glazov based on the archival materials introduced for the first time. The authors analyze the scarce biographical data of the beginning of medical activity during the Civil War, when he worked as a lekpom in the XI Red Army. The stages of the formation of a scientist at the North Caucasian Medical Institute are being reconstructed. Much attention is paid to the research of the scientist in the 1930s, carried out in Leningrad Psychiatric Hospital Skvortsova-Stepanova, as the scientific views of V.A. Glazov, which are reflected in his candidate and doctoral dissertations on catatonia. The authors refer to the unpublished data of the scientist’s Ph.D. thesis, which were highly appreciated by the scientific community. The history of the creation of the Department of Psychiatry in the Dagestan State Medical Institute in the 1930s is reconstructed referring to archival materials. Shortcomings in the work and the difficulties that the first employees had to face were noted.
A separate place is occupied by the work of Professor V.A. Glazov during the Great Patriotic War, when, in addition to scientific research, he led the provision of psychiatric care to combatants in Dagestan. A brief description of the studies carried out during this period is given. Much attention is paid to the post-war, both scientific and educational work of the Department of Psychiatry, headed by V.A. Glazov. A large layer in the scientific heritage of Professor V.A. Glazov and his students is the study of schizophrenia. The views of the scientist on the clinic and pathogenesis of schizophrenia, which are reflected in his monograph, are analyzed.

104-113 1465
Abstract

Throughout the history of jazz, its close association with psychoactive substances has been one of the most controversial and debated topics. From the smoke-filled clubs of the 1920s, where attendees smoked marijuana freely, to the underground jam sessions of the 1960s, where heroin reigned supreme, the lifestyles of jazz musicians have often included illicit substances. The careers of many talented jazz musicians have been sidelined or prematurely cut short due to addiction to drugs and/or alcohol. The lives of the most famous of them, from Louis Armstrong and Milton Mezzrow to Charlie Parker, Billie Holiday, Miles Davis, and Chet Baker, attest to the significant place of psychoactive substances in jazz folklore.
The aim of the work: to conduct a narrative review of the available literature on the influence of SAW on the lives and work of jazz musicians.
Method: this article presents a narrative review of the foreign literature on the place of psychoactive substances in the history of jazz music. Articles in MEDLINE/PubMed and Scopus databases, as well as monographs and biographies of musicians were selected and analyzed. The search was conducted using different variants of the specified keywords.
Results: heavy long night performances, frequent relocations, and for many musicians the disapproving attitude of the society had its own imprint on the creativity of many representatives of the genre. Concerts in conditions of availability of surfactants and general loyalty to their use, psychological pressure associated with the need to maintain a high level of performance skills against the background of constant competition, the impact of negative social factors were risk factors that contributed to the development of addiction. If at the first stages of jazz development drugs served as a kind of tonic from the torments faced by a jazz musician in everyday life, then later they were transformed into an important component of the jazzist’s identity and a means of distinguishing the jazz community.
Conclusion: artists such as Coleman Hawkins, Lester Young, Bud Powell, Charlie Parker, Billie Holiday, Miles Davis, Sonny Rollins, and John Coltrane struggled with substance abuse at some point in their careers. Interestingly, these same names are often mentioned by critics when listing the great innovators and most influential performers in the history of jazz music. It is noteworthy that in the modern period, jazz has ceased to be the center of countercultural drug use. In the 1960s and 70s, the drug legacy of jazz passed first to rock and roll and then to hip-hop.



ISSN 2313-7053 (Print)
ISSN 2713-055X (Online)