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Volume 3
Issue 3
Online publication date 2010-09-15
Title Treating approaches of neurotic disorders in patients with rheumatoid arthritis
Author Erkin Toirov

During investigation of neurotic conditions in 168 patients with rheumatoid arthritis in 65.6% patients it was determined neurotic disorders (ND) of different severity. Astheno-vegetative disorders were diagnosed in most cases (61.3%). Treatment of ND was carried out depending on the type and degree of its significance. In case of mild ND degree the complex treatment included sing general stimulating medications, physiotherapy and treatable physical training. Treatment for moderate ND degree used sedative medication (novopassit, sedavit, glisin, pion tincture), and the one for severe disease degree used antidepressants and tranquilizers. The treatment duration depended on the type of therapy (10-21 days).

The treatment course provided significant reduction of ND symptoms in 66 patients (54.1%)  and full reduction of symptoms - in 44 patients (36.1%). In 12 patients (9.8%) we did not determine any reductions of clinical symptoms of ND. Psychotherapy course provided positive outcomes in 62.3% of patients, satisfactory - in 26.2% of patients, and unsatisfactory - in 11.5% of patients.  In the control group (46 patients without ND) these results were taken accordingly in 52.2%, 37.0% and 10.8% of patients.

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Pizova, N., Spirin, N., Rukavishnikova, А., 2003. “The features of personality in patients with systemic rheumatic diseases,” Journal of the neurology and psychiatry, No12, pp.47-49

Toirov, S., Soliev, T., Aminov, Kh., 2004. “Diagnostic and treatment of borderline neuro-psychological disorders in patients with rheumatic diseases,” Methodic recommendations, Tashkent

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Keywords Rheumatoid arthritis, neurotic disorders, psychotherapy, treatment effect.
Pages 14-19
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