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: 15.3. ПСИХИЧЕСКИЕ РАССТРОЙСТВА У БОЛЬНЫХ С ЛЕГОЧНОЙ ПАТОЛОГИЕЙ

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ЭПИДЕМИОЛОГИЯ

Проблема коморбидности психической и легочной патологии привлекает внимание психиатров, пульмонологов, медицинских психологов начиная со второй половины прошлого века как в научном, так и в клиническом отношении [16, 31, 43, 82]. Одним из важных аспектов рассматриваемой проблемы является изучение распространенности психической патологии среди больных, страдающих такими распространенными легочными заболеваниями, как БА, ХОБЛ, и специфическими поражениями легких (туберкулез) [41, 63, 69, 91]. Общий анализ публикаций на указанную тему свидетельствует о сопряженности невротических расстройств и БА, депрессий и деменции с ХОБЛ [34, 39, 46, 58, 59, 68]. Так, в ряде публикаций сообщается о значительной частоте невротических расстройств у пациентов с БА (табл. 15-3).

Таблица 15-3. Распространенность невротических расстройств среди больных БА

Авторы

Год

Доля больных с невротическими расстройствами от числа обследованных, %

Karajgi B., Rifkin A., Doddi S., Kolli R.

1990

55,8

Sietsema K.E., Simon J.I., Wasserman K.

1987

42,3

Yellowlees P.M., Haynes S., Potts N., Ruffin R.E.

1988

36,7

Shavitt R.G., Gentil V., Mandetta R.

1992

38,9

Костюнина З.Г.

1971

36,4