[Mental adaptation disorders in duodenal ulcer patients]

Mental adptation disorders that appeared as a result of the stressogenic factor effect include two interrelated processes concurrently: processes of the development of the acute stage of ulcer (pathogenesis) and mechanisms of recovery (sanogenesis). Pathogenetic processes prevail over sanogenetic ones at the beginning of the acute stage--pains and ulcerous defects in the duodenal bulb occur more frequently in case of a mental adaptation disorder than in case of its absence. The incipient recovery (disappearance of pains and appearance of a postulcerous scar on the spot of the former ulcer) represents a turn to the prevalence of sanogenetic mechanisms. However, disappearance of the mental adaptation disorder is a more inert process, as compared to the dynamics of clinical and morphological data, which can be explained by the organism's striving for maintaining sanogenetic processes for some time in order to produce a stabler compensation of former disorders. The treatment of the acute stage of ulcers in some patients is insufficiently effective, which can be apparently explained by the excessive intensity of mental adaptation disorders having a negative effect on the recovery processes.