Psychosomatic Aspects of The Development of Comorbid Pathology: A Review
Roza Tatayeva1, Ekaterina Ossadchaya1, Saule Sarculova2
1Department of General Biology and Genomics, L.N. Gumilyov Eurasian National University, Nur-Sultan, Kazakhstan.
Insights
Comorbid anxiety-depressive disorders and physical illness worsen disease severity and complicate diagnosis. This review highlights the bidirectional link between mental and somatic health, emphasizing the need for further clinical trials.
Area of Science:
- Psychiatry
- Internal Medicine
- Public Health
Background:
- Reviews literature on somatic and mental pathologies with shared pathophysiological, genetic, and neurochemical mechanisms.
- Examines psychosomatic manifestations in cardiovascular diseases and COVID-19.
- Focuses on post-traumatic stress disorder in war participants.
Purpose of the Study:
- To review literature on comorbid psychiatric and somatic disorders.
- To explore the impact of combined mental and physical illnesses on disease course and diagnosis.
- To identify research gaps in understanding these complex interactions.
Main Methods:
- Literature search conducted in PubMed, Mendeley, Google Scholar, and ScienceDirect.
- Included studies published between 2012 and 2022.
- Focused on identifying associations between psychiatric and somatic pathologies.
Main Results:
- Revealed a bidirectional association between comorbid psychiatric and somatic disorders.
- Somatic disease prevalence increases with a predominance of mental disorders.
- Anxiety-depressive disorders combined with physical illness worsen disease severity.
Conclusions:
- Growing evidence links anxiety-depressive disorders and physical illness, worsening disease prognosis.
- Combined conditions complicate the diagnosis of physical symptoms.
- Further clinical trials are necessary to elucidate the full mechanisms of action.
Abstract:
Background: The article reviews the literature data on various somatic and mental pathologies, which are comorbid processes with similar pathophysiological, genetic and neurochemical mechanisms. The psychosomatic manifestations of cardiovascular diseases and coronavirus disease (COVID-19) are considered. Particular attention is paid to post-traumatic stress disorder of participants in local wars. Comorbid pathology, in combination with depression and anxiety, aggravates the course of the disease, leading to disability in the adult population and premature death. Methods: The literature was searched in PubMed, Mendeley, Google Scholar, and ScienceDirect databases to identify relevant studies published from 2012 to 2022. Results:Our literature search revealed a bidirectional association between comorbid psychiatric and somatic disorders. The prevalence of somatic diseases increases in people with a predominance of mental disorders. Conclusion:There is growing evidence that the combination of anxiety-depressive disorders and physical illness worsens the severity of the disease, complicating the diagnosis of the presence of one and/or several physical symptoms. However, more clinical trials are still needed to determine their full mechanisms of action.
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