[Clinical features of mental disorders among gynecologic patients with hormonal dysfunction and hormone-dependent...

Using clinical procedures supplemented with a method of multiple personality investigation, the author found nonpsychotic psychic disturbances in 56.6% of 297 gynecological patients with a hormonal dysfunction of central or peripheral (inflammatory) genesis and with hormone-dependent pathology (uterine myoma, endometriosis, cystoma and cysts of the ovaries); another 22.4% of these women showed marked accentuation of personality features. The most typical psychopathological symptomatology was represented by affective disturbance (predominantly depressive, seen significantly more frequently in patients with hormonal dysfunction of central genesis rather than in hormone-dependent pathology), the syndrome of senestopathic hypochondria and psychopathlike conditions with a tendency to form super worship ideas, paranoid reactions (occurring significantly more often in patients with hormone-dependent pathology as compared with hormonal dysfunctions of central genesis). A conclusion is drawn about pathogenetic relationships existing between alterations in the psychic state and characteristics of the reviewed gynecological hormonal and hormone-dependent pathology.