[Protracted depressive states formed under the conditions of a stressogenic situation]

Psychopathological and clinical dynamic aspects of prolonged (duration more than 6 months) depressive states formed under conditions of stressogenic situation were investigated in 63 patients of two Moscow general outpatient clinics in 1994-1995. The general regularities of such depressions' development were established: the periods of initial disturbances, of "psychogenic" depression and of endogenisation. The conditions may progress: with frue affective disorders prevalence; with relative predominance of senesto-hypochondriac and anxious-phobic disturbances; with so called alternating course which was characterised by numerous changes of the leading psychopathological syndrome. The recommendations are given concerning patients' therapy.