[The clinical pathomorphosis of neuroses]

Comparison of data on neuroses in a selective group of patients which were treated in day hospital in 1988 (226 patients) and in 1996 (244 individuals) was made. In this period there was an increase of both the number of 16-20 year old patients (from 1,0 to 13%) and of women (from 58.9 to 81.2%) as well as occurrence of the group (18.9%) of unemployment patients (they were absent in 1988). In the structure of the forms of neuroses diagnosed according to ICD-9, there was a decrease of neurasthenic and obsessive-phobic forms (from 50.0 down to 30.3% and from 12.4 down to 7.4%, respectively) as well as an increase of depressive neuroses (from 19.5 to 54.4%). Moreover, the depressive symptoms were more often included in all forms of neuroses. Combinations of different psychogenic influences and especially psychogenic multifactorial situations with displacement of significance from family-personal to social-economic factors play increasingly important role in pathogenesis of different neurotic disorders.