[Mental disorders in a pediatric clinic]

In general pediatric clinic 262 children aged 1-15 years with functional hyperthermia, functional disorders of cardiac rhythm (extrasystole, paroxysmal and recurrent tachycardia), arterial hyper- and hypotension, autonomic dysfunctions were examined. 21 children with organic cardiac diseases were examined too. Mental disorders were revealed in all the cases: mono- and bipolar affective disorders (58.1%) as well as affective-dilutional (10.4%) states, primarily in the form of "masked" hypomanias, neurotic and neurotic-like (16.2%), psychopathic and psychopathic-like (7.0%), psychoorganic (3.7%) and epileptiform (4.6%) syndromes. The spectrum of mental disorders was extremely wide--from practical normal (in limits of reactions of personal accentuations or age crisis) to endogenic diseases. Combined treatment including drug therapy, psychotherapy and family correction was quite effective.