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Pol. Merkur. Lek (Pol. Med. J.), 2013, XXXV/205: 043-046 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2013, XXXV/205: 043-046

Title: Comorbidity in organic depressive disorders in patients Specialist Hospital Dr. J. Babiński in Cracow in the years 2008–2010

Authors: Noga M., Gruszczyński W.

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Comorbidity in organic depressive disorders in patients Specialist Hospital Dr. J. Babiński in Cracow in the years 2008–2010


Noga M.1, Gruszczyński W.2

1Specialist Hospital Dr. J. Babiński in Cracow, Poland, Department of Alcohol Withdrawal Syndromes Treatment; 2Medical University of Łódź, Poland, Department of Psychosocial Rehabilitation

With age occurs the aging central nervous system, and therefore increases the risk of mental disorders in this medium, including depressive disorders. In particular, a large proportion of depressive disorders in the organic substrate is observed in people over 65 years of age. Literature says that in this age group as 15–30% of people receiving assistance from family doctors have diagnosed depression.
The aim of the study
was to investigate the comorbidity in patients with a diagnosis of organic depression.
Materials and methods
. We analyzed 227 medical records of diagnosed depressive disorders coexisting with other organic mental disorders in patients hospitalized in 2008–2010 in the Specialist Hospital Dr. J. Babiński in Cracow. We analyzed the medical records of outpatient treatment of the above. Analyses were made medical history by questionnaire of our own design.
Results
. It has been shown that in the organic comorbidity depressive disorders related in most men, between 60 and 70 years of age. Most were people about the origin of the workers and peasants, mainly in vocational education. Every second person was unmarried. The subjects usually receive disability benefits and retirement. The organic depressive disorders frequently co-exist: the teams dementia, anxiety, personality disorders, delusional teams. The subjects were mainly dependent on alcohol and sedative drugs from the group of benzodiazepines. In every other test persons experienced cardiovascular disease. Among patients diagnosed with alcohol dependence disorder typical of taking psychoactive substances such as liver, pancreas, gastrointestinal tract. The treatment was particularly detrimental in people addicted to drugs.
Conclusions
. In the study population were two main groups of comorbid namely to psychoactive drugs and mental disorders not related with dependence on psychoactive substances. Comparative analysis of the dynamics of the disease has a significant adverse course and prognosis in children with addiction. In both groups, somatic concern comorbidity cardiovascular disease and in the control group significantly frequent somatic disorders typical of alcoholics (liver, pancreas).

Key words: comorbidity, depression, drug dependence, somatic disease

Pol. Merk. Lek., 2013, XXXV, 205, 43