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Recent research on dysthymia has shown that it is associated with other disorders of the “affective spectrum” (HS Akiskal et al., 1981), that dysthymia is different from “altered depression in personality stereotypes” (R. Hirschfeld, 1973), showed typological limitation (HS Akiskal, 1983, E.V. Kolyutskaya, 1993, A.B. Smulevich s et al., 1996, 2000, 2001). However, the development and clinical manifestations of dysthymia, including co-development with chronic alcoholism, their clinical manifestations, dynamics, and specific course were left out of the researchersэ perspective. This, in turn, will be the basis for research on these comorbid nosological units.
The actuality of the problem:It is important to diagnose dysthymic disorders and differentiate variants in patients with chronic alcoholism. This in turn allows the most sensible treatment to be chosen to relieve symptoms, otherwise attempts to treat patients will usually be ineffective. Therefore, diagnosing patients with schizophrenia does not pose particular challenges for a qualified psychiatrist. When previously masked depressions are observed in patients, we may experience some difficulty. Although there is a large body of research in the clinic and treatment of comorbid conditions in psychiatry and narcology, most of which fall into combinations of addiction, the comorbidity of chronic alcoholism and dysthymic disorders is relatively little studied. Determining and clarifying the nosological relationship of comorbid dysthymic disorders in the early postabstinent period allows optimizing the ongoing psychopharmacotherapy, thereby improving the duration and quality of remission in patients. Such data, obtained as a result of clinical and clinical-psychological studies of patients with comorbid pathology, allow a psychiatrist or narcologist to be more confident in diagnosing comorbid conditions, carefully formulate treatment plans. Начало формы