Systematics of mental disorders in women with gynecological pathology

Abstract

DOI: 10.52705/2788-6190-2026-02-10
УДК 618.1-02:616.89-008-055.2

The objective: to study the systematics of mental disorders in women with gynecological pathology.
Materials and methods. In this work, a clinical-psychopathological examination of 700 patients (aged 18 to 45 years, mean age – 32.1 ± 2.7 years) with gynecological pathology was conducted. The study was performed in inpatient and outpatient settings. The study group of patients with reproductive system pathology was formed according to accepted inclusion and exclusion criteria.
The study was conducted in accordance with the requirements of the Declaration of Helsinki of the World Medical Association on Ethical Principles for Medical Research Involving Human Subjects (2020). In case of compliance with all necessary criteria, women gave written informed consent to participate in the clinical-laboratory study. Psychiatric examination was conducted upon voluntary consent of the patients using the clinical method and objective data from available medical documentation.
Results. Non-pathological neurotic manifestations (adaptive reactions) are characterized by: asthenia (neurasthenia), anxious tension, autonomic dysfunctions, night sleep disturbances, occurrence and decompensation of somatic disorders, and a decrease in the tolerance threshold for various harmful factors. These manifestations are distinguished by partiality, do not combine into a syndrome, and there is a possibility of their complete self-correction. For neurotic reactions – feelings of anxiety and fear, polymorphic neurotic disorders, decompensation of personality-typological features. For neurotic states – stabilized and clinically formed disorders of the neurotic spectrum, predominance of depressive, neurasthenic, senestopathic-hypochondriacal disorders and obsessions, pronounced somatoform disorders. For pathological personality development – stabilization and development of personality changes, loss of direct connection of neurotic disorders with specific psychogeny, frequent decompensations of neurotic (pathocharacterological) disorders.
Conclusions. Strained activity of the mental adaptation barrier occurs within the framework of adaptive mechanisms and is a marker, especially at the initial stages, of the occurrence of physiological reactions aimed at preserving «psychic homeostasis» and forming the most rational programs of behavior and activity in complicated conditions. Prenosological states express a protective-adaptive function during the overstrain of the mental adaptation system. Their clinical manifestations are polymorphic short-term disorders of the neurotic level, personality decompensations, and vegetative-somatic dysfunctions alternating with periods of relative well-being.