rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2017-13-2-221-228rpcardio-1450Research ArticleASSOCIATED PROBLEMS OF CARDIOLOGYСМЕЖНЫЕ ПРОБЛЕМЫ КАРДИОЛОГИИTHESES OF PSYCHOSOMATIC MEDICINEТЕЗИСЫ ПСИХОСОМАТИЧЕСКОЙ МЕДИЦИНЫБеляловФ. И.BelyalovF. I.

Белялов Фарид Исмагильевич – доктор медицинских наук, профессор, кафедра геронтологии и гериатрии, руководитель кардиоаритмологического центра 

664079, Иркутск, мкр. Юбилейный 100

Farid I. Belyalov – MD, PhD, Professor, Chair of Gerontology and Geriatrics, Head of Cardiac Arrhythmia Centre

Yubileinii mkrn100,Irkutsk, 664079

fbelyalov@mail.ruИркутская государственная медицинская академия последипломного образованияРоссияIrkutsk State Medical Academy of Postgraduate EducationRussian Federation201704052017132221228Copyright © Belyalov F.I., 20172017Белялов Ф.И.Belyalov F.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/1450

The main results of psychosomatic studies are summarized. A high incidence of mental health disorders is shown in patients with somatic diseases. They worsen the prognosis, increase the severity of the condition, make diagnosis and treatment more difficult, reduce the quality of life and work capacity, increase healthcare costs. Antidepressants decrease severity of anxiety and depression, as well as diminish frequency of somatic events and hospitalizations in patients with depression. It is important to take into account the influence of psychotropic drugs on somatic diseases and their treatment. It is important to improve the training of doctors and develop national guidelines for improving the diagnosis and treatment of patients with comorbid somatic and mental diseases.

Обобщены основные результаты психосоматических исследований. У пациентов с соматическими заболеваниями показана высокая частота психических расстройств, которые ухудшают прогноз, увеличивают тяжесть состояния, затрудняют диагностику и лечение, снижают качество жизни и трудоспособность, увеличивают затраты здравоохранения. Антидепрессанты снижают выраженность тревоги и депрессии, а также могут уменьшить частоту соматических событий и госпитализаций у пациентов с депрессией. При выборе психотропных препаратов важно учитывать их влияние на соматическое заболевание и соматотропное лечение. Для улучшения диагностики и лечения пациентов с коморбидными соматическими и психическими заболеваниями важно улучшить обучение врача и разработать национальные рекомендации.

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The authors declare that there are no conflicts of interest present.