Features of the manifestation of psychopathological symptoms in patients with somatoform disorders

BACKGROUND. The relevance of studying psychopathological symptoms in patients with somatoform disorders is due to the current situation around the study of the mechanisms of development and course of this pathology.

AIM. To study the features of the manifestation of psychopathological symptoms in patients with somatoform disorders for subsequent consideration in conducting of therapeutic and diagnostic measures.

MATERIAL AND METHODS. The study involved 125 respondents who were divided into a main group [patients diagnosed with somatoform disorder (F45)] and a control group (potentially healthy people). To study psychopathological symptoms, the SCL-90-r questionnaire was used — a questionnaire on the severity of psychopathological symptoms in the adaptation of N.V. Tarabrina. The study of social factors was carried out using the developed author’s questionnaire to identify social factors. The diagnosis was verified in accordance with the research criteria of the International Classification of Diseases of the 10th revision.

RESULTS. The results obtained indicate statistically significant differences in the manifestations of psychopathological symptoms in patients with somatoform disorders and healthy people. In the main group above, psychopathological symptoms are expressed according to the scales “Somatization” U=307.500; Z=–7.32; p <0.001; “Interpersonal sensitivity” U=809; Z=–4.64; p=0.000003; “Depression” U=557; Z=–5.98; p <0.001; “Anxiety” U=413; Z=–6.78; p <0.001; “Phobia-phobic anxiety” U=573.500; Z=–6.16; p <0.001 compared to control group. The presence of traumatic situations at school, income dissatisfaction, parenting style in the family, marital status, psychological violence at work, etc. affect the severity of psychopathological symptoms in patients with somatoform disorders (p <0.05).

CONCLUSION. Patients with somatoform disorders have high manifestations of psychopathological symptoms that occur under the influence of social factors, compared with healthy people.