Clinical and neurophysiological features of mental disorders in patients with HIV infection

Summary. Te aim of the study was to study the clinical signifcance of changes in bioelectric activity for the purpose of identifying them as biological markers of mental disorders in patients with HIV infection. A cross-sectional study was conducted to diagnose mental disorders and search for neurop...

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Main Authors: N. G. Neznanov, N. B. Khalezova, M. A. Hobeysh, N. G. Zakharova, M. Ya. Kissin
Format: Article
Language:Russian
Published: Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation 2019-02-01
Series:Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
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Online Access:https://www.bekhterevreview.com/jour/article/view/216
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author N. G. Neznanov
N. B. Khalezova
M. A. Hobeysh
N. G. Zakharova
M. Ya. Kissin
author_facet N. G. Neznanov
N. B. Khalezova
M. A. Hobeysh
N. G. Zakharova
M. Ya. Kissin
author_sort N. G. Neznanov
collection DOAJ
description Summary. Te aim of the study was to study the clinical signifcance of changes in bioelectric activity for the purpose of identifying them as biological markers of mental disorders in patients with HIV infection. A cross-sectional study was conducted to diagnose mental disorders and search for neurophysiological markers in 62 patients with HIV infection at the St. Petersburg Center for the Prevention and Control of HIV and Infectious Diseases.Results: 50% of patients with HIV infection without abuse disorders have mental disorders characterized mainly by adaptive reactions and mild cognitive impairment. Normal indicators of bioelectrical activity were determined in 16.1% of 62 patients. In the majority of patients (59.7%), bioelectrical activity was determined with a predominance of excitation in the medio-different areas and a decrease in activity of the cerebral cortex. In 41.9% of patients, the processes of CNS excitation were increased in the form of an intensifcation of the reaction to photostimulation. Neurophysiological differences were revealed in patients with neurotic and stress-related disorders and organic changes in the CNS. For neurotic disorders in comparison with organic disorders, the EEG was normal or the disorganized type with predominance of alpha and beta activity were more likely, while in the case of organic disorders the desynchronous type of EEG was more ofen noted. Te development of psycho-organic syndrome in HIV patients is confrmed by deep restructuring of bioelectrical activity in the anterior parts of the brain.
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series Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
spelling doaj-art-c81d0ce199cf4b0dbd886cdbede28de42025-08-03T13:06:36ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2019-02-0104536310.31363/2313-7053-2018-4-53-6215Clinical and neurophysiological features of mental disorders in patients with HIV infectionN. G. Neznanov0N. B. Khalezova1M. A. Hobeysh2N. G. Zakharova3M. Ya. Kissin4St. Petersburg State Medical University named afer I.P. PavlovSt. Petersburg State Medical University named afer I.P. Pavlov; Center for the Prevention and Control of AIDS and Infectious DiseasesSt. Petersburg State Medical University named afer I.P. PavlovCenter for the Prevention and Control of AIDS and Infectious DiseasesSt. Petersburg State Medical University named afer I.P. PavlovSummary. Te aim of the study was to study the clinical signifcance of changes in bioelectric activity for the purpose of identifying them as biological markers of mental disorders in patients with HIV infection. A cross-sectional study was conducted to diagnose mental disorders and search for neurophysiological markers in 62 patients with HIV infection at the St. Petersburg Center for the Prevention and Control of HIV and Infectious Diseases.Results: 50% of patients with HIV infection without abuse disorders have mental disorders characterized mainly by adaptive reactions and mild cognitive impairment. Normal indicators of bioelectrical activity were determined in 16.1% of 62 patients. In the majority of patients (59.7%), bioelectrical activity was determined with a predominance of excitation in the medio-different areas and a decrease in activity of the cerebral cortex. In 41.9% of patients, the processes of CNS excitation were increased in the form of an intensifcation of the reaction to photostimulation. Neurophysiological differences were revealed in patients with neurotic and stress-related disorders and organic changes in the CNS. For neurotic disorders in comparison with organic disorders, the EEG was normal or the disorganized type with predominance of alpha and beta activity were more likely, while in the case of organic disorders the desynchronous type of EEG was more ofen noted. Te development of psycho-organic syndrome in HIV patients is confrmed by deep restructuring of bioelectrical activity in the anterior parts of the brain.https://www.bekhterevreview.com/jour/article/view/216hiv infectionneurophysiological markers of mental disordersneurotic and stress-related disordersorganic disorders
spellingShingle N. G. Neznanov
N. B. Khalezova
M. A. Hobeysh
N. G. Zakharova
M. Ya. Kissin
Clinical and neurophysiological features of mental disorders in patients with HIV infection
Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
hiv infection
neurophysiological markers of mental disorders
neurotic and stress-related disorders
organic disorders
title Clinical and neurophysiological features of mental disorders in patients with HIV infection
title_full Clinical and neurophysiological features of mental disorders in patients with HIV infection
title_fullStr Clinical and neurophysiological features of mental disorders in patients with HIV infection
title_full_unstemmed Clinical and neurophysiological features of mental disorders in patients with HIV infection
title_short Clinical and neurophysiological features of mental disorders in patients with HIV infection
title_sort clinical and neurophysiological features of mental disorders in patients with hiv infection
topic hiv infection
neurophysiological markers of mental disorders
neurotic and stress-related disorders
organic disorders
url https://www.bekhterevreview.com/jour/article/view/216
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