Clinical and psychopathological aspect of electrophysiological abnormalities in adolescents with behavior disorders

2017 
Medical and social significance of behavioral disorders in adolescents and their consequences makes the relevance of the study of clinical manifestations and causes the need for early preventive intervention. Aim Studying the role of neurophysiological disorders in the formation of behavior disorders in adolescents. Two hundred and two adolescents aged 11–15 years with behavior disorders were observed. The diagnostic methods included electrophysiological, clinical psychopathological and statistical methods. In the structure of behavioral disorders, psychopathological syndromes in adolescents have been identified: psychopathic ( n  = 106), asthenoneurotic ( n  = 50), asthenoabulic ( n  = 26) and anxiety-depressive ( n  = 20). As a result, it was found that high seizure activity commonly observed in adolescents with anxiety-depressive syndrome (66.67 ± 10.33%); less frequently in adolescents with asthenoneurotic (40.00 ± 6.79%), psychopathic (38.71 ± 4.64%), asthenoabulic (28.57 ± 8.68%) syndromes. At the same time, diffuse changes with dysregulation of the diencephalic-stem structures were observed in the majority of adolescents with psychopathic (61.29 ± 4.64%), asthenoneurotic (60.00 ± 6.79%), asthenoabulic (57.15 ± 9.51%) syndromes and much less frequently in adolescents with anxiety-depressive symptoms (33.33 ± 10.33%). Dystonic rheoencephalography type was observed in a third of adolescents with psychopathic (35.48 ± 4.55%), asthenoneurotic (30.00 ± 6.35%) and anxiety-depressive (33.33 ± 10.33%) syndromes, while the hypertensive rheoencephalography type was prevailed in adolescents with astenoabulic symptoms (14.29 ± 6.73%). Liquor hypertension in adolescents with asthenoneurotic (15.00 ± 4.95%) and psychopathic (9.67 ± 2.81%) syndromes was more common. The statistical analysis indicated that violations of bioelectric properties of the brain with high seizure activity and dysfunction of the low stem structures and disorders of cerebral hemodynamics by dystonic type are risk factors for the formation of behavioral disorders in adolescents. Detection of neurophysiological disorders in adolescents is an informative diagnostic method of early signs of behavioral disorders.
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