Dynamics of ideas about the concept of epileptic psychosis

Introduction: psychosis in epilepsy is more common than in the general population. The frequency of psychotic mental disorders varies from 0,5% to 10%. The article presents the dynamics of the development of the concept of epileptic psychosis, depending on the evolutionary approaches to the study of...

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Main Authors: Y. A. Yakovleva, M. Y. Kissin, Y. V. Popov, A. A. Pichikov, N. Y. Safonova, T. M. Goguadze
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 2021-12-01
Series:Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
Subjects:
Online Access:https://www.bekhterevreview.com/jour/article/view/626
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author Y. A. Yakovleva
M. Y. Kissin
Y. V. Popov
A. A. Pichikov
N. Y. Safonova
T. M. Goguadze
author_facet Y. A. Yakovleva
M. Y. Kissin
Y. V. Popov
A. A. Pichikov
N. Y. Safonova
T. M. Goguadze
author_sort Y. A. Yakovleva
collection DOAJ
description Introduction: psychosis in epilepsy is more common than in the general population. The frequency of psychotic mental disorders varies from 0,5% to 10%. The article presents the dynamics of the development of the concept of epileptic psychosis, depending on the evolutionary approaches to the study of the problem of mental disorders in epilepsy. Materials and methods: the analysis of Russian—and English language articles in scientific databases on keywords from 1971 to 2011 was carried out. Results: the first systematic descriptions of mental disorders occurring in epilepsy date back to the 19th century. The contribution of foreign and domestic authors to the study of the problem is described. There are six main periods of the concept formation, including the definitions of the concept of epileptic psychosis, the dynamics of clinical manifestations, the role of the influence of biological, personal and social factors in the genesis and development of psychotic disorders in epilepsy. The following risk factors for the development of psychosis are considered: the form of epilepsy; age of onset of seizures, lateralization of the epileptic focus, gender, and drug therapy. Variants of classification approaches to the problem are presented. The article discusses the differences in the systematization of «endoform» syndromes, as well as the parallels between schizophrenia and psychoses in epilepsy. The dynamics of scientific views on the interest in the formation of epileptic psychoses in various parts of the brain: the temporal lobe (amygdala, hippocampus, paralimbic zones and parahippocampal bend), as well as GABA-ergic neurons of the upper tubercles of the quadriplegic, posterior hypothalamus and serotonergic neurons of the dorsal suture and noradrenergic neurons of the blue spot are reflected. The association of psychopathological manifestations with neurophysiological, biochemical, genetic and morphofunctional correlates is noted. The authors‘ interest in psychoses associated with the use of antiepileptic drugs is emphasized. Conclusion: despite all attempts to systematize these conditions, the factors that provoke the development of psychoses in patients with epilepsy, their structure and prognosis remain poorly predictable and require further in-depth study.
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spelling doaj.art-98bd71bb4fc04667b46c06ef3b4226312023-09-03T11:45:17ZrusFederal 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. Бехтерева2313-70532713-055X2021-12-0155411312110.31363/2313-7053-2021-57-4-113-121425Dynamics of ideas about the concept of epileptic psychosisY. A. Yakovleva0M. Y. Kissin1Y. V. Popov2A. A. Pichikov3N. Y. Safonova4T. M. Goguadze5V.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyPavlov First St. Petersburg State Medical UniversityV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyPavlov First St. Petersburg State Medical UniversityIntroduction: psychosis in epilepsy is more common than in the general population. The frequency of psychotic mental disorders varies from 0,5% to 10%. The article presents the dynamics of the development of the concept of epileptic psychosis, depending on the evolutionary approaches to the study of the problem of mental disorders in epilepsy. Materials and methods: the analysis of Russian—and English language articles in scientific databases on keywords from 1971 to 2011 was carried out. Results: the first systematic descriptions of mental disorders occurring in epilepsy date back to the 19th century. The contribution of foreign and domestic authors to the study of the problem is described. There are six main periods of the concept formation, including the definitions of the concept of epileptic psychosis, the dynamics of clinical manifestations, the role of the influence of biological, personal and social factors in the genesis and development of psychotic disorders in epilepsy. The following risk factors for the development of psychosis are considered: the form of epilepsy; age of onset of seizures, lateralization of the epileptic focus, gender, and drug therapy. Variants of classification approaches to the problem are presented. The article discusses the differences in the systematization of «endoform» syndromes, as well as the parallels between schizophrenia and psychoses in epilepsy. The dynamics of scientific views on the interest in the formation of epileptic psychoses in various parts of the brain: the temporal lobe (amygdala, hippocampus, paralimbic zones and parahippocampal bend), as well as GABA-ergic neurons of the upper tubercles of the quadriplegic, posterior hypothalamus and serotonergic neurons of the dorsal suture and noradrenergic neurons of the blue spot are reflected. The association of psychopathological manifestations with neurophysiological, biochemical, genetic and morphofunctional correlates is noted. The authors‘ interest in psychoses associated with the use of antiepileptic drugs is emphasized. Conclusion: despite all attempts to systematize these conditions, the factors that provoke the development of psychoses in patients with epilepsy, their structure and prognosis remain poorly predictable and require further in-depth study.https://www.bekhterevreview.com/jour/article/view/626epilepsyepileptic psychosismental disordersschizophreniacerebral dysfunction
spellingShingle Y. A. Yakovleva
M. Y. Kissin
Y. V. Popov
A. A. Pichikov
N. Y. Safonova
T. M. Goguadze
Dynamics of ideas about the concept of epileptic psychosis
Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
epilepsy
epileptic psychosis
mental disorders
schizophrenia
cerebral dysfunction
title Dynamics of ideas about the concept of epileptic psychosis
title_full Dynamics of ideas about the concept of epileptic psychosis
title_fullStr Dynamics of ideas about the concept of epileptic psychosis
title_full_unstemmed Dynamics of ideas about the concept of epileptic psychosis
title_short Dynamics of ideas about the concept of epileptic psychosis
title_sort dynamics of ideas about the concept of epileptic psychosis
topic epilepsy
epileptic psychosis
mental disorders
schizophrenia
cerebral dysfunction
url https://www.bekhterevreview.com/jour/article/view/626
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