[Depressive disorder with pathological body sensations].

A group of patients with depressive disorder, depressive episode (DE) according to the ICD-10, with episodic or recurrent course and the presence of pathological body sensations (PBS) in the form of senestoalgic, senestoalgic-senestopathic and senestopathic syndromes has been studied. The study group consisted of 65 patients with PBS and the control one--of 30 patients without PBS. More than a half of patients with DE and PBS had severe DE without psychotic symptoms. Modality of hypothymia was assessed by depressed mood with presence/absence of melancholy and permanent anxiety appearing as generalized anxiety disorder. The study group was divided into 2 subgroups: DE with monolocal (39 patients) and DE with bi- or polylocal (26 patients) PBS. Initial, manifest and active stages of the disease course were singled out and PBS dynamics and appearances of depressive disorders per se on each stage were studied. The presence of comorbid disorders such as panic disorder (full and symptomatically poor variants) was found. Continuum is suggested in manifestations of monopolar depression as a borderline variant of affective psychosis: depression without PBS--depression with bi- and polylocal PBS--depression with monoclonal PBS.