Psychophysiological Aspects in the Clinical Picture of Disease in Patients  Who Received Local Radiation Injury

Nelya Metlyaeva; M. Lartsev; A. Bushmanov; I. Galstyan; L. Ryabinina; M. Sukhova; E. Skorobogatykh; A. Kirilchev; O. Shcherbatykh; F. Torubarov

doi:doi:10.12737/1024-6177-2021-66-3-13-18

UDC 61 CSCSTI 76.33 CSCSTI 76.03 Russian Classification of Professions by Education 31.06.2001 Russian Classification of Professions by Education 31.08.08 Russian Classification of Professions by Education 32.08.12 Russian Classification of Professions by Education 14.04.02 Russian Library and Bibliographic Classification 534 Russian Library and Bibliographic Classification 51 Russian Trade and Bibliographic Classification 5712 Russian Trade and Bibliographic Classification 5734 Russian Trade and Bibliographic Classification 6212 Russian Trade and Bibliographic Classification 5708

Psychophysiological Aspects in the Clinical Picture of Disease in Patients Who Received Local Radiation Injury

Published в Medical Radiology and radiation safety · Volume 66, Issue 3, 2021 · Pages 13–18 · Rubrics: Radiation medicine

DOI 10.12737/1024-6177-2021-66-3-13-18

Received: 19.07.2021 Accepted: 20.07.2021 Published: 20.07.2021

Authors

Nelya Metlyaeva ¹ · M. Lartsev ² · A. Bushmanov ³ · I. Galstyan ⁴ · L. Ryabinina ⁵ · M. Sukhova ⁶ · E. Skorobogatykh ⁷ · A. Kirilchev ⁸ · O. Shcherbatykh ⁹ · F. Torubarov ¹⁰

1 A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Leading Researcher)
Moscow, Russian Federation

2 AI Burnasyan Federal Medical Biophysical Center, Russia
Russian Federation

3 A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Deputy Head of Department)
Russian Federation

4 A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Head of Laboratory)
Russian Federation

5 AI Burnasyan Federal Medical Biophysical Center, Russia
Russian Federation

6 AI Burnasyan Federal Medical Biophysical Center, Russia
Russian Federation

7 AI Burnasyan Federal Medical Biophysical Center, Russia
Russian Federation

8 AI Burnasyan Federal Medical Biophysical Center, Russia
Russian Federation

9 A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Junior Researcher)
Moscow, Russian Federation

10 A.I. Burnasyan Federal Medical Biophysical Center (FMBC) FMBA (Head of Laboratory)

ABSTRACT

Purpose: To evaluate in dynamics the psychophysiological adaptation of a patient who received local radiation damage to the tissues of the left half of the chest IV (extremely severe) severity (23 years of observation). Material and methods: Patient KTS, 66 years old, as the main diagnosis are the effects of local radiation damage to the skin and underlying tissues of the left half of the chest from external radiation (about 3 % of body surface area) IV extremely severe. Before receiving a radiation injury, she was able-bodied and socially adapted, worked as a nurse. In 1996, she was diagnosed with stage I left breast cancer T1N0M0 stage I, in connection with which she underwent a sectoral resection of the mammary gland. Then the patient underwent a course of radiation therapy. By retrospective assessment, the total dose of therapeutic effect before the incident was 10 Gy. At the time of the next session of radiation therapy in connection with the breakdown of the apparatus, a sharp uncontrolled increase in the dose of ionizing radiation (more than 100 Gy) occurred, causing serious injury. The patient was admitted to the Institute of Biophysics Clinic on the 5th day. Psychophysiological research was carried out with the use of automated software and methodic complex «Expert», designed to study the personal characteristics of a person, cognitive and intellectual personality characteristics in 2001 – 2017 years. Results: The effects of local radiation damage to the skin and underlying tissues of the left half of the chest from external irradiation of IV (extremely severe) degree in the form of cicatricial-atrophic changes of the soft tissues, with no bone skeleton remain. Disorders of mental adaptation are expressed in the form of senesto-hypochondria disorders, autism of perception, demonstrativeness, apathetic depression and introversion. The most profound contribution to the reduction of the adaptation of the victim is brought about by the features of deep internal disharmony caused by contradictory combinations of demonstrativeness, schizoid traits, anxious depression and affective rigidity. Conclusion: The data obtained indicate that impaired mental adaptation is an integral part of the clinical picture of local radiation injuries, and reveal the urgent need not only of specific treatment of radiation injury, but also of psychotropic pharmacotherapy and psychotherapy.

KEYWORDS

local radiation injury psychophysiological examination infringement of mental adaptation

Information References

Authors:

1. A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Leading Researcher)

Moscow, Russian Federation

2. AI Burnasyan Federal Medical Biophysical Center, Russia

Russian Federation

3. A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Deputy Head of Department)

Russian Federation

4. A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Head of Laboratory)

Russian Federation

5. AI Burnasyan Federal Medical Biophysical Center, Russia

Russian Federation

6. AI Burnasyan Federal Medical Biophysical Center, Russia

Russian Federation

7. AI Burnasyan Federal Medical Biophysical Center, Russia

Russian Federation

8. AI Burnasyan Federal Medical Biophysical Center, Russia

Russian Federation

9. A.I. Burnasyan Federal Medical Biophysical Center of FMBA (Junior Researcher)

Moscow, Russian Federation

10. A.I. Burnasyan Federal Medical Biophysical Center (FMBC) FMBA (Head of Laboratory)

Type:

Article

Pages:

from 13 to 18

Status:

Published

Subject area:

UDC 61
CSCSTI 76.33
CSCSTI 76.03
Russian Classification of Professions by Education 31.06.2001
Russian Classification of Professions by Education 31.08.08
Russian Classification of Professions by Education 32.08.12
Russian Classification of Professions by Education 14.04.02
Russian Library and Bibliographic Classification 534
Russian Library and Bibliographic Classification 51
Russian Trade and Bibliographic Classification 5712
Russian Trade and Bibliographic Classification 5734
Russian Trade and Bibliographic Classification 6212
Russian Trade and Bibliographic Classification 5708

Language:

Russian

Keywords:

local radiation injury, psychophysiological examination, infringement of mental adaptation

References

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