DIAGNOSTICS AND TREATMENTOF AFFECTIVE DISORDERS IN PATIENTS WITH DIABETIC POLYNEYROPATHY

Abstract. The tendency of somatization is one of the most characteristic features of the pathomorphosis of mental diseases of various etiologies. Currently, there is a significant increase in the number of affective disorders, one of the variants of which are somatized depressions [2]. In addition, the most complex, polymorphic vegetativevisceral disorders are observed in patients with hysterical disorders. In cases where affective disorders are observed in patients suffering from somatic pathology, which is accompanied by chronic pain, their clinical evaluation and differential diagnosis is extremely difficult. However, somatic diseases and somatized mental disorders have a different prognosis, they require different treatment and rehabilitation tactics [6]. Estimation of the prevalence of non-psychotic mental disorders, which include mild depressive, anxious and organic mental disorders, is extremely important in patients with diabetes mellitus (DM) because they can significantly affect the course and prognosis of the underlying disease [1]. Diabetes mellitus is one of the most common endocrine diseases. In recent decades there has been an increase in the incidence of diabetes. Every 10-15 years the number of patients with diabetes mellitus doubles [5]. Advances in the diagnosis and treatment of diabetes have led to an increase in the life expectancy of patients, which in turn has led to the emergence of a large number of late complications of diabetes, one of them is polyneuropathy. Under the conditions of complex interweaving of somatogenic, psychogenic and personal factors in the onset and development of diabetes mellitus, the greatest differential diagnostic difficulties are the isolation of somatic and mental components [3,4]. Non-psychotic mental disorders including non-severe depressive, anxiety and organic disorders can have an impact on the course and prognosis of the underlying disease in patients with diabetes mellitus (DM). Therefore, assessment of their epidemiologic aspects is extremely important.