Харьковская медицинская академия последипломного образования, Харьков, Украина Харьковский национальный медицинский университет, Харьков, Украина Secondary depression in patients with cardiovascular and cerebrovascular diseases Вторичная депрессия у пациентов с сердечно-сосудистыми и цереброваскулярными заболеваниями ______________________ Abstract __________________________________________________________________________ On the base of the system approach to evaluation of the results of complex clinicalpsychopathological and psychodiagnostic study of patients after myocardial infarction and cerebral stroke, there were determined the features of clinical structure, regularities of formation, development and course of somatogenic depression and associated disorders in these patients. <...> In patients with cardiac infarction in acute period, the pain syndrome is the main one, which leads to severe psycho-emotional disorders. <...> On the background of preservation of cognitive function the phobic, anxiety and depressive symptoms prevail. <...> Subsequently, the primary psycho-emotional constituent element disappeared and anxietydepressive disorders developed together with hypo- and anozognostical type of perception of personal condition. <...> In patients with cerebral stroke, the disorders of the level of consciousness were primary with cognitive and asthenic violations with the following formation of psycho-emotional disorders and anxiety, and depressive disorders with hypochondriac elements on the basis of persistent cognitive violations. <...> Keywords: secondary depression, anxiety, psychotherapy, myocardial infarction, cerebral stroke. ______________________ Резюме __________________________________________________________________________ На основе системного подхода в оценке результатов комплексных клинико-психопатологических, психодиагностических исследований лиц, перенесших ИМ и МИ, были определены особенности клинической структуры, закономерности формирования, развития и течения соматогенной депрессии и ассоциированных расстройств у данных пациентов. <...> У лиц с ИМ в остром периоде ведущим является болевой синдром, который приводит к выраженным психоэмоциональным расстройствам. <...> The growth of pace of life, changes in demographics, bad habits, scientifi c and technological progress, constant exposure to stress determine not only an increase of cardiovascular and cerebrovascular pathology, but also a signifi cant increase of mental and behavioral disorders, a special role among which takes violations of depressive spectrum. <...> Herewith increase of depressive disorders is not due to endogenic forms, but due to psychogenic, reactive, masked, mixed forms, including somatogenic which characterized by primarily somatic manifestations. <...> The problem of cardiovascular diseases takes a special place in the range of psychosomatic pathologies [1 <...>