7. Zucker R.

Pathways to alcohol problems and alcoholism: A developmental account of

the evidence for multiple alcoholisms and for contextual contributions to risk. In: Zucker,
R.;Boyd, G.; and Howard, J., eds. The Development of Alcohol Problems: Exploring
theBiopsychosocial Matrix of Risk. National Institute on Alcohol Abuse and Alcoholism
Research Monograph No. 26. NIH Pub. No.943495. Washington, DC: the Institute, 1994.pp.
255290.
8. Zucker R.A.; Kincaid S.B.; Fitzgerald,H.E.: Alcohol schema acquisition in
preschoolers: Differences between children of alcoholics and children of nonalcoholics.
Alcoholism: Clinical and Experimental Research 19:17, 1995.

PARTICULARIT ILESINDROMULUIDEPRESIVN ALCOOL-DEPENDEN

Vladimir Sterpu, Dina C
Catedra Psihiatrie, nroopsihologie USMFNoTs n

Summary
Peculiarities of depressive syndrom in alcohol-dependency
In the article the results of analyses of some differences of depressive syndrome are
presented orn o pns gender. A comparation between men and women, who
suffered from alcohol-dependency was done.

Rezumat
nrosnprnrnsindromului depresiv nn n. S-a
opr oro nr ,sr oo-pnn .

Actualitatea
Depresia alcoolism sunt la moment probleme majore ale s n pe mapamond,
inclusiv petru Moldova. S s n 2020 prs p 2 o
orn.Consooonsprorrspnrpop
nRpMoo.Rsp,s s sporornr pop ,
nn n spr s or n ror, spor on rs
, s.An,nRpMoosnrsr r48000prson
afectate de alcoolism cronic. Aoos r n o pr n psr, rnn n
or poo psr. n srr or psre aceeasta ocupa 4-6%
n pn rs 12-28 n 1-2% n pn p rs 28 n.
Ip s poo n pr or n sr ono , n sr soo-
prnrr ornrn,.Dpnn ooprssno
on pronn rror ps n rn prsonor r so rn.
ssn rpor 70% nr oo npns rr pnr n nos
psihiatric la un on n p or s 50% nr n sor
oo s pnn , sn, npns rr prs or s rr
por1.Mrn,nr-un raport programului Epidemiologic Cachment Area [2],
Rr onr o onorn r proor oos 3. Prnr
s oo s pnn n nn, 36,6% o oor
psihiatrica si 13,4 % au avut antecedente de tulburari afective. Drn rnospro
n pr oor oos s r r sn porn n
o. Prson pnn oo, s r r psr oor
poo spropor on sr o sor s proor, pr rsrs
prsonrspnrsonpossprospnr.nr
709
unei interac nopor,nroo ,psoo so ,orn
s ns n r r n orr nor r r psopoo r r
prson.nps,prn rsr rnropsrporr
.Rsp r ilor orn prejdii acute i cronice.Ca urmare a
crer rp n r r sr oo-pnn , s onsn ele
roprosrosnrnor,noporn pro
nrn orsnoos.nsns osporsnroprs
pn oo-pnn , nr pro spo rs sor
diferite. Mns r n prs r p s, s s n
r rpson,s n,nso poonr(Frn.1998;
on.1990;Srsn,1999).As,nrorsorssorns
n or nos po nn r prs. D p, rn p s n
prospooons pprsr,prnr spnssp
sexului pe ratele scalelor de depresie nu par sa fie complet calculate

Scopul studiului
Errn ornpnrsnroprspn oo-pnn .

Mtrmt
A fost studiat o 40 pn oo-pnn , r spo
snroprs,n2rpnn n:1)on20 r ;2)on
20 de femei. Studiul s- n nn IMSP Sp Cn Psr n Cn .
Esr s r pn or s-a efectuat folosind S n r snro prs
Hamilton (HDRS Hamilton Depression Rating Scale), varianta cu 21 de itemi, care a fost
oos npr3p nrnrpnps2s p nrns onr.
Is ,rprn so,rrs snroprs:
1. Sr prs (rs , n ejde,
ps nrs)
2. Sentimente de vinova ie
3. Ide sr
4. Insomnie timpurie (seara)
5. Insomnie din mijlocul nop ii)
6. Insomnie de diminea a)
7. Munc i activit i
8. Retardarea ritmului ideativ i activitatea
motorie sc zut
9. Agita ie
10. Anxietate psihic
11. Anxietate somatic
12. Simptome somatice: gastro-intestinale
13. Simptome somatice generale
14. Simptome genitale
15. Ipocondrie
16. Pierderea greut ii
17. Autocritica
18. Os spo rn
19. Dprsonrrr
20. Simptome paranoide
21. Spo oss opse.

710
 Rezultate
Do nosn,oosno1)srp 2)opr prn
rssssnSPSS17orOSnosMSOE2007

Tabelul 1
Imrtmts HDRS
r femei
HDRS 1 22,9 22,3
HDRS 2 11,0 8,7

Tabelul 1 onsr pr nns ns ror n n r

n n n n pn. L 2 s pr rn nr
mediile indicilor scalei HDRS, care sunt mai mici la femei (8,7 vs. 11,0)

70
60
50
40
30
20
10
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Fr1.Drn pron nrs HDRSnn n(V1)

Figura 1onsr rn norrs HDRS,prnn

pron(rn r ).Cs osnnsns rspo
nn n,ros pronrn nrns HDRS.D
sn o n n p V 1 r rn spo n pr 3 p
nrnrns onr.
Tabelul 1 A
Itmummrr rs HDRS
(Vizita 1).

> 20 >30 >40 >50

3 4 14 14
4 12 15 15
9 14 20
12 15
14 17
15 20
16
17
18
20
Celulele de culoare obinuit arat itemii cu indicii sporii la brbi, cele gri la femei
n tabelul 1A sunt prezen i itemii rrn n nnsns r
spoor n n n. Drn n nns r 20% sn la 10 itemi.
Drn r1/3snor6n21.Prnnsporr
4. Insomnie timpurie (seara), 12. Simptome somatice: gastro-intestinale, 15. Ipocondrie, 20.
Simptome paranoide, o - n spor femei: 14. Simptome genitale,
17.Autocritica. C n rn , 50%, pr 14-Simptome
genitale 15-Ipocondrie

100

80

60

40

20

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Fr2.Drn pron nrs HDRSnn n(V2)

Figura 2 demonstrea rn nors HDRSs-ornopr V

1, on r oponnorsnroprsnn n.

Tabelul 2A
Itmummrr
rs HDRS(Vzt2)

>40 >50 >60 >70

1 1 1 4
2 4 4 12
4 6 12 16
5 12 15
6 13 16
7 14
12 15
13 16
14 17
15
16
17
Celulele de culoare obinuit arat itemii cu indicii sporii la barbai, cele gri la femei

nprrn,rn nrnr13r rn r40%,

5 itemi mai mult de 60%: 1. Str prs (trst , z , ps trs), 4.
Insomnie timpurie (seara), 12. Simptome somatice: gastro-intestinale 15 (Ipocondrie) 16.
Pierderea rut , la 3 itemi, srr70%(4,12,16).norn,s
n prn or,nrnspor snr ,o 3rn
r 70%, 5 rn r 60% sn rrs r or. L
snnspor 13(Simptome somatice generale), 14 (Simptome genitale)
17 (Autocritica),,1417prnT.1A(V1)nT.2A(V2)
L r onn or V prn r or : 4 (Insomnie
timpurie (seara)), 12 (Simptome somatice: gastro-tst), 15 (Ipr) 16
(Prrrutt).
 Concluzii
S-onsr oponnsnroprssns nnsr
r . L r spr r -o oponn Spo
genitale r oponn Ipocondrie. A oponn s r n
altele. Rr nns o sptomelor depresive se petrece mai rapid la femei. La
r oponnInsonpr(sr),Sposo:sro-nsn
Prr n r o nn prss. As, pn , sr oo-
pnn ,snroprsrosrrrsnn n,nor ror
po nrnnpn or.

Bibliografie
1. Brady K, Casto S: An examination of depressed vs nondepressed alcoholics in
inpatient treatment. J Clin Psychol 1986;42:177-184
2. Hasin DS, Grant BF, Endicott J: Lifetime psychiatric comorbidity in hospitalized
alcoholics: subject and familial correlates. Int J Addict 1988; 23:827-850
3. Willenbring ML: Measurement of depression in alcoholics. J Stud Alcohol 1986;
47:367-372
4. Cleary P, Guy W: Factor analysis of the Hamilton depression scale. Drugs Exp Clin
Res 1977; 1:115-120
5. Rhoades HM, Overall JE: The Hamilton Depression Scale: Factor scoring and profile
classification, Psychopharmacology Bulletin, 1983, 19:91-96
6. Guy W: ECDEU Assessment Manual for Psychopathology, DHEW Publication N0.76-
338, Washingtion DC; Government Printing Office, 1976
7. Hedlund JL, Vieweg BW: The Hamilton Rating Scale for Depression: A
comprehensive review, Journal of Operational Psychiatry, 1979,10:149-165

PARTICULARIT ICLINICO-TERAPEUTICEALEST RILORPSIHOTICEN

RETARDUL MENTAL
TtTu ,TtPrspt,GC r uu
CrPsr,nroopsoo USMFNoTs n

Summary
The clinico-therapeutical particularities in psychotic state in mental retardation
In article there are present actual data due to mental retardation, specific clinical
manifestations for patients with psychotic state in this disease. There are described clinico-
evolutive particularities of subjects with psychomotor agitation, psychopathic behavior,
depressive disease, delusions, hallucinatory episodes, crepuscular states. A special part is
reserved to general and particular principles of treatment, management of recovery and
prevention measures in patients.

Rezumat
n rr sn prn rror retardul mintal, ns r n
sp pn or s r pso n s n. Sn srs prr
clinico evo s or psooor, r r oporn
psihopatic, rrprs ,rn,psonor,s rrpsr. Un loc
aparte este rezervat principiilor generale prrrn, surilor de recuperare
proonor.