CATAMNESIS

From Big Medical Encyclopedia

CATAMNESIS (catamnesis; grech to remember katamnemoneuo) — set of data on a condition of the patient and further disease after establishment diagnosis and extracts from a hospital. To. collect through certain time after initial observation over the patient, his stays in to lay down. establishment and after transferring of a disease by it (or an attack of a disease). The term «catamnesis» offered it. psychiatrist W. Hagen.

Unlike anamnesis (see) which shall light comprehensively the period of life of the patient preceding a disease, in To. the further disease and a condition of the patient which developed in time of disease process or as a result of it find reflection.

In psychiatry during the collecting To., as during the collecting the anamnesis, use subjective and objective data, i.e. the data received at inquiry of the patient during katamnestichesky survey in a hospital, out-patient clinic or at home and the objective data received according to the family, acquaintances, colleagues from different types of medical and other documentation. Talking to patients for obtaining katamnestichesky data, the psychiatrist as well as during the collecting the anamnesis, shall estimate features of a condition of the patient — possible existence of psychotic frustration (the changes of consciousness, crazy or hallucinatory symptoms, negativism, a tendency to dissimulation, etc.) complicating or excluding obtaining full data. During the studying To. the comprehensive examination of the patient including except a wedge is conducted. - psikhopatol., laboratory methods of a research. Material for To. receive on the basis of all previous dynamic overseeing by the patient. Special value for To. mentally sick studying of its working capacity, extent of rehabilitation, social adaptation, the description of his way of life, relationship with family members and people around, its interests, occupations, contacts has, degrees of its mental activity. To. it can be built in different terms after the beginning of a disease, and the katamnestichesky observations remote, made by a time in many years allowing to judge more fully a current and an outcome of the disease are of special value. The systematic and active katamnestichesky researches covering the whole groups of patients with certain mental diseases or forms of a course of these diseases are conducted for a systematics of mental diseases. As a result of widespread introduction epidemiol, a method of studying of mental diseases the possibility of carrying out katamnestichesky researches of populations of patients with different types of mental disorders opened. For the purpose of obtaining comparable results such mass or continuous katamnestichesky researches are conducted usually by the unified technique, by filling of the standardized cards containing all conditions of the patient, these, necessary for katamnestichesky assessment. As a rule, the group of medics consisting of doctors and sisters participates in such katamnestichesky researches. Generally psychiatric clinics are engaged in Katamnestichesky studying of the patients discharged from mental health facilities.

With the help To. the main differentiation between acute and hron was carried out, psychoses, funkts, and organic processes, various forms of a course of psychoses — continuous, phase, pristupoobrazno-progreduated were established, the main distinctions of a current and the forecast of endogenous psychoses were confirmed, patterns of dynamics of reactive states, neurosises, psychopathies and other forms of borderline cases were investigated. On the basis To. concepts of psychiatry of the last century are reconsidered numerous old nozol; e.g., it is shown that «mania» or «melancholy» are not isolated diseases, and only the phases which are quite often alternating, one, the disease process fazno proceeding that being considered earlier as independent diseases «hysteria», «neurasthenia», etc. represent quite often only stages of development of a psychogenic disease. On the basis To. the patients who transferred psychotic attacks the typology of conditions of remission various in a qualitative sense is created, i.e. the scale of transitions from an absolute recovery to the conditions of temporary easing (temporary lull) of a mental disorder which are followed by residual productive symptomatology and negative frustration, different in character and expressiveness, is revealed. Without katamnestichesky studying of patients various types of an outcome of mental diseases and reference (final) states, different in the structure, coming at mental diseases could not be described.

To. gives materials for assessment of working capacity mentally sick, in particular in work of VTEK. Katamnestichesky data on dynamics of working capacity and social adaptation of patients allow to plan rationally measures for their post-discharge adjustment from-tsy.

Special value received katamnestichesky studying mentally sick in connection with them psikhofarmakol. treatment. At the same time not only the data concerning efficiency and the long-term results of this or that type of active treatment but also data on a possibility of a maintenance therapy psychotropic drugs are important.

Expert value of a catamnesis

Use To. at court. - medical examination has features: the katamnestichesky direction in the organization and carrying out court. - medical examinations in connection with investigation of crimes against health; obligation of confirmation of katamnestichesky data documents and objective data; inclusion and conclusions of examination of data To. for their justification. Practically To. it is necessary for the expert at court. - medical out-patient and stationary surveys of the victims, suspects, defendants and defendants, and also at a research of corpses. At surveys for the purpose of definition of severity of the mechanical, thermal, toxic and other damage which caused disorder of health To. it is required for impact assessment of features of damage on duration of a disease and development of permanent or temporary disability. Data To. have essential value at a research of a condition of sexual functions (ability to copulation, fertilization, conception, establishment of its term, existence and the course of pregnancy, a condition of its interruption; puberty), and also at examination of a doubtful paternity and motherhood, at investigation of sexual crimes.



Bibliography: The reference book on psychiatry, under the editorship of A. V. Snezhnevsky, page 3, M., 1974.

E. Ya. Shternberg; V. M. Smolyaninov (court. medical).

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