DIAGNOSTIC CRITERIA OF COGNITIVE IMPAIRMENTS IN PATIENTS WITH MIXED DEMENTIA COMPLICATED BY HALLUCINATORY-PARANOID DISORDERS
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Keywords

mixed dementia, diagnosis, hallucinatory-paranoid disorders, cognitive dysfunctions

Abstract

DIAGNOSTIC CRITERIA OF COGNITIVE IMPAIRMENTS IN PATIENTS WITH MIXED DEMENTIA COMPLICATED BY HALLUCINATORY-PARANOID DISORDERS

Shevchenko-Bitensky K.

The study involved 72 patients with mixed dementia complicated by hallucinatory-paranoid disorders (main group) and 61 patients with mixed dementia not complicated by psychotic disorders (control group). It was established and proved that patients with mixed dementia complicated by psychotic disorders were characterized by more expressed cognitive impairments, which were manifested in impairments of praxis, gnosis, memory, skills of counting, attention process, thinking and orientation.

Keywords: mixed dementia, diagnosis, hallucinatory-paranoid disorders, cognitive dysfunctions.  

 

Анотація.

ДІАГНОСТИЧНІ КРИТЕРІЇ КОГНІТИВНИХ ПОРУШЕНЬ У ПАЦІЄНТІВ З ЗМІШАНОЮ ДЕМЕНЦІЄЮ, УСКЛАДНЕННОЮ ГАЛЮЦИНАТОРНО-ПАРАНОЇДНИМИ РОЗЛАДАМИ

Шевченко-Бітенський К.

У дослідженні прийняло участь 72 пацієнтів зі змішаною деменцією, ускладненою галюцинаторно-параноїдними розладами (основна група) та 61 пацієнт зі змішаною деменцією, не ускладненою психотичними розладами (контрольна група). Встановлено та доведено, що пацієнти зі змішаною деменцією, ускладнених психотичними розладами, характеризувались більш вираженими когнітивними порушеннями, що проявлялось в порушеннях праксису, гнозису, пам’яті, навичок рахування, процесу уваги, мислення та орієнтації.

Ключові слова: змішана деменція, діагностика, галюцинаторно-параноїдні розлади, когнітивні дисфункції

 

Аннотация.

ДИАГНОСТИЧЕСКИЕ КРИТЕРИИ КОГНИТИВНЫХ НАРУШЕНИЙ У ПАЦИЕНТОВ СО СМЕШАННОЙ ДЕМЕНЦИЕЙ, ОСЛОЖНЕННОЙ ГАЛЛЮЦИНАТОРНО-ПАРАНОИДНЫМИ РАССТРОЙСТВАМИ

Шевченко-Битенський К.

В исследовании приняло участие 72 пациентов со смешанной деменцией, осложненной галлюцинаторно-параноидными расстройствами (основная группа) и 61 пациент со смешанной деменцией, не осложненной психотическими расстройствами (контрольная группа). Установлено и доказано, что пациенты со смешанной деменцией, осложненной психотическими расстройствами, характеризовались более выраженными когнитивными нарушениями, проявляющимися в нарушениях праксиса, гнозиса, памяти, навыков счета, процесса внимания, мышления и ориентации.

Ключевые слова: смешанная деменция, диагностика, галлюцинаторно-параноидные расстройства, когнитивные дисфункции

https://doi.org/10.35339/ic.6.4.248-252
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References

Slobodin T.N. (2012) Dementsii neyrodegenerativnogo proiskhozhdeniya (podkhody k diagnostike i lecheniyu) [Dementia of a neurodegenerative origin (approaches to diagnosis and treatment)]. Ukraí̈ns'kiy nevrologíchniy zhurnal. № 3. С. 9-19.

Gąsecki D., Kwarciany M., Nyka W., Narkiewicz K. (2013) Hypertension, Brain Damage and Cognitive Decline. Current Hypertension Reports. Vol. 15 (6). P. 547–558. doi: 10.1007/s11906-013-0398-4

Mishchenko T.S., Mishchenko V.M., Zdesenko I.V., Mykhaylov V.B. (2016) Neyrakson v likuvanni khvorykh z postinsulʹtnoyu dementsiyeyu [Neuraxon in the treatment of patients with post-stroke dementia]. Ukrayinsʹkyy visnyk psykhonenvrolohiyi. T. 24, № 2 (87). S. 19-23.

Mezhdunarodnaya organizatsiya po bolezni Al'tsgeymera i Vsemirnaya organizatsiya zdravookhraneniya. «Dementsiya: prioritet obshchestvennogo zdravookhraneniya». Zheneva: Vsemirnaya organizatsiya zdravookhraneniya; 2012 [Alzheimer's International Organization and World Health Organization. “Dementia: a public health priority.” Geneva: World Health Organization; 2012] http://apps.who.int/iris/bitstream/10665/75263/14/ 9789244564455_ru.pdf?ua=1

Svyrydova N.K. (2016) Kohnityvni ta emotsiyno-osobystisni porushennya u khvorykh na hipertenzyvnu entsefalopatiyu. Stan mozkovoho krovoobihu pry arterialʹniy hipertenziyi (naukovyy ohlyad ta osobysti sposterezhennya) [Cognitive and emotional-personality disorders in patients with hypertensive encephalopathy. Conditions of cerebral circulation in arterial hypertension (a scientific review and personal observations)]. Mizhnarodnyy nevrolohichnyy zhurnal. № 1 (79). С. 123-130.

De la Torre J. C. (2012) Cardiovascular Risk Factors Promote Brain Hypoperfusion Leading to Cognitive Decline and Dementia. Cardiovascular Psychiatry and Neurology. Vol. 2012. P. 1–15. doi: 10.1155/2012/367516

Gorelick P.B., Scuteri A., Black S. E., DeCarli C., Greenberg S. M. et. al. (2011) Vascular Contributions to Cognitive Impairment and Dementia: A Statement for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke. Vol. 42 (9). P. 2674-2713. doi: 10.1161/strokeaha.111.634279

Damulin I.B. (2011) Kognitivnyye rasstroystva pri tserebrovaskulyarnoy patologii [Cognitive disorders in cerebrovascular pathology]. Novini meditsini ta farmatsíí̈. № 5 (356). http://www.mif-ua.com/archive/article/16362

Slobodyn T.N., Horeva H.V., Holovchenko YU.I. (2017) Kliniko-nevrolohichni osoblyvosti perebihu ta kohnityvnykh porushenʹ pry ortostatychniy hipotenziyi u patsiyentiv iz neyrodeheneratyvnymy zakhvoryuvannyamy [Clinical-neurological peculiarities of the course and cognitive impairment in orthostatic hypotension in patients with neurodegenerative diseases]. Scientific Journal «ScienceRise: Medical Science». № 11(19). С.4-13.

Maruta N.A., Potapov A.A., Mudrenko I.G., Sotnikov D.D. (2018) Kliniko-psikhopatologicheskiye osobennosti bol'nykh s suitsidal'nym povedeniyem pri smeshannoy forme dementsii [Clinical-psychopathological characteristics of patients with suicidal behavior in a mixed form of dementia]. Psikhiatriya, psikhoterapiya i klinicheskaya psikhologiya. Ukraina – Belarus': OOO «Izdatel'skiy dom «Professional'nyye izdaniya». Tom 8, № 1. – S.46-59.

Folstein M.F. Folstein S.E., McHugh P.R. (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. Vol. 12 (3). P. 189-198.

Nasreddine Z.S. Phillips N.A., Bedirian V. et al. (2005) The Montreal Cognitive Assessment MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc. Vol. 53 (4). P. 695-699.

Alladi S., Alladi S., Kandadai R.M., Mekala S. et al. (2009) A comparative study of vascular dementia, Alzheimer’s disease and mixed dementia in a south Indian memory clinic setting. The 4th VAS-COG 2009; Abstract book 58.

Roshchina I.F., Mikhaylova N.M. (2013) Neyropsikhologicheskiye osobennosti smeshannoy al'tsgeymerovsko-sosudistoy dementsii [Neuropsychological features of mixed Alzheimer’s and vascular dementia]. Zhurnal nevrologii i psikhiatrii. № 10. P.11-17.

Bruandet A., Richard F., Bombois S. et al. (2009) Alzheimer disease with cerebrovascular disease and vascular dementia: clinical features and course compared with Alzheimer disease. Neurol Neurosurg Psychiat. Vol. 80. P. 133-139.

Levin O.S., Unishchenko N.A., Dudarova M.A., Batukaeva L.A. (2009) Clinical, neuropsychological and neuroimaging features of mixed dementia. J Neurol Sci. Vol. 283. P. 301.

Mikhaylova N.M. (2012) "Diagnostika i terapiya smeshannoy (al'tsgeymerovsko-sosudistoy) dementsii [Diagnostics and therapy of mixed dementia]. Sovremennaya terapiya v psikhiatrii i nevrologii. No. 3. P. 18-26.

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