SOCIAL FUNCTIONING OF PATIENTS WITH HALLUCINATORY-PARANOID DISORDERS IN SEVERE VASCULAR DEMENTIA

• Main Author: Shevchenko-Bitensky K. V
• Format: Article
• Language: English
• Published: Ukrainian Medical Stomatological Academy 2019-11-01
• Series: Вісник проблем біології і медицини
• Subjects: vascular dementia; hallucinatory-paranoid disorders; social functioning; severe severity of dementia.
• Online Access: https://vpbm.com.ua/upload/2019-4-1(153)/41-min.pdf

In a study of the features of the social functioning of patients with hallucinatory-paranoid disorders in severe vascular dementia, 63 patients took part. 34 patients with HPD (main group) and 29 patients without hallucinatory-paranoid disorders (control group). The study was applied a comprehensive approach that was implemented with help a clinical and psychopathological method, supplemented with using of psychometric scales (Montreal Cognitive Assessment (MoCa) scale, Global Assessment Functionally (GAF) scale, life limitation scale Psychiatric Disability Assessment Schedule (WHO DAS), Bristol Activity Daily Life Scale (BADL) and mathematical-statistical method. Cognitive impairments of patients with hallucinatory-paranoid disorders in severe vascular dementia were characterized by greater severity of praxis disorders (impaired visual-constructive skills), attention (stability), speech (error repetition of phrases and impaired speech speed) and orientation in space and location. The great negative impact of the hallucinatory-paranoid disorders on the self-care function, the effectiveness and necessity of activities in the family and at home, and the fulfillment of the family role has been established. It was defined pronounced effect of psychotic disorders on the formation in patients of this group of restrictions on their vital functions in orientation on the spot. Also it was established influence of psychotic disorders on the formation in patients of this group of limitations of their life activity in orientation in the place, in the skills of eating, self-care, work at home / garden. Obtained data on the social functioning of patients with hallucinatory-paranoid disorders in severe vascular dementia, allow to identify the main problems of their social and everyday functioning and to develop a personalized program of psychosocial rehabilitation of patients with psychotic disorders in dementia.