Open AccessClinical-psychopathological structure of hallucinator-paranoid disorders during vascular dementia of heavy direction of expression
Author(s) -
K.В. Шевченко-Бітенський,
Державна Установа,
« Український Науково-
Publication year - 2019
Publication title -
psihìatrìâ, nevrologìâ ta medična psihologìâ
Language(s) - English
Resource type - Journals
eISSN - 2411-166X
pISSN - 2312-5675
DOI - 10.26565/2312-5675-2019-12-03
Subject(s) - psychopathology , psychology , dementia , psychiatry , vascular dementia , clinical psychology , medicine , disease
The purpose of this study is to determine the clinical and psychopathological features of hallucinatory-paranoid disorders in severe vascular dementia.The clinical and psychopathological structure of hallucinatory and paranoid disorders in patients with severe vascular dementia was studied in a group of 34 patients with mixed cortical-subcortical dysfunction with hallucinatory-paranoid symptoms — F01.3 (1-2), which consisted the main group. As a control group, the study involved 29 patients with severe vascular dementia (F01.3), without by hallucinatory-paranoid disorders.To achieve the goal and objectives of the study, a set of research methods was used, including the clinical and psychopathological method, supplemented by the Behavioral Disorders Scale (Bahav-AD), neuropsychiatric questionnaire (NPI), non-cognitive sections of the AD assessment scale (ADAS-Non Cog) and methods of statistical data processing.According to the results of the study, the following symptoms were revealed in the structure of hallucinatory-paranoid disorders in patients with severe vascular dementia: the prevalence of hallucinatory disorders over paranoid and paranoid disorders; the dominance in disorders of perception of frequent visual, auditory and tactile hallucinations of moderate severity; the prevalence of delusional beliefs that “the house is not his house” and the spouse/caretaker is impostors; the predominance of non-deployed, unsystematized and sketchy crazy ideas, that do not tend to expand; a combination of hallucinatory and paranoid disorders with frequent aimless activity of moderately strong severity; frequent generalized anxiety of moderate to severe severity; frequent sleep/wake rhythm disturbances of moderate severity; periodic moderate swagger; pronounced distractibility.The data obtained should be taken into account when conducting differential diagnosis of patients with hallucinatory-paranoid disorders in severe vascular dementia.