CLINICAL AND DYNAMIC ASSESSMENT OF SOCIAL ACTIVITY AND QUALITY OF LIFE INDICATORS IN ELDERLY PATIENTS WITH DEPRESSIVE CONDITIONS ASSOCIATED WITH PSYCHOORGANIC SYNDROME
Keywords:
depression, psycho-organic syndrome, quality of life, social activity, intellectual productivity, psychodynamicsAbstract
In recent decades, depressive disorders have gained significant scientific and practical importance. This is associated with the high prevalence of depression and its negative impact on patients’ quality of life. Although the overall prevalence of depressive disorders ranges from 10–15%, this rate is observed to be twice as high among the elderly population. Changes in socio-economic conditions also contribute to specific psychological alterations in older individuals. These factors largely lead to the widespread occurrence of depressive disorders. In addition to the impact of psychological trauma, the comorbidity of somatic diseases in elderly patients is of great significance. Moreover, cardiovascular pathology in older adults often results in cerebrovascular complications, and cerebrovascular diseases of the brain are increasingly becoming a major cause of psychoorganic disorders. At the same time, mild cognitive impairment is observed in combination in 25–50% of elderly patients. The coexistence of depression with psychoorganic disorders of vascular origin is associated, on the one hand, with the high prevalence of these pathologies, and on the other hand, with the high probability of their comorbidity in the same patient. At the same time, despite numerous studies, the combined occurrence of depressive disorders with vascular-origin psychoorganic syndrome remains a relevant and pressing problem. The social functioning and quality of life of elderly patients suffering from depressive disorders represent one of the most significant contemporary issues. The definition of quality of life includes criteria applied both in traditional medical practice and in the field of psychiatry. The concept of quality of life is one of the key factors across medical disciplines and involves the assessment of an individual’s mental well-being. Considering the stages in the development of quality-of-life assessment, the evaluation of patients’ quality of life can be divided into two stages. Initially, in the 1970s, scales were introduced to assess psychological well-being, and they were specifically used for this purpose. In the second stage, the concepts of well-being and satisfaction were expanded to include the broader notion of life functioning.
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