Assessment of clinical and economic efficiency of complex method of psychotherapy and menopausal hormonal therapy at women in perimenopause
100 patients with anxiety-depressive disorders in perimenopause were examined in order to optimize the provision of medical care to women in perimenopause with mental disorders. After randomization (subgroup 1a (50 women) and subgroup 1b (50 women)), and taking into account contraindications to the treatment or rejection of a woman from therapy, 53 patients were excluded from the study: 24 from subgroup 1a and 29 from subgroup 1b. Patients of subgroup 1a received a complex treatment that included psychotherapy (PT) and menopausal hormone therapy (MHT). Patients of subgroup 1b got only MHT. PT was carried out for 3 months, MHT - for 12 months. The complex treatment method demonstrated high effectiveness in relation to anxiety-depressive complaints in the ICD-10, which was confirmed by a decrease in the levels of depression on the Beck’s Depression Inventory, depression and anxiety levels on the Greene Climacteric Scale, a decrease in personal and reactive anxiety rates according to the State- Trait Anxiety Inventory, a decrease in the modified menopausal Index and its components, constitutional parameters. The noted positive dynamics was accompanied by a significant improvement in the quality of life of the studied patients. The identified changes were persistent and persisted throughout the year. Twelve months after initiation of therapy, 4 cases of admission to the psychiatric department were recorded in subgroup 1b, which was not found in subgroup 1a. The introduction of a complex method of treatment with the use of psychotherapy gave a tangible economic effect (efficiency factor=7.49). It was introduced to correct the mental state of women in the perimenopause.