MODERN APPROACHES TO DIAGNOSIS AND THERAPY OF COGNITIVE DISORDERS IN ELDERLY PERSONS WITH ORGANIC MENTAL DISORDERS
Relevance: comorbidity of anxiety-depressive and cognitive impairment in elderly patients with organic mental disorders is a complicated problem and requires a complex approach. The purpose of the study is to analyze the effectiveness of using antidementic drugs in a complex treatment of cognitive impairment in elderly patients with organic mental disorders. Materials and research methods: The results of a three-month dynamic observation of patients with mental disorders of organic etiology are presented, in the clinical picture of which cognitive impairments of mild to moderate severity were detected. 45 patients undergoing inpatient treatment in the psychosomatic department of the Republican Scientific Practical Mental Health Center were examined. For the purposes of this study, all examined patients with cognitive impairment of non-dementia level were divided into experimental and control groups, which differed in treatment tactics. To determine the statistical significance of differences in average values when comparing related populations, Student t-test was used. The results of the study showed that a timely initiation of anti dementant therapy (acetylcholinesterase inhibitors) can stop not only deepening of cognitive impairment at non-dementia levels, but also have a beneficial effect on reduction of tremor-depressive disorders, combining well and potentiating the effect of other psychotropic drugs.