Lviv clinical bulletin 2019, 4(28): 43-48

https://doi.org/10.25040/lkv2019.04.033

Peculiarities of Social Functioning of Patients With Vascular Dementia, Complicated by Hallucinator-Paranoid Disorders

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K. Shevchenko-Bitensky

SI “Ukrainian Research Institute of Medical Rehabilitation and Balneology of Ministry of Health of Ukraine”

Introduction. The increasing prevalence of severe cognitive impairment in populations, the involvement of a significant number of people of working age in the medical, economic, psychological and social problems associated with dementia, the decline in social functioning and the quality of life of patients, as well as the lack of developed comprehensive care programs for people with dementia and their families are updated a study aimed at assessing indicators of social functioning (SF) in patients with vascular dementia (VD), about complicated hallucinatory-paranoid disorders HPD).

The aim of the study. To study the features of the social functioning of patients with VD complicated by HPD.

Materials and methods. The study used an integrated approach, which was implemented using the clinical and psychopathological method, supplemented by the use of psychometric scales: Global Assessment Functionally (GAF)); Psychiatric Disability Assessment Schedule – WHO) (DAS)); Bristol’s Activity Dayly Life Scale (BADL)); scale of structured interview “Assessment of the patient’s family support resource”; Behavioral Pathology in Alzheimer Disease (BEHAVE -AD)).

The study of the features of SF in patients with VD was carried out on a sample of 75 patients with VD, complicated by HPD – F01.3 (1-2) (main group). As a control group, the study involved 63 patients with VD, without psychotic disorders – F01.3.

Results. The results of the study of the features of SF in patients with VD complicated by HPD, indicate the following.

The magnitude of total SF of patients with VD complicated by HPD was consistent with a range of impairments from marked impairment of functioning in the social and occupational spheres – to the need for follow-up to maintain minimal personal activity.

Patients with VD and HPD have impaired communication functions, the effectiveness and degree of participation in household chores, the quality and level of participation in fulfilling family and parental roles, the needs, effectiveness of social contacts, and the effectiveness of behavior in unusual and difficult conditions.

It was marked influence of HPD on the formation in patients with VD of limitations of their vital functions in communication, ability to make purchases, manage finances and use transport.

The majority of corrective caregivers in patients with VD, complicated by HPD, were characterized by low family support, moderate and severe troubles about patients’ psychopathological symptoms.

Conclusions. The obtained data on the SF of patients with VD, complicated by HPD, will reveal the main problems of their social and occupational functioning and develop individual psychosocial rehabilitation programs for this patient population.

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