COMPLEX PERSONIFIED PSYCHOSOCIAL REHABILITATION PROGRAM FOR PATIENTS WITH HALLUCINATORYPARANOID DISORDERS IN VASCULAR DEMENTIA

Maruta N. O., Shevchenko-Bitensky K. V.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

In order to develop and test a comprehensive personalized psychosocial rehabilitation program for patients with hallucinatory-paranoid disorders in vascular dementia, 75 patients of the main group (with hallucinatory-paranoid disorders) and 63 patients of the control group (without such disorders) with were examined. The results of clinical, psychopathological, neuropsychological and psychometric studies patients of the main and of the control group with vascular dementia allow to develop a comprehensive personalized program for the psychosocial rehabilitation of patients with hallucinatory-paranoid disorders in vascular dementia. The basic principles of the developed program for the psychosocial rehabilitation of patients with vascular dementia are the principles of a comprehensive, differentiated, personified, resource-oriented and phased continuous approaches. The targets of the rehabilitative influence are non-cognitive psychopathological disorders, cognitive impairment, psychosocial deficiency and concomitant somatic neurological diseases. Pharmacotherapy included the use of antipsychotic drugs (mainly of a second generation), antidepressants, acetylcholinesterase inhibitors, drugs that interact with NMD-receptors, and neuroprotective agents. The complex of rehabilitation measures included: • cognitive remediation aimed at restoring or improving cognitive functions; • psycho-educational training caregivers; • social and psychological counseling for family members and caregivers; • training groups on developing and maintaining skills: communication, establishing social contacts, fulfilling a parental role, behavior in unusual and difficult conditions, self-service (using the phone, making purchases, managing finances, using transport, etc.); • individual and group therapy with art and creative expression (drawing, modeling, music therapy, creative communication with nature); • stimulating therapy (employment therapy): sports exercises, games, occupational therapy; • regular physical activity, physiotherapy exercises, massage; • the use of psychological educational programs aimed at increasing drug compliance and developing a positive attitude to drug treatment. The effectiveness of the developed program of patients with hallucinatory-paranoid disorders in vascular dementia, which consists in the positive clinical dynamics of the mental state, the restoration of the basic functions of life and increasing drug compliance, has been proved.

vascular dementia, hallucinatory-paranoid disorders, social functioning, therapy, psychosocial rehabilitation

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«Bulletin of problems biology and medicine» Issue 4 Part 2 (154), 2019 year, 144-149 pages, index UDK 616.1+159.923:316.6-036.66

10.29254/2077-4214-2019-4-2-154-144-149