Early-stage diagnosis of cognitive disorders as a dementia risk-reducing factor in older adults: opportunities and resources
https://doi.org/10.37586/2686-8636-1-2022-32-36
Abstract
The article provides an analysis of underlying problems in diagnosing a cognitive decline and dementia in the early stages among older adults. The reasons for postponing the treatment of patients with cognitive impairment to specialized specialists examined. Indications given of the macrosocial (stigmatization of mental disorders in general and dementia in society particularly, costs of the period until the deinstitutionalization of psychiatry), microsocial (psychological structure in the family) aspects of postponing treatment to a psychiatrist. Using the experience of Moscow memory clinics the principles of psychoeducation implementation described as well as the mechanisms of interaction between psychiatrists and general practitioners analyzed.
About the Authors
V. B. SavilovRussian Federation
MD, Head of Medical Rehabilitation Centre “Memory Clinic”
Moscow
M. V. Kurmyshev
Russian Federation
MD, PhD, Deputy Chief Physician
eLibrary SPIN: 7335-0243
Moscow
I. E. Yurchenko
Russian Federation
analyst
Moscow
O. A. Karpenko
Russian Federation
MD, PhD, Head of External and Research Affairs
eLibrary SPIN: 9600-0688
Moscow
G. P. Kostyuk
Russian Federation
MD, PhD, professor, Chief physician
eLibrary SPIN: 3424-4544
Moscow
References
1. https://www.who.int/mental_health/neurology/dementia/infographic_dementia/ru/ (ссылка актуальна на 10.02.2020).
2. Alzheimer’s disease International. World Alzheimer Report 2015 — the global impact of dementia: an analysis of prevalence, incidence, cost and trends. London: Alzheimer’s disease International; 2015.
3. Harada C.N., Natelson Love M.C., Triebel K.L. Normal cognitive aging. Clin Geriatr Med. 2013; 29 (4):737–52.
4. Gunning-Dixon F., Brickman A.M., Cheng J.C., Alexopoulos G.S. Aging of cerebral white matter: a review of MRI findings. Int J Geriatr Psychiatry. 2009; 24 (2): 109–17.
5. Sheung-Tak Cheng, Cognitive Reserve and the Prevention of Dementia: the Role of Physical and Cognitive Activities, 2016, https://link.springer.com/article/10.1007%2Fs11920-016-0721-2
6. Bruandet A., Richard F., Bombois S., Maurage C.A., Masse I., Amouyel P., et al. Cognitive decline and survival in Alzheimer’s disease according to education level. Dement Geriatr Cogn Disord. 2008; 25(1): 74–80.
7. Боголепова А.Н. Осведомленность населения о проблеме деменции//Журнал неврологии и психиатрии, № 6, 2015, с.97–101, https://www.mediasphera.ru/issues/zhurnal-nevrologii-i-psikhiatrii-im-s-s-korsakova/2015/6/downloads/ru/391997-729820150615
8. Brookmeyer R., Gray S., Kawas C. Projections of Alzheimer’s Disease in the United States and the Public Health Impact of Delaying Disease Onset American Journal of Public Health. 1998; 88(9): 1337–1342.
9. Carillo M.C., Thies W., Bain L.J. The Global Impact of Alzheimer’s disease. In: Alzheimer’s disease — Modernizing Concept, Biological Diagnosis and Therapy. Advances in Biological Psychiatry. 2012; 28: 1–14.
10. Wright N., Lindesay J. A servey of memory clinics in the British Isles. Int J Geriatr Psychiatry. 1995;10:379-385.
11. Васенина Е.Е., Левин О.С., Сонин А.Г. Современные тенденции в эпидемиологии деменции и ведении пациентов с когнитивными нарушениями//Журнал неврологии и психиатрии, № 6, 2017 г., вып. 2, с. 87–95 https://doi.org/10.17116/jnevro20171176287-95
12. Костюк Г.П., Курмышев М.В., Савилов В.Б., Ефремова Д.Н., Пак М.В., Бурыгина Л.А. Восстановление когнитивных функций у лиц пожилого возраста в условиях специализированного медико-реабилитационного подразделения «Клиника Памяти». СОЦИАЛЬНАЯ И КЛИНИЧЕСКАЯ ПСИХИАТРИЯ 2017, т. 27 № 4, с.25–31.
13. Brodaty H. Low Diagnostic Yield in a Memory Disorders Clinic; Int. Psychogeriat. 1990; 2: 149–159.
14. Simpson S., Beavis D., Dyer J., Ball S. (2004). Should old age psychiatry develop memory clinics? A comparison with domiciliary work. Psychiatric Bulletin, 28, 78–82. Staffordshire Cares. (n.d.). Dementia support groups. Retrieved from http://www.staffordshirecares.info/HomeCommunityCare/Dementiasupportgroups.aspx.
15. Steenland K., Macneil J., Bartell S., Lah J. Analyses of Diagnostic Patterns at 30 Alzheimer’s Disease Centers in the US. Neuroepidemiology. 2010; 35:1:1927. https://doi.org/10/1159/000302844
Review
For citations:
Savilov V.B., Kurmyshev M.V., Yurchenko I.E., Karpenko O.A., Kostyuk G.P. Early-stage diagnosis of cognitive disorders as a dementia risk-reducing factor in older adults: opportunities and resources. Russian Journal of Geriatric Medicine. 2022;(1):32-36. (In Russ.) https://doi.org/10.37586/2686-8636-1-2022-32-36