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[Cognitive and affective disorders in the elderly].

I A Novikova1, A G Soloviev2, V V Popov2

  • 1Northern (Arctic) Federal University named after M. V. Lomonosov, 17, Severnoi Dviny emb., Arkhangelsk, 163002, Russian Federation.

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This study developed a diagnostic algorithm for cognitive and affective disorders in older adults. The algorithm aids in early detection and intervention for mental health conditions in elderly populations.

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affective disorderscognitive disorderselderly persons

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Area of Science:

  • Geriatric Medicine
  • Neuropsychology
  • Psychiatry

Background:

  • Cognitive and affective disorders are prevalent in elderly and senile populations.
  • Early diagnosis is crucial for effective secondary prevention and management.

Purpose of the Study:

  • To develop and validate a diagnostic algorithm for cognitive and affective disorders in the elderly.
  • To assess the prevalence of these disorders in different age groups within the elderly population.

Main Methods:

  • Examination of 98 individuals (60-74 years and >75 years).
  • Utilized the "Short rating scale of cognitive functions" and the "Hospital Anxiety and Depression Scale (HADS)" for diagnosis.
  • Employed a multi-step diagnostic approach: screening, clinical, laboratory, and psychodiagnostic assessments.

Main Results:

  • Cognitive impairment found in 39.8% of elderly participants (28.7% in younger elderly, 61.6% in older elderly).
  • Affective disorders present in 51.6% (anxiety 40.9%, depression 27.7%).
  • Significant differences in prevalence noted between age groups.

Conclusions:

  • The developed algorithm is suitable for general medical practice (therapists, GPs, geriatricians).
  • Enables earlier secondary prevention and timely correction of mental health disorders in the elderly.
  • Highlights the high prevalence of cognitive and affective issues in aging populations.