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2183 – Comparative Psychometric Analysis The Vascular, Traumatic And Epileptic Dementia

Published online by Cambridge University Press:  15 April 2020

V.A. Verbenko
Affiliation:
Department of Psychiatry, Psychotherapy, Narcology, Crimean State Medical University, Simferopol, Ukraine
A.L. Malev
Affiliation:
Department of Psychiatry, Psychotherapy, Narcology, Crimean State Medical University, Simferopol, Ukraine
A.N. Zakharova
Affiliation:
Department of Clinical Pharmacology and Pharmacotherapy, Crimean State Medical University, Simferopol, Ukraine

Abstract

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Introduction

The cerebrovascular disorders, traumatic brain injury and epilepsy lead to the development of dementia, which requires a psychometric verification of cognitive disorders.

Objectives

In patients with dementia due to vascular brain diseases, traumatic brain injury and epilepsy was analyzed psychometric indicators of cognitive impairment.

Aim

Was studied the severity psychometric characteristics of cognitions in patients with dementia due to vascular diseases of the brain, brain injury and epilepsy.

Materials

5 groups patients with dementia: F01.00 - 14 patients (mean age 55 years), F01.1 + F01.3 - 14 patients (mean age 60 years), F01.8 - 14 patients (mean age 65 years), F02.802 - 21 patients (mean age 50 years), F02.803 - 15 patients (mean age 38.5 years).

Methods

The psychometric methods: MMSE, FAB, Schulte, the clock drawing test, nonparametric statistical methods.

Table of results:

DiagnosisMMSEFABTable Schulte (seconds)Clock drawing test
F02.80319,93±3,7313,30±2,1783,5±49,56,27±1,90
F02.80220,04±4,1210,47±4,1597,5±536,66±2,18
F01.0020,90±2,9810,27±3,37105±464,72±2,05
F01.817,66±6,2010,11±3,33122±593,77±2,68
F01.1+F01.317,40±6,538,30±3,33188±1175,12±1,45

[Psychometric indicators of dementia]

Conclusion

Severity of cognitive impairment is increasing in the following order:

  1. 1) dementia due to epilepsy;

  2. 2) dementia due to brain injury;

  3. 3) acute post-stroke dementia;

  4. 4) atherosclerotic, vascular dementia unspecified;

  5. 5) multi-stroke, mixed cortical and subcortical vascular dementia.

Disorders of frontal functions dominate in the structure of cognitive impairment in all dementias.

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Abstract
Copyright
Copyright © European Psychiatric Association 2012
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