Yaroslavtsev S, Oprya E, Kalenskaya G, Panko T, Denisenko М
Kherson regional institution for the provision of psychiatric care»; Odessa National Medical University, Departments of Psychiatry, Narcologists and Psychologists; State Institution «Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine» Kharkiv, Ukraine.
Georgian Med News. 2021 Jun(315):119-125.
The aim of the study is to determine the factors of suicidal risk in patients with cognitive impairment with depressive disorders. 362 patients with cognitive impairment in depressive disorders were examined: 123 patients with recurrent depressive disorders, 141 patients with bipolar affective disorders, and 98 people with prolonged depressive reactions. A complex of research methods was used: clinical-psychopathological, psychodiagnostical, psychometrical and statistical. Suicidal risk factors were determined in patients with cognitive impairments in depressive disorders, which included the clinical and psychopathological features of the manifestation of depressive disorder, anamnestic burden, the course and severity of stress factors and impaired communication. The relationship between cognitive dysfunction and the level of suicidal risk, differentiated depending on the type of depressive disorder, was determined. The identified suicidal risk factors can serve as diagnostic criteria for differential diagnostics and should be taken into account when creating psychocorrectional programs aimed at reducing suicidal risk in patients with cognitive impairment in depressive disorders.
本研究的目的是确定患有认知障碍的抑郁症患者的自杀风险因素。对362例患有认知障碍的抑郁症患者进行了检查：123例复发性抑郁症患者，141例双相情感障碍患者，以及98例持续性抑郁反应患者。采用了一系列研究方法：临床-心理病理学、心理诊断学、心理测量学和统计学方法。确定了患有认知障碍的抑郁症患者的自杀风险因素，其中包括抑郁症表现的临床和心理病理学特征、既往史负担、应激因素的过程和严重程度以及沟通障碍。确定了认知功能障碍与自杀风险水平之间的关系，这种关系根据抑郁症类型而有所不同。所确定的自杀风险因素可作为鉴别诊断的诊断标准，并且在制定旨在降低患有认知障碍的抑郁症患者自杀风险的心理矫正方案时应予以考虑。
