Автор(ы): Косумов А.К
Background. The article examines the prevalence of depression and the level of cognitive impairment among the elderly. Associations were found between the level of depression and cognitive impairment. The data of our own research are presented. The analysis of the global trend in the prevalence of depression among the elderly is carried out. Materials and methods. We analyzed retrospective data from a cross-sectional study in random population samples of elderly people aged 50-75 years, stratified by gender and age were randomly selected from Nur-Sultan (Astana) and Akmol population register among the urban and rural population was formed. All 1700 individuals (900 urban and 800 rural) were screened in 2014-2016 years. Response rate was 59%. Data from 1008 (457 men and 551 women) were approved for statistical analysis. All of the data, including medical examination data and the laboratory tests, were processed in the STATA program. Results. According to the Study – the prevalence of depression among the urban population is 36.6%, and among the rural population – 2.17%. Since the sample size of both groups was practically the same, the results are statistically significant. The overall prevalence of depression was 19.25%. The analyzed information on cognitive impairment among the respondents of the urban and rural population. In general, 34.90% of urban respondents have moderate cognitive impairment. Namely, 19.16% of women and 33.19% of men have moderate cognitive impairment. In rural population practically the same, 29.75% of rural tested respondents have moderate cognitive impairments, 38.09% of man and 23.10% of woman. Conclusion. Thus, by analyzing the data obtained on the level of cognitive impairment among the urban and rural population, we obtained the following picture. The level of cognitive impairment is high among men, both in urban and rural areas and amounted to 33.19% and 38.09%, respectively. The level of cognitive impairment among rural women is higher than among urban women and amounts to 23.10% compared to 19.6%. While the prevalence of depression is higher among urban residents and is equal to 36.6% compared with rural residents, whose level was 2.17%.
Alibek K. Kossumov Laboratory for Epidemiology and Public Health Center for Life Sciences, PI "National Laboratory Astana" AOO "Nazarbayev University", Nur-Sultan, Republic of Kazakhstan.
1. Бек А., Фримен А. Когнитивная психотерапия расстройств личности. СПб: Питер 2002; 318 c. 2. Бобров А.Е. Методологические проблемы охраны психического здоровья. Философия укрепления здоровья нации. М: Российское философское общество 2008. pp. 32-48. 3. Бобров А.Е., Царенко Д.М, Курсаков А.А., Довженко Т.В. Тревожно-депрессивные расстройства и когнитивные нарушения у больных первичного звена здравоохранения // Журн неврол и психиат 2013; 2: 14-19. 4. Вассерман Л.И., Иванов М.В., Ананьева Н.И., Сорокина А.В., Ежова Р.В., Ершов Б.Б., Чуйкова А.В. Когнитивные расстройства при депрессиях: нейропсихологическое и мрт-исследование // Журнал неврологии и психиатрии им. C. C. Корсакова // 2015. Т. 115 №1-2. - С. 13-19. 5. Вейн А.М., Вознесенская Т.Г., Голубев В.Л., Дюкова Г.М. Депрессия в неврологической практике. 3-е изд. М.: МИА, 2007. с.208? 6. Вознесенская Т.Г. Депрессия при цереброваскулярных заболеваниях // Неврология, нейропсихиатрия, психосоматика. 2009. № 2. С. 9–13. 7. Вознесенская Т.Г. Депрессия при сосудистых заболеваниях головного мозга // Медицинский совет. 2012. № 4. С. 12-16. 8. Захаров В.В., Вахнина Н.В. Когнитивные нарушения при депрессии. // Эффективная фармакотерапия. Неврология // 2015. №1 (1). С. 18-26. 9. Каплан Г.И., Сэдок Б.Дж. Клиническая психиатрия. Т. 1. М.: Медицина, 1994. p.533. 10. Полуэктов М.Г., Преображенская И.С. Наруше-ния сна и когнитивных функций: подходы к терапии // Неврология, нейропсихиатрия, психосоматика. 2014. №1. С. 68–73. 11. Audenaert K., Goethals I., Van Laere K., Lahorte P., Brans B. et al. SPECT neuropsychological activation procedure with the Verbal Fluency Test in attempted suicide patients // Nucl Med Commun 2002; 23: 9: 907-916. 12. Brzezicka А. Integrative deficits in depression and in negative mood states as a result of fronto-parietal network dysfunctions // Acta Neurobiol Exp. 2013. 73: 313-325. 13. Cohen R., Lohr I., Paul R., Boland R. Impairments of attention and effort among patients with major affective disorders // J Neuropsychiatry Clin Neurosci. 2001. 13: 385-395. 14. Crocker L.D., Heller W., Warren S.L. et al. Relationships among cognition, emotion, and motivation: implications for intervention and neuroplasticity in psychopathology // Front. Hum. Neurosci. 2013. Vol. 7. P. 261. 15. Fitzgerald P.B., Laird A.R., Maller J., Daskalakis Z.J. A meta-analytic study of changes in brain activation in depression // Hum. Brain Mapp. 2008. Vol. 29. № 6. P. 683–695. 16. Harvey P.O., Fossati P., Pochon J.B. et al. Cognitive control and brain resources in major depression: an fMRI study using the n-back task // Neuroimage. 2005. Vol. 26. № 3. P. 860–869. 17. Lyubomirsky S., Nolen-Hoeksema S. On negative thinking and interpersonal problem solving // J Pers Soc Psychol 1995; 69: 176-190. 18. Mannie Z.N., Taylor M.J., Harmer C.J. et al. Frontolimbic responses to emotional faces in young people at familial risk of depression // J. Affect. Disord. 2011. Vol. 130. № 1–2. P. 127–132. 19. Matsuo K., Glahn D.C., Peluso M.A. et al. Prefrontal hyperactivation during working memory task in untreated individuals with major depressive disorder // Mol. Psychiatry. 2007. Vol. 12. № 2. P. 158–166. 20. Mathews A., MacLeod C. Cognitive vulnerability to emotional disorders // Annu Rev Clin Psychol. 2005. 1: 167-195. 21. McIntyre R.S., Cha D.S., Soczynska J.K. et al. Cognitive deficits and functional outcomes in major depressive disorder: determinants, substrates, and treatment interventions // Depress. Anxiety. 2013. Vol. 30. № 6. P. 515–527. 22. Meusel L.A., Hall G.B., Fougere P. et al. Neural correlates of cognitive remediation in patients with mood disorders // Psychiatry Res. 2013. Vol. 214. № 2. P. 142–152. 23. Mor N., Haran D. Cognitive-Behavioral Therapy for Depression // Isr J Psychiatry Relat Sci. 2009. 46: 4: 269-273. 24. Riso L., du Toit P., Blandino J., Penna S., Dacey S., Duin J., Pacoe E.M., Grant M.M., Ulmer C. Cognitive aspects of chronic depression // J Abnorm Psychol. 2003; 112: 1: 72-80. 25. Sapolsky R.N. Depression, antidepressants, and the shrinking hippocampus // Proc. Natl. Acad. Sci. USA. 2001. Vol. 98. № 22. P. 12320–12322. 26. Snyder H. Major depressive disorder is associated with broad impairments on neuropsychological measures of executive function: a meta-analysis and review // Psychol Bull 2013. 139: 1: 81-132. 27. Westen D. Prototype diagnosis of psychiatric syndromes // World Psychiatry 2012. 11:12-21. References: [1-10] 1. Beck A., Freeman A. Kognitivnaya psikhoterapiya rasstroistv lichnosti. [Cognitive psychotherapy for personality disorders]. St. Petersburg: Peter 2002. 318p. [in Russian] 2. Bobrov A.E. Metodologicheskie problemy okhrany psikhicheskogo zdorov'ya. Filosofiya ukrepleniya zdorov'ya natsii [Methodological problems of mental health care. Philosophy of strengthening the health of the nation]. M: Russian Philosophical Society 2008; 32-48). [in Russian] 3. Bobrov A.E., Tsarenko D.M., Kursakov A.A., Dovzhenko T.V. Trevozhno-depressivnye rasstroistva i kognitivnye narusheniya u bol'nykh pervichnogo zvena zdravookhraneniya. [Anxiety-depressive disorders and cognitive impairment in patients in primary health care]. Zhurn nevrol i psikhiatrii [Journal of Neurol and Psychiatry]. 2013. 2:14-19. [in Russian] 4. Wasserman L.I., Ivanov M.V., Anan'eva N.I., Sorokina A.V., Ezhova R.V., Ershov B.B., Chuikova A.V. Kognitivnye rasstroistva pri depressiyakh: neiropsikhologicheskoe i MRT-issledovanie [Cognitive disorders in depression: a neuropsychological and MRI study]. Zhurn nevrol i psikhiatrii [Journal of Neurol and Psychiatry]. 2015. V. 115 No. 1-2. pp.13-19). [in Russian] 5. Vein A.M., Voznesenskaya T.G., Golubev V.L., Dyukova G.M. Depressiya v nevrologicheskoi praktike. [Depression in neurological practice. 3rd ed.] M.: MIA, 2007. p208 [in Russian] 6. Voznesenskaya T.G. Depressiya pri tserebrovaskulyarnykh zabolevaniyakh [Depression in cerebrovascular diseases]. Nevrologiya, neiropsikhiatriya, psikhosomatika [Neurology, neuropsychiatry, psychosomatics]. 2009. No.2. P.9-13). [in Russian] 7. Voznesenskaya T.G. Depressiya pri sosudistykh zabolevaniyakh golovnogo mozga [Depression in cerebrovascular diseases]. Meditsinskii sovet [Medical Council]. 2012. №4. pp.12-16). [in Russian] 8. Zakharov V.V., Vakhnina N.V. Kognitivnye narusheniya pri depressii [Cognitive impairment in depression]. Effektivnaya farmakoterapiya. Nevrologiya. [Effective pharmacotherapy. Neurology]. 2015. No. 1(1). from. 18-26. [in Russian] 9. Kaplan G.I., Sadok B.J. Klinicheskaya psikhiatriya. [Clinical Psychiatry]. V.1. M.: Medicine, 1994. p. 533 [in Russian] 10. Poluektov M.G., Preobrazhenskaya I.S. Narusheniya sna i kognitivnykh funktsii: podkhody k terapii [Sleep disorders and cognitive functions: approaches to therapy]. Nevrologiya, neiropsikhiatriya, psikhosomatika [Neurology, neuropsychiatry, psychosomatics]. 2014. No. 1. P. 68–73). [in Russian]
Количество просмотров: 64

Ключевые слова:

Библиографическая ссылка

Kossumov A.K. Prevalence of depression and level of cognitive disorders in elderly in Nur-Sultan city and Akmol village // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 4, pp. 86-93. doi 10.34689/SH.2022.24.4.011

Авторизируйтесь для отправки комментариев