Prevention of Dementia Formation in Retired Combat Participants Dementia

[摘要] Background: A set of measures to prevent the formation of gross organic mental disorders in combat participants having traumatic brain injury (TBI) is an important public health task. This studyaims to conduct a catamnestic survey of retired combat participants who possess a history of TBIto determine the directions of prevention of dementia formation.Methods: Seventy-one retired combatants were surveyed at the time of their retirement and threeyears after their retirement. Clinical and experimental psychological methods were used. To identify the dynamics of cognitive disorders, the Short Sample Test was used (in the adaptation of Vanderlick), and Kotenev's Questionnaire of Traumatic Stress was used for post-stress disorders -.The catamnestic method was applied via the study of outpatient cards and using a social survey ofretired combatants three years after their dismissal.Results: It was found that 47.8% of participants in combat operations had neurosis-like disorderswith impaired emotions, 26.8% - organic emotional-labile disorder, 25.4% - organic personalitydisorder, 26.7% - alcohol abuse, and 25.4% were disabled due to mental illness. Three years aftertheir dismissal, their cognitive abilities had a significant negative dynamic with a marked decrease inthe integral indicator of intellectual activity; emotional disorders, and signs of psychosocial maladaptation were detected.Conclusion: A catamnestic analysis of the mental health of participants in combat operations withtraumatic brain injury in their history showed the presence of adverse psychosocial trends, a factthat requires the development of measures to improve the effectiveness of complex inter-professional therapy and rehabilitation. To prevent the formation of deep mental disorders with severecognitive impairment and dementia, it is necessary to develop and improve the regulatory legaland information base for organizing psychiatric care.

[学科分类] 基础医学

[关键词] retired combatants;traumatic brain injuries;organic mental disorders;dementia prevention