AGE FEATURES OF THE COGNITIVE AND AFFECTIVE STATUS  OF YAKUTIA RESIDENTS OVER 65 YEARS

Alekseeva Z.; Loginova I.; Sleptsov S.; Tatarinova O.

doi:10.14529/jpps210207

Z. N. Alekseeva Yakut Science Centre of Complex Medical Problems (6/3 Yaroslavsky str., Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation) http://orcid.org/0000-0001-5264-3604 gzinaida@mail.ru
I. O. Loginova Krasnoyarsk State Medical University (1 Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation) http://orcid.org/0000-0002-9551-1457 loginova70_70@mail.ru
S. S. Sleptsov Yakut Science Centre of Complex Medical Problems (6/3 Yaroslavsky str., Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation) http://orcid.org/0000-0002-2482-2928 sachaja@yandex.ru
O. V. Tatarinova 1) Republican Clinical Hospital No. 3 (50 Ordzhonikidze str., Yakutsk, Republic of Sakha (Yakutia), 677027, Russian Federation); 2) Yakut Science Centre of Complex Medical Problems (6/3 Yaroslavsky str., Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation) http://orcid.org/0000-0001-7717-9174 tov3568@mail.ru

DOI: https://doi.org/10.14529/jpps210207

Keywords: Yakutia, cognitive impairment, anxiety, depression, elderly, longevity, yakuts, MMSE

Abstract

Abstract. In recent years, there has been increased interest in cognitive disorders. There are many works on anxiety/depressive symptoms in the elderly, however, data on the Republic of Sakha (Yakutia) are still extremely limited, which determines the relevance of this study.
Aim. the paper aims to study the age features of cognitive and emotional disorders in the elderly of Yakutia. Materials and methods. A psychodiagnostic assessment of 174 people aged from 65 to 100 years was carried out. The ethnic composition of the sample is represented mainly by yakuts (60.9 %). The assessment was based on MMSE and HADS scales. Respondents were divided into 3 age groups: 1 – from 65 to 74 years; 2 – from 75 to 89 years; 3 – from 90 to 100 years. Results: According to MMSE, the absence of cognitive impairment was noted in 13.2 %, predementia syndromes in 54%, mild dementia in 25.9 %, and moderate dementia in 6.9 %. The data obtained correlated with age and education. The smallest value of the median of cognitive function was noted in group 2. In groups 2 and 3, cognitive function in women was lower than in men. HADS scores for anxiety (47.1 %) and depression (57.4 %) were normal. Clinical anxiety was diagnosed in 10.9 % and depression in 7.5 % of the subjects. The rates of anxiety and depression were significantly higher among women. The values of the median anxiety in people aged from 65 to 89 years amounted to 8 points and decreased slightly as a result of longevity in people over 89 years. The highest incidence of clinical anxiety was recorded at the age of 75–89 years. A larger percentage of people with no signs of anxiety and depression was noted among adults over 90 years. Conclusion: A high prevalence of cognitive impairment was noted in people aged from 65 to 74 years from Yakutia. Significant cognitive and affective disorders were typical of people aged from 75 to 89 years.

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Author Biographies

Z. N. Alekseeva , Yakut Science Centre of Complex Medical Problems (6/3 Yaroslavsky str., Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation)

Clinical psychologist, Junior Researcher, Laboratory of Neurodegenerative Diseases, Department of Epidemiology of Chronic Non-Communicable Diseases

I. O. Loginova , Krasnoyarsk State Medical University (1 Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation)

Doctor of Psychological Sciences, Professor, Head of the Department of Clinical Psychology and Psychotherapy with a postgraduate course

S. S. Sleptsov , Yakut Science Centre of Complex Medical Problems (6/3 Yaroslavsky str., Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation)

Candidate of Biological Sciences, Associate Professor, Senior Researcher, Laboratory of Clinical, Population and Medico-social Research

O. V. Tatarinova , 1) Republican Clinical Hospital No. 3 (50 Ordzhonikidze str., Yakutsk, Republic of Sakha (Yakutia), 677027, Russian Federation); 2) Yakut Science Centre of Complex Medical Problems (6/3 Yaroslavsky str., Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation)

1) Doctor of Medical Sciences, Chief Physician; 2) senior Researcher at the Laboratory of Clinical, Population and Medical and Social Research, Department of Epidemiology of Chronic Non-Communicable Diseases

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