Clinical and expert assessment of emotional state and cognitive functions of patients with cerebrovascular diseases

Abstract

Backgrounds and aims:

We conducted a complex clinical and psychological examination of 50 patients with cerebrovascular pathology.

Methods:

All the patients were divided into four expert-rehabilitation groups (ERG) in accordance with the main indices which characterize psychological state (the state of cognitive functions, visual and motor coordination) and the degree of the expression of neurological deficiency. The aims and tasks were worked out for each ERG, as well as an individual plan of rehabilitation.

Results:

The patients of the first ERG (15 persons) differed from the major group in general in the level asthenia, persons of second ERG (10 persons) – in the level of anxiety (Р ≤ 0,05), people of the third ERG (15 persons) – in the level of anxiety and depression (reliably higher). The most significant differences with the major group were characteristic of the patients of the fourth ERG (10 persons). They showed a reliably lower level of the state of cognitive functions, visual and motor coordination, locus of control. Lower indices of cognitive functioning were kept in the fourth ERG in the dynamics during the whole course of earlier stationary rehabilitation, which points to the urgent necessity of the continuation of the whole course of correction and rehabilitation work, including psychosocial rehabilitation, on the following out-patient stage.

Conclusions:

The division into the ERG allowed us to join the cases of diseases with similar symptoms and approximately identical technology of psychosocial and rehabilitation measures, their cost and supposed efficiency.