Cognitive disorders in the elderly persons and their psychometric markers

Introduction Population aging is accompanied by an increase in mental disorders of late age, cognitive impairment and dementia, which makes research on their diagnosis, prevention therapy particularly relevant. Objectives In order to improve the diagnosis elderly patients, a comparative characteristic MMSE MoCA psychometric scales presented. Due lack differentiation results - test according severity disorders, ranking was carried out determine scoring levels decline. Methods On clinical basis scientific department gerontopsychiatry Moscow Research Institute Psychiatry branch V. Serbsky National Medical Center for Narcology, 46 people over 60 years old were examined. The identified coded under ICD-10 F00-F09 rubric “Organic, including symptomatic disorders”. Cognitive status assessment MoCA. Psychometric statistical methods used. To compare scores, equal-percentage alignment method used Results patients examined MoCA, different point values determined assessing functions. most observations, MoCA- indicators lower than values. following correspondences score revealed: MOCA 23-30 28-30 points; 22-18 27-25; 17-12 – 23-20; 12-0 19-0. Conclusions Such features scale as insufficient sensitivity memory non-dementia impairment, regulatory functions programming goal-setting, lexical fluency revealed. advantages ability assess visual-constructive executive skills, praxis, more accurate impairments, mobility processes switch, logical thinking, possibility topical brain damage. disadvantages duration its implementation, fatigue tasks written speech motor praxis. sensitive detecting differentiating compared scale, it possible recommend widespread introduction into psychiatric practice. Relevant further studies are determination moderate threshold value between mild (MCI) incipient clarification dementia. Disclosure Interest None Declared