THE SYSTEM OF DIFFERENTIATED CORRECTION AND PREVENTION OF MENTAL MALADAPTATION IN RELATIVES OF DEMENTIA PATIENTS AND ITS EFFECTIVENESS

The purpose of the work is to develop a system of differentiated correction and prevention of mental maladaptation in relatives of dementia patients, and to evaluate the effectiveness of its implementation. In compliance with the requirements of biomedical ethics, we examined 153 relatives (children) who lived and/or care for patients with dementia. The comprehensive examination included the implementation of clinical-psychopathological and psychodiagnostic research. The significant differences in the psychopathological response and psychosocial functioning of patients with dementia with different levels of mental maladaptation, revealed in the course of the study, made it possible to substantiate and develop a system of differentiated correction and prevention of mental disadaptation for relatives of patients with dementia. The purpose of the differentiated correction and prevention system is to normalize the mental state of relatives of patients with dementia and eliminate adaptation disorders and signs of factors that affect health. The key targets of the influence of the differentiated correction and prevention for relatives of dementia are: 1. Adaptation disorders. 2. Depressive, anxious and other psychopathological symptoms. 3. Manifestations of social and psychological maladaptation and violation of psychosocial and family functioning. It is recommended to implement a system of differentiated correction measures and prevention for relatives of dementia in three stages, combined with complexity and continuity of measures: diagnostic, medical-intervention, rehabilitation and correction. The diagnostic stage measures are unified, therapeutic and rehabilitation-correction stages-differentiated depending on the adaptation disorders and signs of factors that affect health. This allows you to optimize treatment and correction measures and minimize time for correction while maintaining the maximum efficiency of therapeutic interventions. The evaluation of the effectiveness of the implementation of this system of measures in the specified extent and in a certain sequence proved its effectiveness in relation to the reduction of clinical and psychopathological symptoms of mental maladaptation and the formation of a high level of social and psychological adaptation of relatives of patients with dementia.