Dynamics of the prevalence of mental disorders in the Russian Federation in 1991–2018 (age aspect)

Демчева, Надежда Константиновна; Yazdovskaya, Alla Vladimirovna; Казаковцев, Борис Алексеевич

doi:10.33920/med-01-2002-01

Cited by 3 publications

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“…Similar figures are given by selective publication of statistics on the prevalence of mental disorders among people over 60 years of age. 9 In 2016, 123 thousand people with vascular dementia and 43 thousand with old-age dementia were observed. (We are providing data for 2016 here as more recent data have not yet been published.)…”

Section: Resultsmentioning

confidence: 99%

“…Firstly , the statistical reports reviewed 2 , 3 , 9 include data from state psychiatric institutions only. Notwithstanding the fact that most psychiatrists in Russia work in these institutions, psychiatric care is also provided in some departmental institutions that are not subordinate to the Ministry of Health (for example, in military hospitals, private clinics and by individual practising psychiatrists, the numbers of which have been increasing in recent years), data on whose results are not included in the national statistics.…”

Section: Discussionmentioning

confidence: 99%

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The Use of ICD-10 for Diagnosing Mental Disorders In Russia, According to National Statistics and a Survey of Psychiatrists' Experience

Martynikhin¹

2021

Consortium Psychiatricum

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Purpose and methods. In order to assess the specifics of practical use of the ICD-10 Diagnostic Guidelines by Russian psychiatrists, official national statistics on the prevalence of a number of mental disorders in Russia in 2019 were compared with the results of meta-analyses of international epidemiological studies of these disorders. In addition, a number of items in the online psychiatrists' survey, relating to the diagnosis of schizophrenia, were analysed; 807 Russian psychiatrists took part in the online survey. Results. Analysis of national statistics showed that domestic clinicians diagnose some mental disorders significantly less often than might be expected, according to data obtained by international epidemiological studies. The number of cases of bipolar affective disorder registered in Russia is 90150 times less than that for the prevalence of this disorder, according to meta-analyses of epidemiological studies; for depression, the result is 5070 times; for anxiety disorders, the number is 2550 times, and for autism, it is 30 times. Instead of the above disorders, diagnoses of organic non-psychotic mental disorders and schizophrenia might have been used unreasonably often. Between 2005 and 2019, diagnosis of childhood autism changed significantly (an increase of more than 100%), while the frequency of diagnosing other mental disorders remained unchanged. The results of the online survey also showed largely perfunctory use of the ICD-10 Diagnostic Guidelines, with a third of respondents reporting never checking the diagnostic schedules, and another third doing so from time to time. In addition, the low estimates given by survey participants regarding practical utility of the ICD-10 Diagnostic Guidelines, along with a large percentage of respondents who do not directly use diagnostic criteria in their work, indicate the need to improve the clinical usefulness of the diagnostic guidelines in the latest revision of the ICD, including convenience of use in practice. Conclusion. The results of analysis of the Russian national mental health service statistic indicate that at least some diagnostic categories are not used by Russian psychiatrists exactly as ICD-10 suggests. The revealed discrepancy between the principles of diagnostics observed by domestic clinicians and international criteria may interfere with the use of evidence-based treatment algorithms, negatively affecting the quality of psychiatric care. In light of the upcoming transition to ICD-11 and in order to unify approaches to the diagnosis of mental disorders in our country, it is necessary to update and improve educational programmes for psychiatrists.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Use of ICD-10 for Diagnosing Mental Disorders In Russia, According to National Statistics and a Survey of Psychiatrists' Experience

Martynikhin¹

2021

Consortium Psychiatricum

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“…At the same time while being the most common and complex clinical manifestations of schizophrenia, negative symptoms are thought to mediate neurocognition and functional outcomes. Despite 13.5 to 50 percent of patients with schizophrenia being able to achieve good functional outcomes with adequate treatment (3)(4)(5)(6)(7)(8), the number of patients with poor functional outcome remains high, estimated at over 25 percent (9,10). Percentage of patients with formal schizophrenia-related disability status can be as high as 40% (6), with even more patients with schizophrenia being actually disabled.…”

Section: Introductionmentioning

confidence: 99%

“…Despite 13.5 to 50 percent of patients with schizophrenia being able to achieve good functional outcomes with adequate treatment (3)(4)(5)(6)(7)(8), the number of patients with poor functional outcome remains high, estimated at over 25 percent (9,10). Percentage of patients with formal schizophrenia-related disability status can be as high as 40% (6), with even more patients with schizophrenia being actually disabled. Patients' disability place a significant burden on their families and other meaningful persons due to negative symptoms severity and insufficiency of psychiatric and social care resources to support these people (11,12).…”

Section: Introductionmentioning

confidence: 99%

Real-life functioning in women with schizophrenia living in residential facilities: Gender-based comparison

et al. 2023

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IntroductionDespite many patients with schizophrenia being able to achieve good functional outcomes, the number of patients with poor functional outcome estimates at over 25 percent. One of the wider constructs, reflecting functional outcomes in schizophrenia, is real-life functioning, whose key domains include ability to live relatively autonomously, productive activity and social interaction. Negative symptoms are seen among independent predictors of real-life functioning. As most researchers agree that schizophrenia is a disease with gender differences in terms of both clinical and functional outcomes, the goal of our observational study was to examine real-life functioning of women with schizophrenia, living in residential care facilities, and study the relationship between daily functioning and negative symptoms.MethodsUsing the Standardized Protocol of Clinical Interview and observation for 1 or more weeks, we examined 46 females with schizophrenia, living in psychiatric residential facilities and compared them with 54 males with schizophrenia, living in the same facilities. In a pilot study 21 subjects with schizophrenia (13 females and 8 males), were evaluated by the Russian version of the Brief Negative Symptom Scale (BNSS).ResultsTo the results, more females with schizophrenia, compared to males with schizophrenia, remained active and took initiative in their physical care, vocational activities, involvement in cultural events, and maintained friendly relationships with other inmates. We have identified a group of inmates, in which females prevailed, with less pronounced negative symptoms and a higher level of social functioning, who did not need residential social care in the institutions.DiscussionLimitations of residential social care in the institutions for psychiatric patients are discussed.

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Overall incidence of mental disorders in the Russian Federation and federal districts in 2017–2019

Демчева¹,

Yazdovskaya²

2021

Vestnik Nevrologii, Psihiatrii I Nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)

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The aim of the study was to identify the main trends in the overall incidence of mental disorders in the Russian Federation in 2017–2019. The analysis of indices based on statistical reports, revealed changes in the direction of the dynamics of the overall incidence of mental disorders in the Russian Federation. In 2018–2019, the indicator increased (by 0,1 %) for the first time after a yearslong (2007–2018) rather intense annual decline. The most noticeable increase is noted in the incidence of organic mental disorders, chronic inorganic disorders, childhood psychoses, including autism, as well as in indices in the groups of children and adolescents 0–14, 15–17 years old and individuals of 60 years and older. The authors of the article conclude that the change in the dynamics of overall incidence in the Russian Federation observed in 2017–2019 indicates a rise in the referral to psychiatric institutions in the last year with an increase in the total number of patients receiving specialized care.

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Dynamics of the prevalence of mental disorders in the Russian Federation in 1991–2018 (age aspect)

Cited by 3 publications

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The Use of ICD-10 for Diagnosing Mental Disorders In Russia, According to National Statistics and a Survey of Psychiatrists' Experience

The Use of ICD-10 for Diagnosing Mental Disorders In Russia, According to National Statistics and a Survey of Psychiatrists' Experience

Real-life functioning in women with schizophrenia living in residential facilities: Gender-based comparison

Overall incidence of mental disorders in the Russian Federation and federal districts in 2017–2019

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