psychiatryПСИХИАТРИЯPsychiatry (Moscow) (Psikhiatriya)1683-83192618-6667FSBSI “The Mental Health Research Centre”; LLC «Publisher «MIA»10.30629/2618-6667-2020-18-1-59-70psychiatry-447Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWSДиагностика психических расстройств у пожилых: современные классификацииDiagnostics of Mental Disorders in the Elderlies: Modern Classificationshttps://orcid.org/0000-0002-0086-5704СавинаМ. А.SavinaM. A.

Савина Мария Александровна - доктор медицинских наук.

Москва.

Maria A. Savina - PhD, MD, Dr. of Sci. (Med.), FSBSI «Mental Health Research Centre».

Moscow.

maria_savina@mail.ruhttps://orcid.org/0000-0003-3992-115XШешенинВ. С.ShesheninV. S.

Шешенин Владимир Сергеевич - кандидат медицинских наук.

Vladimir S. Sheshenin - Cand. of Sci. (Med.), MD, FSBSI «Mental Health Research Centre».

Moscow.

vlash2003@mail.ruhttps://orcid.org/0000-0002-7328-8397АбдуллинаЕ. Г.AbdullinaE. G.

Абдуллина Екатерина Гаяровна - аспирант, факультет психологии, МГУ им. М.В. Ломоносова.

Москва.

Ekaterina G. Abdullina - Postgraduate, Faculty of Psychology, Lomonosov Moscow State University.

Moscow.

catherina.abdullina@gmail.comНаучный центр психического здоровьяРоссияMental Health Research CentreRussian FederationНаучный центр психического здоровья; МГУ им. М.В. ЛомоносоваРоссияMental Health Research Centre; Lomonosov Moscow State UniversityRussian Federation2020170420201815970Copyright © Савина М.А., Шешенин В.С., Абдуллина Е.Г., 20202020Савина М.А., Шешенин В.С., Абдуллина Е.Г.Savina M.A., Sheshenin V.S., Abdullina E.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journalpsychiatry.com/jour/article/view/447

Цель: дать обобщенную оценку изменений в диагностике психических расстройств у пожилых в современных классификациях. Материал и методы: анализировались текст DSM-5 и публикации, описывающие процесс создания и эмпирические предпосылки, и цитируемые в них статьи. Выделены сведения, касающиеся проблем диагностики психических расстройств у пожилых. Результаты: в статье обсуждаются принципы формирования пятой версии DSM, основные изменения по сравнению с предыдущей классификацией (наиболее существенные для депрессивных, тревожных и нейрокогнитивных расстройств), а также возможные последствия этих изменений в отношении диагностики психических расстройств у пожилых. Выводы: изменения в современных классификациях должны способствовать изучению многих психопатологических синдромов у пожилых, в том числе кататонии, патологического накопительства, сепарационной тревоги, инсомнии, нейрокогнитивных расстройств. Однако существуют проблемы применения некоторых критериев у пациентов позднего возраста. 

The aim: to overview changes in diagnostic criteria for mental disorders in old adults in modern classifications. Material and methods: DSM-5 and publications describing process of development and empirical background and articles cited in them. Focus was made on facts and discussions concerning diagnostics of mental disorders in older adults. Results: the review highlights principles of development of DSM-5, main changes compared with previous classification (the most essential for depressive, anxiety and neurocognitive disorders) and also its consequences for diagnostics of psychic disorders in elderly patients. Conclusions: changes in modern classifications can facilitate studies of several psychopathological syndromes in the elderly, in particular catotonia, hoardierline disorders, separation anxiety, insomnias, neurocognitive disorders. However there are some problems of implication of some criteria in geriatric patients.

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The authors declare that there are no conflicts of interest present.