The effectiveness of the developed program for the rehabilitation of patients with anxiety-depressive disorders of organic genesis with sleep disturbances
The greatest comorbidity of sleep disorders is observed with anxiety-depressive disorders. A bi-directional relationship was revealed between them, which indicates their ability to aggravate each other's course and influence the treatment process. Dyssomnia can persist even after elimination of the primary disease and increase the risk of recurrence in the future. Therefore, the treatment of anxiety-depressive disorders requires special attention to the correction of sleep disorders. The aim of the study was to evaluate the effectiveness of the developed complex, phased differentiated rehabilitation program, based on the analysis of the dynamics of psychopathologicai phenomena and the indicator of the quality of life of patients suffering from anxiety-depressive disorders of organic genesis with sleep disorders. The study was carried out using the clinical and psychopathological method supplemented by the hospital scale HADS, the Ch.Morin insomnia severity index, the psychometric scale of asthenic state, the J. Mezzich integrative life quality indicator, descriptive and analytical statistics methods. To achieve this goal, 60 patients with anxiety-depressive disorders of organic genesis and sleep disorders were studied, which were divided into 2 groups depending on the therapy used. The results show that patients who were treated according to the developed comprehensive program, the compensation of anxiety-depressive symptoms and sleep stabilization were more intensive and the results of die indicators were better compared with the control group. Furthermore, the indicator of the life quality of the main group was higher in comparison with the control group. Hence, the results of the study demonstrate the effectiveness of the comprehensive rehabilitation program developed by us in the treatment of patients with anxiety-depressive disorders of organic genesis with sleep disorders
