Incidence and relationship between behavioural and psychologicalsymptoms in Alzheimer's disease


I. Kloszewska
Bok Engelsk 1998
Utgitt
1998
Omfang
Side 785- 792
Opplysninger
Objectives. To evaluate the frequency and type of psychological andbehavioural symptoms in Alzheimer's disease (AD) patients in Poland,in various stages of the disease.Method One hundred and sixty-nine patients with a diagnosis ofprobable AD in Global Deterioration (GDS) stages 3, 4, 5, 6 and 7 ofdementia were examined in a search for behavioural and psychologicalsymptoms.Results. Behavioural and psychotic symptoms were most often found inGDS stages 5 and 6 of AD, except for depressive disorder, which wasobserved most frequently in GDS stage 4 and whose frequency decreasedtowards the terminal stages of dementia. From an analysis of therelationship between behavioural symptoms in the Polish AD patients,the following syndromes may be discriminated: psychotic syndrome(delusions and hallucinations), delusions with aggressive behaviourand hallucinations and anxiety. With more severe dementia, thesyndromes, which could be the result of delirium, became morecommon.Conclusions. Diagnosis of delirium should be considered in moderatelysevere and severe dementia whenever a sudden change in patients'behaviour occurs. (C) 1998 John Wiley & Sons, Ltd.
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