Research view
Title: | Behavioral and psychological characteristics of patients with different types of dementia in Mansoura, Egypt |
Author: | Hanan Elsayed , Ibtihal M. A. Ibrahim , Mohammad Abu-Hegazy , Mostafa Amr |
Abstract: |
Objective
This study aimed to describe the behavioral and psychological symptoms of
patients with different types of dementia and to correlate these symptoms to
demographic and clinical variables of dementia such as age, sex, and score of
cognitive assessment scales.
Patients and methods
This study was carried out on 73 patients with dementia. Patients were classified
into three groups: patients with Alzheimer dementia, patients with vascular
dementia, and patients with mixed dementia. Cognitive evaluation of the three
groups was performed by the Mini Mental State Examination and Clock Drawing
Test. The neuropsychiatric inventory was used to assess behavioral and
psychological symptoms. Daily activities were assessed using Activities of Daily
Living and The Lawton Instrumental Activities of Daily Living.
Results
Apathy depression, and sleep disturbances were most prevalent in Alzheimer
dementia, whereas depression, anxiety, and apathy were most prevalent in
vascular dementia and in the miscellaneous group. There was a highly
statistical difference between the three groups as regards depression and
anxiety (P≤0.0001). Duration of illness correlated negatively with the scores of
Mini Mental State Examination (P<0.001), Clock Drawing Test (P<0.001), Activity
of the Daily Living (P<0.001), and the Lawton Instrumental Activities of Daily Living
scores (P=0.003). Severity of the symptoms was higher in the miscellaneous group
of dementia and lower in the Alzheimer group (P<0.001).
Conclusion
Apathy, depression, anxiety, and sleep disturbances were the most prevalent
psychiatric symptoms. The severity of the symptoms was lower in the Alzheimer
group and worse in the miscellaneous group. There was a positive correlation
between the cognitive function and the functionality of those patients.
Keywords:
Dementia, Alzheimer, vascular, cognition, daily living
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Journal: | Egyptian Journal of Psychiatry 2017, 38:13–18 |
Text: | |
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