P1‐214: Behavioral and Psychological Symptoms in Elderly Patients with Dementia: a 5‐Year Cohort Follow Up
Year: 2016
Type: article
Study design: Observational Study
Abstract: Dementia in the elderly adult represents the most frequently neurodegenerative disease, even when it is usually related with memory dysfunction the presence of behavioralsymptoms are present at the moment of the diagnosis and presents one of the main complaining during the course of the disease. We conducted population-based study in Havana, Cuba where the diagnosis of Dementia was established in those living over 65 years. Dementia diagnosis was made using 10/66 Dementia and DSM-IV criteria. Patients (323) and controls (n=2 621) were follow up during 5 years in order to determine the pattern of behavioral and psychological symptoms in patients with dementia syndrome, a control group with. The prevalence of DSM-IV dementia was 6.4% and 10.8% according to the 10/66. Of the total patients with Dementia, 61.2% were patients with Alzheimer’s disease, 18.6% had mixed dementia and 10,1% vascular dementia. Dementia associated with Parkinson’s disease and fronto-temporal was detected in a 5.3% and 4.3% of cases, respectively. Behavioral and psychological symptoms were identified in 75.7% (OR 4.26) patients studied of those with Behavioral and psychological symptoms 85.7%(95% CI, 81.4 - 89.1) present more than one symptom during the course of the disease. The most common behavior symptoms associated with Dementia were: activity disorder (60.4%), physical or verbal aggression (52.7%) and sleep disorders (43.4%); the latter predominate in women as well as paranoid hallucinations, and anxiety and phobias (33.8%). Aggressiveness (86.9%) and hallucinations (49.2%) were more frequent in men. Most of the patients studied had psychological and behavioral symptoms predominating activity disorders, aggression and sleep disorders.
Source: Alzheimer s & Dementia
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2539192753