| Autor: |
Dekker AD; Afdeling Neurologie en Alzheimer Onderzoekscentrum, Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, postbus 30.001, 9700 RB, Groningen, Nederland.; Instituut Born-Bunge, Universiteit Antwerpen, Wilrijk, België., Vermeiren Y; Afdeling Neurologie en Alzheimer Onderzoekscentrum, Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, postbus 30.001, 9700 RB, Groningen, Nederland.; Instituut Born-Bunge, Universiteit Antwerpen, Wilrijk, België., Beugelsdijk G; Ipse de Bruggen, Nieuwveen/Zwammerdam, Nederland., Schippers M; Ipse de Bruggen, Nieuwveen/Zwammerdam, Nederland., Hassefras L; Ipse de Bruggen, Nieuwveen/Zwammerdam, Nederland., Eleveld J; Cosis, Groningen, Nederland., Grefelman S; Cosis, Groningen, Nederland., Fopma R; Talant, Heerenveen, Nederland., Bomer-Veenboer M; Pameijer, Rotterdam, Nederland., Oosterling GDE; Aveleijn, Borne, Nederland., Scholten E; Elver, Nieuw-Wehl, Nederland., Tollenaere M; Instituut Born-Bunge, Universiteit Antwerpen, Wilrijk, België.; Afdeling Neurologie, Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim en Hoge Beuken, Antwerpen, België., Van Goethem G; Het GielsBos, Gierle, België.; Afdeling Neurologie, Universitair Ziekenhuis Antwerpen, Edegem, België., Zu Eulenburg C; Afdeling Epidemiologie, Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, Groningen, Nederland., Coppus AMW; Dichterbij, Gennep, Nederland.; Afdeling Eerstelijnsgeneeskunde, Radboud Universitair Medisch Centrum, Nijmegen, Nederland., De Deyn PP; Afdeling Neurologie en Alzheimer Onderzoekscentrum, Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, postbus 30.001, 9700 RB, Groningen, Nederland. p.p.de.deyn@umcg.nl.; Instituut Born-Bunge, Universiteit Antwerpen, Wilrijk, België. p.p.de.deyn@umcg.nl.; Afdeling Neurologie, Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim en Hoge Beuken, Antwerpen, België. p.p.de.deyn@umcg.nl. |
| Abstrakt: |
Behavioral and psychological symptoms of dementia (BPSD) have not been comprehensively studied in people with Down syndrome, despite their high risk on dementia. A novel evaluation scale was developed to identify the nature, frequency and severity of behavioral changes (83 behavioral items in 12 clinically defined sections). Central aim was to identify items that change in relation to the dementia status. Structured interviews were conducted with informants of people with Down syndrome without dementia (DS, N = 149), with questionable dementia (DS + TD, N = 65) and with diagnosed dementia (DS + AD, N = 67). Group comparisons showed a pronounced increase in frequency and severity of items about anxiety, sleep disturbances, agitation & stereotypical behavior, aggression, apathy, depressive symptoms, and, eating/drinking behavior. The proportion of individuals presenting an increase was highest in the DS + AD group and lowest in the DS group. Interestingly, among DS + TD individuals, a substantial proportion already presented increased anxiety, sleep disturbances, apathy and depressive symptoms, suggesting that these changes may be early alarm signals of dementia. The scale may contribute to a better understanding of the changes, adapting daily care/support, and providing suitable therapies to people with Down syndrome. The scale needs to be optimized based on the results and experiences. The applicability, reliability and validity require further study. |
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