Prevalence and severity of behavioral and psychological symptoms of dementia (BPSD) in community dwelling Chinese: findings from the Shanghai three districts study
Autor: | Lu Xuejue, Lv Jun, Marita P. McCabe, Fang Wenli, Xiao Shifu, Zhang Mingyuan, Xue Haibo, Meng Guorong, Ng Tze Pin, Chen Chao, Bu Shiming |
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Rok vydání: | 2013 |
Předmět: |
Male
China medicine.medical_specialty Cross-sectional study Culture prevalence Population MEDLINE Neuropsychological Tests Irritability Severity of Illness Index Residence Characteristics mental disorders Severity of illness medicine Humans Dementia BPSD Apathy education Psychiatry Aged Aged 80 and over education.field_of_study Sleep disorder Mental Disorders medicine.disease Psychiatry and Mental health Cross-Sectional Studies Female Geriatrics and Gerontology Pshychiatric Mental Health medicine.symptom Psychology Gerontology dementia Clinical psychology |
Zdroj: | Aging & Mental Health. 17:748-752 |
ISSN: | 1364-6915 1360-7863 |
DOI: | 10.1080/13607863.2013.781116 |
Popis: | Objectives: Studies of the prevalence and risk factors for behavioral and psychological symptoms of dementia (BPSD) have primarily been conducted in nursing home and clinic populations. Few population-based studies have been conducted in community-living persons with dementia. Methods: In this cross-sectional study, persons aged 65 and above who were living in the community were screened for dementia with the Chinese version of Mini-Mental State Examination (CMMSE) and Ability of Daily Living (ADL-14) scale. Participants with a diagnosis of dementia according to DSM-IV criteria made by trained neuropsychiatrists s were with the Neuropsychiatric Inventory assessed for BPSD by informant interview. Results: Among 1271 persons with dementia, 50.1% had at least one BPSD. Sleep disturbance was the most common symptom (21.9%), followed by irritability (19.6%), and apathy (15.7%). About 40% (N = 501) of these problems were clinically significant (NPI score > 4). The NPI score was significantly associated with the CMMSE score, ADL score and education. Conclusion: BPSD are common among community living Chinese people with dementia, but the relatively lower prevalence rate and different pattern of symptoms from those reported in the USA, UK and Japan suggest the possible influence of cultural background and psychosocial environment. |
Databáze: | OpenAIRE |
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