Behavioural disturbances in psychiatric inpatients with dementia of the Alzheimer's type in Taiwan

Hwang, Jen‐Ping; Yang, Cheng-Hung; Tsai, Shih‐Jen; Liu, King-Ming

doi:10.1002/(sici)1099-1166(199709)12:9<902::aid-gps660>3.0.co;2-q

Cited by 59 publications

(40 citation statements)

References 5 publications

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“…While this may be a reflection of the current low prevalence of dementia among the Nigerian elderly population 6,7 , it may also be due to low case ascertainment and the culture of regarding early features of dementia as part of normal ageing 12 with hospital presentation becoming necessary only when moderate to severe BPSD set in, and overwhelm the relatives and caregivers. [10][11][12] The predominant dementia phenotype was AD followed by VaD unlike findings from similar retrospective hospitalbased studies from Ibadan and Kinshasa respectively 8,9 which reported preponderance of VaD. We attribute this to the treatment seeking behaviour of subjects with VaD presenting to physicians/neurologists in conventional hospitals (such as those involved in the Ibadan and Kinshasa studies) on account of variable neurologic deficits associated with vascular events even before the onset of cognitive symptoms.…”

Section: Discussionmentioning

confidence: 64%

Profile of clinically-diagnosed dementias in a neuropsychiatric practice in Abeokuta, South-Western Nigeria

Amoo¹,

Akinyemi²,

Onofa³

et al. 2011

Afr. J. Psych

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Objective: Many subjects with dementia present primarily to neuropsychiatric practices because of behavioural and psychological symptoms (BPSD). This study reviewed the profile of clinically-diagnosed dementias and BPSD seen in a pioneer neuropsychiatric practice in Abeokuta, southwestern Nigeria over a ten year period (January1998 -December 2007). Methods: A review of hospital records of all patients with diagnoses of dementia or dementing illness using the ICD-10 criteria as well as specific diagnostic criteria for different dementia phenotypes. Associated BPSD, co-morbidities and treatments were also reviewed. Results: Out of a total of 240,294 patients seen over the study period, 108 subjects met clinical diagnostic criteria for probable dementia giving a hospital frequency of 45 per 100,000. Alzheimer's disease (AD) and Vascular dementia (VaD) were the predominant phenotypes seen in 62 (57.4%) and 18 (16.7%) subjects respectively. Others include mixed dementia (4 cases), frontotemporal dementia (4 cases), Lewy body dementia (3 cases), alcohol-related dementia (3 cases), PD dementia (1 case) and unclassifiable (13 cases). Apathy, night time behaviour, aberrant motor behaviour, agitation and irritability were the most common BPSD features, while hypertension was the most common co-morbidity. Neuroleptics, anticholinergics and anti-hypertensives were most commonly prescribed. Anticholinesterase inhibitors were sparingly used. Conclusion: Probable AD was the most prevalent dementia phenotype seen in this practice. Increased awareness of dementia and better utilization of specific treatments are needed among psychiatrists and primary care practitioners in Nigeria.

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Section: Discussionmentioning

confidence: 64%

Profile of clinically-diagnosed dementias in a neuropsychiatric practice in Abeokuta, South-Western Nigeria

Amoo¹,

Akinyemi²,

Onofa³

et al. 2011

Afr. J. Psych

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“…148 No association independent of cognitive impairment has been found between gender, age, education, race or ethnicity and wandering. 15,135,148,[154][155][156][157][158] In a longitudinal study by Hope and colleagues 136 which followed 86 people with dementia in the community over a 10-year period, changes in wandering behaviour were not related to gender, age or time since the onset of dementia. However, the onset and duration of different types of wandering were found to be related to cognitive levels.…”

Section: Appendixmentioning

confidence: 99%

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

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“…increase as the dementia progresses (Hope et al, 1997;Hwang et al, 1997;Rubin et al, 1987;Teri et al, 1988). Teri and coworkers (1988) observed that only 8% of the mildly demented patients they examined exhibited three or more behavior problems, compared to 88% of patients with severe dementia.…”

mentioning

confidence: 98%

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Dröes

Breebaart²,

Ettema

et al. 2000

Int. Psychogeriatr.

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ABSTRACT. Objective: This study tests the hypothesis that integrated family support, in which patients and caregivers are both supported by one professional staff, is more effective in influencing behavior problems and mood of the dementia patient than nonintegrated support, such as psychogeriatric day care only. Design: A quasi-experimental pretest-posttest control group design with matched groups was applied. Setting: Psychogeriatric day-care centers of four community centers and three nursing homes. Participants: Fifty-six dementia patients living at home and their caregivers. Intervention: The patients in the experimental group (n = 33) participated together with their caregivers in an integrated family support program, whereas the patients in the control group (n = 23) received psychogeriatric day care only. Measurements: Behavior problems and mood were observed using standardized behavior observation scales. Results: After 7months the experimental support program, compared to the regular psychogeriatric day care, showed a large positive effect on the total number of behavior problems (effect size .75), and also specifically on the degree of inactivity (effect size .66) and nonsocial behavior (effect size .61). No effect on mood was found. Conclusions: In influencing the total amount of behavior problems, as well as the degree of inactivity and nonsocial behavior, the integrated family support program proved to be more effective than psychogeriatric day care. Because behavior problems are an important determinant for admission of persons with dementia into a nursing home, integrated family support may contribute to the delay of institutionalization.Behavioral and mood problems of persons with dementia often make it difficult to take care of these people at home. Research shows that behavioral problems constitute the main determinant of institutionalization of a person with dementia into a nursing home (Christie & Wood, 1988;Grafstrom et al., 1994;Reisberg et al., 1987;Steele et al., 1990). It is also well known that behavioral problems

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Behavioural disturbances in psychiatric inpatients with dementia of the Alzheimer's type in Taiwan

Cited by 59 publications

References 5 publications

Profile of clinically-diagnosed dementias in a neuropsychiatric practice in Abeokuta, South-Western Nigeria

Profile of clinically-diagnosed dementias in a neuropsychiatric practice in Abeokuta, South-Western Nigeria

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

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