Mental and Behavioral Disturbances in Dementia: Findings From the Cache County Study on Memory in Aging
OBJECTIVE: The authors report findings from a study of 5,092 community residents who constituted 90% of the elderly resident population of Cache County, Utah. METHOD: The 5,092 participants, who were 65 years old or older, were screened for dementia. Based on the results of this screen, 1,002 partic...
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| Veröffentlicht in: | The American journal of psychiatry 2000-05, Vol.157 (5), p.708-714 |
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| container_title | The American journal of psychiatry |
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| creator | Lyketsos, Constantine G. Steinberg, Martin Tschanz, JoAnn T. Norton, Maria C. Steffens, David C. Breitner, John C.S. |
| description | OBJECTIVE: The authors report findings from a study of 5,092 community residents who constituted 90% of the elderly resident population of Cache County, Utah. METHOD: The 5,092 participants, who were 65 years old or older, were screened for dementia. Based on the results of this screen, 1,002 participants (329 with dementia and 673 without dementia) underwent comprehensive neuropsychiatric examinations and were rated on the Neuropsychiatric Inventory, a widely used method for ascertainment and classification of dementia-associated mental and behavioral disturbances. RESULTS: Of the 329 participants with dementia, 214 (65%) had Alzheimer's disease, 62 (19%) had vascular dementia, and 53 (16%) had another DSM-IV dementia diagnosis; 201 (61%) had exhibited one or more mental or behavioral disturbances in the past month. Apathy (27%), depression (24%), and agitation aggression (24%) were the most common in participants with dementia. These disturbances were almost four times more common in participants with dementia than in those without. Only modest differences were observed in the prevalence of mental or behavioral disturbances in different types of dementia or at different stages of illness: participants with Alzheimer's disease were more likely to have delusions and less likely to have depression. Agitation aggression and aberrant motor behavior were more common in participants with advanced dementia. CONCLUSIONS: On the basis of their findings in this large community population of elderly people, the authors conclude that a wide range of dementia-associated mental and behavioral disturbances afflict the majority of individuals with dementia. Because of their frequency and their adverse effects on patients and their caregivers, these disturbances should be ascertained and treated in all cases of dementia. |
| doi_str_mv | 10.1176/appi.ajp.157.5.708 |
| format | Article |
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METHOD: The 5,092 participants, who were 65 years old or older, were screened for dementia. Based on the results of this screen, 1,002 participants (329 with dementia and 673 without dementia) underwent comprehensive neuropsychiatric examinations and were rated on the Neuropsychiatric Inventory, a widely used method for ascertainment and classification of dementia-associated mental and behavioral disturbances. RESULTS: Of the 329 participants with dementia, 214 (65%) had Alzheimer's disease, 62 (19%) had vascular dementia, and 53 (16%) had another DSM-IV dementia diagnosis; 201 (61%) had exhibited one or more mental or behavioral disturbances in the past month. Apathy (27%), depression (24%), and agitation aggression (24%) were the most common in participants with dementia. These disturbances were almost four times more common in participants with dementia than in those without. Only modest differences were observed in the prevalence of mental or behavioral disturbances in different types of dementia or at different stages of illness: participants with Alzheimer's disease were more likely to have delusions and less likely to have depression. Agitation aggression and aberrant motor behavior were more common in participants with advanced dementia. CONCLUSIONS: On the basis of their findings in this large community population of elderly people, the authors conclude that a wide range of dementia-associated mental and behavioral disturbances afflict the majority of individuals with dementia. Because of their frequency and their adverse effects on patients and their caregivers, these disturbances should be ascertained and treated in all cases of dementia.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/appi.ajp.157.5.708</identifier><identifier>PMID: 10784462</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Alzheimer Disease - diagnosis ; Alzheimer Disease - epidemiology ; Alzheimer Disease - psychology ; Behavioural changes ; Biological and medical sciences ; Cognitive change ; Comorbidity ; Delusions - diagnosis ; Delusions - epidemiology ; Delusions - psychology ; Dementia ; Dementia - diagnosis ; Dementia - epidemiology ; Dementia - psychology ; Dementia, Vascular - diagnosis ; Dementia, Vascular - epidemiology ; Dementia, Vascular - psychology ; Depressive Disorder - diagnosis ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Elderly people ; Female ; Geriatric Assessment - statistics & numerical data ; Geriatric psychology ; Geriatrics ; Humans ; Male ; Medical sciences ; Memory ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Older people ; Prevalence ; Psychiatric Status Rating Scales - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Sampling Studies ; Severity of Illness Index ; Surveys ; USA ; Utah ; Utah - epidemiology</subject><ispartof>The American journal of psychiatry, 2000-05, Vol.157 (5), p.708-714</ispartof><rights>2000 INIST-CNRS</rights><rights>Copyright American Psychiatric Association May 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a564t-e6b91459742b4eec521869629123b42c909c579ed4a7b803104e7c22bb492a6c3</citedby><cites>FETCH-LOGICAL-a564t-e6b91459742b4eec521869629123b42c909c579ed4a7b803104e7c22bb492a6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ajp.157.5.708$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ajp.157.5.708$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>315,782,786,2859,21635,21636,21637,27878,27933,27934,31009,77804,77809</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1347950$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10784462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lyketsos, Constantine G.</creatorcontrib><creatorcontrib>Steinberg, Martin</creatorcontrib><creatorcontrib>Tschanz, JoAnn T.</creatorcontrib><creatorcontrib>Norton, Maria C.</creatorcontrib><creatorcontrib>Steffens, David C.</creatorcontrib><creatorcontrib>Breitner, John C.S.</creatorcontrib><title>Mental and Behavioral Disturbances in Dementia: Findings From the Cache County Study on Memory in Aging</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>OBJECTIVE: The authors report findings from a study of 5,092 community residents who constituted 90% of the elderly resident population of Cache County, Utah. METHOD: The 5,092 participants, who were 65 years old or older, were screened for dementia. Based on the results of this screen, 1,002 participants (329 with dementia and 673 without dementia) underwent comprehensive neuropsychiatric examinations and were rated on the Neuropsychiatric Inventory, a widely used method for ascertainment and classification of dementia-associated mental and behavioral disturbances. RESULTS: Of the 329 participants with dementia, 214 (65%) had Alzheimer's disease, 62 (19%) had vascular dementia, and 53 (16%) had another DSM-IV dementia diagnosis; 201 (61%) had exhibited one or more mental or behavioral disturbances in the past month. Apathy (27%), depression (24%), and agitation aggression (24%) were the most common in participants with dementia. These disturbances were almost four times more common in participants with dementia than in those without. Only modest differences were observed in the prevalence of mental or behavioral disturbances in different types of dementia or at different stages of illness: participants with Alzheimer's disease were more likely to have delusions and less likely to have depression. Agitation aggression and aberrant motor behavior were more common in participants with advanced dementia. CONCLUSIONS: On the basis of their findings in this large community population of elderly people, the authors conclude that a wide range of dementia-associated mental and behavioral disturbances afflict the majority of individuals with dementia. Because of their frequency and their adverse effects on patients and their caregivers, these disturbances should be ascertained and treated in all cases of dementia.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Alzheimer Disease - diagnosis</subject><subject>Alzheimer Disease - epidemiology</subject><subject>Alzheimer Disease - psychology</subject><subject>Behavioural changes</subject><subject>Biological and medical sciences</subject><subject>Cognitive change</subject><subject>Comorbidity</subject><subject>Delusions - diagnosis</subject><subject>Delusions - epidemiology</subject><subject>Delusions - psychology</subject><subject>Dementia</subject><subject>Dementia - diagnosis</subject><subject>Dementia - epidemiology</subject><subject>Dementia - psychology</subject><subject>Dementia, Vascular - diagnosis</subject><subject>Dementia, Vascular - epidemiology</subject><subject>Dementia, Vascular - psychology</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Elderly people</subject><subject>Female</subject><subject>Geriatric Assessment - statistics & numerical data</subject><subject>Geriatric psychology</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Older people</subject><subject>Prevalence</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Sampling Studies</subject><subject>Severity of Illness Index</subject><subject>Surveys</subject><subject>USA</subject><subject>Utah</subject><subject>Utah - epidemiology</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkV-L1DAUxYMo7rj6BXyQoOJbu_mfxrd11lFhFx9U8C2kaWY2Q5t0k1aYb2_qDKwIiy8JF37nnHs5ALzEqMZYigszjr42-7HGXNa8lqh5BFaYU15JQprHYIUQIpXi9OcZeJbzvoyISvIUnGEkG8YEWYHdjQuT6aEJHfzgbs0vH1MZr3ye5tSaYF2GPsArNxTOm_dw40Pnwy7DTYoDnG4dXBu7vHEO0wF-m-buAGOAN26I6bBoL3eFfw6ebE2f3YvTfw5-bD5-X3-urr9--rK-vK4MF2yqnGgVZlxJRlrmnOUEN0IJojChLSNWIWW5VK5jRrYNohgxJy0hbcsUMcLSc_Du6DumeDe7POnBZ-v63gQX56wlRoJT1vwX5FLQkkwL-PofcB_nFMoRmhDEUdmOFejNQxDmuKFKCbVYkSNlU8w5ua0ekx9MOmiM9FKpXirVpdKikprrUmkRvTpZz-3gur8kxw4L8PYEmGxNv02lNZ_vOcqk4qhgF0fsT8b9eg8n_wZsVrf_</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Lyketsos, Constantine G.</creator><creator>Steinberg, Martin</creator><creator>Tschanz, JoAnn T.</creator><creator>Norton, Maria C.</creator><creator>Steffens, David C.</creator><creator>Breitner, John C.S.</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>Mental and Behavioral Disturbances in Dementia: Findings From the Cache County Study on Memory in Aging</title><author>Lyketsos, Constantine G. ; Steinberg, Martin ; Tschanz, JoAnn T. ; Norton, Maria C. ; Steffens, David C. ; Breitner, John C.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a564t-e6b91459742b4eec521869629123b42c909c579ed4a7b803104e7c22bb492a6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Alzheimer Disease - diagnosis</topic><topic>Alzheimer Disease - epidemiology</topic><topic>Alzheimer Disease - psychology</topic><topic>Behavioural changes</topic><topic>Biological and medical sciences</topic><topic>Cognitive change</topic><topic>Comorbidity</topic><topic>Delusions - diagnosis</topic><topic>Delusions - epidemiology</topic><topic>Delusions - psychology</topic><topic>Dementia</topic><topic>Dementia - diagnosis</topic><topic>Dementia - epidemiology</topic><topic>Dementia - psychology</topic><topic>Dementia, Vascular - diagnosis</topic><topic>Dementia, Vascular - epidemiology</topic><topic>Dementia, Vascular - psychology</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Elderly people</topic><topic>Female</topic><topic>Geriatric Assessment - statistics & numerical data</topic><topic>Geriatric psychology</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Older people</topic><topic>Prevalence</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychology. 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METHOD: The 5,092 participants, who were 65 years old or older, were screened for dementia. Based on the results of this screen, 1,002 participants (329 with dementia and 673 without dementia) underwent comprehensive neuropsychiatric examinations and were rated on the Neuropsychiatric Inventory, a widely used method for ascertainment and classification of dementia-associated mental and behavioral disturbances. RESULTS: Of the 329 participants with dementia, 214 (65%) had Alzheimer's disease, 62 (19%) had vascular dementia, and 53 (16%) had another DSM-IV dementia diagnosis; 201 (61%) had exhibited one or more mental or behavioral disturbances in the past month. Apathy (27%), depression (24%), and agitation aggression (24%) were the most common in participants with dementia. These disturbances were almost four times more common in participants with dementia than in those without. Only modest differences were observed in the prevalence of mental or behavioral disturbances in different types of dementia or at different stages of illness: participants with Alzheimer's disease were more likely to have delusions and less likely to have depression. Agitation aggression and aberrant motor behavior were more common in participants with advanced dementia. CONCLUSIONS: On the basis of their findings in this large community population of elderly people, the authors conclude that a wide range of dementia-associated mental and behavioral disturbances afflict the majority of individuals with dementia. Because of their frequency and their adverse effects on patients and their caregivers, these disturbances should be ascertained and treated in all cases of dementia.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>10784462</pmid><doi>10.1176/appi.ajp.157.5.708</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA); EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Aged, 80 and over Aging Alzheimer Disease - diagnosis Alzheimer Disease - epidemiology Alzheimer Disease - psychology Behavioural changes Biological and medical sciences Cognitive change Comorbidity Delusions - diagnosis Delusions - epidemiology Delusions - psychology Dementia Dementia - diagnosis Dementia - epidemiology Dementia - psychology Dementia, Vascular - diagnosis Dementia, Vascular - epidemiology Dementia, Vascular - psychology Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - psychology Elderly people Female Geriatric Assessment - statistics & numerical data Geriatric psychology Geriatrics Humans Male Medical sciences Memory Mental Disorders - diagnosis Mental Disorders - epidemiology Mental Disorders - psychology Older people Prevalence Psychiatric Status Rating Scales - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Sampling Studies Severity of Illness Index Surveys USA Utah Utah - epidemiology |
| title | Mental and Behavioral Disturbances in Dementia: Findings From the Cache County Study on Memory in Aging |
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