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[Vol.33 No.1 contents]
Japanese/English
Full Text of this Articlein Japanese PDF (495K) |
| ArticleTitle | Annual rate of change in behavioral and psychological symptoms of dementia (BPSD) in Alzheimer's disease |
| Language | J |
| AuthorList | Yumi Imamura1), Azusa Kato1)2), Takuya Sato3), Toru Imamura1)2)4) |
| Affiliation |
1)Department of Speech Therapy, School of Health Sciences, Niigata University of Health and Welfare 2)Division of Speech, Hearing and Cognitive Sciences, Graduate School of Health and Welfare, Niigata University of Health and Welfare 3)Division of Speech Therapy, Department of Rehabilitation, Niigata Rehabilitation Hospital 4)Department of Neurology, Niigata Rehabilitation Hospital |
| Publication | Japanese Journal of Neuropsychology: 33 (1), 44-55, 2017 |
| Received | Dec 7, 2015 |
| Accepted | Jul 6, 2016 |
| Abstract |
Objective: To evaluate the first-year change rate of behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer's disease (AD). Subjects: 63 patients with AD who were being cared for at home and underwent the Neuropsychiatric Inventory (NPI) both at the initial consultation and one year after the initial consultation. Methods: We explored factors that affected the first-year change rate of the NPI total score by means of single regression analysis with each item of patient and disease characteristics and therapeutic interventions as an independent variable. Results: The results indicated that patients with higher NPI total scores at the initial consultation had lower change rates and that patients who scored on the item of anxiety at the initial consultation had lower change rates. Conclusion: The results suggested that AD patients with high NPI total scores at the initial consultation may have secondary exacerbation of BPSD attributable to anxiety, which may be improved by improving the corrective attitude of patients' families through family guidance after the initial consultation. |
| Keywords | Alzheimer's disease, behavioral and psychological symptoms of dementia (BPSD), Neuropsychiatric Inventory (NPI), annual change rate, family guidance |
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