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A Comparison of Behavioral and Psychological Symptoms of Dementia (BPSD) and BPSD Sub-Syndromes in Early-Onset and Late-Onset Alzheimer's Disease.
- Source :
- Journal of Alzheimer's Disease; 2022, Vol. 85 Issue 2, p687-695, 9p
- Publication Year :
- 2022
-
Abstract
- <bold>Background: </bold>Behavioral and psychological symptoms of dementia (BPSD) have a large impact on the quality of life of patients with Alzheimer's disease (AD). Few studies have compared BPSD between early-onset (EOAD) and late-onset (LOAD) patients, finding conflicting results.<bold>Objective: </bold>The aims of this study were to: 1) characterize the presence, overall prevalence, and time of occurrence of BPSD in EOAD versus LOAD; 2) estimate the prevalence over time and severity of each BPSD in EOAD versus LOAD in three stages: pre-T0 (before the onset of the disease), T0 (from onset to 5 years), and T1 (from 5 years onwards); 3) track the manifestation of BPSD sub-syndromes (i.e., hyperactivity, psychosis, affective, and apathy) in EOAD versus LOAD at T0 and T1.<bold>Methods: </bold>The sample includes 1,538 LOAD and 387 EOAD diagnosed from 1996 to 2018. Comprehensive assessment batteries, including the Neuropsychiatric Inventory (NPI), were administered at the first medical assessment and at different follow-up period.<bold>Results: </bold>The overall prevalence for the most of BPSD was significantly higher in EOAD compared to LOAD whereas most BPSD appeared significantly later in EOAD patients. Between the two groups, from pre-T0 to T1 we recorded a different pattern of BPSD prevalence over time as well as for BPSD sub-syndromes at T0 and T1. Results on severity of BPSD did not show significant differences.<bold>Conclusion: </bold>EOAD and LOAD represent two different forms of a single entity not only from a neuropathological, cognitive, and functional level but also from a psychiatric point of view. [ABSTRACT FROM AUTHOR]
- Subjects :
- ALZHEIMER'S disease
ALZHEIMER'S patients
SYMPTOMS
DEMENTIA
MEDICAL needs assessment
DIAGNOSIS of dementia
APATHY
RESEARCH
PSYCHOSES
RESEARCH methodology
EVALUATION research
NEUROPSYCHOLOGICAL tests
BEHAVIOR disorders
SEVERITY of illness index
PSYCHOLOGICAL tests
COMPARATIVE studies
ALEXITHYMIA
AGE factors in disease
QUESTIONNAIRES
PSYCHOMOTOR disorders
PSYCHOSOCIAL factors
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 13872877
- Volume :
- 85
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Alzheimer's Disease
- Publication Type :
- Academic Journal
- Accession number :
- 154734574
- Full Text :
- https://doi.org/10.3233/JAD-215061