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Neuropsychiatric Effects of COVID-19 Pandemic on Alzheimer's Disease: A Comparative Study of Total and Partial Lockdown.

Neuropsychiatric Effects of COVID-19 Pandemic on Alzheimer's Disease: A Comparative Study of Total and Partial Lockdown.

Authors :
Cinar, Nilgun
Sahin, Sevki
Karsidag, Sibel
Karali, Fenise Selın
Ates, Miruna Florentina
Gonul, Ozge
Okluoglu, Tugba
Eren, Fettah
Bulbul, Nazli Gamze
Okuyan, Dilek Yilmaz
Totuk, Ozlem
Demirel, Esra Aciman
Golen, Meltem Karacan
Yildirim, Zerrin
Erhan, Hamdi
Polat, Busra Sumeyye Arica
Ergin, Nesrin
Tur, Esma Kobak
Akdogan, Ozlem
Source :
Medical Bulletin of Sisli Etfal Hospital; 2022, Vol. 56 Issue 4, p453-460, 8p
Publication Year :
2022

Abstract

Objectives: Coronavirus disease 2019 (COVID-19)-related lockdown may have a negative effect on the neuropsychiatric status of Alzheimer's disease (AD) cases. In this study, it was aimed to find future implications by evaluating the neuropsychiatric conditions of AD cases during total and partial lockdown periods. Methods: It is a prospective, cross-sectional, and multicenter study that includes AD cases which have been followed for at least 1 year by outpatient clinics from different regions of Turkey. Sociodemographic data, comorbidities, mobility, existence of social interactions, clinical dementia rating (CDR) scale, and neuropsychiatric inventory (NPI) for total and partial lockdown were questioned by the caregivers with the help of case files of the patients. Results: A total of 302 AD cases were enrolled to the study (mean age: 78±8 years, mean duration of education: 5.8±9 years). The total comorbidity ratio was found to be 84%, with the most frequent comorbidity being hypertension. The mean NPI score was 22.9±21 in total lockdown and 17.7±15 in partial lockdown, which is statistically significantly different. When lockdown periods were compared with the total scores of NPI scores according to gender, existence of social interactions, mobility, and comorbidities were found higher in the total lockdown than the partial lockdown. When switching from total lockdown to partial lockdown, the presence of comorbidities, mobility, and CDR were found to be factors that had a significant effect on NPI scores. In regression analysis, CDR score was found as the most effective parameter on the neuropsychiatric status of AD cases for both lockdown periods. Conclusion: When lockdown-related restrictions were reduced, the neuropsychological conditions of AD cases were significantly improved. Lockdown rules should be considered with these data in mind. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13027123
Volume :
56
Issue :
4
Database :
Complementary Index
Journal :
Medical Bulletin of Sisli Etfal Hospital
Publication Type :
Academic Journal
Accession number :
161641840
Full Text :
https://doi.org/10.14744/SEMB.2022.40326