Reports by caregivers of behavioral and psychological symptoms of dementia

Detalhes bibliográficos
Autor(a) principal: Vale,Francisco de Assis Carvalho do
Data de Publicação: 2007
Outros Autores: Guarnieri,Ricardo, Liboni,Marcos, Balieiro Jr.,Ari Pedro, Silva-Filho,José Humberto, Miranda,Stênio José Correia de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Dementia & Neuropsychologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642007000100097
Resumo: Abstract Behavioral and Psychological Symptoms of Dementia (BPSD) are relevant since they are frequent and cause distress to caregivers. However, they may not be reported by physicians due to the priority usually attributed to cognitive symptoms. Objectives: To verify whether BPSD is being systematically investigated by physicians even in specialized settings and whether their records on medical files are accurate. Methods: Assessment of records on medical files of BPSD reported by caregivers to 182 patients (57.1% men, mean age 67.6±13.5 years) assisted in a tertiary-care behavioral neurology outpatient clinic (BNOC) who also had appointments in other clinics of the same hospital. Alzheimer's disease (37.9%) and vascular disease (19.2%) were the most frequent causes of dementia. Results: Report/appointment ratios were 0.58 in BNOC, 0.43 in other neurological, 0.93 in psychiatric and 0.20 in non-neurological, non-psychiatric clinics. BPSD most frequently recorded in BNOC were insomnia, aggressiveness, agitation/hyperactivity, visual hallucinations, apathy, inadequate behavior and ease of crying. Sorted by psychiatrists, categories associated to more BPSD were affect/mood, thought and personality/behavior. affect/mood and sensoperception symptoms were the most frequently reported. Sorted according to Neuropsychiatric Inventory (NPI), categories associated to more BPSD were depression/dysphoria, delusion and apathy/indifference. depression/dysphoria and agitation/ aggression symptoms were the most frequently reported. Conclusions: BPSD reported by caregivers were very diverse and were not systematically investigated by physicians. Notes in medical files often contained non-technical terms.
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spelling Reports by caregivers of behavioral and psychological symptoms of dementiaBPSDbehavioral symptomspsychotic disordersmood disorderspersonality disordersdementiacaregiver.Abstract Behavioral and Psychological Symptoms of Dementia (BPSD) are relevant since they are frequent and cause distress to caregivers. However, they may not be reported by physicians due to the priority usually attributed to cognitive symptoms. Objectives: To verify whether BPSD is being systematically investigated by physicians even in specialized settings and whether their records on medical files are accurate. Methods: Assessment of records on medical files of BPSD reported by caregivers to 182 patients (57.1% men, mean age 67.6±13.5 years) assisted in a tertiary-care behavioral neurology outpatient clinic (BNOC) who also had appointments in other clinics of the same hospital. Alzheimer's disease (37.9%) and vascular disease (19.2%) were the most frequent causes of dementia. Results: Report/appointment ratios were 0.58 in BNOC, 0.43 in other neurological, 0.93 in psychiatric and 0.20 in non-neurological, non-psychiatric clinics. BPSD most frequently recorded in BNOC were insomnia, aggressiveness, agitation/hyperactivity, visual hallucinations, apathy, inadequate behavior and ease of crying. Sorted by psychiatrists, categories associated to more BPSD were affect/mood, thought and personality/behavior. affect/mood and sensoperception symptoms were the most frequently reported. Sorted according to Neuropsychiatric Inventory (NPI), categories associated to more BPSD were depression/dysphoria, delusion and apathy/indifference. depression/dysphoria and agitation/ aggression symptoms were the most frequently reported. Conclusions: BPSD reported by caregivers were very diverse and were not systematically investigated by physicians. Notes in medical files often contained non-technical terms.Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento2007-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642007000100097Dementia & Neuropsychologia v.1 n.1 2007reponame:Dementia & Neuropsychologiainstname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)instacron:ANCC10.1590/S1980-57642008DN10100015info:eu-repo/semantics/openAccessVale,Francisco de Assis Carvalho doGuarnieri,RicardoLiboni,MarcosBalieiro Jr.,Ari PedroSilva-Filho,José HumbertoMiranda,Stênio José Correia deeng2016-09-30T00:00:00Zoai:scielo:S1980-57642007000100097Revistahttp://www.demneuropsy.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||demneuropsy@uol.com.br1980-57641980-5764opendoar:2016-09-30T00:00Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)false
dc.title.none.fl_str_mv Reports by caregivers of behavioral and psychological symptoms of dementia
title Reports by caregivers of behavioral and psychological symptoms of dementia
spellingShingle Reports by caregivers of behavioral and psychological symptoms of dementia
Vale,Francisco de Assis Carvalho do
BPSD
behavioral symptoms
psychotic disorders
mood disorders
personality disorders
dementia
caregiver.
title_short Reports by caregivers of behavioral and psychological symptoms of dementia
title_full Reports by caregivers of behavioral and psychological symptoms of dementia
title_fullStr Reports by caregivers of behavioral and psychological symptoms of dementia
title_full_unstemmed Reports by caregivers of behavioral and psychological symptoms of dementia
title_sort Reports by caregivers of behavioral and psychological symptoms of dementia
author Vale,Francisco de Assis Carvalho do
author_facet Vale,Francisco de Assis Carvalho do
Guarnieri,Ricardo
Liboni,Marcos
Balieiro Jr.,Ari Pedro
Silva-Filho,José Humberto
Miranda,Stênio José Correia de
author_role author
author2 Guarnieri,Ricardo
Liboni,Marcos
Balieiro Jr.,Ari Pedro
Silva-Filho,José Humberto
Miranda,Stênio José Correia de
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Vale,Francisco de Assis Carvalho do
Guarnieri,Ricardo
Liboni,Marcos
Balieiro Jr.,Ari Pedro
Silva-Filho,José Humberto
Miranda,Stênio José Correia de
dc.subject.por.fl_str_mv BPSD
behavioral symptoms
psychotic disorders
mood disorders
personality disorders
dementia
caregiver.
topic BPSD
behavioral symptoms
psychotic disorders
mood disorders
personality disorders
dementia
caregiver.
description Abstract Behavioral and Psychological Symptoms of Dementia (BPSD) are relevant since they are frequent and cause distress to caregivers. However, they may not be reported by physicians due to the priority usually attributed to cognitive symptoms. Objectives: To verify whether BPSD is being systematically investigated by physicians even in specialized settings and whether their records on medical files are accurate. Methods: Assessment of records on medical files of BPSD reported by caregivers to 182 patients (57.1% men, mean age 67.6±13.5 years) assisted in a tertiary-care behavioral neurology outpatient clinic (BNOC) who also had appointments in other clinics of the same hospital. Alzheimer's disease (37.9%) and vascular disease (19.2%) were the most frequent causes of dementia. Results: Report/appointment ratios were 0.58 in BNOC, 0.43 in other neurological, 0.93 in psychiatric and 0.20 in non-neurological, non-psychiatric clinics. BPSD most frequently recorded in BNOC were insomnia, aggressiveness, agitation/hyperactivity, visual hallucinations, apathy, inadequate behavior and ease of crying. Sorted by psychiatrists, categories associated to more BPSD were affect/mood, thought and personality/behavior. affect/mood and sensoperception symptoms were the most frequently reported. Sorted according to Neuropsychiatric Inventory (NPI), categories associated to more BPSD were depression/dysphoria, delusion and apathy/indifference. depression/dysphoria and agitation/ aggression symptoms were the most frequently reported. Conclusions: BPSD reported by caregivers were very diverse and were not systematically investigated by physicians. Notes in medical files often contained non-technical terms.
publishDate 2007
dc.date.none.fl_str_mv 2007-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642007000100097
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642007000100097
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1980-57642008DN10100015
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento
publisher.none.fl_str_mv Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento
dc.source.none.fl_str_mv Dementia & Neuropsychologia v.1 n.1 2007
reponame:Dementia & Neuropsychologia
instname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)
instacron:ANCC
instname_str Associação de Neurologia Cognitiva e do Comportamento (ANCC)
instacron_str ANCC
institution ANCC
reponame_str Dementia & Neuropsychologia
collection Dementia & Neuropsychologia
repository.name.fl_str_mv Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)
repository.mail.fl_str_mv ||demneuropsy@uol.com.br
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