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Assessment of Behavioural and Psychological Symptoms Associated with Dementia

Published online by Cambridge University Press:  02 December 2014

David Conn  and
Lilian Thorpe
David Conn*
Affiliation:
The Departments of Psychiatry, Baycrest Centre for Geriatric Care, University of Toronto, Toronto, Ontario
Lilian Thorpe
Affiliation:
The Departments of Psychiatry, Baycrest Centre for Geriatric Care, University of Toronto, Toronto, Ontario
*
Department of Psychiatry, Baycrest Centre for Geriatric Care, Room 4C91, 3560 Bathurst Street, Toronto, Ontario, M6A 2E1, Canada.
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Abstract

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Neuropsychiatric symptoms (mood, psychotic, and behavioural) are very common in dementia and do not necessarily correlate well with other measures of cognition. However, these symptoms are of great importance, as they are a major source of excess disability, patient distress and caregiver burden and have great impact on the level of care required, and the associated costs. This paper is a review of the most useful outcome measures for behaviour and mood symptoms. Investigators who require a comprehensive instrument to measure neuropsychiatric symptoms in studies of patients with dementia should consider using the Neuropsychiatric Inventory (NPI), the Behavior Rating Scale for Dementia of the Consortium to Establish a Registry for Alzheimer's Disease (CERADBRSD) or, possibly, the Behavioral Pathology in Alzheimer's Disease Scale (BEHAVE-AD). The Cornell Scale for Depression in Dementia and the Dementia Mood Assessment Scale (DMAS) are recommended for evaluating depressive symptoms and the Cohen-Mansfield Agitation Inventory (CMAI) is very useful for evaluating the full range of agitation symptoms.

Résumé:

RÉSUMÉ:

Les symptômes neuropsychiatriques (dysthymiques, psychotiques et comportementaux) sont très fréquents dans la démence et leur corrélation aux autres mesures de la cognition n'est pas toujours bonne. Cependant, ces symptômes sont très importants parce qu'ils sont une source majeure d'invalidité supplémentaire et de détresse pour le patient, un fardeau pour les soignants et parce qu'ils ont un impact considérable sur le niveau de soins requis et les coûts qui y sont associés. Cet article revoit les mesures d'impact les plus utiles pour l'évaluation des symptômes comportementaux et thymiques. Les chercheurs qui ont besoin d'instruments détaillés pour évaluer les symptômes neuropsychiatriques au cours des études portant sur des patients déments devraient faire appel au Neuropsychiatric Inventory (NPI), au Behavior Rating Scale for Dementia of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-BRSD), ou encore au Behavioral Pathology in Alzheimer's Disease Scale (BEHAVE-AD). Le Cornell Scale for Depression in Dementia et le Dementia Mood Assessment Scale (DMAS) sont recommandés pour l'évaluation des symptômes dépressifs et le Cohen-Mansfield Agitation Inventory (CMAI) est très utile pour l'évaluation de toute la gamme des symptômes d'agitation.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 34 , Issue S1 , March 2007 , pp. S67 - S71
Copyright
Copyright © The Canadian Journal of Neurological 2007

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