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A Prospective Study of Psychotic Symptoms in Dementia Sufferers: Psychosis in Dementia

Published online by Cambridge University Press:  10 January 2005

Clive Ballard ,
J. O'Brien ,
Bernie Coope ,
A. Fairbairn ,
Farzhana Abid  and
Gordon Wilcock
Clive Ballard
Affiliation:
MRC Neurochemical Pathology Unit, Newcastle General Hospital, Newcastle upon Tyne, UK
J. O'Brien
Affiliation:
Department of Old Age Psychiatry, Newcastle General Hospital, Newcastle upon Tyne, UK
Bernie Coope
Affiliation:
Department of Old Age Psychiatry, West Midlands, Rotation Training Scheme, UK
A. Fairbairn
Affiliation:
Department of Old Age Psychiatry, Newcastle General Hospital, Newcastle upon Tyne, UK
Farzhana Abid
Affiliation:
Department of Psychiatry, Edward St. Hospital, Birmingham, UK
Gordon Wilcock
Affiliation:
Department of Welfare of the Elderly, Frenchay Hospital, Bristol, UK
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Abstract

Eighty-seven out of a clinical cohort of 124 patients with Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.) dementia were followed up at monthly intervals for 1 year. Psychotic symptoms were assessed using the Burns's Symptom Checklist, and cognitive functioning was evaluated with the CAMCOG. The annual incidence rate of psychotic symptoms was 47%, although many of the incident symptoms lasted less than 3 months. Fifty-three percent of patients with psychosis experienced resolution of their symptoms. Patients either experienced brief or persistent psychotic disorders, with few having an intermediary course. Persistent psychosis was significantly associated with a 3-month duration of symptoms at baseline. Neuroleptics did not significantly influence the course of psychotic symptoms.

Type
Studies on Dementia
Information
International Psychogeriatrics , Volume 9 , Issue 1 , March 1997 , pp. 57 - 64
Copyright
© 1997 International Psychogeriatric Association

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