Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-24T05:50:16.068Z Has data issue: false hasContentIssue false

Associations of Psychotic Symptoms in Dementia Sufferers

Published online by Cambridge University Press:  02 January 2018

Clive Ballard*
Affiliation:
University of Birmingham, Queen Elizabeth Psychiatric Hospital
Carol Bannister
Affiliation:
St Caddocks Hospital, Chepstow
Candida Graham
Affiliation:
Leicester General Hospital
Femi Oyebode
Affiliation:
Queen Elizabeth Psychiatric Hospital, Birmingham
Gordon Wilcock
Affiliation:
Frenchay Hospital, Bristol
*
Dr Clive Ballard, University of Birmingham, Queen Elizabeth Psychiatric Hospital, Mindelson Way, Birmingham B15 2QZ. Fax: 021 627 2832

Abstract

Background

Psychotic symptoms in dementia have been considered as a single category which may have masked important associations. An exploratory analysis was undertaken to look separately at delusions, visual hallucinations and delusional misidentification.

Method

Psychotic symptoms were assessed with the Burns' Symptom Checklist in 124 patients with DSM–III–R dementia.

Results

Eighty-three (66.9%) patients had psychotic symptoms. Deafness and life events were associated with delusions and visual impairment was associated with visual hallucinations, while senile dementia of Lewy body type and older age were associated with both.

Conclusions

Differences are evident in the associations of delusions and visual hallucinations. Sensory impairments were associated with both symptoms.

Type
Papers
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ballard, C. G., Saad, K., Patel, A., et al (1995) The prevalence and phenomenology of psychotic symptoms in dementia sufferers. International Journal of Geriatric Psychiatry, 10, 477486.Google Scholar
Ballard, C. G., & Oyebode, F. (1995) Psychotic symptoms in dementia sufferers (a review). International Journal of Geriatric Psychiatry (in press).Google Scholar
Brown, G. W. & Birley, J. L. T. (1968) Crisis and life changes at the onset of schizophrenia. Journal of Health and Social Behaviour, 9, 203224.Google Scholar
Burns, A., Jacoby, R. & Levy, R. (1990) Psychiatric phenomena in Alzheimer's disease. British Journal of Psychiatry, 157, 7276.Google Scholar
Forstl, H., Burns, A., Jacoby, R., et al (1991) Neuroanatomical correlates of clinical misidentification and misperception in dementia of the Alzheimer type. Journal of Clinical Psychiatry, 52, 268271.Google Scholar
Gray, J. A. (1982) The Neuropsychology of Anxiety. Oxford: Oxford University Press.Google Scholar
Kay, D. W. K. & Roth, M. (1961) Environmental and hereditary factors in the schizophrenias of old age (“late paraphrenia“) and their bearing on the general problem of causation in schizophrenia. Journal of Mental Science, 107, 649686.Google Scholar
Perry, R. H., Irving, D., Blessed, G., et al (1990) A clinically and pathologically distinct form of Lewy body dementia in the elderly. Journal of Neurological Science, 95, 119139.Google Scholar
Zubenko, G. S., Moossy, J., Martinez, J., et al (1991) Neuropathology and neurochemical correlates of psychosis in primary dementia. Archives of Neurology, 48, 619624.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.