Characteristics of Behavioral and Psychological Symptoms by Dementia Stage: Evaluated by the Korean Version of Neuropsychiatric Inventory.
- Author:
Byoung Hoon OH
1
;
Kyung Ryeol CHA
;
Chang Hyung HONG
;
Ji Hye KIM
Author Information
1. Department of Psychiatry, Yonsei University, College of Medicine, Seoul, Korea. drobh@chollian.net
- Publication Type:Original Article
- Keywords:
Dementia;
BPSD;
K-NPI
- MeSH:
Activities of Daily Living;
Dementia*;
Humans;
Prevalence
- From:Journal of Korean Neuropsychiatric Association
2004;43(5):596-602
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: This study aimed to compare the behavioral psychological symptoms of dementia by stages and to suggest the proper management treatment plan. METHODS: We examined behaviral psychological symptoms in 17 dementia patients with mild stage (CDR=0.5, 1), 18 dementia patients with moderate stage (CDR=2) and 24 dementia patients with severe stage (CDR=3, 4). We compared the prevalence and the composite scores (frequency X severity) of each behavioral domain in K-NPI among three groups. The MMSE-K, GDS, Barthel ADL were also administrated to evaluate the general cognitive function, severity of the patients and activity of daily living. RESULTS: The most common behavioral disturbances were apathy/indifference, depression/dysphoria, and aberrant motor behavior. The mean composite score of aberrant motor behavior increased by stages of dementia severity with statistical significance. The total score of the K-NPI increased with severer stages of dementia the result didn't show statistical significance. The K-NPI score showed the positive correlation with CDR, GDS and the negative correlation with MMSE-K, B-ADL. But, there was no statistically significant correlation. CONCLUSION: Behavioral and Psychological Symptoms of Dementia (BPSD) change by the stages of dementia. The practical guideline for BPSD management according to dementia stage is needed. Re-evaluation and new therapeutic inter-vention must be considered by the stages of dementia.