PMID- 15559757 OWN - NLM STAT- MEDLINE DCOM- 20050201 LR - 20191109 IS - 1041-6102 (Print) IS - 1041-6102 (Linking) VI - 16 IP - 3 DP - 2004 Sep TI - Behavioral and Psychological Signs and Symptoms of Dementia (BPSD) in antipsychotic-naive Alzheimer's Disease patients. PG - 337-50 AB - BACKGROUND/OBJECTIVE: There were few studies identifying the natural unfolding of behavioural and psychological symptoms of dementia (BPSD) in the course of Alzheimer's disease (AD) progression in antipsychotic-naive AD patients. This study aims to examine the specific nature of the association between BPSD in AD and the global severity of illness measured by Global Deterioration Scale(GDS) in antipsychotic-naive AD patients in Korea. METHODS: A total of 562 antipsychotics-naive AD patients were recruited from four different groups [a geriatric mental hospital (n = 145), a semi-hospitalized dementia institution (n = 120), a dementia clinic (n = 114) and community-dwelling dementia patients (n = 183)]. BPSD exhibited by AD patients were measured using the 25-item Korean version of the BEHAVE-AD. RESULTS: Ninety-two percent (n = 517) of AD patients had at least one BPSD, while 56% (n=315) had 4 or more BPSD. Specific kinds of behavioral disturbance peak at the stages of moderate AD (GDS stage 5) or moderately severe AD (GDS stage 6). AD patients left at home without any treatment had higher frequency of BPSD than did other groups seeking treatment, although all of them were antipsychotic-naive. CONCLUSION: BPSD potentially remediable to treatment were highly frequent in Korean AD patients. Health policies to meet the unmet needs of elderly Koreans are urgently needed, especially for AD patients at home without treatment. FAU - Suh, Guk-Hee AU - Suh GH AD - Department of Psychiatry, Hangang Sacred Heart Hospital, Hallym University Medical Centre, Seoul, Korea. suhgh@chollian.net FAU - Kim, Seung Kyum AU - Kim SK LA - eng PT - Journal Article PL - England TA - Int Psychogeriatr JT - International psychogeriatrics JID - 9007918 RN - 0 (Antipsychotic Agents) SB - IM MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/*diagnosis/*drug therapy/*epidemiology MH - *Antipsychotic Agents MH - Dementia/diagnosis/psychology MH - Female MH - Humans MH - Male MH - Mental Disorders/diagnosis/*drug therapy/*epidemiology MH - Middle Aged MH - Neuropsychological Tests MH - *Patient Acceptance of Health Care MH - Prevalence MH - Psychomotor Disorders/diagnosis/*drug therapy/*epidemiology EDAT- 2004/11/24 09:00 MHDA- 2005/02/03 09:00 CRDT- 2004/11/24 09:00 PHST- 2004/11/24 09:00 [pubmed] PHST- 2005/02/03 09:00 [medline] PHST- 2004/11/24 09:00 [entrez] AID - 10.1017/s1041610204000432 [doi] PST - ppublish SO - Int Psychogeriatr. 2004 Sep;16(3):337-50. doi: 10.1017/s1041610204000432.