PMID- 24964685
OWN - NLM
STAT- MEDLINE
DCOM- 20140721
LR  - 20140626
IS  - 0125-2208 (Print)
IS  - 0125-2208 (Linking)
VI  - 97
IP  - 4
DP  - 2014 Apr
TI  - Characteristics of behavioral and psychological symptoms of dementia, severity 
      and levels of distress on caregivers.
PG  - 423-30
AB  - OBJECTIVE: To describe the characteristics of the Behavioral and Psychological 
      Symptoms of Dementia (BPSD) and its severity among patients with dementia and 
      their caregivers' stress. MATERIAL AND METHOD: A cross-sectional descriptive 
      study of 158 patients with Alzheimer's disease, mixed vascular dementia and 
      Alzheimer's disease, and unspecified dementia and caregivers in Songkhla 
      Rajanakarindra Psychiatric Hospital were selected by a consecutive sampling. The 
      BPSD and severity of dementia was assessed with the Neuropsychiatric Inventory 
      Questionnaire - Thai version (NPI-Q Thai), the Global Clinical Dementia Rating 
      Scale (CDR), the Mini Mental Status Thai version 2002 (MMSE Thai 2002), and a 
      clinical diagnosis. Consensus of a psychiatrist and a neurologist according to 
      diagnostic criteria of DSMIV-TR was achieved for every patient. RESULTS: Overall, 
      90.5% had at least one BPSD symptom. Common symptoms were irritability (60.8%), 
      sleep problems (57%), depression (54.5%), anxiety (52%), and agitation/aggression 
      (44.9%). The least common symptom was eating problems (23.5%). The caregivers 
      rated the patient's physical symptoms as more severe than psychological symptoms. 
      The symptom that caused the highest burden to caregivers was 
      agitation/aggression, followed by dis-inhibition, aberrant motor behaviors, and 
      sleep problems. The less burdensome symptoms included irritability, depression, 
      and anxiety. CONCLUSION: BPSD were commonly found among patients with dementia. 
      The top five symptoms were irritability, sleep problems, depression, anxiety, and 
      agitation/aggression. Not only assessment of BPSD, but also feeling and suffering 
      of the caregivers should be assessed by using the NPI-Q. This would help the 
      clinician plan appropriate treatment. Physical symptoms were perceived by 
      caregivers as causing the most anguish and distress, while psychological symptoms 
      were perceived as less severe. Further studies should be done, such as the 
      factors related to burden of caregivers of dementia with BPSD.
FAU - Taemeeyapradit, Unchulee
AU  - Taemeeyapradit U
FAU - Udomittipong, Dussadee
AU  - Udomittipong D
FAU - Tepparak, Nualsakol
AU  - Tepparak N
LA  - eng
PT  - Journal Article
PL  - Thailand
TA  - J Med Assoc Thai
JT  - Journal of the Medical Association of Thailand = Chotmaihet thangphaet
JID - 7507216
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Caregivers/*psychology
MH  - Cross-Sectional Studies
MH  - Dementia/*psychology/*therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/*psychology/therapy
MH  - Middle Aged
MH  - Psychiatric Status Rating Scales
MH  - Socioeconomic Factors
MH  - Stress, Psychological/*psychology/therapy
MH  - Young Adult
EDAT- 2014/06/27 06:00
MHDA- 2014/07/22 06:00
CRDT- 2014/06/27 06:00
PHST- 2014/06/27 06:00 [entrez]
PHST- 2014/06/27 06:00 [pubmed]
PHST- 2014/07/22 06:00 [medline]
PST - ppublish
SO  - J Med Assoc Thai. 2014 Apr;97(4):423-30.