PMID- 29213584 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231112 IS - 1980-5764 (Print) IS - 1980-5764 (Linking) VI - 2 IP - 4 DP - 2008 Oct-Dec TI - Behavioral and psychological symptoms in dementia is not a unitary concept: A critical review with emphasis on Alzheimer's disease. PG - 272-277 LID - 10.1590/S1980-57642009DN20400007 [doi] AB - Behavioral and Psychological Symptoms of Dementia (BPSD) is an important feature of dementia. However, this definition comprises a large array of symptoms and syndromes. This hampers understanding of the behavior of patients with dementia and the devising of strategies to ameliorate these symptoms. OBJECTIVES: This review aimed to describe the main factors and syndromes that comprise BPSD, as well as neuroimaging, psychopharmacological, and genetic data derived from studies of these factors. METHODS: A search on the Medline, Scielo, and ISI databases was performed using the keyword BPSD for articles published within the last five years. Selected publications were favored, so this review should not be regarded as a systematic study on the subject. RESULTS: The main factors and syndromes comprising BPSD were identified, namely psychosis, depression, and activity. Different ways of clustering symptoms were considered. The main manifestations of psychosis, apathy and depression were focused, relating phenomenology to neuroimaging and pharmacological issues. CONCLUSIONS: BPSD is a heterogeneous array of symptoms which can be better understood as clusters. At least three factors can be separated in BSPD, namely psychosis, depression, and activity. This division may offer guidance to clinicians regarding treatment management and follow up of the chosen therapeutic strategy. FAU - Laks, Jerson AU - Laks J AD - Center for Alzheimer's Disease/ Institute of Psychiatry/Federal University of Rio de Janeiro; School of Medical Sciences, State University of Rio de Janeiro. FAU - Engelhardt, Eliasz AU - Engelhardt E AD - Institute of Neurology Deolindo Couto of the Federal University of Rio de Janeiro. LA - eng PT - Journal Article PL - Brazil TA - Dement Neuropsychol JT - Dementia & neuropsychologia JID - 101506587 PMC - PMC5619079 OTO - NOTNLM OT - BPSD OT - apathy OT - dementia OT - depression OT - elderly OT - psychosis EDAT- 2008/10/01 00:00 MHDA- 2008/10/01 00:01 PMCR- 2008/10/01 CRDT- 2017/12/08 06:00 PHST- 2017/12/08 06:00 [entrez] PHST- 2008/10/01 00:00 [pubmed] PHST- 2008/10/01 00:01 [medline] PHST- 2008/10/01 00:00 [pmc-release] AID - 10.1590/S1980-57642009DN20400007 [doi] PST - ppublish SO - Dement Neuropsychol. 2008 Oct-Dec;2(4):272-277. doi: 10.1590/S1980-57642009DN20400007.