Quantitative evaluation of severity of behavioral and psychological symptoms of dementia in patients with vascular dementia

Translational Neurodegeneration

Ding-Fang Cai¹  Jin Zhu⁴  Jun Wang⁴  Chun-Lan Wu⁴  Qian Liu³  Sohei Yoshida²  Wei-Dong Pan⁴ 

[1] Laboratory of Neurology, Institute of Integrative Medicine, Zhongshan Hospital, Fudan University, 180, Fenglin Road, Shanghai, 200032, China;Department of Neurology, Kansai University Clinic, Kansai University of Health Sciences, 1-11-2 Wakaba, Kumatori-Cho, Sennan-Gun, Osaka, 590-0482, Japan;Department of Cardiology, Shuguang Hospital Affiliated to Shanghai University of TCM, 185, Pu-An Road, Shanghai, 200021, China;Department of Neurology, Shuguang Hospital Affiliated to Shanghai University of TCM, 185, Pu-An Road, Shanghai, 200021, China

关键词: Actigraph;    Neuropsychiatric inventory;    Rating scale of the behavioral pathology in Alzheimer’s disease;    Behavioral and psychological symptoms of dementia;    Vascular dementia;   

Others  :  838720
DOI  :  10.1186/2047-9158-2-9

 received in 2013-01-29, accepted in 2013-04-19,  发布年份 2013

【 摘 要 】

To quantitatively evaluate severity of behavioral and psychological symptoms of dementia (BPSD) for vascular dementia (VD). Changes of 51 patients with VD in BPSD between the first and 24th week were assessed using the Neuropsychiatric Inventory (NPI) and the behavioral pathology in Alzheimer’s disease (BEHAVE-AD) rating scale, in detrended fluctuation analysis (DFA) represented by diurnal activity (DA), evening activity (EA), and nocturnal activity (NA), and the relationships were analyzed. The subscores of activity disturbances, diurnal rhythm disturbances, and anxieties and phobias in the BEHAVE-AD score, and that of agitation, irritability, and sleep disorder in the NPI score were significantly increased compared with the first week, as was for the changes for EA in the DFA value. A linear correlation was observed between the changes of activity disturbances plus anxieties and phobias, and those of DA, and between the development of diurnal rhythm and those of EA, the vehement and autism scores and those of DA, and the difference in sleep disorder scores and those of EA, respectively. Analysis of DA, NA, and EA may reflect the fluctuational degrees of VD-BPSD, can provide a useful assessment of VD-BPSD accompanied by clinical scores for VD.

【 授权许可】

   
2013 Pan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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