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首页> 外文期刊>Sri Lanka Journal of Psychiatry >Prevalence of behavioral and psychological symptoms of dementia and its association with the degree of cognitive impairment in patients presenting to the National Institute of Mental Health, Sri Lanka
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Prevalence of behavioral and psychological symptoms of dementia and its association with the degree of cognitive impairment in patients presenting to the National Institute of Mental Health, Sri Lanka

机译：向斯里兰卡国家心理健康研究所就诊的患者中痴呆的行为和心理症状的流行及其与认知障碍程度的关系

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BackgroundBehavioral and psychological symptoms of dementia (BPSD) are a major contributor to high levels of carer burden and poor quality of life in patients with dementia. Optimal management is yet to be determined. It is imperative to understand the occurrence of BPSD with the severity of cognitive impairment, since this would allow caregivers and healthcare workers to predict likely behavioral and psychological issues.AimsTo describe the patterns of BPSD among patients admitted to the National Institute of Mental Health (NIMH), Sri Lanka and its association with the degree of cognitive impairment.MethodsA cross-sectional descriptive study was carried out among patients diagnosed with dementia admitted to NIMH over a two-year period from 2013. An interviewer administered questionnaire, the mini mental state examination and the Neuropsychiatric Inventory (NPI) were used.ResultsOf the total 122 patients, 51.6% were females. The mean age was 71.2 years. According to the MMSE scores, the severity of dementia was mild, moderate and severe in 32.8%, 42.6% and 24.6% participants respectively. All were on pharmacological treatment in the form of antipsychotics and/or acetylcholinesterase inhibitors. A majority (96.72%) had BPSD. Frequent symptoms included delusions (42.6%), irritability (41%), appetite changes (34.4%) and depression (32%). Aberrant motor behavior, sleep and night-time behavior disorders were significantly associated with increased severity of dementia, while irritability, disinhibition, agitation, hallucinations and delusions were significantly higher in moderate dementia. Anxiety and depression were mostly seen in mild dementia.ConclusionA majority of participants had BPSD, despite being on pharmacological treatment. There was a statistically significant prevalence in groups of symptoms, according to the degree of cognitive impairment can be seen.
机译：背景痴呆症的行为和心理症状（BPSD）是导致痴呆症患者高水平的照顾者负担和不良生活质量的主要原因。最佳管理尚待确定。必须了解认知障碍严重程度的BPSD的发生，因为这将使护理人员和医护人员能够预测可能的行为和心理问题。目的描述美国国立精神卫生研究所（NIMH）入院患者的BPSD模式方法从2013年开始的两年期间，对诊断为NIMH的痴呆患者进行横断面描述性研究。由访调员管理问卷，进行迷你精神状态检查结果：122例患者中，女性占51.6％。平均年龄为71.2岁。根据MMSE评分，痴呆症的轻度，中度和重度分别为32.8％，42.6％和24.6％。所有患者均接受抗精神病药和/或乙酰胆碱酯酶抑制剂形式的药物治疗。大多数（96.72％）患有BPSD。常见症状包括妄想（42.6％），易怒（41％），食欲变化（34.4％）和抑郁（32％）。异常的运动行为，睡眠和夜间行为障碍与痴呆严重程度的增加显着相关，而中度痴呆的易怒，抑制，激动，幻觉和妄想明显更高。焦虑和抑郁多见于轻度痴呆。结论尽管接受药物治疗，大多数参与者仍患有BPSD。根据认知障碍的程度，症状组的患病率在统计学上具有统计学意义。

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