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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >The impact of psychotic symptoms on the persons with dementia experiencing them
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The impact of psychotic symptoms on the persons with dementia experiencing them

机译：精神病症状对患有痴呆症的人的影响

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Objective: To portray the emotional and behavioral reactions of persons with dementia to the delusions and hallucinations they experience, according to the reports of their family caregivers. The article also explores the relationship between those reactions and background variables. Methods: Study participants were family caregivers of 74 older persons with a diagnosis of dementia (aged >= 65) residing in the community recruited from adult day centers and support groups for caregivers of persons with dementia and by advertising online. Assessments included the Behavioral Pathology in Alzheimer's Disease, the Neuropsychiatric Inventory, the Etiological Assessment of Psychotic Symptoms in Dementia, Activities of Daily Living questionnaire, and the Mini-Mental State Examination. Results: Findings concerning emotional reactions reveal that close to half of the delusions resulted in discomfort, whereas around 40% did not. We found significant differences in the discomfort associated with different types of delusions, with delusions of abandonment, danger, and infidelity associated with more discomfort than other delusions. Around half of the delusions were associated with a behavioral manifestation. Conclusion: The findings highlight the need to examine the emotional impact of delusions and hallucinations as part of their assessment and as a consideration in treatment decisions.
机译：目的：根据家庭照护者的报告，描绘痴呆症患者对其所经历的妄想和幻觉的情绪和行为反应。本文还探讨了这些反应与背景变量之间的关系。方法：研究参与者为74位诊断为痴呆的老年人的家庭看护人，这些人居住在成人日间中心和支持小组中，他们被诊断为患有痴呆症的老年人（≥65岁），并通过在线广告进行支持。评估包括阿尔茨海默氏病的行为病理学，神经精神病学调查表，痴呆症精神病症状的病因学评估，日常生活活动调查表以及小精神状态检查。结果：有关情绪反应的发现表明，近一半的妄想导致不适，而约40％的人却没有。我们发现，与不同类型的妄想相关的不适感存在显着差异，与其他妄想相比，遗弃，危险和不忠与更多的不适感相关。大约一半的妄想与行为表现有关。结论：研究结果强调，有必要检查妄想和幻觉的情感影响，作为其评估的一部分，并作为治疗决策的考虑因素。

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