Bidzan Leszek, Bidzan Mariola
Klinika Psychiatrii Rozwojowej, Zaburzeń Psychotycznych i Wieku Podeszlego AM w Gdańsku.
Psychiatr Pol. 2006 Sep-Oct;40(5):833-43.
This study sought to determine the relationship between behavioural and psychopathological disturbance and the functional status of dementia patients.
The link between results of the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH) and Multidimensional Observation Scale for Elderly Subjects (MOSES) with cognitive impairment in 23 demented and 30 non-impaired nursing home residents was examined. Diagnosis of dementia was based on ICD-10 criteria.
Results showed that behavioural and psychotic symptoms were most often found in cognitively impaired residents. Several symptoms of behavioural pathology showed associations with lower cognitive status, including delusions, apathy and aberrant motor behaviour. But dementia was not associated with more aggressive behaviours.
Results of NPI-NH were correlated significantly with the MOSES scale in both groups. The results suggest that some non-cognitive symptoms may be related to the cognitive dysfunction in dementia and behavioural pathology may also have impact on the patient's ability to function.
本研究旨在确定行为和精神病理障碍与痴呆患者功能状态之间的关系。
对23名患有痴呆症的养老院居民和30名未患认知障碍的养老院居民，研究了神经精神科问卷-养老院版（NPI-NH）和老年受试者多维观察量表（MOSES）的结果与认知障碍之间的联系。痴呆症的诊断基于ICD-10标准。
结果显示，行为和精神症状最常出现在认知受损的居民中。行为病理学的几种症状与较低的认知状态有关，包括妄想、冷漠和异常运动行为。但痴呆症与更具攻击性的行为无关。
两组中NPI-NH的结果与MOSES量表显著相关。结果表明，一些非认知症状可能与痴呆症中的认知功能障碍有关，行为病理学也可能对患者的功能能力产生影响。
