Steele C, Rovner B, Chase G A, Folstein M
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Md.
Am J Psychiatry. 1990 Aug;147(8):1049-51. doi: 10.1176/ajp.147.8.1049.
Two hundred ten community-dwelling patients with Alzheimer's disease were examined prospectively by psychiatrists as part of a longitudinal study. Twenty-five of these patients who were institutionalized during the next 3 years were then matched to 25 patients who were not institutionalized, and the groups were compared. The patients who had been institutionalized had higher scores on standardized psychiatric rating scales but not on formal neuropsychological tests of cognition. These results suggest that potentially treatable (noncognitive) behavioral and psychiatric symptoms are risk factors for institutionalization, and that treating these symptoms might delay or prevent institutionalization of some patients.
作为一项纵向研究的一部分，210名患有阿尔茨海默病的社区居住患者接受了精神科医生的前瞻性检查。在接下来的3年里被送进机构照料的25名患者随后与25名未被送进机构照料的患者进行匹配，并对两组进行比较。被送进机构照料的患者在标准化精神科评定量表上得分较高，但在正式的认知神经心理学测试中得分不高。这些结果表明，潜在可治疗的（非认知性）行为和精神症状是机构照料的风险因素，并且治疗这些症状可能会延迟或防止一些患者被送进机构照料。
