Department of Psychiatry, University College London Medical School, London, UK.
Int J Psychiatry Clin Pract. 1997;1(3):157-68. doi: 10.3109/13651509709024722.
Although the cognitive impairments in dementia are the defining aspect, the non-cognitive changes such as behavioural disturbance and personality change are very common and may cause great distress to the patient and the carer. This article reviews the definition, prevalence and nature of behavioural disturbance in dementia. In addition, we review assessment scales and published reports of psychological, physical and psychosocial management strategies. Finally, we present the results of a successful randomized controlled trial of an individualized intervention package for behavioural manifestations of dementia. We conclude that this approach can help alleviate some of the distressing symptoms of dementia.
虽然痴呆症的认知障碍是其主要特征，但非认知变化，如行为障碍和人格改变，也非常常见，可能会给患者和照顾者带来极大的痛苦。本文综述了痴呆症行为障碍的定义、患病率和性质。此外，我们还回顾了评估量表和已发表的心理、身体和社会心理管理策略的报告。最后，我们介绍了个体化干预方案治疗痴呆症行为表现的一项成功的随机对照试验结果。我们得出的结论是，这种方法可以帮助减轻痴呆症的一些令人痛苦的症状。
