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探索病前人格与痴呆相关行为之间的关系。

Exploring the Relationship Between Premorbid Personality and Dementia-Related Behaviors.

作者信息

Zielin Susan, McCabe Marita

出版信息

J Gerontol Nurs. 2016 Jan;42(1):40-8. doi: 10.3928/00989134-20151008-77. Epub 2015 Oct 15.

Abstract

The purpose of the current study was to investigate whether premorbid personality traits (i.e., neuroticism, extroversion, openness, agreeableness, and conscientiousness) can predict behavioral and psychological symptoms of dementia (BPSD). In particular, agitation-related behaviors were examined. The current study used convenience sampling from 14 residential care facilities in Melbourne, Australia. Demographic and health data, cognitive ability, BPSD, and premorbid personality characteristics were collected from 62 female and 27 male older adults. Close informants of participants were asked to provide premorbid personality data (i.e., before the development of dementia) using the NEO-Five-Factor Inventory. Residential care staff used the Cohen-Mansfield Agitation Inventory to rate agitation-related behaviors over a 2-week period. Correlational analyses revealed associations between premorbid agreeableness and verbally nonaggressive behaviors, and between premorbid conscientiousness and verbally nonaggressive behaviors. Although the findings provide some support that premorbid personality shapes problematic behaviors exhibited in dementia, they are inconsistent with previous research and the hypotheses were generally not supported.

摘要

本研究的目的是调查病前人格特质(即神经质、外向性、开放性、宜人性和尽责性)是否能够预测痴呆的行为和心理症状(BPSD)。特别对与激越相关的行为进行了研究。本研究采用便利抽样法,选取了澳大利亚墨尔本14家养老院的老人。收集了62名女性和27名男性老年人的人口统计学和健康数据、认知能力、BPSD以及病前人格特征。研究要求参与者的亲密 informant 使用大五人格量表提供病前人格数据(即痴呆症发展之前)。养老院工作人员使用科恩-曼斯菲尔德激越量表对2周内与激越相关的行为进行评分。相关性分析揭示了病前宜人性与非言语攻击性行为之间的关联,以及病前尽责性与非言语攻击性行为之间的关联。尽管研究结果为病前人格塑造痴呆症中出现的问题行为提供了一些支持,但这些结果与之前的研究不一致,且假设总体上未得到支持。

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