Goyal Alka R, Engedal Knut, Eriksen Siren
Section of Old Age Psychiatry, Vestre Viken Hospital trust, Norway; Norwegian National Advisory Unit on Aging and Health, Norway; Centre of Old Age Psychiatry Research, Innlandet Hospital Trust, Norway.
Norwegian National Advisory Unit on Aging and Health, Norway.
Dementia (London). 2019 Jan;18(1):80-93. doi: 10.1177/1471301216659770. Epub 2016 Jul 14.
Since anxiety in patients with dementia is a complex, understudied phenomenon, this paper presents clinicians' experiences of anxiety in this population. Semi-structured interviews were conducted with seven clinicians experienced with dementia in elderly patients (65 years and above), and then evaluated via qualitative content analysis. Analysis revealed three main categories: A reaction to loss and worries, symptoms of anxiety and depression interfere with each other, and anxiety in dementia-a multidisciplinary task. Anxiety in this population is perhaps best understood as a reaction to loss and worries, and existential in nature by the participants. Care interventions can reduce or prevent anxiety symptoms in this population. However, when anxiety co-exists with depression it might be difficult to attenuate these symptoms through care measures alone. To better identify and treat the condition, valid dementia-specific anxiety-screening instruments are necessary.
由于痴呆症患者的焦虑是一种复杂且研究不足的现象，本文介绍了临床医生在这一人群中处理焦虑问题的经验。对七位在老年患者（65岁及以上）中处理痴呆症经验丰富的临床医生进行了半结构化访谈，然后通过定性内容分析进行评估。分析揭示了三个主要类别：对丧失和担忧的反应、焦虑和抑郁症状相互干扰、痴呆症中的焦虑——一项多学科任务。该人群中的焦虑或许最好理解为对丧失和担忧的反应，且参与者认为其本质上是存在主义的。护理干预可以减轻或预防该人群的焦虑症状。然而，当焦虑与抑郁并存时，仅通过护理措施可能难以减轻这些症状。为了更好地识别和治疗这种情况，有效的针对痴呆症的焦虑筛查工具是必要的。
