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阿尔茨海默病患者中卡普格拉综合征的患病率:一项系统评价和荟萃分析。

Prevalence of Capgras syndrome in Alzheimer's patients: A systematic review and meta-analysis.

作者信息

Pereira Gabriela Caparica Muniz, de Oliveira Gustavo Carvalho

机构信息

Acadêmica de Medicina do Centro Universitário de Brasília - UniCeub, DF, Brazil.

Professor Adjunto do Centro Universitário de Brasília - Uniceub, DF, Brazil.

出版信息

Dement Neuropsychol. 2019 Oct-Dec;13(4):463-468. doi: 10.1590/1980-57642018dn13-040014.

DOI:10.1590/1980-57642018dn13-040014
PMID:31844501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6907701/
Abstract

UNLABELLED

The association between Capgras syndrome and Alzheimer's disease has been reported in several studies, but its prevalence varies considerably in the literature, making it difficult to measure and manage this condition.

OBJECTIVE

This study aims to estimate the prevalence of Capgras syndrome in patients with Alzheimer's disease through a systematic review, and to review etiological and pathophysiological aspects related to the syndrome.

METHODS

A systematic review was conducted using the Medline, ISI, Cochrane, Scielo, Lilacs, and Embase databases. Two independent researchers carried out study selection, data extraction, and qualitative analysis by strictly following the same methodology. Disagreements were resolved by consensus. The meta-analysis was performed using the random effect model.

RESULTS

40 studies were identified, 8 of which were included in the present review. Overall, a total of 1,977 patients with Alzheimer's disease were analyzed, and the prevalence of Capgras syndrome in this group was 6% (CI: 95% I² 54% 4.0-8.0).

CONCLUSION

The study found a significant prevalence of Capgras syndrome in patients with Alzheimer's disease. These findings point to the need for more studies on the topic to improve the management of these patients.

摘要

未标注

多项研究报道了卡普格拉综合征与阿尔茨海默病之间的关联,但该综合征在文献中的患病率差异很大,这使得对其进行测量和管理变得困难。

目的

本研究旨在通过系统评价估计阿尔茨海默病患者中卡普格拉综合征的患病率,并回顾与该综合征相关的病因学和病理生理学方面。

方法

使用Medline、ISI、Cochrane、Scielo、Lilacs和Embase数据库进行系统评价。两名独立研究人员严格遵循相同方法进行研究选择、数据提取和定性分析。分歧通过协商解决。采用随机效应模型进行荟萃分析。

结果

共识别出40项研究,其中8项纳入本综述。总体而言,共分析了1977例阿尔茨海默病患者,该组中卡普格拉综合征的患病率为6%(置信区间:95%,I² 54%,4.0 - 8.0)。

结论

该研究发现阿尔茨海默病患者中卡普格拉综合征的患病率较高。这些发现表明需要对该主题进行更多研究,以改善对这些患者的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d1a/6907701/c20cbfc96188/1980-5764-dn-13-04-0463-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d1a/6907701/e1578427850e/1980-5764-dn-13-04-0463-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d1a/6907701/c20cbfc96188/1980-5764-dn-13-04-0463-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d1a/6907701/e1578427850e/1980-5764-dn-13-04-0463-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d1a/6907701/c20cbfc96188/1980-5764-dn-13-04-0463-gf02.jpg

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2
'Myxoedema madness' with Capgras syndrome and catatonic features responsive to combination olanzapine and levothyroxine.伴有卡普格拉综合征及紧张症特征的“黏液性水肿性癫狂”对奥氮平与左甲状腺素联合治疗有效
BMJ Case Rep. 2016 Sep 9;2016:bcr2016215957. doi: 10.1136/bcr-2016-215957.
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A Case of Capgras Syndrome Related to Hypothyroidism.
一例与甲状腺功能减退相关的卡普格拉综合征病例。
J Psychiatr Pract. 2015 Nov;21(6):445-8. doi: 10.1097/PRA.0000000000000108.
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Brain Metabolic Dysfunction in Capgras Delusion During Alzheimer's Disease: A Positron Emission Tomography Study.阿尔茨海默病伴卡普格拉妄想症患者的脑代谢功能障碍:一项正电子发射断层扫描研究
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Delusions of Korean patients with Alzheimer's disease: study of drug-naïve patients.韩国阿尔茨海默病患者的妄想:药物初治患者的研究。
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