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新冠疫情期间一名阿尔茨海默病患者的幻觉:病例研究

Hallucinations in a Patient with Alzheimer's Disease During the COVID-19 Crisis: A Case Study.

作者信息

El Haj Mohamad, Larøi Frank, Gallouj Karim

机构信息

Nantes Université, Univ Angers, Laboratoire de Psychologie des Pays de la Loire (LPPL - EA 4638), Nantes, France.

Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France.

出版信息

J Alzheimers Dis Rep. 2020 Oct 24;4(1):455-458. doi: 10.3233/ADR-200241.

Abstract

While social distancing may be deemed necessary in order to avoid COVID-19 infections, the lockdown may impact mental health of patients with Alzheimer's disease (AD). We present a case study involving hallucinations in a patient with AD who lives in a nursing home during the COVID-19 crisis. We compared this patient's hallucination scores before and during the lockdown. We observed increased hallucinations during, compared to before, the lockdown. These increased hallucinations can be attributed to a number of elements such as the decreased in daily activities, social distancing, lack of physical contact with family members, and loneliness during the lockdown.

摘要

虽然为避免感染新冠病毒,保持社交距离可能被认为是必要的,但封锁措施可能会影响阿尔茨海默病(AD)患者的心理健康。我们呈现了一个案例研究,该案例涉及一名在新冠疫情危机期间住在养老院的AD患者出现幻觉的情况。我们比较了该患者在封锁前和封锁期间的幻觉评分。我们观察到,与封锁前相比,封锁期间幻觉有所增加。这些幻觉增加可归因于一些因素,如日常活动减少、社交距离、与家庭成员缺乏身体接触以及封锁期间的孤独感。

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本文引用的文献

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Hallucinations in Alzheimer's disease: failure to suppress irrelevant memories.阿尔茨海默病中的幻觉:无法抑制无关记忆。
Cogn Neuropsychiatry. 2018 May;23(3):142-153. doi: 10.1080/13546805.2018.1443062. Epub 2018 Feb 26.
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Clinical and neurocognitive aspects of hallucinations in Alzheimer's disease.阿尔茨海默病患者幻觉的临床和神经认知方面。
Neurosci Biobehav Rev. 2017 Dec;83:713-720. doi: 10.1016/j.neubiorev.2017.02.021. Epub 2017 Feb 21.
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Hallucinations, loneliness, and social isolation in Alzheimer's disease.阿尔茨海默病中的幻觉、孤独感和社会隔离
Cogn Neuropsychiatry. 2016;21(1):1-13. doi: 10.1080/13546805.2015.1121139. Epub 2016 Jan 6.
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