Nantes Université, Univ Angers, Laboratoire de Psychologie Des Pays de La Loire (LPPL - EA 4638), 44000, Nantes, France.
Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France.
Psychiatr Q. 2021 Dec;92(4):1531-1539. doi: 10.1007/s11126-021-09927-6. Epub 2021 Jun 5.
We investigated the effects of lockdown, as implemented by retirement homes to cope with the spread of Covid-19, on hallucinatory experiences in patients with Alzheimer's disease (AD). The study included 47 patients with AD living in retirement homes and who were already experiencing hallucinations prior to the lockdown. We invited caregivers to rate hallucinatory experiences in these patients during the lockdown, and compared this rating with that provided by the same caregivers prior to the lockdown. Results demonstrated increased hallucinatory experiences in patients with AD during the lockdown, compared with before the lockdown. The decrease in social and physical activities during the lockdown, and especially, the physical separation of residents from family members, might have led to decreased sensory stimulation and increased loneliness, and consequently, to the hallucinatory experiences in patients with AD living in retirement homes during the lockdown. While the restrictive measures were necessary to cope with the spread of Covid-19, these measures have increased hallucinations in patients with AD living in retirement homes, at least in those who were already experiencing hallucinations prior to the lockdown.
我们研究了退休之家为应对 COVID-19 传播而实施的封锁措施对阿尔茨海默病(AD)患者幻觉体验的影响。该研究纳入了 47 名居住在退休之家且已经出现幻觉的 AD 患者。我们邀请了护理人员在封锁期间对这些患者的幻觉体验进行评分,并将这一评分与封锁前由同一护理人员提供的评分进行比较。结果表明,与封锁前相比,AD 患者在封锁期间的幻觉体验有所增加。封锁期间社交和身体活动的减少,尤其是居民与家庭成员的身体隔离,可能导致感觉刺激减少和孤独感增加,从而导致居住在退休之家的 AD 患者出现幻觉。虽然限制措施是应对 COVID-19 传播所必需的,但这些措施至少在那些在封锁前已经出现幻觉的患者中增加了居住在退休之家的 AD 患者的幻觉。