Cooper S A
St Mary's Hospital, Kettering, UK.
Int J Geriatr Psychiatry. 1997 Jun;12(6):662-6.
To determine the rate of psychiatric symptoms among elderly people with learning disabilities who have dementia.
Survey.
The general community of a county in the UK.
The whole population of people with learning disabilities who were 65 years or over. The total population was 143, of whom 134 participated (93.7%). From the total population, those with dementia were determined (N = 29).
Description of psychopathology, using a semi-structured psychiatric rating scale.
Psychotic symptoms occurred in 27.6%, with the most common types being delusions of thefts, other persecutory delusions and visual hallucinations of strangers in the house. The onset of other psychiatric symptoms as part of the dementia was also common, in particular changed sleep pattern, loss of concentration, worry, reduced quantity of speech, change in appetite and onset of or increase in aggression.
People with leaming disabilities are living longer, and so the number with dementia is rising. Psychiatric symptoms occur commonly in dementia, can cause significant distress and require recognition, understanding and the development of effective managements.
确定患有痴呆症的老年学习障碍者的精神症状发生率。
调查。
英国一个县的普通社区。
65岁及以上的学习障碍者总人口。总人口为143人，其中134人参与调查（93.7%）。在总人口中，确定了患有痴呆症的人（N = 29）。
使用半结构化精神科评定量表描述精神病理学。
27.6%的人出现精神病性症状，最常见的类型是盗窃妄想、其他迫害妄想以及家中陌生人的视幻觉。作为痴呆症一部分的其他精神症状的发作也很常见，特别是睡眠模式改变、注意力不集中、焦虑、言语量减少、食欲改变以及攻击行为的发作或增加。
学习障碍者的寿命越来越长，因此患有痴呆症的人数正在增加。精神症状在痴呆症中很常见，会造成严重痛苦，需要得到识别、理解并制定有效的管理措施。
