Kunik M E, Graham D P, Snow-Turek A L, Molinari V A, Orengo C A, Workman R H
Department of Psychiatry, Baylor College of Medicine, Houston, Texas 77030, USA.
J Nerv Ment Dis. 1998 May;186(5):299-303. doi: 10.1097/00005053-199805000-00006.
This study investigated the correlates of change in behavioral disturbance in geropsychiatric inpatients with dementia. It was hypothesized that improvement in specific psychiatric symptoms, such as psychosis and depression, contribute to the improvement of specific behavioral disturbances. All admissions between October 1993 and May 1995 were reviewed to identify those patients admitted to the Houston VA geropsychiatry unit with a diagnosis of dementia; 233 patients were included in the study. Improvement in behavioral disturbance symptoms was associated with decreases in depression, thought disorder, and hostility. However, the relative importance of depressive and psychotic symptoms varied depending upon the type of behavioral disturbance examined. These results may support a focused approach employing therapies specific to the type of behavioral disturbance.
本研究调查了老年精神科痴呆住院患者行为障碍变化的相关因素。研究假设，特定精神症状（如精神病和抑郁）的改善有助于特定行为障碍的改善。对1993年10月至1995年5月期间的所有入院病例进行了回顾，以确定那些入住休斯顿退伍军人事务部老年精神科且诊断为痴呆的患者；233名患者纳入研究。行为障碍症状的改善与抑郁、思维障碍和敌意的减轻有关。然而，抑郁和精神病症状的相对重要性因所检查的行为障碍类型而异。这些结果可能支持采用针对特定行为障碍类型的疗法的针对性方法。
