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Dysphoric symptoms in relation to other behavioral and psychological symptoms of dementia, among elderly in nursing homes
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Pharmacology.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
Umeå University, Faculty of Medicine, Department of Nursing. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Sweden; Department of Health Sciences, Luleå University of Technology, Sweden.
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2017 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, no 1, article id 206Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Behavioral and psychological symptoms of dementia (BPSD) are common and varied in the elderly. The aim of the current study was to explore associations between BPSD and dysphoric symptoms at different levels of cognitive impairment.

METHODS: Assessments of 4397 elderly individuals living in nursing homes in Sweden were performed. Data on cognitive function and BPSD were collected using the Multi-Dimensional Dementia Assessment Scale (MDDAS). The relationships between dysphoria and eight BPSD factors were plotted against cognitive function to investigate how dysphoria affects BPSD throughout the dementia disease.

RESULTS: Overall, dysphoric symptoms were most prevalent in persons with moderate cognitive impairment. However, moderate to severe dysphoric symptoms showed no clear variation with cognitive impairment. Furthermore, aggressive behavior, verbally disruptive/attention-seeking behavior, hallucinatory symptoms and wandering behavior were more common with concurrent dysphoria regardless of cognitive function. In contrast, passiveness was more common with concurrent dysphoria in mild cognitive impairment but not in moderate to severe cognitive impairment.

CONCLUSIONS: BPSD, including aggressive behavior and hallucinations, were more common with concurrent dysphoric symptoms, providing insight into behavioral and psychological symptoms among individuals with cognitive impairment. Apathy was more commonly associated with concurrent dysphoria at early stages of cognitive decline but not at later stages, indicating that apathy and dysphoria represent separate syndromes among elderly patients with moderate to severe cognitive impairment.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 17, no 1, article id 206
Keywords [en]
Aggressiveness, Apathy, BPSD, Cognitive impairment, Dementia, Depression, Dysphoria, Hallucination
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-139896DOI: 10.1186/s12877-017-0603-4ISI: 000409527200002PubMedID: 28882104OAI: oai:DiVA.org:umu-139896DiVA, id: diva2:1144292
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2018-06-09Bibliographically approved

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Lindbo, AgnesGustafsson, MariaIsaksson, UlfSandman, Per-OlofLövheim, Hugo

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Lindbo, AgnesGustafsson, MariaIsaksson, UlfSandman, Per-OlofLövheim, Hugo
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