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Related Experiment Videos

Personality changes in Alzheimer's disease.

A Chatterjee1, M E Strauss, K A Smyth

  • 1Alzheimer Center, Case Western Reserve University, Cleveland, Ohio.

Archives of Neurology
|May 1, 1992
PubMed
Summary

Personality changes in Alzheimer's disease (AD) involve systematic shifts in traits like neuroticism and extroversion. Caregivers reported significant alterations, suggesting consistent patterns across patients with AD.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Gerontology

Background:

  • Personality changes in Alzheimer's disease (AD) are not fully understood.
  • Postulated changes include accentuation of premorbid personality, systematic trait shifts, or subtype-specific alterations.
  • Investigating these patterns is crucial for understanding AD's impact on personality.

Purpose of the Study:

  • To determine the nature of personality changes in Alzheimer's disease.
  • To differentiate between personality accentuation, systematic shifts, and subtype-specific changes.
  • To examine the relationship between premorbid personality and subsequent psychiatric symptoms in AD.

Main Methods:

  • Caregivers of Alzheimer's disease patients completed a comprehensive personality inventory.

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  • The inventory was standardized for informant-based assessments.
  • Data analysis focused on observed behavioral changes reported by caregivers.
  • Main Results:

    • Caregivers reported increased neuroticism and decreased extroversion and conscientiousness in AD patients.
    • Smaller decreases were noted in agreeableness and openness.
    • Systematic shifts in neuroticism, extroversion, agreeableness, and openness were observed across patients.
    • Depressive features correlated with higher neuroticism; paranoid delusions correlated with hostility.

    Conclusions:

    • Alzheimer's disease is associated with systematic shifts in personality traits.
    • Premorbid personality traits may influence the development of psychiatric symptoms in AD.
    • Understanding these personality changes is vital for comprehensive AD patient care.