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Updated: May 30, 2026

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Published on: August 30, 2011
Personality changes in patients with beginning Alzheimer disease
Cornelia Pocnet1, Jérôme Rossier, Jean-Philippe Antonietti
1Service of Old Age Psychiatry, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Switzerland.
Patients with Alzheimer disease show significant personality changes, including increased neuroticism and decreased extraversion, openness, and conscientiousness, compared to healthy individuals. These changes appear specific to Alzheimer disease progression.
Area of Science:
- Neuroscience
- Psychology
- Gerontology
Background:
- Personality traits are generally stable throughout adulthood.
- Alzheimer disease (AD) is a neurodegenerative disorder affecting cognition and behavior.
- Understanding personality changes in AD is crucial for patient care and diagnosis.
Purpose of the Study:
- To compare personality traits in patients with mild Alzheimer disease (AD) and mentally healthy control subjects.
- To assess current and retrospective personality characteristics in AD patients.
- To investigate personality changes over time in individuals with AD.
Main Methods:
- Utilized the Structured Interview for the Five-Factor Model for current personality assessment.
- Employed the Revised NEO Personality Inventory (NEO PI-R) via proxies for retrospective personality evaluation.
- Compared personality profiles of 54 mild AD patients and 64 healthy controls.
Main Results:
- AD patients exhibited higher neuroticism and lower extraversion, openness, and conscientiousness compared to controls.
- Proxy assessments corroborated these findings, though less pronounced.
- Longitudinal analysis revealed significant personality shifts in the AD group, unlike the stable profiles in controls.
Conclusions:
- Personality changes in Alzheimer disease follow a distinct pattern, contrasting with personality stability in healthy aging.
- Retrospective and current personality assessments converge on these findings.
- Further longitudinal studies are needed to determine if these changes are early AD indicators or premorbid differences.
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