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Using Retinal Imaging to Study Dementia
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Anxiety in Dementia.

Yong Tae Kwak1, YoungSoon Yang2, Min-Seong Koo3

  • 1Department of Neurology, Hyoja Geriatric Hospital, Yongin, Korea.

Dementia and Neurocognitive Disorders
|March 26, 2019
PubMed
Summary

Anxiety is common in dementia, impacting quality of life. This review covers diagnosis, evaluation, and treatment of anxiety in dementia patients, despite limited clinical trials.

Keywords:
Alzheimer's diseaseanxietydementiavascular dementia

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Area of Science:

  • Gerontology
  • Neurology
  • Psychiatry

Background:

  • Anxiety is prevalent in dementia, affecting 8-71% of individuals.
  • Anxiety in dementia presents uniquely, complicating diagnosis and differentiation from depression or dementia itself.
  • Anxiety symptoms may decrease in severe dementia stages and differ between vascular dementia and Alzheimer's disease.

Purpose of the Study:

  • To review the diagnosis, evaluation, and treatment of anxiety in dementia.
  • To clarify the complexities of identifying and quantifying anxiety in this population.
  • To highlight the impact of anxiety on patients and caregivers.

Main Methods:

  • Literature review of existing studies on anxiety in dementia.
  • Analysis of diagnostic challenges and differentiating factors.
  • Examination of current treatment approaches and their efficacy.

Main Results:

  • Anxiety significantly impacts quality of life in dementia patients, independent of depression.
  • Reliable identification and quantification of anxiety are challenging due to atypical presentations.
  • Optimal treatment strategies and efficacy remain unclear due to limited large-scale randomized clinical trials.

Conclusions:

  • Despite diagnostic challenges, managing anxiety in dementia is crucial for improving patient and caregiver outcomes.
  • Further research, including large randomized clinical trials, is needed to establish optimal treatments.
  • Understanding the nuances of anxiety in dementia is essential for effective clinical management.