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臨床症状

Dylan X Guan1, Byron Creese2, Cassandra M Germain3

  • 1Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

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まとめ
この要約は機械生成です。

神経認知障害における興奮性は、一貫して測定することが困難である。検証された尺度のうち、国際精神老年医学会（IPA）の基準に完全に合致するものは少なく、研究および臨床実践に影響を与えている。

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科学分野:

  • 老年精神医学
  • 神経科学
  • 臨床心理学

背景:

  • 興奮性は、神経認知障害における一般的で苦痛な行動です。
  • 興奮性の測定は、定義とツールの不一致によって複雑になります。
  • 国際精神老年医学会（IPA）は、興奮性のためのコンセンサス基準を確立しました。

研究 の 目的:

  • 神経認知障害のある高齢者における検証済み興奮性尺度の系統的レビューを実施すること。
  • これらの尺度がIPA基準にどの程度合致するかを評価すること。

主な方法:

  • MEDLINE、EMBASE、およびPsycINFOデータベースの系統的レビューを実施しました。
  • 神経認知障害集団における興奮性尺度の検証研究を含めました。
  • 独立したレビュー担当者によってIPA基準との尺度の一致を評価しました。

主要な成果:

  • 39のユニークな興奮性尺度を226の全文記事から特定しました。
  • スタッフ観察攻撃性尺度、神経精神医学的目録（施設版）、および修正過剰攻撃性尺度がIPAとの整合性が最も高いことを示しました。
  • 多くの尺度は、過度の運動活動または身体的攻撃性に関する項目を欠いていました。

結論:

  • 高齢者向けの興奮性尺度は数多く存在するものの、IPA基準を完全に満たすものはほとんどありません。
  • 一般的な欠点には、症状の持続性や感情的苦痛を適切に捉えられないことが含まれます。
  • 尺度が中核的な興奮性領域をどのように扱うかには、大きなばらつきがあります。