痴呆症患者的日落:识别,患病率和临床相关性
Marco Toccaceli Blasi1, Martina Valletta2, Alessandro Trebbastoni1,3
1Department of Human Neuroscience, "Sapienza" University, Rome, Italy.
Journal of Alzheimer's disease : JAD
|June 19, 2023
概括
日落,以痴呆症患者神经精神病症状恶化为特征,影响了21.2%的个体. 关键预测因素包括痴呆症的严重程度和记忆剂的使用,突出显示了需要采用多维方法.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 精神病学是一个精神病学.
背景情况:
- 夕阳描述了痴呆症患者在下午晚些时候或晚上神经精神病症状的出现或恶化.
- 这种现象经常在认知障碍患者中观察到.
研究的目的:
- 为了确定日落的流行率和临床特征,在第三级记忆诊所人口中.
- 为了确定与日落相关的临床和神经心理因素.
主要方法:
- 来自记忆诊所的184名痴呆症患者的队列使用专门的日落问卷进行了评估.
- 社会人口统计学,临床数据和药物使用情况在有和没有日落的患者之间进行了比较.
- 后勤回归分析确定了预测因素,其中的一个子集接受了神经心理测试.
主要成果:
- 在21.2%的患者中出现了日落,主要表现为动荡,易怒和焦虑.
- 日落者年龄较大,晚期痴呆发作,认知/功能衰退较大,更多的夜间觉醒,听力损失和不同的药物治疗模式.
- 临床痴呆症评分和记忆剂使用是日落的显著相关.
结论:
- 日落是痴呆症患者常见的多因素状况.
- 临床评估应对日落进行评估,采用综合策略来确定促成因素.
- 了解预测因素对于有效的临床管理至关重要.
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