意识到痴呆症患者的社会功能及其与痴呆症的关联 严重程度:多中心跨部门研究
Andrew Sommerlad1,2, Jessica Grothe3, Sumiyo Umeda4,5,6
1Division of Psychiatry, University College London, London, UK.
Journal of Alzheimer's disease : JAD
|July 20, 2024
概括
痴呆症患者往往没有意识到他们的社会功能缺陷,这会影响他们和他们的护理人员的结果. 这项研究探讨了不同领域对痴呆症社会功能意识的认识.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 痴呆症经常会影响社会功能,往往没有个体的认可.
- 这种对社会缺陷的缺乏洞察力可能会对痴呆症患者及其家庭护理人员产生负面影响.
研究的目的:
- 描述痴呆症患者对社会功能意识的特征.
- 检查社会功能意识与痴呆症严重程度之间的关联.
主要方法:
- 这是一项多中心,横截面的研究,涉及65岁以上痴呆症患者及其来自德国,日本和英国的家庭信息人.
- 痴呆症社会功能 (SF-DEM) 尺度评估了三个领域:与他人共度时间,与他人沟通,以及对他人的敏感性.
- 缺乏意识被量化为SF-DEM尺度上的患者和告知者等级之间的差异.
主要成果:
- 研究了108名参与者 (平均年龄为78.9岁,MMSE为22.7).
- 患者评价他们的沟通和敏感性高于告密者 (p<0.003).
- 60人高估了,30人低估了,18人准确地评价了他们的社会功能,而不是信息提供者的评分. MMSE的表现与意识差异没有相关性.
结论:
- 意识到痴呆症中的社会功能是多方面的和特定领域.
- 临床医生应该教育家庭关于痴呆症患者对其社会功能意识有限,以帮助适应.
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