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A transcultural study of agitation in dementia.
- Source :
-
Journal of geriatric psychiatry and neurology [J Geriatr Psychiatry Neurol] 2002 Fall; Vol. 15 (3), pp. 171-4. - Publication Year :
- 2002
-
Abstract
- Agitation is one of the most troublesome behaviors in demented patients. It is etiologically heterogeneous and has varied associated behaviors. To explore the transcultural differences in the manifestation of agitation, we evaluated 50 consecutive Alzheimer's disease (AD) patients in three countries (Taiwan, Italy, and the United States) using the Neuropsychiatric Inventory (NPI) and the Mini-Mental State Examination (MMSE). In a focused analysis, only patients with composite NPI scores > 2 for agitation were selected, with similar levels of disease severity as measured by the MMSE, from the three groups (n = 15 per group) to evaluate culturally specific correlates of agitation. Agitated Taiwanese had significantly more hallucinations than either Italian or American patients. Agitated Italian patients had significantly more apathy than both Taiwanese and American patients. Cultural factors may influence the manifestation of agitation more than a common underlying neuropathology. Management strategies targeting unique behavioral instigators of agitation may be specific for different ethnic groups.
- Subjects :
- Aged
Alzheimer Disease diagnosis
Cross-Cultural Comparison
Humans
Italy ethnology
Neuropsychological Tests
Psychomotor Agitation psychology
Taiwan ethnology
United States epidemiology
Alzheimer Disease complications
Alzheimer Disease ethnology
Culture
Hallucinations complications
Hallucinations ethnology
Psychomotor Agitation complications
Psychomotor Agitation ethnology
Subjects
Details
- Language :
- English
- ISSN :
- 0891-9887
- Volume :
- 15
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of geriatric psychiatry and neurology
- Publication Type :
- Academic Journal
- Accession number :
- 12230087
- Full Text :
- https://doi.org/10.1177/089198870201500308