Quantitative evaluation of severity of behavioral and psychological symptoms of dementia in patients with vascular dementia  

作　　者：Wei-Dong Pan Sohei Yoshida Qian Liu Chun-Lan Wu Jun Wang Jin Zhu Ding-Fang Cai 

机构地区：[1]Department of Neurology,Shuguang Hospital Affiliated to Shanghai University of TCM,185,Pu-An Road,Shanghai 200021,China [2]Department of Neurology,Kansai University Clinic,Kansai University of Health Sciences,1-11-2 Wakaba,Kumatori-Cho,Sennan-Gun,Osaka 590-0482,Japan [3]Department of Cardiology,Shuguang Hospital Affiliated to Shanghai University of TCM,185,Pu-An Road,Shanghai 200021,China [4]Laboratory of Neurology,Institute of Integrative Medicine,Zhongshan Hospital,Fudan University,180,Fenglin Road,Shanghai 200032,China

出　　处：《Translational Neurodegeneration》2013年第1期52-58,共7页转化神经变性病（英文）

基　　金：This study was sponsored by the Shanghai Pujiang Program of the Science and Technology Commission of Shanghai Municipality(09PJ1409300);the Three-Year Developmental Plan Project for Traditional Chinese Medicine(major research)of the Shanghai Municipal Health Bureau(ZYSNXD-CCZDYJ028).

摘　　要：To quantitatively evaluate severity of behavioral and psychological symptoms of dementia(BPSD)for vascular dementia(VD).Changes of 51 patients with VD in BPSD between the first and 24th week were assessed using the Neuropsychiatric Inventory(NPI)and the behavioral pathology in Alzheimer’s disease(BEHAVE-AD)rating scale,in detrended fluctuation analysis(DFA)represented by diurnal activity(DA),evening activity(EA),and nocturnal activity(NA),and the relationships were analyzed.The subscores of activity disturbances,diurnal rhythm disturbances,and anxieties and phobias in the BEHAVE-AD score,and that of agitation,irritability,and sleep disorder in the NPI score were significantly increased compared with the first week,as was for the changes for EA in the DFA value.A linear correlation was observed between the changes of activity disturbances plus anxieties and phobias,and those of DA,and between the development of diurnal rhythm and those of EA,the vehement and autism scores and those of DA,and the difference in sleep disorder scores and those of EA,respectively.Analysis of DA,NA,and EA may reflect the fluctuational degrees of VD-BPSD,can provide a useful assessment of VD-BPSD accompanied by clinical scores for VD.

关 键 词：Vascular dementia Behavioral and psychological symptoms of dementia Rating scale of the behavioral pathology in Alzheimer’s disease Neuropsychiatric inventory ACTIGRAPH 

分 类 号：R74[医药卫生—神经病学与精神病学]