본문 바로가기
KERD
논문KCI 등재

한국판 Neuropsychiatric Inventory로 본 치매 단계에 따른 행동 · 정신증상 특징

Characteristics of Behavioral and Psychological Symptoms by Dementia Stage - Evaluated by the Korean Version of Neuropsychiatric Inventory -

김지혜|홍창형|차경렬|오병훈
대한신경정신의학회 (Korean Neuropsychiatric Association)|2004.09|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제43권 제5호|pp. 596-602

0

조회

0

다운로드

9

인용

0

참고문헌

키워드

치매 · 행동정신증상Dementia · BPSD · K-NPI.
주제분류정신과학

초록

Abstract

Objectives：This study aimed to compare the behavioral psychological symptoms of dementia by stages and to suggest the proper management treatment plan. Methods：We examined behaviral psychological symptoms in 17 dementia patients with mild stage (CDR=0.5, 1), 18 dementia patients with moderate stage (CDR=2) and 24 dementia patients with severe stage (CDR=3, 4). We compared the prevalence and the composite scores (frequency×severity) of each behavioral domain in K-NPI among three groups. The MMSE-K, GDS, Barthel ADL were also administrated to evaluate the general cognitive function, severity of the patients and activity of daily living. Results：The most common behavioral disturbances were apathy/indifference, depression/dysphoria, and aberrant motor behavior. The mean composite score of aberrant motor behavior increased by stages of dementia severity with statistical significance. The total score of the K-NPI increased with severer stages of dementia the result didn’t show statistical significance. The K-NPI score showed the positive correlation with CDR, GDS and the negative correlation with MMSE-K, B-ADL. But, there was no statistically significant correlation. Conclusion：Behavioral and Psychological Symptoms of Dementia (BPSD) change by the stages of dementia. The practical guideline for BPSD management according to dementia stage is needed. Re-evaluation and new therapeutic inter-vention must be considered by the stages of dementia. (J Korean Neuropsychiatr Assoc 2004;43(5):596-602)

참고문헌 (33)

  1. "Korea National Statistical Office" (2001)
  2. "한국의 치매:추세와 추계", 6, pp.79~87 (2002)
  3. "Psychotic symptoms and the longitudinalcourse of Alzheimer disease", 25, pp.39~48 (1989)
  4. "Emergence of psychosis and depression inthe longitudinal evaluation of Alzheimer disease", 29, pp.224~232
  5. "Behavioral disturbance in dementia", 8, pp.215~551 (1996)
  6. "The spectrumof behavioral changes in Alzheimer’s disease", 46, pp.130~135 (1996)
  7. "Delusions in Alzheimer’s disease:A review", 10, pp.373~382 (1998)
  8. "Psychopathology og very mild dementia ofthe Alzheimer type", 46, pp.1017~1021 (1989)
  9. "Personality alterationsin dementia of the Alzheimer type", 45, pp.1187~1190 (1988)
  10. "Predictors of diseasecourse in patients with probable Alzheimer’s disease", 37, pp.1649~1653 (1987)
  11. "Predictors of cognitiveand functional pregression in patients with probable Alzheimer’sdisease", 42, pp.1689~1696 (1992)
  12. "Alzheimer’s disease with delusions and hallucinations:neuropsychologicaland electroencephalographic correlates", 41, pp.906~912 (1991)
  13. "Behavioral symptoms in Alzheimer’s disease:phenomenologyand treatment", 48, pp.9~15 (1987)
  14. "Psychosisand physical affression in probable Alzheimer’s disease", 148, pp.1159~1163 (1991)
  15. "Delusions innewly admitted residents of nursing homes", 147, pp.299~302 (1990)
  16. "Psychiatric symptomsand nursing home placement og patients with Alzheimer’s disease", 147, pp.1049~1051 (1990)
  17. "TheKorean version of the neuropsychiatric inventory:a scoring toolfor neuropsychiatric disturbance in dementia patients", 15, pp.609~615 (2000)
  18. "Clinical diagnosis of Alzheimer’s disease:report of theNINCDS-ADRDA Work Group under the auspices of Departmentof Health and Human Services Task Force on Alzheimer’s Disease", 34, pp.939~944 (1984)
  19. "diagnosticcriteria for researchstudies Report of the NINDS-AIREN International Workshop", pp.250~260
  20. "Modification of the mini-mental state examinationfor use in the elderly in a non-western society Developmentof Korean version of Mini-Mental State Examination", pp.381~387
  21. "A newclinical scale for the staging of dementia", 140, pp.566~572 (1982)
  22. "Development and validation of a geriatricdepression screening scale:A preliminary report", 17, pp.37~49
  23. "노인 기능 상태 평가의 신뢰도", 34, pp.475~483 (1995)
  24. "A validity study on the Korean MinimentalState Examination in dementia patients", 15, pp.300~307 (1997)
  25. "Comparision of DiagnosticValidities between MMSE-K and K-MMSE for Screening of Dementia", 42, pp.124~130 (2003)
  26. "The Neuropsychiatric Inventory:comprehensiveassessment of psychopathology in dementia", 44, pp.2308~2314 (1994)
  27. "Japanese version of the Neuropsychiatric Inventory-ascoring system for neuropsychiatric disturbance in dementia patients", 49, pp.266~271 (1997)
  28. "The Neuropsychiatric Inventory.Psychometric properties of its adaptation into Spanish", 29, pp.15~19 (1999)
  29. "TheKorean version of the Neuropsychiatric Inventory:a scoring toolfor neuropsychiatric disturbance in dementia patients", 15, pp.609~615 (2000)
  30. "Behavioraldisorders and caregivers’ reaction in Taiwanese patients with Alzheimer’sdisease", 13, pp.121~128 (2001)
  31. "Neuropsychiatric symptoms of dementia:psychometric aspectsof the Dutch Neuropsychiatric Inventory(NPI)", 33, pp.150~155 (2002)
  32. "Neuropsychiatric symptoms of Alzheimer’s disease differ inChinese and American patients", 17, pp.22~28 (2002)
  33. "Neuropsychiatric disturbance in Alzheimer’sdisease clusters into three groups: the Cache County study", 16, pp.1043~1053 (2001)

관련 논문AI추천

알쯔하이머병의 진행 정동에 따른 행동심리적 증상의 변화김상윤, 김재우, 김태유, 박경원, 유봉구, 이상찬대한신경과학회 · 대한신경과학회지2004 · 제22권 제1호Clinical Characteristics of Behavioral and Psychological Symptoms in Patients with Drug-naïve Alzheimer’s Disease곽순구, 곽용태, 양영순대한치매학회 · Dementia and Neurocognitive Disorders(대한치매학회지)2012 · 제11권 제3호Predictors of Change in Behavioral Psychological Symptoms of Dementia in Patients With Alzheimer’s Disease in Korea김민숙, 정재균대한노인정신의학회 · 노인정신의학2021 · 제25권 제2호치매 진행 정도에 따른 조기발현과 지연발현 알츠하이머병 환자의 행동심리증상 비교김은주, 윤여주, 홍창희대한치매학회 · Dementia and Neurocognitive Disorders(대한치매학회지)2014 · 제13권 제4호노인 치매 환자의 행동심리 증상과 부양부담과의 관계김수영, 김응규, 김재우, 김태유, 박경원, 성상민, 유봉구, 윤성민, 윤수진, 이상찬, 최문성, 홍태용대한치매학회 · Dementia and Neurocognitive Disorders(대한치매학회지)2008 · 제7권 제1호Relationship between Premorbid Personality and Behavioral and Psychological Symptoms in Dementia in Korean Patients with Alzheimer’s Disease김민숙, 이동우, 최영민대한노인정신의학회 · 노인정신의학2014 · 제18권 제2호

이 간행물의 다른 논문 (16건)

2004 세계생물정신의학회 아시아 · 태평양 학술대회 및 제41차 대한생물정신의학회 학술대회이민수, 김영훈pp. 503-505도정신치료와 서양정신치료 국제포럼허찬희pp. 506-5132004 IPA Asia Pacific Regional Meeting오병훈pp. 514-518정신분열병과 Glutathione S-Transferase M1 유전자 다형성김태석, 이창욱, 배치운, 백인호, 조자현, 김정진, 이수정, 전태연, 김연주, 이철pp. 519-523양극성 장애와 Monocyte Chemoattractant Protein-1 유전자 다형성장우영, 김정진, 이수정, 전태연, 이철, 김태석, 이창욱, 배치운, 백인호pp. 524-528
원문 보기