Exploration of verbal repetition in people with dementia using an online symptom-tracking tool.

作者: Emily Reeve , Pierre Molin , Amaris Hui , Kenneth Rockwood

DOI: 10.1017/S1041610216002180

关键词: Developmental psychologyRepetitive questioningMedicineDementiaRepetition (rhetorical device)Tracking (education)DiseaseAlzheimer's diseaseCross-sectional studyClinical psychologySevere dementia

摘要: BACKGROUND Online tools can be used by people with dementia and their caregivers to self-identify track troubling symptoms, such as verbal repetition. We aimed explore repetition behaviors in dementia. METHODS Participants were recruited via an online resource for caregivers. Respondents instructed complete information about symptoms that are most important them tracking over time. In this cross-sectional study, we analyzed data pertaining individuals who had at least three selected tracking. RESULTS Of the 3,573 participants began a user profile, 1,707 fulfilled criteria analysis. Verbal was identified treatment target 807 respondents (47.3%). more frequent mild compared those moderate severe (57.2% vs. 36.0% 39.9%, p < 0.01) Alzheimer's disease versus other dementias (65.2% 29.7%, 0.001). Repetitive questioning type of (90.5% repetition). strongly associated difficulties operating gadgets/appliances (OR 3.65, 95%CI: 2.82-4.72), lack interest and/or initiative (3.52: 2.84-4.36), misplacing or losing objects (3.25: 2.64-4.01), attention concentration (2.62: 2.12-3.26). CONCLUSIONS is common symptom all stages but commonly targeted monitoring effects its stage. Much research required further elucidate underlying mechanisms effect different strategies.

参考文章(30)
Kenneth Rockwood, Arnold Mitnitski, Matthew Richard, Matthias Kurth, Patrick Kesslak, Susan Abushakra, Neuropsychiatric symptom clusters targeted for treatment at earlier versus later stages of dementia. International Journal of Geriatric Psychiatry. ,vol. 30, pp. 357- 367 ,(2015) , 10.1002/GPS.4136
Michele Miozzo, Simon Fischer-Baum, Elise Caccappolo-van Vliet, Perseverations in Alzheimer's disease: Memory slips? Cortex. ,vol. 49, pp. 2028- 2039 ,(2013) , 10.1016/J.CORTEX.2012.10.016
Tony Hope, Janet Keene, Kathy Gedling, Sandra Cooper, Christopher Fairburn, Robin Jacoby, Behaviour changes in dementia. 1: Point of entry data of a prospective study. International Journal of Geriatric Psychiatry. ,vol. 12, pp. 1062- 1073 ,(1997) , 10.1002/(SICI)1099-1166(199711)12:11<1062::AID-GPS675>3.0.CO;2-N
Kenneth Rockwood, An Zeng, Chris Leibman, Lisa Mucha, Arnold Mitnitski, Validation of an Informant-Reported Web-Based Data Collection to Assess Dementia Symptoms Journal of Medical Internet Research. ,vol. 14, ,(2012) , 10.2196/JMIR.1941
Seija Pekkala, Martin L Albert, Avron Spiro III, TIMO Erkinjuntti, Perseveration in Alzheimer's disease. Dementia and Geriatric Cognitive Disorders. ,vol. 25, pp. 109- 114 ,(2008) , 10.1159/000112476
Rebecca E. Ready, Brian R. Ott, Janet Grace, Amnestic behavior in dementia: symptoms to assist in early detection and diagnosis. Journal of the American Geriatrics Society. ,vol. 51, pp. 32- 37 ,(2003) , 10.1034/J.1601-5215.2002.51006.X
Yuki Kishimoto, Seishi Terada, Shuhei Sato, Hidenori Yoshida, Hajime Honda, Naoya Takeda, Etsuko Oshima, Takeshi Ishihara, Shigetoshi Kuroda, Repetitive questioning behavior in Alzheimer's disease: relationship to regional cerebral blood flow. Psychiatry Research-neuroimaging. ,vol. 184, pp. 151- 156 ,(2010) , 10.1016/J.PSCYCHRESNS.2010.06.002
Syed H. Shabbir, Amy E. Sanders, Clinical Significance in Dementia Research A Review of the Literature American Journal of Alzheimers Disease and Other Dementias. ,vol. 29, pp. 492- 497 ,(2014) , 10.1177/1533317514522539
Katherine L. Possin, J. Vincent Filoteo, Scott C. Roesch, Vanessa Zizak, Laurie M. Rilling, Jennifer D. Davis, Is a perseveration a perseveration? An evaluation of cognitive error types in patients with subcortical pathology. Journal of Clinical and Experimental Neuropsychology. ,vol. 27, pp. 953- 966 ,(2005) , 10.1080/13803390490919092
Susan McPherson, Carla Back, J. Galen Buckwalter, Jeffrey L. Cummings, Gender-related cognitive deficits in Alzheimer's disease International Psychogeriatrics. ,vol. 11, pp. 117- 122 ,(1999) , 10.1017/S1041610299005670