La maladie de Parkinson au Canada (serveur d'exploration)

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The association between cognitive impairment and neuropsychiatric symptoms in patients with Parkinson's disease dementia

Identifieur interne : 000151 ( PascalFrancis/Corpus ); précédent : 000150; suivant : 000152

The association between cognitive impairment and neuropsychiatric symptoms in patients with Parkinson's disease dementia

Auteurs : Wei-Ju Lee ; Chia-Fen Tsai ; Serge Gauthier ; Shuu-Jiun Wang ; Jong-Ling Fuh

Source :

RBID : Pascal:12-0453703

Descripteurs français

English descriptors

Abstract

Background: Neuropsychiatric symptoms (NPS) are common in patients with dementia associated with Parkinson's disease (PDD). The relationship between cognition and NPS in PDD has not been well studied. Methods: Patients diagnosed with PDD were assessed for cognitive function and NPS. The instruments used were the Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), and semantic verbal fluency according to the recommendation of the Movement Disorder Society Task Force. Results: We evaluated 127 PDD patients (76 males/51 females; mean age 77 ± 6.3 years). Their mean MMSE score was 17 ±6.5 and the mean NPI score was 19 ± 20.4. The most prevalent NPI items were anxiety (57.5%), sleep problems (53.5%), and apathy (52.0%). Principal component factor analysis revealed that 12 items formed three factors, namely "mood and psychosis" (delusion, hallucination, agitation, depression, anxiety, apathy, and irritability), "vegetative" (sleep and appetite problems), and "frontal" (euphoria, disinhibition, and aberrant motor behavior). Symptoms of hallucination were significantly associated with MMSE score, even after controlling for the confounding variables. Conclusion: NPS are common and diverse among patients with PDD. Three specific subgroups of NPS were identified. Hallucination was significantly correlated with cognitive impairment, and could be a predictor of cognition in PDD patients.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Int. psychogeriatr.
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A08 01  1  ENG  @1 The association between cognitive impairment and neuropsychiatric symptoms in patients with Parkinson's disease dementia
A11 01  1    @1 LEE (Wei-Ju)
A11 02  1    @1 TSAI (Chia-Fen)
A11 03  1    @1 GAUTHIER (Serge)
A11 04  1    @1 WANG (Shuu-Jiun)
A11 05  1    @1 FUH (Jong-Ling)
A14 01      @1 Department of Neurology, Taichung Veterans General Hospital @2 Taichung @3 TWN @Z 1 aut.
A14 02      @1 Faculty of Medicine, National Yang-Ming University Schools of Medicine @2 Taipei @3 TWN @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut.
A14 03      @1 Institute of Clinical Medicine, National Yang-Ming University Schools of Medicine @2 Taipei @3 TWN @Z 1 aut.
A14 04      @1 Department of Psychiatry, Taipei Veterans General Hospital @2 Taipei @3 TWN @Z 2 aut.
A14 05      @1 Institute of Brain Science, National Yang-Ming University Schools of Medicine @2 Taipei @3 TWN @Z 2 aut.
A14 06      @1 Department of Neurology and Neurosurgery, Psychiatry, Medicine, McGill University @2 Montreal, Quebec @3 CAN @Z 3 aut.
A14 07      @1 Department of Neurology, Neurological Institute, Taipei Veterans General Hospital @2 Taipei @3 TWN @Z 4 aut. @Z 5 aut.
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C01 01    ENG  @0 Background: Neuropsychiatric symptoms (NPS) are common in patients with dementia associated with Parkinson's disease (PDD). The relationship between cognition and NPS in PDD has not been well studied. Methods: Patients diagnosed with PDD were assessed for cognitive function and NPS. The instruments used were the Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), and semantic verbal fluency according to the recommendation of the Movement Disorder Society Task Force. Results: We evaluated 127 PDD patients (76 males/51 females; mean age 77 ± 6.3 years). Their mean MMSE score was 17 ±6.5 and the mean NPI score was 19 ± 20.4. The most prevalent NPI items were anxiety (57.5%), sleep problems (53.5%), and apathy (52.0%). Principal component factor analysis revealed that 12 items formed three factors, namely "mood and psychosis" (delusion, hallucination, agitation, depression, anxiety, apathy, and irritability), "vegetative" (sleep and appetite problems), and "frontal" (euphoria, disinhibition, and aberrant motor behavior). Symptoms of hallucination were significantly associated with MMSE score, even after controlling for the confounding variables. Conclusion: NPS are common and diverse among patients with PDD. Three specific subgroups of NPS were identified. Hallucination was significantly correlated with cognitive impairment, and could be a predictor of cognition in PDD patients.
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Format Inist (serveur)

NO : PASCAL 12-0453703 INIST
ET : The association between cognitive impairment and neuropsychiatric symptoms in patients with Parkinson's disease dementia
AU : LEE (Wei-Ju); TSAI (Chia-Fen); GAUTHIER (Serge); WANG (Shuu-Jiun); FUH (Jong-Ling)
AF : Department of Neurology, Taichung Veterans General Hospital/Taichung/Taïwan (1 aut.); Faculty of Medicine, National Yang-Ming University Schools of Medicine/Taipei/Taïwan (1 aut., 2 aut., 4 aut., 5 aut.); Institute of Clinical Medicine, National Yang-Ming University Schools of Medicine/Taipei/Taïwan (1 aut.); Department of Psychiatry, Taipei Veterans General Hospital/Taipei/Taïwan (2 aut.); Institute of Brain Science, National Yang-Ming University Schools of Medicine/Taipei/Taïwan (2 aut.); Department of Neurology and Neurosurgery, Psychiatry, Medicine, McGill University/Montreal, Quebec/Canada (3 aut.); Department of Neurology, Neurological Institute, Taipei Veterans General Hospital/Taipei/Taïwan (4 aut., 5 aut.)
DT : Publication en série; Niveau analytique
SO : International psychogeriatrics; ISSN 1041-6102; Royaume-Uni; Da. 2012; Vol. 24; No. 12; Pp. 1980-1987; Bibl. 1 p.1/4
LA : Anglais
EA : Background: Neuropsychiatric symptoms (NPS) are common in patients with dementia associated with Parkinson's disease (PDD). The relationship between cognition and NPS in PDD has not been well studied. Methods: Patients diagnosed with PDD were assessed for cognitive function and NPS. The instruments used were the Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), and semantic verbal fluency according to the recommendation of the Movement Disorder Society Task Force. Results: We evaluated 127 PDD patients (76 males/51 females; mean age 77 ± 6.3 years). Their mean MMSE score was 17 ±6.5 and the mean NPI score was 19 ± 20.4. The most prevalent NPI items were anxiety (57.5%), sleep problems (53.5%), and apathy (52.0%). Principal component factor analysis revealed that 12 items formed three factors, namely "mood and psychosis" (delusion, hallucination, agitation, depression, anxiety, apathy, and irritability), "vegetative" (sleep and appetite problems), and "frontal" (euphoria, disinhibition, and aberrant motor behavior). Symptoms of hallucination were significantly associated with MMSE score, even after controlling for the confounding variables. Conclusion: NPS are common and diverse among patients with PDD. Three specific subgroups of NPS were identified. Hallucination was significantly correlated with cognitive impairment, and could be a predictor of cognition in PDD patients.
CC : 002B18E; 002B18C13; 002B17G; 002B17A01
FD : Trouble cognitif; Trouble psychiatrique; Neuropsychiatrie; Symptomatologie; Maladie de Parkinson; Démence; Cognition; Analyse factorielle; Homme; Personne âgée
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Pathologie du système nerveux
ED : Cognitive disorder; Mental disorder; Neuropsychiatry; Symptomatology; Parkinson disease; Dementia; Cognition; Factor analysis; Human; Elderly
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Nervous system diseases
SD : Trastorno cognitivo; Trastorno psiquiátrico; Neurosiquiatría; Sintomatología; Parkinson enfermedad; Demencia; Cognición; Análisis factorial; Hombre; Anciano
LO : INIST-26959.354000505424230110
ID : 12-0453703

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Pascal:12-0453703

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<div type="abstract" xml:lang="en">Background: Neuropsychiatric symptoms (NPS) are common in patients with dementia associated with Parkinson's disease (PDD). The relationship between cognition and NPS in PDD has not been well studied. Methods: Patients diagnosed with PDD were assessed for cognitive function and NPS. The instruments used were the Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), and semantic verbal fluency according to the recommendation of the Movement Disorder Society Task Force. Results: We evaluated 127 PDD patients (76 males/51 females; mean age 77 ± 6.3 years). Their mean MMSE score was 17 ±6.5 and the mean NPI score was 19 ± 20.4. The most prevalent NPI items were anxiety (57.5%), sleep problems (53.5%), and apathy (52.0%). Principal component factor analysis revealed that 12 items formed three factors, namely "mood and psychosis" (delusion, hallucination, agitation, depression, anxiety, apathy, and irritability), "vegetative" (sleep and appetite problems), and "frontal" (euphoria, disinhibition, and aberrant motor behavior). Symptoms of hallucination were significantly associated with MMSE score, even after controlling for the confounding variables. Conclusion: NPS are common and diverse among patients with PDD. Three specific subgroups of NPS were identified. Hallucination was significantly correlated with cognitive impairment, and could be a predictor of cognition in PDD patients.</div>
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<s0>Background: Neuropsychiatric symptoms (NPS) are common in patients with dementia associated with Parkinson's disease (PDD). The relationship between cognition and NPS in PDD has not been well studied. Methods: Patients diagnosed with PDD were assessed for cognitive function and NPS. The instruments used were the Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), and semantic verbal fluency according to the recommendation of the Movement Disorder Society Task Force. Results: We evaluated 127 PDD patients (76 males/51 females; mean age 77 ± 6.3 years). Their mean MMSE score was 17 ±6.5 and the mean NPI score was 19 ± 20.4. The most prevalent NPI items were anxiety (57.5%), sleep problems (53.5%), and apathy (52.0%). Principal component factor analysis revealed that 12 items formed three factors, namely "mood and psychosis" (delusion, hallucination, agitation, depression, anxiety, apathy, and irritability), "vegetative" (sleep and appetite problems), and "frontal" (euphoria, disinhibition, and aberrant motor behavior). Symptoms of hallucination were significantly associated with MMSE score, even after controlling for the confounding variables. Conclusion: NPS are common and diverse among patients with PDD. Three specific subgroups of NPS were identified. Hallucination was significantly correlated with cognitive impairment, and could be a predictor of cognition in PDD patients.</s0>
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<NO>PASCAL 12-0453703 INIST</NO>
<ET>The association between cognitive impairment and neuropsychiatric symptoms in patients with Parkinson's disease dementia</ET>
<AU>LEE (Wei-Ju); TSAI (Chia-Fen); GAUTHIER (Serge); WANG (Shuu-Jiun); FUH (Jong-Ling)</AU>
<AF>Department of Neurology, Taichung Veterans General Hospital/Taichung/Taïwan (1 aut.); Faculty of Medicine, National Yang-Ming University Schools of Medicine/Taipei/Taïwan (1 aut., 2 aut., 4 aut., 5 aut.); Institute of Clinical Medicine, National Yang-Ming University Schools of Medicine/Taipei/Taïwan (1 aut.); Department of Psychiatry, Taipei Veterans General Hospital/Taipei/Taïwan (2 aut.); Institute of Brain Science, National Yang-Ming University Schools of Medicine/Taipei/Taïwan (2 aut.); Department of Neurology and Neurosurgery, Psychiatry, Medicine, McGill University/Montreal, Quebec/Canada (3 aut.); Department of Neurology, Neurological Institute, Taipei Veterans General Hospital/Taipei/Taïwan (4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>International psychogeriatrics; ISSN 1041-6102; Royaume-Uni; Da. 2012; Vol. 24; No. 12; Pp. 1980-1987; Bibl. 1 p.1/4</SO>
<LA>Anglais</LA>
<EA>Background: Neuropsychiatric symptoms (NPS) are common in patients with dementia associated with Parkinson's disease (PDD). The relationship between cognition and NPS in PDD has not been well studied. Methods: Patients diagnosed with PDD were assessed for cognitive function and NPS. The instruments used were the Neuropsychiatric Inventory (NPI), Mini-Mental State Examination (MMSE), and semantic verbal fluency according to the recommendation of the Movement Disorder Society Task Force. Results: We evaluated 127 PDD patients (76 males/51 females; mean age 77 ± 6.3 years). Their mean MMSE score was 17 ±6.5 and the mean NPI score was 19 ± 20.4. The most prevalent NPI items were anxiety (57.5%), sleep problems (53.5%), and apathy (52.0%). Principal component factor analysis revealed that 12 items formed three factors, namely "mood and psychosis" (delusion, hallucination, agitation, depression, anxiety, apathy, and irritability), "vegetative" (sleep and appetite problems), and "frontal" (euphoria, disinhibition, and aberrant motor behavior). Symptoms of hallucination were significantly associated with MMSE score, even after controlling for the confounding variables. Conclusion: NPS are common and diverse among patients with PDD. Three specific subgroups of NPS were identified. Hallucination was significantly correlated with cognitive impairment, and could be a predictor of cognition in PDD patients.</EA>
<CC>002B18E; 002B18C13; 002B17G; 002B17A01</CC>
<FD>Trouble cognitif; Trouble psychiatrique; Neuropsychiatrie; Symptomatologie; Maladie de Parkinson; Démence; Cognition; Analyse factorielle; Homme; Personne âgée</FD>
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<ED>Cognitive disorder; Mental disorder; Neuropsychiatry; Symptomatology; Parkinson disease; Dementia; Cognition; Factor analysis; Human; Elderly</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Nervous system diseases</EG>
<SD>Trastorno cognitivo; Trastorno psiquiátrico; Neurosiquiatría; Sintomatología; Parkinson enfermedad; Demencia; Cognición; Análisis factorial; Hombre; Anciano</SD>
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