Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.

BACKGROUND: Alzheimer's disease and other types of dementia are characterised by numerous psychiatric and behavioural changes. Little is known of their natural history. AIMS: To investigate the sequence and pattern of these changes throughout the course of dementia. METHOD: One hundred people,...

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Main Authors: Hope, T, Keene, J, Fairburn, C, Jacoby, R, McShane, R
Format: Journal article
Language:English
Published: 1999
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author Hope, T
Keene, J
Fairburn, C
Jacoby, R
McShane, R
author_facet Hope, T
Keene, J
Fairburn, C
Jacoby, R
McShane, R
author_sort Hope, T
collection OXFORD
description BACKGROUND: Alzheimer's disease and other types of dementia are characterised by numerous psychiatric and behavioural changes. Little is known of their natural history. AIMS: To investigate the sequence and pattern of these changes throughout the course of dementia. METHOD: One hundred people, initially living at home with carers, entered a prospective, longitudinal study. At four-monthly intervals, behavioural and psychiatric symptoms were assessed using the Present Behavioural Examination and Mini-Mental State Examination. Follow-up continued for up to nine years (mean 3.3 years; s.d. 2.4). Patterns of onset and disappearance of these symptoms, their sequence and association with time of death and cognitive decline were analysed. Autopsy confirmed a diagnosis of pure Alzheimer's disease in 48 subjects. Data for this subgroup are presented. RESULTS: Some changes tend to occur earlier than others but changes can occur at almost any time in the course of dementia. CONCLUSIONS: The natural history of behaviour changes in Alzheimer's disease shows great individual variation although some changes tend to follow a recognisable sequence.
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spelling oxford-uuid:7e93a21b-6f0d-4676-88b5-cde961fc5f2e2022-03-26T21:10:55ZNatural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7e93a21b-6f0d-4676-88b5-cde961fc5f2eEnglishSymplectic Elements at Oxford1999Hope, TKeene, JFairburn, CJacoby, RMcShane, RBACKGROUND: Alzheimer's disease and other types of dementia are characterised by numerous psychiatric and behavioural changes. Little is known of their natural history. AIMS: To investigate the sequence and pattern of these changes throughout the course of dementia. METHOD: One hundred people, initially living at home with carers, entered a prospective, longitudinal study. At four-monthly intervals, behavioural and psychiatric symptoms were assessed using the Present Behavioural Examination and Mini-Mental State Examination. Follow-up continued for up to nine years (mean 3.3 years; s.d. 2.4). Patterns of onset and disappearance of these symptoms, their sequence and association with time of death and cognitive decline were analysed. Autopsy confirmed a diagnosis of pure Alzheimer's disease in 48 subjects. Data for this subgroup are presented. RESULTS: Some changes tend to occur earlier than others but changes can occur at almost any time in the course of dementia. CONCLUSIONS: The natural history of behaviour changes in Alzheimer's disease shows great individual variation although some changes tend to follow a recognisable sequence.
spellingShingle Hope, T
Keene, J
Fairburn, C
Jacoby, R
McShane, R
Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.
title Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.
title_full Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.
title_fullStr Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.
title_full_unstemmed Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.
title_short Natural history of behavioural changes and psychiatric symptoms in Alzheimer's disease. A longitudinal study.
title_sort natural history of behavioural changes and psychiatric symptoms in alzheimer s disease a longitudinal study
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