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| 題 名 | Psychotic Symptoms in Psychiatric Inpatients with Dementia of the Alzheimer and Vascular Types=精神科住院阿滋海默氏及血管型痴呆症病人之精神病症狀 |
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| 作 者 | 黃正平; 楊誠弘; 蔡世仁; 劉金明; | 書刊名 | 中華醫學雜誌 |
| 卷 期 | 58:1 1996.07[民85.07] |
| 頁 次 | 頁35-39 |
| 分類號 | 415.981 |
| 關鍵詞 | 妄想; 阿滋海默氏痴呆症; 幻覺; 錯認; 精神病症狀; 血管型痴呆症; Delusion; Dementia of the alzheimer's type; Hallucination; Misidentification; Psychotic symptom; Vascular dementia; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景 痴呆症病患常出現妄想、幻覺及錯認三種精神病症狀,本篇主 要企圖去探討兩種常見之痴呆症(阿滋海默氏及血管型痴呆症)精神病症狀之流 行率及其內容特質,及呈現精神病症狀及無精神病症狀兩者痴呆症之特質作比 較。 方法 以78位住進老年精神科病房痴呆症為研究對象,精神病症狀得自和病患 家屬及其主要照顧者作半結構式會談,再以BEHAVE-AV症狀量表及MMSE評 估其住院當時之精神病症狀及痴呆之嚴重度,最後再加上病房之觀察。精神病 症狀之認定依照DSM-III-R之定義為主,評估者之間也有高相關之信度(kappa值 介於0.6到1.0之間)。 結果 共有54位阿滋海默氏痴呆症及24位血管型痴呆症,其精神病症狀頻率 為71.8%,最常見之精神病症狀為妄想佔59.0%,其次為錯認佔33.3%,然後為 幻覺佔25.6%。痴呆症合併精神病症狀者比無精神病症狀者年紀較大(p = 0.037)。 結論 精神病症狀常見於阿滋海默氏及血管型痴呆症之住院病患,其中以妄想 症狀最為常見,妄想症狀中又以被偷妄想最為常見,痴呆症合併精神病症狀者 比無精神病症狀者年紀較大。 |
| 英文摘要 | Background. Demented patients often manifest psychotic symptoms including delusion, hallucination and misidentification. This report attempts to describe the frequencies and characteristics of such symptoms in psychiatric inpatients with dementia, and to identify the characteristics of dementia with and without psychotic symptoms. Methods. The study included 78 demented patients who were consecutively admitted to the psychiatric ward. Their psychotic symptoms were obtained from semistructured interview and the assessment using BEHAVE AD. Delusion and hallucination were rated as "present" if the descriptions were consistent with the definition of Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R). Misidentification was defined individually. Results. There were 54 patients with DAT and 24 patients with VD. The frequency of psychotic symptoms in DAT and VD was 71.8%. The frequency of delusion in DAT and VD was 59.0%, misidentification, 33.3% and hallucination, 25.6%. Demented patients with psychotic symptoms were older (p = 0.037) than those without psychotic symptoms. Conclusions. Psychotic symptoms are common in psychiatric inpatients with DAT and VD, the most common being delusional. Delusion of theft is the most common one. Demented patients with psychotic symptoms were older than those without. |
本系統中英文摘要資訊取自各篇刊載內容。