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[P3–029]: CYPROTERONE ACETATE TO TREAT MODERATE TO SEVERE INAPPROPRIATE SEXUAL BEHAVIOR IN DEMENTIA
Author(s) -
Pyun Jung Min,
Park Young Ho,
Kim SangYun
Publication year - 2017
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2017.06.1842
Subject(s) - cyproterone acetate , dementia , cyproterone , distress , medicine , psychology , disease , psychiatry , hormone , clinical psychology , androgen
Background:Robot therapyhas increasinglybecome the focus of attention as one of a non-pharmacological therapy for elderly dementia patients in recent years. Although this therapeutic approach is found to be useful, it has not been studiedyet according to types of diseases, such as Alzheimer’s disease(AD) or Vascular Dementia(VaD) Methods: We have performed reality orientation(RO) for elder dementia patients with/without humanoid robot and analyzed its effectiveness. Thirtyone dementia patients were picked up randomly from Psychiatric unit, healthcare facility and group home for the elderly diagnosed as functional assessment staging 5.Types of diseases are following: there were 12 of AD and 18 VaD, 23 of female and 7 of male and mean age was 81.4+/6.2. Patients were divided two groups, on half of them performed RO with humanoid robot.RO session was made 10 times after 7 days interval. Before and after all of RO sessions, we evaluated the effectiveness in detail using NM-scale, Communication scale(Holden),N-ADLandHDS-Rwhich is suitable for analysis for Japanese elderly dementia patients. Results:We have not found statistically significant difference in the analysis of NMscale, Communication scale (Holden),N-ADL under the treatment of RO with/without humanoid robot.On the contrary, HDS-R score was showed a significant clinical difference, exhibiting the effectiveness of the therapy. Meanwhile, when we analyzed each evaluation results more in detail, the scores of NM scale(housekeeping, interest, conversation and memory) were decreased only on the AD patients but not the VaD. After the RO session with a humanoid, all of AD patients were presented aggressiveness, agitation and anxiety; some of them have to be raised the dose of medical agents. These phenomena were not observed on VaD patients at all. Conclusions:Robot therapy will be one of the powerful tool for the care of elder dementia patients as a non-pharmacological treatment.However, it evokes serious problems such as aggressiveness and agitation inADpatients specifically. Thus, when using thismethod, we have to endeavor to keep the status of patients especially in AD