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[P1–534]: ASSESSING FUNCTIONAL RETAINED COMMUNICATION SKILLS IN DEMENTIA: A SCOPING REVIEW
Author(s) -
Dooley Suzanna M.,
Walshe Margaret
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.2017.06.550
Subject(s) - dementia , cognition , set (abstract data type) , conversation , quality of life (healthcare) , inclusion (mineral) , quality (philosophy) , cognitive skill , psychology , applied psychology , medicine , nursing , computer science , psychiatry , disease , communication , social psychology , philosophy , epistemology , pathology , programming language
was 20 points. The control group consisted of 21 people (6 males and 15 females, average age of 74.1, average MMSE score was 28). We measured the psychological symptoms using the Japanese version of Neuropsychiatric Inventory-Nursing Home Version (NPI). We used 3.0T magnetic resonance imaging and voxel-based morphometry to analyze the relationship between the psychological symptoms and the atrophy of the brain. Results: The most frequent symptoms in the NPI subscores were apathy, depression, anxiety, sleep disturbance, irritability/lability, and agitation/aggression. More than half of the subjects from the AD group with anxiety or irritability/lability or apathy had multiple BPSD.The psychological symptoms related with the amygdala atrophy were anxiety (left and right amygdala, right hippocampus, right and left uncus, right parahippocampal gyrus), irritability/lability (right amygdala, right hippocampus, left and right parahippocampal gyrus) and apathy(left amygdala, right hippocampus, left parahippocampal gyrus, right uncus). Conclusions: It is possible that the atrophy of the amygdala may influence the role of the amygdala in the emotion and BPSD of the patients with AD, such as anxiety, irritability/lability and apathy. From these results, we must establish the effective care to BPSD, considering the disability of the brain.