| [Psychological and behavioural symptoms of dementia: prevention, diagnosis and treatment]. | |
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MedLine Citation:
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PMID: 23143961 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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INTRODUCTION. The psychological and behavioural symptoms of dementia (PBSD) give rise to personal suffering, are the cause of added deterioration and worsen the economic and social cost of dementias. AIM. To offer a systematic approach to the prevention, diagnosis and treatment of PBSD. DEVELOPMENT. The study adopts a global perspective that takes into account biological, psychological and social factors in an attempt to avoid both excessive medicalisation and a purely psychology-based attitude. Satisfying basic needs, treating medical and psychiatric comorbidity, the adaptation of the setting, and the specific pharmacological treatment of dementia, as well as offering patients and their caregivers the counselling and support they need, all contribute to prevent the onset of PBSD. The diagnosis of PBSD is based on the patient's medical history and on observation. It is useful to identify a primary or destabilising PBSD on which to deploy hypotheses and specific treatments based on modifying the environment, drugs, non-pharmacological therapies and continuous assessment. Any action taken must be integrated within a person-focused care plan aimed at accomplishing the patients' and their caregivers' welfare and quality of life. CONCLUSIONS. PBSD are the result of biological, psychological and social factors. In the present scenario, in which there are no curative treatments in most cases of dementia, a systematic and multidisciplinary approach aimed at preventing and treating PBSD is a highly cost-effective therapeutic opportunity in both personal and social terms. |
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Authors:
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J Olazaran-Rodriguez; L F Aguera-Ortiz; R Muniz-Schwochert |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: Revista de neurologia Volume: 55 ISSN: 1576-6578 ISO Abbreviation: Rev Neurol Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-11-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7706841 Medline TA: Rev Neurol Country: Spain |
Other Details:
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Languages: spa Pagination: 598-608 Citation Subset: IM |
Affiliation:
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Hospital General Universitario Gregorio Maranon, 28007 Madrid, Espana. |
Vernacular Title:
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Sintomas psicologicos y conductuales de la demencia: prevencion, diagnostico y tratamiento. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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