scholarly journals Behavioural and Psychological Symptoms in Poststroke Vascular Cognitive Impairment

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Meena Gupta ◽  
Abhijit Dasgupta ◽  
Geeta Anjum Khwaja ◽  
Debashish Chowdhury ◽  
Yogesh Patidar ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Rating Scale ◽  
Psychological Symptoms ◽  
Vascular Cognitive Impairment ◽  
Neuropsychiatric Symptom ◽  
Neuropsychiatric Inventory ◽  
Clinical Dementia Rating ◽  
Behavioural And Psychological Symptoms ◽  
Relationship Of ◽  
The Relationship

Background.Behavioural and psychological symptoms of dementia (BPSD) cause significant patient and caregiver morbidity in vascular cognitive impairment (VCI).Objectives. To study and compare the occurrence and severity of BPSD between multi-infarct dementia (MID), subcortical ischaemic vascular disease (SIVD), and strategic infarct subtypes of poststroke VCI and to evaluate the relationship of these symptoms with the severity of cognitive impairment.Methods. Sixty patients with poststroke VCI were classified into MID, SIVD, and strategic infarct subtypes. BPSD were studied by the neuropsychiatric inventory (NPI). The severity of cognitive impairment was evaluated by the clinical dementia rating scale (CDR).Results. 95% of cases had at least one neuropsychiatric symptom, with depression being the commonest, irrespective of subtype or severity of VCI. Strategic infarct patients had the lowest frequency of all symptoms. SIVD showed a higher frequency and severity of apathy and higher total NPI scores, compared to MID. Apathy and appetite disturbances occurred more commonly with increasing CDR scores. The total NPI score correlated positively with the CDR score.Conclusion. Depression was the commonest neuropsychiatric symptom in VCI. The neuropsychiatric profiles of MID and SIVD were similar. The frequency and severity of apathy and the net burden of BPSD increased with increasing cognitive impairment.

scholarly journals Neuropsychiatric symptoms in Vascular Cognitive Impairment: A systematic review

2015 ◽  
Vol 9 (3) ◽  
pp. 230-236 ◽  
Author(s):  
Chan Tiel ◽  
Felipe Kenji Sudo ◽  
Gilberto Sousa Alves ◽  
Letice Ericeira-Valente ◽  
Denise Madeira Moreira ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Vascular Dementia ◽  
Psychological Symptoms ◽  
Neuropsychiatric Symptoms ◽  
Vascular Cognitive Impairment ◽  
Behavioral Symptoms ◽  
Neuropsychiatric Inventory ◽  
Subcortical Vascular Dementia ◽  
Behavioral And Psychological Symptoms ◽  
Cognitive Impairment No Dementia

Neuropsychiatric symptoms or Behavioral and Psychological Symptoms of Dementia (BPSD) are common and invariably appear at some point during the course of the disease, mediated both by cerebrovascular disease and neurodegenerative processes. Few studies have compared the profiles of BPSD in Vascular Cognitive Impairment (VCI) of different subtypes (subcortical or cortical) and clinical stages (Vascular Cognitive Impairment No Dementia [VaCIND] and Vascular Dementia [VaD]). Objective: To review the BPSD associated with different subtypes and stages of VCI using the Neuropsychiatric Inventory (NPI). Methods: Medline, Scielo and Lilacs databases were searched for the period January 2000 to December 2014, with the key words: "BPSD AND Vascular Dementia, "NPI AND Vascular Dementia" and "NPI AND VCI. Qualitative analysis was performed on studies evaluating BPSD in VCI, using the Neuropsychiatric Inventory (NPI). Results: A total of 82 studies were retrieved of which 13 were eligible and thus included. Among the articles selected, 4 compared BPSD in Subcortical Vascular Dementia (SVaD) versus Cortical-Subcortical Vascular Dementia (CSVaD), 3 involved comparisons between SVaD and VaCIND, 1 study analyzed differences between CSVaD and VaCIND, while 5 studies assessed BPSD in CSVaD. Subcortical and Cortical-Subcortical VaD were associated predominantly with Apathy and Depression. VaCIND may present fewer behavioral symptoms than VaD. Conclusion: The profile of BPSD differs for different stages of VCI. Determining the most prevalent BPSD in VCI subtypes might be helpful for improving early diagnosis and management of these symptoms.

scholarly journals Risk Factors for the Progression of Mild Cognitive Impairment in Different Types of Neurodegenerative Disorders

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Pei-Hao Chen ◽  
Shih-Jung Cheng ◽  
Hui-Chi Lin ◽  
Chuo-Yu Lee ◽  
Chih-Ho Chou
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Rating Scale ◽  
Medical Center ◽  
Vascular Cognitive Impairment ◽  
Clinical Dementia Rating ◽  
Transitional State ◽  
Different Types ◽  
Drug History

Objective. Mild cognitive impairment (MCI) is a transitional state between normal aging and early dementia. It has a heterogeneous etiology and clinical course. This study aimed to examine the factors associated with the progression of MCI in different types of dementia disorders.Method. A retrospective, longitudinal, observational study of outpatients with MCI was conducted at a medical center in northern Taiwan. Patient medical records were reviewed, and risk factors were analyzed by multivariate analysis.Results. Among 279 patients with MCI, 163 (58.4%), 68 (24.4%), and 48 (17.2%) were diagnosed with Alzheimer’s disease, vascular cognitive impairment, and Lewy body diseases, respectively. During the observation period, 37.2% of patients progressed to dementia. Older age and a higher Clinical Dementia Rating Scale-Sum of Boxes were associated with the risk of progression. Hyperlipidemia was associated with a decreased risk. Converters were more likely to receive an antidementia prescription.Conclusion. Our study suggests the importance of comprehensive clinical profiling, risk factor assessment, and detailed drug history evaluations in improving our understanding and management of dementia subtypes.

scholarly journals Anosognosia in People with Cognitive Impairment: Association with Cognitive Deficits and Behavioral Disturbances

2015 ◽  
Vol 5 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Antonella De Carolis ◽  
Virginia Cipollini ◽  
Valentina Corigliano ◽  
Anna Comparelli ◽  
Micaela Sepe-Monti ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Deficits ◽  
Rating Scale ◽  
Motor Behavior ◽  
Psychiatric Symptoms ◽  
Early Stage ◽  
Functional Anatomy ◽  
Night Time ◽  
Behavioral Disturbances ◽  
The Relationship

Aims: To investigate, in a group of subjects at an early stage of cognitive impairment, the relationship between anosognosia and both cognitive and behavioral symptoms by exploring the various domains of insight. Methods: One hundred and eight subjects affected by cognitive impairment were consecutively enrolled. The level of awareness was evaluated by means of the Clinical Insight Rating Scale (CIRS). Psychiatric symptoms were evaluated using the Italian version of the Neuropsychiatric Inventory (NPI), whereas memory (memory index, MI) and executive (executive index, EI) functions were explored using a battery of neuropsychological tests and qualified by means of a single composite cognitive index score for each function. Results: A significant positive correlation between the total NPI score and global anosognosia score was found. Furthermore, both the MI and EI scores were lower in subjects with anosognosia than in those without anosognosia (p < 0.001 and p < 0.007, respectively). When the single domains of the CIRS were considered, anosognosia of reason of visit correlated with the EI score (r = -0.327, p = 0.01) and night-time behavioral disturbances (r = 0.225; p = 0.021); anosognosia of cognitive deficit correlated with depression (r = -0.193; p = 0.049) and the MI score (r = -0.201; p = 0.040); anosognosia of functional deficit correlated with the MI score (r = -0.257; p = 0.008), delusions (r = 0.232; p = 0.015) and aberrant motor behavior (r = 0.289; p = 0.003); anosognosia of disease progression correlated with the MI score (r = -0.236; p = 0.015), agitation (r = 0.247; p = 0.011), aberrant motor behavior (r = 0.351; p = 0.001) and night-time behavioral disturbances (r = 0.216; p = 0.027). Conclusions: Our study suggests that, in the early stage of cognitive impairment, anosognosia is associated with both cognitive deficits and behavioral disorders according to the specific functional anatomy of the symptoms.

scholarly journals Relationship between Cognitive Performance and Measures of Neurodegeneration among Hispanic and White Non-Hispanic Individuals with Normal Cognition, Mild Cognitive Impairment, and Dementia

2017 ◽  
Vol 24 (2) ◽  
pp. 176-187 ◽  
Author(s):  
Shanna L. Burke ◽  
Miriam J. Rodriguez ◽  
Warren Barker ◽  
Maria T Greig-Custo ◽  
Monica Rosselli ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Performance ◽  
Entorhinal Cortex ◽  
Rating Scale ◽  
Structural Mri ◽  
Diagnostic Group ◽  
Disease Stage ◽  
Clinical Dementia Rating ◽  
Mild Dementia

AbstractObjectives:The aim of this study was to determine the presence and severity of potential cultural and language bias in widely used cognitive and other assessment instruments, using structural MRI measures of neurodegeneration as biomarkers of disease stage and severity.Methods:Hispanic (n=75) and White non-Hispanic (WNH) (n=90) subjects were classified as cognitively normal (CN), amnestic mild cognitive impairment (aMCI) and mild dementia. Performance on the culture-fair and educationally fair Fuld Object Memory Evaluation (FOME) and Clinical Dementia Rating Scale (CDR) between Hispanics and WNHs was equivalent, in each diagnostic group. Volumetric and visually rated measures of the hippocampus entorhinal cortex, and inferior lateral ventricles (ILV) were measured on structural MRI scans for all subjects. A series of analyses of covariance, controlling for age, depression, and education, were conducted to compare the level of neurodegeneration on these MRI measures between Hispanics and WNHs in each diagnostic group.Results:Among both Hispanics and WNH groups there was a progressive decrease in volume of the hippocampus and entorhinal cortex, and an increase in volume of the ILV (indicating increasing atrophy in the regions surrounding the ILV) from CN to aMCI to mild dementia. For equivalent levels of performance on the FOME and CDR, WNHs had greater levels of neurodegeneration than did Hispanic subjects.Conclusions:Atrophy in medial temporal regions was found to be greater among WNH than Hispanic diagnostic groups, despite the lack of statistical differences in cognitive performance between these two ethnic groups. Presumably, unmeasured factors result in better cognitive performance among WNH than Hispanics for a given level of neurodegeneration. (JINS, 2018,24, 176–187)

scholarly journals Youth leadership: a proposal for identifying and developing creativity and giftedness

2013 ◽  
Vol 30 (2) ◽  
pp. 219-229 ◽  
Author(s):  
Steven I. Pfeiffer ◽  
Solange Muglia Wechsler
Keyword(s):  
Rating Scales ◽  
Rating Scale ◽  
Leadership Skills ◽  
Youth Leadership ◽  
Global Consensus ◽  
Creative Leadership ◽  
Relationship Of ◽  
The Military ◽  
The Relationship ◽  
Basic Level

There is a considerable amount of literature on leadership, particularly as it relates to organizations, government, and the military. However, educators and psychologists know considerably less about early precursors of leadership, how leadership develops in youth, possible gender differences, and the relationship of leadership, intelligence and creativity. A global consensus exists that leaders are needed and that we shouldn't delay the early development of leadership skills. The authors propose a model to enhance creative leadership and introduce a teacher-completed rating scale, the Gifted Rating Scales to help accomplish this. As demonstrated, there are possibilities to detect early creative and intellectual giftedness among children and youngsters in the classrooms and expectations to move from a basic level of competence to reach an elite or expert level in any field, facilitating the emergence of leadership.

Impact of Design on Emotional, Psychological, or Social Well-Being for People With Cognitive Impairment

2018 ◽  
Vol 12 (3) ◽  
pp. 220-232 ◽  
Author(s):  
Elizabeth Karol ◽  
Dianne Smith
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Literature Review ◽  
Thermal Comfort ◽  
Well Being ◽  
Design Expertise ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship

Aim:The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment.Background:It has been established that there is a relationship between psychological well-being and a person’s environment. Research also shows that particular design aspects can reduce the impact of cognitive impairment. However, there is limited design expertise in the Australian housing market to create supportive spaces which will help to reduce the impact of the disability for those with cognitive impairment.Method:A literature review was carried out to determine the extent and details of what is known about the relationship of home design and its impact on emotional, psychological, or social well-being for people with cognitive impairment.Conclusions:The study indicates that researchers in various disciplines understand that pragmatic design inputs such as thermal comfort and adequate lighting are important for people with cognitive impairment. In addition, some researchers have shown or surmise that there are other “intangible” designer-controlled elements that have beneficial impacts on people with cognitive impairment. Details of these intangible elements are sparse, and how much they might improve the quality of life for a person with cognitive impairment is not well understood. Further research is required to meet a growing need.

Self-Disclosure and Occupational Stress in Chinese Professionals

2000 ◽  
Vol 87 (3_suppl) ◽  
pp. 1075-1082 ◽  
Author(s):  
P. Nicholas Hamid
Keyword(s):  
Occupational Stress ◽  
Social Relationships ◽  
Psychological Symptoms ◽  
Hong Kong Chinese ◽  
Self Disclosure ◽  
Stress Buffering ◽  
Best Friend ◽  
Chinese Adult ◽  
Relationship Of ◽  
The Relationship

The relationship of self-disclosure with occupational stress and symptoms of stress was examined among 243 Hong Kong Chinese adult professionals. Self-disclosure was negatively correlated with both occupational stress and psychological symptoms of stress for disclosures of personal feelings and social relationships when disclosing to a Best Friend, indicating a stress-buffering effect. There was a positive correlation between occupational stress and psychological symptoms of stress for disclosure of personal feelings and information about social relationships when disclosing to Mother. While both sexes reported similar occupational stress, the total self-disclosure of women was higher than for men, and this was especially true for intimate topics. The implications of the results were discussed.

scholarly journals Hubungan Antara Tingkat Kecemasan Emosional Ibu Post Partum Dengan Kejadian Post Partum Blues Di Kelurahan Sukorame Wilayah Kerja Puskesmas Sukorame Kediri Tahun 2018

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Halimatus Saidah
Keyword(s):  
Rating Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Anxiety Level ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Work Area ◽  
Hamilton Anxiety Rating Scale ◽  
Relationship Of ◽  
The Relationship

ABSTRAKHubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues  sangat penting diketahui karena pada fase ini terjadi perubahan secara fisiologis maupun secara psikologis yang dapat mempengaruhi kelabilan emosional ibu setelah melahirkan. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues  yang ada dikelurahan sukorame wilayah kerja puskesmas sukorame.Desain yang digunakan pada penelitian ini menggunakan analitik korelasional dengan pendekatan Cross Sectional. Sampel penelitian menggunakan teknik Purposive Sampling, diperoleh jumlah sampel 24 orang responden dengan kriteria responden yaitu ibu Post Partum hari ke 7- minggu ke 2, nifas normal. Pengumpulan data menggunakan lembar ceklist skala Hamilton Anxiety Rating Scale dan kuesioner Edinburgh Post Natal Depression Scale. Analisa data menggunkan uji Sperman Rank.         Tingkat kecemasan emosional ibu post partum sebagian kecil (25,0%) yaitu 6 responden. dan kejadian Post Partum Blues  sebagian besar (62,5%) yaitu 15 responden. Hasil analisa data dengan menggunakan uji Spearmen Rank didapatkan hasil p-value 0,000 taraf signifikan (α = 0,05) dengan demikian ada hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues  di Kelurahan Sukorame wilayah Kerja Puskesmas Sukorame. Dan  nilai koefisien (r) sebesar 0,859 kekuatan korelasi dalam kategori sangat kuat dengan arah positif.Dari hasil penelitian ini dapat disimpulkan adanya hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues  di kelurahan Sukorame wilayah kerja Puskesmas Sukorame. Kata Kunci: Tingkat Kecemasan, Post Partum, dan Kejadian Post Partum Blues  ABSTRACT       The relationship between the level of emotional anxiety of the mother of post partum with Post Partum Blues  occurrence is very important because in this phase there is a change physiologically and psychologically wich can affect the emotional stability of mother after giving birth.       The purpose of this study to determine the relationship of emotional anxiety level of post partum mother with Post Partum Blues  incident that exist in sukorame’s Village its work area of puskesmas Sukorame.       Design used correlational analytics with cross sectional approach. The sample research using purposive sampling technique, obtained the number of samples 24 respondents with the criteria of respondents is post partum mother day 7 to week 2, its good puerperium. Data’s collection using hamilton anxiety rating scale and       Edinburgh Postnatal Depression Scale. Data’s processing is interpreted according to the classification of each measuring instrument.       The result of the research showed that  the relationship of emotional anxiety level of post partum mother with Post Partum Blues  incidence was the amount of the anxiety level 12,5%, 25% heavy anxiety , medium anxiety 16,6% and mild anxiety 20,9% with Post Partum Blues  event. While those without anxiety were 0% for Post Partum Blues  event.        From the result of this study it can be concluded that almost all postpartum mothers with anxiety that there is in the field of Sukorame work area puskesmas Sukorame experience Post Partum Blues . As for recommendation of this research is holding counseling about how to handle Post Partum Blues .Key Word : Anxiety level, Post Partum, Post Partum Blues  Event

Sign in / Sign up

Export Citation Format

Share Document