Managing common behavioral problems in dementia - How to improve quality of life for patients and families

被引:13
作者
Burke, JR
Morgenlander, JC
机构
[1] Duke Univ, Sch Med, Div Neurol, Durham, NC USA
[2] Joseph & Kathleen Bryan Alzheimers Dis Res Ctr, Clin Dementia Trials, Durham, NC USA
[3] Deane Lab, Durham, NC USA
[4] Duke Univ, Sch Med, Neurol Residency Training Program, Durham, NC USA
关键词
D O I
10.3810/pgm.1999.10.15.748
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Behavioral problems in patients with dementia are common. Fortunately, nonpharmacologic and pharmacologic therapies are often effective and can dramatically improve the quality of life for patients as well as their families. However, treatment is rarely successful immediately. The old treatment adage "start low and go slow" is a key to success.
引用
收藏
页码:131 / +
页数:5
相关论文
共 10 条
[1]   Clinical features and pharmacologic treatment of behavioral symptoms of Alzheimer's disease [J].
Borson, S ;
Raskind, MA .
NEUROLOGY, 1997, 48 (05) :S17-S24
[2]  
BOWDEN CL, 1994, JAMA-J AM MED ASSOC, V271, P1830
[3]  
Katz IR, 1998, J CLIN PSYCHIAT, V59, P38
[4]  
LEMKE MR, 1995, J CLIN PSYCHIAT, V56, P354
[5]   Neuropsychiatric symptoms and cholinergic therapy for Alzheimer's disease [J].
Levy, ML ;
Cummings, JL ;
Kahn-Rose, R .
GERONTOLOGY, 1999, 45 :15-22
[6]   Treatment of dementia with behavioral disturbance using divalproex or a combination of divalproex and a neuroleptic [J].
Narayan, M ;
Nelson, JC .
JOURNAL OF CLINICAL PSYCHIATRY, 1997, 58 (08) :351-354
[7]   Low-dose propranolol reduces aggression and agitation resembling that associated with orbitofrontal dysfunction in elderly demented patients [J].
Shankle, WR ;
Nielson, KA ;
Cotman, CW .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 1995, 9 (04) :233-237
[8]   Diagnosis and treatment of Alzheimer disease and related disorders - Consensus statement of the American Association for Geriatric Psychiatry, the Alzheimer's Association, and the American Geriatrics Society [J].
Small, GW ;
Rabins, PV ;
Barry, PP ;
Buckholtz, NS ;
DeKosky, ST ;
Ferris, SH ;
Finkel, SI ;
Gwyther, LP ;
Khachaturian, ZS ;
Lebowitz, BD ;
McRae, TD ;
Morris, JC ;
Oakley, F ;
Schneider, LS ;
Streim, JE ;
Sunderland, T ;
Teri, LA ;
Tune, LE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 278 (16) :1363-1371
[9]   Efficacy and tolerability of carbamazepine for agitation and aggression in dementia [J].
Tariot, PN ;
Erb, R ;
Podgorski, CA ;
Cox, C ;
Patel, S ;
Jakimovich, L ;
Irvine, C .
AMERICAN JOURNAL OF PSYCHIATRY, 1998, 155 (01) :54-61
[10]   Indirect bright light improves circadian rest-activity rhythm disturbances in demented patients [J].
VanSomeren, EJW ;
Kessler, A ;
Mirmiran, M ;
Swaab, DF .
BIOLOGICAL PSYCHIATRY, 1997, 41 (09) :955-963