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Centre for Policy on Ageing | |
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| A comparative study of behavioral and psychological signs and symptoms of dementia in patients with dementia referred to psychogeriatric services in Korea and the United Kingdom | | Author(s) | Ajit Shah, Nalini Ellanchenny, Guk-Hee Suh |
| Journal title | International Psychogeriatrics, vol 16, no 2, June 2004 |
| Pages | pp 219-236 |
| Source | http://journals.cambridge.org |
| Keywords | Dementia ; Symptoms ; Behaviour disorders ; Referrals ; Psychiatric treatment ; Comparison ; Korea ; United Kingdom. |
| Annotation | Behavioural and psychological symptoms of dementia (BPSD) were examined in consecutive referrals of a psychogeriatric service in the UK and Korea using the BEHAVE-AD, the Cornell Scale for Depression in Dementia, and the Mini-Mental State Examination (MMSE). The UK service served a well-defined geographical catchment area with a multidisciplinary team and emphasis on home assessments. Korea has a nationwide service with limited community resources. Koreans were younger, more likely to be married, less likely to be single, had a greater number of people in their household and were more likely to live in their own homes than the UK sample. Koreans were more likely to be referred by general psychiatrists or family members; the UK sample were more likely to be referred by general practitioners (GPs). Koreans were likely to have Alzheimer's disease (AD), and the UK sample to have vascular dementia. The Korean sample had lower MMSE scores than the UK sample. In both countries, the total BEHAVE-AD score and most subscale scores were negatively correlated with the MMSE score. The total BEHAVE-AD score and all subscale scores were higher in the Korean sample than in the UK sample. The prevalence of BPSD measured with the BEHAVE-AD was higher in the Korean sample (except aggression). These differences may be explained by differing interpretation and administration of the instruments, models of service delivery, availability of primary and secondary care services, health-seeking behaviour of patients and families, cultural influences, and knowledge, expectations and recognition of BPSD by professionals in primary and secondary care. However, despite this, there was possible evidence of genuine differences worthy of further cross-cultural population-based epidemiological study of BPSD between these two countries. (RH). |
| Accession Number | CPA-040812222 A |
| Classmark | EA: CT: EP: L5R: LP: 48: 7DK: 8 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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