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Centre for Policy on Ageing | |
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The presence of behavioural and psychological symptoms and progression to dementia in the cognitively impaired older population | Author(s) | Rianne M van der Linde, Blossom C M Stephan, Fiona E Matthews |
Journal title | International Journal of Geriatric Psychiatry, vol 28, no 7, July 2013 |
Pages | pp 700-709 |
Source | www.orangejournal.org |
Keywords | Behaviour disorders ; Mental disorder ; Cognitive impairment ; Dementia ; At risk ; Longitudinal surveys. |
Annotation | Behavioural and psychological symptoms (BPS) are common in the older population and may be an indication of early dementia. The present study aimed to explore the predictive effect of the presence of BPS on the two-year progression to dementia in a cognitively impaired population aged 65 years and over without dementia at baseline. Twelve symptoms were measured in 2,024 participants without dementia at baseline as part of a population-based longitudinal study of ageing. The risk of progression to dementia was predicted in those with cognitive impairment for each individual BPS and using a BPS composite score. Wandering and persecution were independently associated with progression to dementia after adjustment for socio-demographic factors, cognitive domains and other BPS. When stratifying by cognitive function, those with low cognition and four or more BPS were more likely to progress to dementia than those without BPS. These findings show that some psychiatric symptoms are associated with increased short-term progression to dementia in those with low cognition. The predictive effect of BPS in dementia progression has implications for risk stratification of those at high risk of progression to dementia, along with memory impairment, other cognitive impairment and health variables. (JL). |
Accession Number | CPA-130621216 A |
Classmark | EP: E: E4: EA: CA3: 3J |
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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