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Measuring the decline of a population of people with early-onset dementia in Lothian, Scotland
Author(s)Kirstie Woodburn, Eve Johnstone
Journal titleInternational Journal of Geriatric Psychiatry, vol 14, no 5, May 1999
Pagespp 355-361
KeywordsDementia ; Early ; Symptoms ; Assessment procedures for mental patients ; Edinburgh ; Midlothian ; West Lothian.
Annotation126 live patients with dementia diagnosed before the age of 65, of various aetiologies, were identified using the Lothian Psychiatric Case Register. Each person was seen for two assessments approximately 1 year apart. Patients were either in long-term care (NHS or other) or at home. Of the 126 patients (53 male, 73 female, mean age at referral 58 years), 114 met the diagnostic criteria for DSM-III-R dementia: 60 Alzheimer's type dementia; 13 multi-infarct dementia; 14 alcohol related dementia; with 25 in a mixed group of overlapping categories; and 2 in "other" dementia types. By the second assessment, 18 cases had died and 2 cases refused reassessment. The alcohol group was distinguished from the other groups by its generally milder profile of impairment, and a pattern of change indicating some areas of improvement in the follow-up period. There are limitations in the instruments used to measure change in this group of patients. At present, measures of change in dementing illnesses cater predominantly for an older population with Alzheimer's disease (AD). (RH).
Accession NumberCPA-990825258 A
ClassmarkEA: 4J: CT: DA:4C: 9SD: 9SE: 9SF

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