Neuropsychological functioning and delusions in dementia: A pilot study

被引:4
作者
Fischer, C
Ladowsky-Brooks, R
Millikin, C
Norris, M
Hansen, K
Rourke, SB
机构
[1] St Michaels Hosp, Toronto, ON M5B 1W8, Canada
[2] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[3] Deer Lodge Ctr, Winnipeg, MB, Canada
[4] Univ Manitoba, Dept Clin Hlth Psychol, Fac Med, Winnipeg, MB R3T 2N2, Canada
[5] Univ Toronto, Dept Med, Toronto, ON, Canada
关键词
D O I
10.1080/13607860500307860
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The present pilot study investigated the pattern of neuropsychological functioning associated with the presence of delusions in mild-to-moderate dementia. Participants, all of whom met criteria for dementia, were divided into two groups, delusional (n=9) and non-delusional (n=9). Individuals with hallucinations were excluded. Participants completed a neuropsychological test battery. Global cognitive functioning (MMSE) and behavioral disturbance (BEHAVE-AD) were also assessed. Differences between the delusional and non-delusional group were most marked for immediate recall of stories, which was higher in the non-delusional group. Scores on semantic fluency, attention (mental control), and overall cognitive functioning (MMSE) were also lower in the delusional group. Conversely, simple attention span (Digit Span) was within normal limits in both groups. Floor effects were noted on measures of delayed recall and alternating attention. This study supports previous findings of greater neuropsychological impairment in delusional as compared to non-delusional individuals with dementia. However, some areas of cognitive functioning may be relatively preserved. Future research should examine semantic processing in persons with dementia with and without delusions.
引用
收藏
页码:27 / 32
页数:6
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