Phenomenological contribution to understanding of vocally disruptive behaviour: A clinical case study in a patient with dementia

Tible, Olivier; Mendez, Montserrat; Gunten, Armin von

doi:10.1002/gps.4947

Cited by 3 publications

(11 citation statements)

References 38 publications

(61 reference statements)

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“…Despite several limitations, these results are in favour of our hypothesis. Separation and attachment style might be involved in MCI and dementia, with or without BPS [2,3]. Surely, these findings need confirmation in the future.…”

mentioning

confidence: 89%

“…Frequently, their combination explains the occurrence of BPS in an individual patient. Studying affective BPS, we have argued premorbid personality and attachment style towards relatives can help explain BPS during dementia [1][2][3]. Biological factors (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…attachment, personality, social well-being). Some studies [1][2][3][4][5] have shown insecure attachment (through social behaviour)5 as well as personality traits (e.g. behavioral inhibition [4], neuroticism [5]) may lead to BPS in patients with cognitive impairment.…”

Section: Introductionmentioning

confidence: 99%

“…15 We have found insecure attachment (n=4 out of 5 MCI with BPS), which is a known risk factor for later anxiety and depression in adulthood [4,[15][16][17]. Insecure attachment is a likely risk factor to affective BPS in MCI as well [1][2][3]16,17]. So, the combination of risk factors (insecure attachment and OTrs 53576, or BI as well) may help explain the occurrence of affective BPS, in an individual patient [2,3].…”

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confidence: 99%

“…Insecure attachment is a likely risk factor to affective BPS in MCI as well [1][2][3]16,17]. So, the combination of risk factors (insecure attachment and OTrs 53576, or BI as well) may help explain the occurrence of affective BPS, in an individual patient [2,3]. rs53576 polymorphism was found in MCI, rather than in the general population [11][12][13]18].…”

mentioning

confidence: 99%

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Effect of Attachment Profile on Affective Symptoms of Beginning Cognitive Disorders: the Oxytocin Receptor Polymorphismse

Tible¹

2018

ANN

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confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Effect of Attachment Profile on Affective Symptoms of Beginning Cognitive Disorders: the Oxytocin Receptor Polymorphismse

Tible¹

2018

ANN

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A Scoping Review of the Measurement of Depression in Older Adults with Cognitive Impairment

Major

Bagnall

Bhar

et al. 2022

Clinical Gerontologist

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Objectives: Depression and cognitive impairment are disabling conditions that commonly occur together in older adults. The interaction is challenging when choosing appropriate measurement scales. This review aimed to summarise the scales to measure depression symptoms in older people with cognitive impairment, investigating how cognitive impairment is related to the choice of measurement, and how the setting may affect the choice of measurement. Methods: A scoping review of literature published between 2015-2021. Results: After screening 1580 articles, 26 were included in the review with 11 different measures of depression symptoms identified. The measures mostly commonly used were the Geriatric Depression Scale (GDS), Cornell Scale for Depression in Dementia (CSDD) and the Neuropsychiatric Inventory (NPI-Q). Most studies did not report on the usability of depression scales used with people with cognitive impairment and only two scales (CSDD and NPI-Q, not GDS) have been validated for use with this population. Conclusions:Severe cognitive impairment was under-represented in the identified studies, and no association was detected between study setting, cognitive impairment and type of measure used. Clinical Implications: Clinicians and researchers should consider both the cognitive status of participants and the setting they live in when choosing a measure of depression symptoms.

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Case Report: Treatment of Delusions of Theft Based on the Assessment of Photos of Patients' Homes

et al. 2022

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BackgroundThe occurrence of behavioral and psychological symptoms of dementia is affected by individualized context. However, details regarding delusion of theft have been poorly documented. This report describes a useful assessment to understand the environmental context of delusion through two cases of Alzheimer's disease (AD).Familial interview was conducted to assess the phenomenological features. Photos of patients' homes were used to increase the assessment accuracy and check the individualized environmental contexts; this is known as Photo Assessment of Living Environment (PA-LE).Case DescriptionCase 1 was of an 88-year-old woman whose Mini-Mental State Examination (MMSE) score was 23/30. She believed that one neighbor stole her wallet and stored it on a shelf in the living room. She sometimes placed it in other places, such as under the bed as safekeeping. The delusion often occurred when getting ready to go shopping. PA-LE confirmed that the room and shelf were not cluttered, although the incorrect storage place seemed to be hard-to-find.Case 2 was of a 78-year-old woman. The MMSE score was 20/30. She believed that some neighbors stole her garden items. The delusion was limited to her garden, yet the items were varied. Auditory hallucinations exacerbated her belief that the neighbors intruded the garden. PA-LE confirmed that the garden was cluttered with several duplicated items. Moreover, the patient inaccurately remembered the condition of the garden.Non-pharmacological approaches were tailored to the patients' environmental and psychological states, referring to the interview and PA-LE. This included environmental adjustment or increasing self-esteem. Antipsychotics were also prescribed. Environmental and psychological triggers of delusion were improved by the interventions, and the patients had uneventful courses without active delusions.ConclusionEvaluating patients' homes using photos could detect the environmental context of delusion of theft among patients with AD and assist in the management.

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Phenomenological contribution to understanding of vocally disruptive behaviour: A clinical case study in a patient with dementia

Cited by 3 publications

References 38 publications

Effect of Attachment Profile on Affective Symptoms of Beginning Cognitive Disorders: the Oxytocin Receptor Polymorphismse

Effect of Attachment Profile on Affective Symptoms of Beginning Cognitive Disorders: the Oxytocin Receptor Polymorphismse

A Scoping Review of the Measurement of Depression in Older Adults with Cognitive Impairment

Case Report: Treatment of Delusions of Theft Based on the Assessment of Photos of Patients' Homes

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