Premorbid Personality and Behavioral and Psychological Symptoms in Probable Alzheimer Disease

Archer, Nicola; Brown, Richard G.; Reeves, Suzanne; Boothby, Harry; Nicholas, Helen; Foy, Catherine; Williams, Julie; Lovestone, Simon

doi:10.1097/01.jgp.0000232510.77213.10

Cited by 75 publications

(69 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, the NEO-FFI is reliable as an informant-reported measure of pre-morbid personality style in neurodegenerative disorders using retrospective recall [50]. Finally, by examining both self-and informant-ratings, any potential bias of self-rating due to impairments in level of insight, particularly in the case altered mood or behavioural state, was controlled for.…”

Section: Discussionmentioning

confidence: 99%

Personality Style in Behavioural Disturbances in Parkinson?s Disease

McDonald¹

2014

J Neurol Neurophysiol

View full text Add to dashboard Cite

Objective: Non-motor changes in Parkinson's disease (PD) can include behavioural disturbances, such as apathy and impulse control disorders (ICDs). These behavioural problems impact on quality of life and caregiver burden. In the case of impulsivity, there is some association with specific personality styles at the time of assessment. This study compares current and pre-morbid personality attributes among people with PD who experience a clinically significant ICD, apathy, or no behavioural disturbance.Methods: 94 PD participants without dementia (ICD, n=34; apathy, n=24; control, n=36) were examined for current and pre-morbid (10 years before PD onset) personality style using self-and informant-versions of the NEO FiveFactor Inventory. All informants were knowledgeable about participants' midlife personalities and provided both current and pre-morbid ratings.Results: When key co-variates (depression, anxiety, age and dopamine load) were controlled for, a difference in self-reported current personality style was found among the three PD groups, with the ICD group rating themselves as less agreeable compared to those with apathy or no behavioural disorder. Informant-rated current and pre-morbid measurements of personality style did not differ. Conclusion:While people with PD and clinically significant ICDs currently report themselves as being less agreeable, their informants did not support this finding and reported no change from pre-morbid personality. Differences in personality style with impulsive-compulsive behaviours in PD may not be discernable to others and may be related to transient 'state' factors (i.e. influenced by the disease process or response to treatment), rather than the more enduring trait characteristics exhibited prior to the onset of PD. Until longitudinal investigation of personality determinants has been conducted, there should be a cautious approach in screening for at-risk individuals using specific personality attributes, to avoid overlooking persons with PD who may be vulnerable to developing behavioural complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Personality Style in Behavioural Disturbances in Parkinson?s Disease

McDonald¹

2014

J Neurol Neurophysiol

View full text Add to dashboard Cite

show abstract

“…The residents' religion, forming the behavioural patterns throughout their lifetime, might create other ways of expressing agitation in dementia. Some studies indicate that pre-morbid personality traits do cause differences in behaviour in persons with dementia (Archer et al, 2007;Meins, Frey, & Thiesemann, 1998), i.e. that premorbid agreeableness was negatively correlated with agitation and irritability.…”

Section: Reliabilitymentioning

confidence: 99%

Reliability and validity of the Norwegian version of the Brief Agitation Rating Scale (BARS) in dementia

Sommer

Engedal

2011

Aging & Mental Health

View full text Add to dashboard Cite

show abstract

“…A number of studies have found a relationship between pre-morbid personality and challenging behaviour, suggesting that pre-morbid personality may contribute to the underlying causes of behaviour in dementia (e.g. Archer et al, 2007). Given this, and the general agreement that personality, along with social variables, does, at some level, affect behaviour, it is suggested that people's past emotional and psychological histories remain present, in some form, through dementia.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

A psychosocial model of parent fixation in people with dementia: The role of personality and attachment

Osborne

Stokes²,

Simpson

2010

Aging & Mental Health

View full text Add to dashboard Cite

This study replicates and extends research into the occurrence of parent fixation in people with dementia by exploring the relationship between demographic, cognitive and psychological factors. Fifty-one people with dementia, living both in the community and in residential/nursing home settings, were interviewed about their parents and a relative of each completed measures assessing the person with dementia's demographic details, level of cognitive impairment/executive functioning, behavioural consequences of parent fixation and pre-morbid personality and attachment style. Results indicated that parent fixation can be viewed as a psychosocial phenomenon arising from the environment, pre-morbid personality and attachment style and that the behavioural consequences of parent fixation are maintained by the individual's level of executive functioning and gender. Findings and clinical implications are discussed in relation to Miesen's (1992, 1993, 1999) theoretical assumption that dementia is a loss process that activates the experience of feeling unsafe and the emotional need for the security of an attachment figure.

show abstract

Premorbid Personality and Behavioral and Psychological Symptoms in Probable Alzheimer Disease

Cited by 75 publications

References 54 publications

Personality Style in Behavioural Disturbances in Parkinson?s Disease

Personality Style in Behavioural Disturbances in Parkinson?s Disease

Reliability and validity of the Norwegian version of the Brief Agitation Rating Scale (BARS) in dementia

A psychosocial model of parent fixation in people with dementia: The role of personality and attachment

Contact Info

Product

Resources

About