Premorbid Personality and Behavioral Symptoms in Alzheimer Disease

Strauss, Milton E.; Lee, Michelle M.; DiFilippo, Julia M.

doi:10.1001/archneur.1997.00550150021010

Cited by 46 publications

(29 citation statements)

References 10 publications

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“…Studies have shown relationships between the individual NDB background factors of premorbid personality traits, cognitive abilities, and physical functioning and the behavioral symptoms of dementia (Harwood et al, 2000;Kolanowski, Strand, & Whall, 1997;Strauss et al, 1997). The current study confirms the importance of these background factors, especially premorbid personality, when responding to the behavioral symptoms of dementia.…”

Section: Discussionsupporting

confidence: 83%

“…Persons who rank high on this trait enjoy new activities and like to explore their environment, whereas persons who rank low on this trait prefer more conventional activities. Traits remain relatively stable in adulthood (Hooker & McAdams, 2003), and there is evidence that facets of extraversion and the trait of openness maintain both rank order and mean level stability in dementia (Chatterjee, Strauss, Smyth, & Whitehouse, 1992;Siegler et al, 1991;Strauss, Lee, & Di Filippo, 1997). These long-standing tendencies have been used to identify activity interests in persons with dementia, and improved prescriptive precision over current approaches (Kolanowski, Buettner, Costa, & Litaker, 2001).…”

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confidence: 99%

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Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia

2005

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Abstract:Background: Agitation and passivity are behavioral symptoms exhibited by 90% of nursing home residents with dementia. They account for many poor health outcomes, caregiver burden, and increased costs of longterm care. Objectives: This study tested the efficacy of recreational activities derived from the Need-driven Dementiacompromised Behavior (NDB) model: activities matched to skill level only; activities matched to style of interest only; and a combination of both (NDB-derived) for responding to the behavioral symptoms of dementia. Methods: Thirty participants were randomly assigned to 1 of 6 possible order-of-condition presentations in this crossover experimental design with repeated measures of dependent variables. Trained research assistants, blind to condition match, implemented each condition for 12 consecutive days. Measures of engagement (time on task and participation), affect, and behavioral symptoms (agitation and passivity) were taken from videotape recordings of each session. Mood was measured with the Dementia Mood Picture Test. The primary analysis method was mixed-model analysis of variance. Results: Significantly more time on task, greater participation, more positive affect, and less passivity were found under NDB-derived and matched to interest only treatments compared with the matched to skill level only treatment or baseline. Agitation and negative affect improved under all treatments compared with baseline. There was no significant change in mood. Discussion: The NDB-derived activities are tailored to meet individual needs and improve behavioral symptoms associated with dementia. These findings help to explain factors that produce behavioral symptoms and the mechanisms that underlie their successful treatment.

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Section: Discussionsupporting

confidence: 83%

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confidence: 99%

Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia

2005

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“…The reliability of this strategy can be undermined not only by recall biases, but also by potential distortions in the familial information [9, 10]. …”

Section: Introductionmentioning

confidence: 99%

Are Premorbid Personality Traits Linked to the Risk of Alzheimer’s Disease?

Balestrieri¹,

Nacmias

Sorbi

et al. 2000

Psychother Psychosom

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Background: The identification of the premorbid manifestation of Alzheimer’s disease (AD) usually is carried out retrospectively by eliciting information from caregivers. However, the study of subjects with familial Alzheimer’s disease (FAD) not yet affected by AD allows the direct identification of premorbid characteristics of the disease. Methods: This is a psychometric assessment of 3 mutated and 5 control subjects, belonging to an Italian family associated with a missense mutation linked to the presenilin 2 gene. The assessment included an evaluation of personality traits, cognitive and affective condition, social disabilities, experiential and familial context. Results: According to the MMPI, the mutated subjects did not show consistent personality traits. Also other questionnaires (HADS, WAIS, BDQ) were negative for definite cognitive or behavioural patterns. ApoE genotypes did not differentiate mutated from control subjects. Conclusions: Our results may be considered important for a better understanding of the pathogenesis of AD. The heuristic and practical importance of longitudinal prospective studies is emphasised.

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“…Los estudios [22][23][24][25] , sobre la fiabilidad de la información de los familiares, consideraban que ésta era fiable y básicamente concordante con la ofrecida por otras personas, con un cierto sesgo para la temática de la depresión.…”

Section: Planteamiento Hipótesis Y Objetivos Específicosunclassified

Factores de riesgo psicosocial y personalidad premórbida en enfermos con demencia: un estudio de casos y controles

Conde

2003

Revista Española de Geriatría y Gerontología

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Objectives: To explore the non-biological risk factors for dementias; to suggest probable risk profiles for Alzheimer's disease; to propose elements for a possible development of preventive interventions.Methodology: Empirical comparison of a dementia group (108 patients) and a control group (49 individuals without dementia). A specific questionnaire was administered and were identified the significant differences. An alpha level of 0.05 was used for all statistical tests. General conclusions:The most relevant is the high incidence of early death of father and personality deficits in the factor I (Energy): imitation, avoidance, dependence. As possible preventive measures they are suggested to promote personal autonomy, the ability to cope, and relations with others.

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Premorbid Personality and Behavioral Symptoms in Alzheimer Disease

Cited by 46 publications

References 10 publications

Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia

Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia

Are Premorbid Personality Traits Linked to the Risk of Alzheimer’s Disease?

Factores de riesgo psicosocial y personalidad premórbida en enfermos con demencia: un estudio de casos y controles

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