Volume 43 Issue 9
Sep.  2022
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Huiping HE, Yaowei HE, Zonglin SHEN, Xiaoxiao SONG, Baoluo LI, Hongyan JIANG. Comparative Analysis of Behavioral and Psychological Symptoms of Dementia in Patients with Alzheimer's Disease and Mild Cognitive Impairment[J]. Journal of Kunming Medical University, 2022, 43(9): 19-23. doi: 10.12259/j.issn.2095-610X.S20220913
Citation: Huiping HE, Yaowei HE, Zonglin SHEN, Xiaoxiao SONG, Baoluo LI, Hongyan JIANG. Comparative Analysis of Behavioral and Psychological Symptoms of Dementia in Patients with Alzheimer's Disease and Mild Cognitive Impairment[J]. Journal of Kunming Medical University, 2022, 43(9): 19-23. doi: 10.12259/j.issn.2095-610X.S20220913

Comparative Analysis of Behavioral and Psychological Symptoms of Dementia in Patients with Alzheimer's Disease and Mild Cognitive Impairment

doi: 10.12259/j.issn.2095-610X.S20220913
  • Received Date: 2022-06-19
    Available Online: 2022-09-07
  • Publish Date: 2022-09-29
  •   Objective  To provide the guidance for the management of patients with Alzheimer’s disease (AD) and mild cognitive impairment (MCI) by analyzing the similarities and differences between them.   Methods   The Neuropsychiatric Inventory (NPI) was used to assess the prevalence and severity of behavioral and psychological symptoms of dementia in 71 patients with AD and 31 patients with MCI from Yunnan Province compared with 70 normal controls.   Results  The incidence and severity of depression, anxiety, and irritability were not significantly different between the AD and MCI groups (P > 0.05), whereas they were higher in the MCI group than in the normal control group (P < 0.05). There was no significant difference in the incidence of apathy between AD and MCI groups (P > 0.05), and the severity of apathy was higher in the AD group than that in the MCI group (P < 0.05). However, the incidence and severity of apathy in the MCI group were higher than those in normal controls (P < 0.05). The NPI total score and the incidence or severity of the remaining symptoms were higher in the AD group than in the MCI group (P < 0.05), whereas there were no significant differences in the incidence or severity between the MCI group and normal controls (P > 0.05).   Conclusion  The overall BPSD of AD patients is more severe than that of MCI patients, while the symptoms of depression, anxiety, and irritability are not different between AD and MCI patients. MCI is at the transition stage of cognitive changes between normal aging and AD, and MCI patients with these symptoms need to be paid attention to and intervened early.
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