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Titolo:
Alzheimer's disease: positive effect of direct observation on behavioral disturbances
Autore:
Piccininni, M; Amaducci, L; Campani, D; Piccini, C; Teri, L; Bracco, L;
Indirizzi:
Univ Florence, Policlin Careggi, Dept Neurol & Psychiat Sci, I-50134 Florence, Italy Univ Florence Florence Italy I-50134 ychiat Sci, I-50134 Florence, Italy Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USAUniv Washington Seattle WA USA 98195 t & Behav Sci, Seattle, WA 98195 USA
Titolo Testata:
ALZHEIMERS REPORTS
fascicolo: 5, volume: 2, anno: 1999,
pagine: 271 - 276
SICI:
1461-6130(199909)2:5<271:ADPEOD>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPOUSE-CAREGIVERS; SENILE DEMENTIA; ITALIAN MULTICENTER; CLINICAL-DIAGNOSIS; PERSONALITY; INTERVENTION; DEPRESSION; OUTCOMES; SUPPORT; HEALTH;
Keywords:
Alzheimer's disease; direct observation; behavioral disturbances; RMBPC;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Piccininni, M Univ Florence, Policlin Careggi, Dept Neurol & Psychiat Sci,Viale Morgagni 85, I-50134 Florence, Italy Univ Florence Viale Morgagni 85Florence Italy I-50134 taly
Citazione:
M. Piccininni et al., "Alzheimer's disease: positive effect of direct observation on behavioral disturbances", ALZHEIM REP, 2(5), 1999, pp. 271-276

Abstract

This study evaluates the effect of direct observation at patients homes bya neurologist, on the frequency and type of behavioral disorders in Alzheimer's disease (AD) patients and on the related caregiver's reactions. Among30 selected AD patients, 20 were positively screened for behavioral disturbances. The sampled caregivers were asked to complete the Revised Memory and Behavior Problems Checklist (RMBPC) in order to select patients showing behavioral problems in the week prior to the interview. Caregivers were asked to record in diary form the three most frequent behavioral disturbances in order to select the most appropriate time of day for a direct observation. A neurologist stayed at home of each patient for 1 hr on 7 days and monitored the patient's behavior. After direct observation both caregiver and neurologist completed the RMBPC separately. The total score of RMBPC providedby caregivers at baseline and after the neurologist's observation was compared using the t-test for paired samples. After the neurologist's direct observation, almost all AD patients showed an improvement in the occurrence of behavioral disturbances (p=0.04). The caregiver's reaction was also decreased compared to the baseline (p=0.03). Our study outlines the importance of non-pharmacological intervention in caring for AD patients whereby many of the effects of AD could be alleviated by behavioral management.

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Documento generato il 29/03/20 alle ore 15:36:50