scholarly journals P25 A descriptive cross sectional study of GPs knowledge of and attitudes towards the management of behavioural and psychological symptoms of dementia

Author(s):  
AA Jennings ◽  
SBF Dhuny
2021 ◽  
Vol 8 (24) ◽  
pp. 2006-2010
Author(s):  
Tess Ann Kurian ◽  
Sumesh Balachandran ◽  
Yesudas Kalathara Francis

BACKGROUND Behavioural and psychological symptoms of dementia (BPSD) are a heterogeneous group of clinical phenomena experienced during the course of dementia which are either subjectively reported by the patient or observed by the clinician. BPSD include agitation, aberrant motor behaviour, anxiety, elation, irritability, depression, apathy, disinhibition, delusions, hallucinations, and sleep or appetite changes. We wanted to determine the frequency of behavioural and psychological symptoms of dementia in patients with dementia of the Alzheimer’s type attending the Psychiatry Department in a tertiary care centre of north Kerala and to address the degree of caregiver distress. METHODS This is a hospital based cross sectional study. A consecutive sample of 72 patients of either gender of age group > 55 years who were diagnosed with Alzheimer’s dementia using DSM 4 - TR criteria attending Department of Psychiatry of GMC Kannur during the period March 2019 to February 2020 were included in the study. The primary caregivers were interviewed to obtain the sociodemographic profile of the patients and BEHAVE AD scale was administered to assess the BPSD in patients with Alzheimer’s dementia. Descriptive statistical tools like frequency and percentage were used. RESULTS The most common BPSD identified were diurnal rhythm disturbances or day-night disturbances observed in 79.2 % (N = 57) of the sample. This was followed by affective disturbances, paranoid and delusional ideations, anxieties, hallucinations and aggressiveness. The least reported was activity disturbances. CONCLUSIONS The frequency of BPSD is very high in dementia of Alzheimer’s type and the most frequent BPSD reported was diurnal rhythm disturbances. BPSD would impact negatively on the health of the individual and their respective caregivers. KEYWORDS Alzheimer’s Dementia, Behavioural and Psychological Symptoms of Dementia


Author(s):  
Muharam R ◽  
Muhammad Ikhsan ◽  
Herdinda Erudite Rizkinya

Objective: The objective of this study was to assess the association between menarche age and menopausal symptoms.Methods: A cross-sectional study with 100 perimenopause subjects. Every subject was assessed of their menopausal symptoms with validated menopause rating scale (MRS) questionnaire. Menopause symptoms were classified into somato-vegetative, psychological, and urogenital symptoms. Statistical analysis was used to assess menarche age and menopause symptoms associations.Results: Out of 100 subjects, somato-vegetative, psychological, and urogenital symptoms were found in 46%, 68%, and 74% cases, respectively. Menarche age was varied between 10 and 17-year-old. There was a significant correlation between menarche age and psychological symptoms (p=0.034). However, there was no significant correlation between menarche age and somato-vegetative as well as urogenital symptoms (p=0.257; p=0.093).Conclusion: There was a significant association between menarche age and psychological symptoms in perimenopause women. However, there was no association between menarche age and somato-vegetative as well as urogenital symptoms in perimenopause women.


2020 ◽  
Vol 5 (6) ◽  
pp. 264-271
Author(s):  
Ujjwal Dahiya ◽  
Kamli Prakesh ◽  
Sandeep Mahajan ◽  
Nand Kumar

Aim: To assess psychological symptoms, quality of life and adherence to immunosuppressive therapy in kidney transplant recipients. Design: Cross-sectional study was conducted in kidney transplant recipients. Methods: This cross-sectional study included a total of 96 consecutive patients at least 3 months after kidney transplantation from September 2019 to November 2019. Psychological symptoms (anxiety, stress and depression) were assessed using the Depression, Anxiety and Stress Scale. The World Health Organization Quality of Life Instrument was used to assess quality of life in kidney transplant recipients. Adherence to immunosuppressive therapy was assessed by the Morisky Green Levine (MGL) adherence scale. The demographic and clinical details were assessed with a validated self-structured questionnaire. Results: The study included a young adult male population with a mean age of 38.82±10.53 years. The majority of patients reported at least some psychological abnormalities, with mild stress being the most common and presenting in 73% of patients. Importantly, 29% and 21% of patients reported anxiety and depression. Stress was significantly associated with gender, post-transplantation infection and hospitalisation. Anxiety was significantly associated with low family income and post-transplant complication of infection. Psychological symptoms significantly affected the various domains of quality of life of the patients. None of the surveyed patients had low adherence, while 56 (58.3%) had medium adherence to immunosuppressive therapy. Patients with medium adherence to immunosuppressive therapy had significantly lower scores in physical (p=0.01) and social relationship (p= 0.004) domains of quality of life. Conclusion: A significant number of young and stable kidney transplant recipients have presented with psychological symptoms (mainly depression) that affected their quality of life. The presence of psychological symptoms can not only hamper quality of life, but also affect their compliance to drugs. Impact: Psychological health is an important concern after kidney transplantation. Nurses should include assessment of psychological symptoms in their care that would further help in improving quality of life and adherence to drugs in kidney transplant recipients.


Author(s):  
Sevgi Nehir ◽  
Nurgul Gungor Tavsanli

Evaluation of the psychological symptoms in healthcare students and the development of new strategies to improve their mental health are of great importance. The study was aimed at determining the mental state of students, prospective healthcare workers, during the pandemic, and the influencing factors. The descriptive cross-sectional study was conducted at a Manisa Celal Bayar University Faculty of Health in Turkey. The sociodemographic characteristics questionnaire, Fear of COVID-19 Scale, and Brief Symptom Inventory were used to collect data. The study was conducted with 828 students. In study, variables such as sleep, negative news about COVID-19, sex, income status, presence of social support, department students attend, choosing the profession willingly, and having a physical/mental illness were determined to have an effect on the mental state. The results of this study suggest that there is a relationship between the fear of COVID-19 and mental health state of the students.


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