Abstract:
BACKGROUND:People with behavioral and psychological symptoms of dementia (BPSD) are often prescribed psychotropic medications. There is little evidence that one class of medication is more effective and safer than another and so expert opinion plays an important role in shaping local practice. In an earlier U.S. survey of psychiatrists and neurologists, limited consensus emerged regarding the pharmacological management of BPSD. We repeated this study to check consensus levels in Australia and New Zealand, following the introduction of newer atypical neuroleptics, antidepressants and cholinesterase inhibitors, and to identify areas where drug trials will be of greatest benefit. METHODS:A brief structured survey, similar to one used in the U.S.A., was posted to a random sample of members of the Australian and New Zealand Faculty of Psychiatry of Old Age. RESULTS:We received 106 replies (71% response). Respondents, who had 14 years' experience on average, rated atypical neuroleptics as their treatment of choice for dementia complicated by psychosis, verbal aggression, physical aggression, sundowning and persistent yelling. Opinions varied widely regarding the management of other symptoms and the role of second-line treatments. CONCLUSION:Atypical neuroleptics were preferred by most respondents for treatment of most BPSD. These views, while based on considerable clinical experience, have only limited backing from published reports, and head-to-head studies of available treatments are required to ensure that clinical practice has scientific support.
journal_name
Int Psychogeriatrjournal_title
International psychogeriatricsauthors
Greve M,O'Connor Ddoi
10.1017/s1041610205001481keywords:
subject
Has Abstractpub_date
2005-06-01 00:00:00pages
195-205issue
2eissn
1041-6102issn
1741-203Xjournal_volume
17pub_type
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610213000446
更新日期:2013-07-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610212001706
更新日期:2013-02-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610210001201
更新日期:2011-03-01 00:00:00
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journal_title:International psychogeriatrics
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doi:10.1017/S1041610217001387
更新日期:2018-01-01 00:00:00
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journal_title:International psychogeriatrics
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doi:10.1017/S1041610207005157
更新日期:2007-06-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610212002323
更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1017/S1041610218001175
更新日期:2019-05-01 00:00:00
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doi:10.1017/s104161029100073x
更新日期:1991-01-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2010-08-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2014-12-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2010-06-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章,多中心研究
doi:10.1017/S1041610217000321
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Ageism, a form of prejudice in which one relates negatively to people due to their age, exists throughout life. However, no attempt has been made to compare ageist attitudes across the life cycle, from young adulthood to old age. Consequently, the current study examined age and gender differences in ageism t...
journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章,多中心研究
doi:10.1017/s1041610202008165
更新日期:2001-01-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610216002283
更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1017/S1041610212000014
更新日期:2012-07-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610294001675
更新日期:1994-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610208008235
更新日期:2009-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610214001859
更新日期:2014-12-01 00:00:00
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journal_title:International psychogeriatrics
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journal_title:International psychogeriatrics
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更新日期:2016-09-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 历史文章,杂志文章,评审
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更新日期:2012-02-01 00:00:00
abstract::Older widowers have high rates of completed suicide but have rarely been the subject of systematic inquiry. We investigated the prevalence of depressive symptoms and major depressive episodes (MDEs) in recently widowed older men over the first 13 months after bereavement. We employed a matched-pair longitudinal design...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610299005591
更新日期:1999-03-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610201007852
更新日期:2001-12-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610205002309
更新日期:2005-12-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 共识发展会议,杂志文章
doi:10.1017/S1041610207005145
更新日期:2007-06-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1017/s104161020200858x
更新日期:2002-12-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2000-09-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00