Treating agitation in dementia.

Treating agitation in dementia.
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治疗痴呆症的躁动。

DOI:
10.1136/bmj.d3913
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发表时间:
2011
期刊:
BMJ (Clinical research ed.)
影响因子:
--
通讯作者:
Lyketsos,ConstantineG
Lyketsos,ConstantineG
中科院分区:
--
文献类型:
--
作者:
Rosenberg,PaulB;Lyketsos,ConstantineG

文献摘要

相似文献

Neuropsychiatric symptoms are nearly universal in dementia, 1 and agitation is among the most distressing for patients and caregivers. Currently no drug has clearly been shown to be of value in the treatment of agitation in dementia. The most commonly used class of drugs (antipsychotics) may be neither safe nor effective. 2 3 Although antidepressants may have a better risk to benefit ratio, no sufficiently powered trials have evaluated their safety and efficacy in dementia, and only one is currently in progress. 4Patients may be unable to communicate their sensation of pain because of impaired memory or lack of expressive language. Underdiagnosed and undertreated pain has been associated with agitation in dementia. 5 Thus, better pain management may decrease agitation in dementia.