Language impairment in dementia: impact on symptoms and care needs in residential homes
Language impairment in dementia: impact on symptoms and care needs in residential homes
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DOI：
10.1002/gps.1002
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发表时间：
2003-11-01
影响因子：
4
通讯作者：
Margallo-Lana, M
中科院分区：
文献类型：
--
作者：
Potkins, D;Myint, P;Margallo-Lana, M
背景语言技能受损影响个人的功能水平，干扰有效沟通，并可能导致破坏性行为的发展。社交技能和自我照顾能力可能会受到影响。很少有研究评估语言问题对护理环境中痴呆患者的症状和社会化的影响。315名老年痴呆症患者（29%住在疗养院，71%住在社会护理机构）使用标准化的精神病学时间表进行评估，包括获得性语言障碍的谢菲尔德筛选测试和神经精神量表。痴呆症护理映射进行随机在每个设施中至少50%的居民。表达性语言障碍与妄想的存在相关，即使痴呆的严重程度得到控制（p = 0.02），并显示出与抑郁症相关的趋势（p = 0.06）。接受性语言困难与异常运动行为的存在密切相关，甚至控制了痴呆的严重程度（p = 0.04）。社交活动参与度的降低与语言表达（p = 0.048）和接受性（p < 0.01）均相关，但社交退缩仅与接受性语言困难相关（p = 0.01）。语言障碍与痴呆症的行为和心理症状相关，即使痴呆症的严重程度得到控制。我们应及早照顾病人在沟通技巧方面的需要，以协助他们维持社交关系，减少对行为问题和病人生活质量的影响。版权所有（C）2003约翰威利父子有限公司。
Background. Impairment of language skills affects the level of functioning of an individual, interferes with effective communication and can result in development of disruptive behaviour. Social skills and capacity for self care may be compromised. Few studies have evaluated the impact of language problems on symptoms and socialization in people with dementia in care environments.Method. 315 elderly residents with dementia (29% living in nursing homes, 71% in social care facilities) were assessed using standardized psychiatric schedules including the Sheffield Screening Test for Acquired Language Disorders and Neuropsychiatric Inventory. Dementia Care Mapping was undertaken at random in at least 50% of residents in each facility.Results. Expressive language impairment was associated with the presence of delusions even when severity of dementia was controlled for (p = 0.02) and showed a tendency of association with depression (p = 0.06). Receptive language difficulties were strongly associated with presence of Aberrant Motor Behaviour, even controlling for severity of dementia (p = 0.04). Decreased participation in social activities was correlated with both expressive (p = 0.048) and receptive aspects of language (p < 0.01) but social withdrawal was only correlated with receptive language difficulties (p = 0.01).Conclusion. Language disorders are associated with both behavioural and psychological symptoms of dementia even when severity of dementia is controlled for. Patients' needs in communication skills should be addressed earlier to help them maintain social interactions and reduce the impact on behavioural problems and patients' quality of life. Copyright (C) 2003 John Wiley Sons, Ltd.