Study on the development and validation of behavioral intervention therapy program for psychiatric symptoms in dementia

痴呆精神症状行为干预治疗方案的制定与验证研究

• 批准号: 22530750
• 负责人: SATO Junko
• 金额: $ 2.33万
• 依托单位: Nagoya City University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22530750/
• 关键词: 認知症; 精神症状; 行動的介入療法; 焦燥感; 高次脳機能; 非薬物療法

Agitated behaviors are frequently observed in patients with dementia and can cause severe distress to caregivers. However, little evidence of the efficacy of nonpharmacological interventions for agitated behaviors exists in patients with dementia. The present pilot study aimed to evaluate the behavioral management technique (BMT) program developed by the Seattle Protocols for patients with agitated behaviors in Japan. Eighteen patients with dementia (Alzheimer’s disease, n = 14; dementia with Lewy bodies, n = 4) participated in an open study testing the effectiveness of the BMT program. The intervention consisted of 20 sessions over the course of three months. The primary outcomes were severity of agitation in dementia as measured using the Agitated Behavior in Dementia scale (ABID) and the Cohen-Mansfield Agitation Inventory (CMAI). The BMT program resulted in significant reductions in the total scores of both the ABID and CMAI. Although both the physically agitated behavior scores and the verbally agitated behavior scores of the ABID improved significantly, the psychosis symptoms did not improve after intervention. The BMT program is likely to be beneficial to caregivers suffering from distress as a result of agitated behaviors. In the future, a well-designed study to develop the BMT program more fully is needed.

躁动行为在痴呆症患者中经常被观察到，并会给照顾者带来严重的痛苦。然而，在痴呆症患者中，几乎没有证据表明非药物干预对躁动行为的有效性。这项先导性研究旨在评估西雅图方案为日本躁动行为患者开发的行为管理技术(BMT)计划。18名痴呆症患者(阿尔茨海默病，n=14；路易体痴呆，n=4)参加了一项测试骨髓移植计划有效性的开放研究。干预包括为期三个月的20次会议。主要结果是用痴呆激越行为量表(ABID)和科恩-曼斯菲尔德激越问卷(CMAI)测量痴呆症的激越程度。BMT计划导致ABID和CMAI总分显著下降。虽然ABID患者的躯体激越行为得分和言语激越行为得分均有明显改善，但干预后精神症状改善不明显。BMT计划可能对因焦躁行为而遭受痛苦的照顾者有利。在未来，需要一项精心设计的研究，以更充分地发展骨髓移植计划。

项目成果

認知症患者と家族の社会的孤立

痴呆症患者及其家人的社会隔离

• 发表时间: 2011
• 期刊: 老年精神医学雑誌
• 作者: 辰巳 寛;山本 正彦;仲秋秀太郎;波多野 和夫;中野敬子;村松健司;中野敬子;黄正国・兒玉憲一;Torii Katsuyoshi;佐藤順子
• 通讯作者: 佐藤順子

Reliability and validity of the Japaneseversion of the Agitated Behaviour in Dementia Scale in Alzheimer's disease : three dimensions of agitated behaviour in dementia

日本版阿尔茨海默病痴呆症激越行为量表的信度和效度：痴呆症激越行为的三个维度

• DOI: 10.1111/j.1479-8301.2011.00371.x
• 发表时间: 2011
• 期刊: Psychogeriatrics
• 影响因子: 2
• 作者: 辰巳 寛;山本 正彦;仲秋秀太郎;波多野 和夫;中野敬子;村松健司;中野敬子;黄正国・兒玉憲一;Torii Katsuyoshi
• 通讯作者: Torii Katsuyoshi

コミュニュケーションからみた認知症

从沟通的角度看痴呆

• 发表时间: 2013
• 作者: 佐藤順子;仲秋秀太郎 . Alzheimer 病. 三村將;飯干紀代子
• 通讯作者: 飯干紀代子

A case with Hodgkin lymphoma and fronto-temporal lobular degeneration (FTLD)-like dementia facilitated by chemotherapy.

一例因化疗导致霍奇金淋巴瘤和额颞叶小叶变性 (FTLD) 样痴呆的病例。

• 发表时间: 2010
• 期刊: Japanese Journal of Clinical Oncology
• 影响因子: 2.4
• 作者: 辰巳 寛;山本 正彦;仲秋秀太郎;波多野 和夫;中野敬子;村松健司;中野敬子;黄正国・兒玉憲一;Torii Katsuyoshi;佐藤順子;中野敬子;黄正国・中岡千幸・兒玉憲一;兒玉憲一・小池眞規子・笠井仁・服巻豊;Hiroshi Tatsumi;黄正国・舘野一宏・山村崇尚・岩田尚大・兒玉憲一;Katsumata Ryuta
• 通讯作者: Katsumata Ryuta

認知症ハンドブック.

痴呆症手册。

• 发表时间: 2013
• 作者: 仲秋秀太郎;佐藤順子周辺症状 人物誤認. 中島健二;天野直二;下濱俊;富本秀和;三村將
• 通讯作者: 三村將