Behavioural and psychological symptoms among out-patients with different cognitive states: cross-sectional study.

IF 3.9 3区医学 Q1 PSYCHIATRY

BJPsych Open Pub Date : 2025-04-01 DOI:10.1192/bjo.2025.7

Yuhang Li, Junling Huang, Ruiping Liu, Youyang Zhang, Shihao Wu, Xiaoli Liu, Wenlin Ma

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引用次数: 0

Abstract

Background: The study examines the behavioural and psychological symptoms (BPSs) associated with dementia and mild cognitive impairment (MCI), highlighting the prevalence and impact of these symptoms on individuals with varying levels of cognitive function, particularly in the context of the increasing incidence of dementia among the ageing population.

Aims: To explore the BPSs among out-patients with different cognitive statuses.

Method: This cross-sectional study enrolled out-patients who attended the cognitive assessment out-patient clinic at our hospital between January 2018 and October 2022. The patients' cognitive status was evaluated using the Neuropsychiatric Inventory (NPI), Activities of Daily Living and the Montreal Cognitive Assessment-Basic scales.

Results: The study enrolled 3273 out-patients, including 688 (21%) with cognitively unimpairment, 1831 (56%) with MCI and 754 (23%) with dementia. The NPI score, the percentage of patients with BPSs and the number of BPSs increased with decreasing cognition level. Unordered logistic regression analysis showed that after adjustment of confounding variables, delusions, depression, euphoria and psychomotor alterations were independently associated with MCI. Delusions, agitation, euphoria, apathy, psychomotor alterations and sleep change were independently associated with dementia.

Conclusions: NPI scores, the percentage of patients with BPSs and the numbers of BPSs increased with declining cognitive function.

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不同认知状态门诊患者的行为和心理症状：横断面研究

背景：该研究考察了与痴呆症和轻度认知障碍（MCI）相关的行为和心理症状（bps），强调了这些症状在不同认知功能水平个体中的患病率和影响，特别是在老龄化人口中痴呆症发病率不断增加的背景下。目的：探讨不同认知状态门诊患者的心理健康状况。方法：本横断面研究纳入2018年1月至2022年10月在我院认知评估门诊就诊的门诊患者。采用神经精神量表（NPI）、日常生活活动量表和蒙特利尔认知评估基本量表对患者的认知状况进行评估。结果：该研究共纳入3273例门诊患者，其中688例（21%）为认知功能障碍患者，1831例（56%）为轻度认知障碍患者，754例（23%）为痴呆患者。随着认知水平的降低，NPI评分、bps患者比例和bps数量均呈上升趋势。无序logistic回归分析显示，在调整混杂变量后，妄想、抑郁、兴奋和精神运动改变与轻度认知损伤独立相关。妄想、躁动、欣快、冷漠、精神运动改变和睡眠改变与痴呆独立相关。结论：随着认知功能的下降，NPI评分、BPSs患者比例和BPSs数量增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BJPsych Open Medicine-Psychiatry and Mental Health

CiteScore

6.30

自引率

3.70%

发文量

610

审稿时长

16 weeks

期刊介绍： Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.