年老和被遗忘:阿尔茨海默病的教训(博洛尼亚ABCDE大会开幕演讲)。

F R J Verhey
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引用次数: 3

摘要

在阿尔茨海默氏症时代,神经学、精神病学和神经病理学相结合的综合方法是很自然的,但这些方向正在彼此分离。尽管毫无疑问,这些领域已经发展成为富有成果的新学科,但存在不一致和狭隘视野的危险。在这个讲座中,我们提出了一种更综合的神经精神病学方法。马斯特里赫特行为与痴呆研究和马斯特里赫特MCI队列研究的新研究结果证明了这一点。一种广泛的神经精神病学方法,包括生物学和社会心理方面的研究,对痴呆症患者更公正。将痴呆症视为一种认知障碍的过于狭隘的观点不仅会阻碍研究,而且对患者和他们的护理人员也毫无帮助,因为这种疾病最令人痛苦的方面仍然没有得到充分的了解。对社会心理方面和护理的研究应给予更高的优先地位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Old and forgotten: Alzheimer's lessons (opening lecture of the ABCDE Congress of Bologna).

In Alois Alzheimer's times, an integrated approach combining neurology, psychiatry and neuropathology was natural, but those directions are growing apart from each other. Although no doubt these fields have developed into new fruitful disciplines, there is the danger of inconsistency and tunnel vision. In this lecture, a plea is made for a more integrative neuropsychiatric approach. This is demonstrated by means of new research findings from the Maastricht Behavior and Dementia Study, and the Maastricht MCI cohort study. A broad neuropsychiatric approach, in which both biological and psychosocial aspects are studied, does greater justice to patients with dementia. A too narrow view of dementia as a cognitive disorder not only frustrates research, but also is not at all helpful to patients and their carers, because the most harrowing aspects of the disease remain underexposed. Research on psychosocial aspects and care should be given a higher priority.

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