TY - JOUR
T1 - Síntomas neuropsiquiátricos como factor de confusión en la detección de la demencia
AU - Malagón, Angeles
AU - Martín, Luis M.
AU - Gonzalez, Ana
AU - Pérez, Victor
AU - Cortizo, Romina
AU - Bellsolà, Magdalena
AU - Leon, Jordi
AU - Córcoles, David
AU - Bulbena, Antoni
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Copyright © 2017 Elsevier España, S.L.U. All rights reserved. OBJECTIVE: The aim of the study was to evaluate whether the neuropsychiatric symptoms interfere with cognitive impairment detection in primary care and to describe which of them generate more confusion. DESIGN: Descriptive and observational study. LOCATION: Mobile psychiatric unit in collaboration with primary healthcare centers in Barcelona. PARTICIPANTS: A total of 104 patients over 65years referred to mobile psychiatric unit from primary healthcare clinicians suspecting mental disease. MAIN MEASUREMENTS: All patients received a DSM-IV-TR diagnosis. We included in the study the Mini Mental State Examination (MMSE), Neuropsichiatric Inventory, Severe Psychiatric Illness scale, Global Assessment of Functioning, Clinical Global Impression and Word Health Organisation Dissability Assessment Schedule. RESULTS: 55.8% of patients referred from primary care had altered MMSE score. Neuropsychiatric symptoms more frequently associated with suspected cognitive impairment were delusions, hallucinations, agitation, disinhibition, irritability and purposeless motor behavior. CONCLUSIONS: When psychiatric symptoms of Severe Mental Disorder (SMD) are detected in elderly individuals with no history of SMD, cognitive impairment should be suspected and a screening test be done.
AB - Copyright © 2017 Elsevier España, S.L.U. All rights reserved. OBJECTIVE: The aim of the study was to evaluate whether the neuropsychiatric symptoms interfere with cognitive impairment detection in primary care and to describe which of them generate more confusion. DESIGN: Descriptive and observational study. LOCATION: Mobile psychiatric unit in collaboration with primary healthcare centers in Barcelona. PARTICIPANTS: A total of 104 patients over 65years referred to mobile psychiatric unit from primary healthcare clinicians suspecting mental disease. MAIN MEASUREMENTS: All patients received a DSM-IV-TR diagnosis. We included in the study the Mini Mental State Examination (MMSE), Neuropsichiatric Inventory, Severe Psychiatric Illness scale, Global Assessment of Functioning, Clinical Global Impression and Word Health Organisation Dissability Assessment Schedule. RESULTS: 55.8% of patients referred from primary care had altered MMSE score. Neuropsychiatric symptoms more frequently associated with suspected cognitive impairment were delusions, hallucinations, agitation, disinhibition, irritability and purposeless motor behavior. CONCLUSIONS: When psychiatric symptoms of Severe Mental Disorder (SMD) are detected in elderly individuals with no history of SMD, cognitive impairment should be suspected and a screening test be done.
KW - Síntomas neuropsiquiátricos
KW - Atención primaria
KW - Habilidad diagnóstica
KW - Neuropsychiatric symptoms
KW - Primary care
KW - Demencia
KW - Recognition
KW - Dementia
UR - https://dialnet.unirioja.es/servlet/articulo?codigo=6389399
U2 - 10.1016/j.aprim.2017.01.015
DO - 10.1016/j.aprim.2017.01.015
M3 - Article
SN - 0212-6567
VL - 50
SP - 267
EP - 273
JO - Atención primaria (Barcelona. Ed. impresa)
JF - Atención primaria (Barcelona. Ed. impresa)
IS - 5
ER -