Psychosocial and Clinical Profile of Patients Diagnosed With Dementia in a Tertiary Care Centre

Latha, KS and Sabu, KM and Roopalekha, J (2011) Psychosocial and Clinical Profile of Patients Diagnosed With Dementia in a Tertiary Care Centre. Indian Journal of Gerontology, 25 (1). pp. 51-65.

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Abstract

Developing countries are undergoing a demographic ransition that more and more persons are surviving to an old age thereby increasing the risk of dementia. Studies of their prevalence rates and determinants are of medical and social importance in planning adequate services as also resource allocation. Thus this study was designed to enerate epidemiological and clinical data on dementia, in a teaching hospital of Manipal University in a tertiary care facility in India. This study intends to look into the psychosocial and clinical characteristics of patients diagnosed as Dementia and would compare the Alzheimer’s from non Alzheimer’s disease on various characteristics. Ninety three cases seen over a 4-year period formed the data of this study. Seventy one cases with complete data were analyzed. Assessments were done by the psychiatric residents in a semi structured interview to generate an ICD X diagnosis and there was consensus about the diagnosis between two independent senior consultants. Of the total sample 51(71.8%) were males and 20(28.2%) females. Thirteen (18.2%) males had Alzheimer’s and 5 (7.0%) among females. Thirty eight males (53.5%) and fifteen females (21.3) had a dementia of non Alzheimer’s type. The mean age of those with Alzheimer’s was 71.6(S.D. 6.3) and non Alzheimer’s was 64.3 (+S.D.8.6).There was statistically significant difference between the gender and Alzheimer’s vs. non Alzheimer’s disease at 0.001. Analysis of the other Sociodemographic and clinical variables such as physical and psychiatric morbidity, substances use, illness onset, course, and family history showed that both the groups varied across several variables such as residence socioeconomic status, presence of stressors,substance use physical and psychiatric morbidity, past h/o psychiatric illness and family history of psychiatric illness. The implications are discussed

Item Type: Article
Uncontrolled Keywords: Dementia; Alzheimer’s disease; Physical and psychiatric comorbidity; delirium; Depression; hypertension; Diabetes mellitus
Subjects: Allied Health > MCOAHS Manipal > Health Information Management
Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Manipal
Date Deposited: 14 Nov 2012 09:25
Last Modified: 14 Nov 2012 09:25
URI: http://eprints.manipal.edu/id/eprint/77570

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