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Are Premorbid Abnormal Personality Traits Associated with Behavioural and Psychological Symptoms in Dementia?

Prior, J. and Abraham, R. and Nicholas, Helen and Chan, T. and Vanvlymen, J. and Lovestone, S. and Boothby, H. (2016) Are Premorbid Abnormal Personality Traits Associated with Behavioural and Psychological Symptoms in Dementia? International Journal of Geriatric Psychiatry, 31. pp. 1050-1055. ISSN Online 1099-1166

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Abstract

Objective: The study aims to investigate associations between behavioural and psychological symptoms of dementia (BPSD) and abnormal premorbid personality traits. Methods: Data were obtained from 217 patients with a diagnosis of probable Alzheimer’s disease. Behavioural and psychological symptoms of late-onset dementia were assessed with the Neuropsychiatric Inventory. Premorbid personality traits were assessed using the Standardised Assessment of Personality. Abnormal premorbid personality traits were categorised with Diagnostic and Statistical Manual of Mental Disorders fourth edition and International Statistical Classification of Diseases and Related Health Problems—10 diagnostic criteria for personality disorders. Results: Abnormal premorbid personality traits were associated with increased behavioural and psychological symptoms in dementia. Cluster A (solitary/paranoid) premorbid personality traits were associated with anxiety, depression and hallucinations. Cluster C (anxious/dependent) traits were associated with a syndrome of depression. Conclusions: The presence of Clusters A (solitary/paranoid) and C (anxious/dependent) abnormal premorbid personality traits seems to affect the expression of certain behavioural and psychological symptoms in dementia, depression in particular. Copyright # 2016 John Wiley & Sons, Ltd

Item Type: Article
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Uncontrolled Keywords: dementia, personality, BPSD (behavioural and psychological symptoms in dementia)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Academic Departments > Institute of Health and Society
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Depositing User: Helen Nicholas
Date Deposited: 08 Apr 2016 13:46
Last Modified: 11 Nov 2016 17:47
URI: https://eprints.worc.ac.uk/id/eprint/4280

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