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KMID : 1100220040030010009
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Dementia and Neurocognitive Disorders
2004 Volume.3 No. 1 p.9 ~ p.13
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Assessment Scale for Behavioral and Psychological Symptoms of Dementia(BPSD)
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Choi Seong-Hye
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Abstract
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The behavioral and psychological symptoms of dementia(BPSD) are often treatable. BPSD changes as the dementias progresses, requiring reevaluation and implementation of new interventions in the course of illness. The principal instruments for assessment of BPSD currently in use include Neuropsychiatric Inventory (NPI), BEHAVE-AD, and Behavior Rating Scale for Dementia (BRSD) of the Consortium to Establish a Registry for Alzheimer´s Disease(CERAD). They are scored on the basis of information provided by the caregiverwho is familiar with the subject. The NPI addresses delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, euphoria/elation, apathy/indifference, disinhibition, irritability/lability, aberrant motor behavior, night-time behavior, and appetite/eating change. The severity, frequency and caregiver distress of the behavior are rated. To reduce clinicians´ time taken to administer the NPI, the Brief Questionnaire form of the NPI and Caregiver-Administered NPI were developed. To measure behavioral disturbances in nursing home residents, NPI-Nursing Home version was developed. The BEHAVE_AD addresses delusions, hallucinations, activity disturbances, aggressiveness, diurnal rhythm disturbances, affective disturbances, and anxiety and phobias. The severity of the behavior is rated. The BRSD has eight factors that mapped onto clinically relevant domains depressive features, psychotic features, defective self-reguration, irritability/agitation, vegetative features, apathy, aggression, affective lability. Items of BRSD art scaled according to frequency of psychopathology.
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KEYWORD
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Dementia, Behavior, Scale
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