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Symptoms of dementia among adults with Down's syndrome: a qualitative study

Deb, S. ; Hare, M. ; Prior, L.

Journal of intellectual disability research, 2007-09, Vol.51 (9), p.726-739 [Periódico revisado por pares]

Oxford, UK: Blackwell Publishing Ltd

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Título:
Symptoms of dementia among adults with Down's syndrome: a qualitative study
Autor: Deb, S. ; Hare, M. ; Prior, L.
Assuntos: Adult ; Adult and adolescent clinical studies ; Adults ; Affect ; Aged ; Behavior Problems ; Biological and medical sciences ; Brain ; carer's perspective ; Chromosome aberrations ; Clinical Diagnosis ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Dementia - epidemiology ; Diagnosis ; Down Syndrome ; Down Syndrome - epidemiology ; Down's syndrome ; Emotional Disturbances ; Frontal lobes ; Humans ; Interviews as Topic ; Language Impairments ; Learning disabilities ; Male ; Mass Screening ; Medical genetics ; Medical sciences ; Medical screening ; Memory ; Mental Retardation ; Middle Aged ; Neurology ; Organic mental disorders. Neuropsychology ; Personality Disorders - epidemiology ; Psychological Patterns ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Qualitative research ; qualitative study ; screening instrument ; Short Term Memory ; Sleep ; Surveys and Questionnaires ; Symptoms ; Symptoms (Individual Disorders) ; Withdrawal (Psychology)
É parte de: Journal of intellectual disability research, 2007-09, Vol.51 (9), p.726-739
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Descrição: Background Dementia is common among adults with Down's syndrome (DS); yet the diagnosis of dementia, particularly in its early stage, can be difficult in this population. One possible reason for this may be the different clinical manifestation of dementia among people with intellectual disabilities. Aims The aim of this study was to map out the carers' perspective of symptoms of dementia among adults with DS in order to inform the development of an informant‐rated screening questionnaire. Method Unconstrained information from carers of people with DS and dementia regarding the symptoms, particularly the early symptoms of dementia, was gathered using a qualitative methodology. Carers of 24 adults with DS and dementia were interviewed. The interviews were recorded and fully transcribed. The transcripts were then analysed using qualitative software. Results There appeared to be many similarities in the clinical presentation of dementia in adults with DS and the non‐intellectually disabled general population. Like in the non‐intellectually disabled general population, forgetfulness especially, impairment of recent memory combined with a relatively intact distant memory and confusion were common, and presented early in dementia among adults with DS. However, many ‘frontal lobe’‐related symptoms that are usually manifested later in the process of dementia among the general population were common at an early stage of dementia among adults with DS. A general slowness including slowness in activities and speech, other language problems, loss of interest in activities, social withdrawal, balance problems, sleep problems, loss of pre‐existing skills along with the emergence of emotional and behaviour problems were common among adults with DS in our study. Conclusions This study highlights the similarities in the clinical presentation of dementia among the general population and people with DS with a particular emphasis on the earlier appearance of symptoms associated with the frontal lobe dysfunction among adults with DS.
Editor: Oxford, UK: Blackwell Publishing Ltd
Idioma: Inglês

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Symptoms of dementia among adults with Down's syndrome: a qualitative study

Deb, S. ; Hare, M. ; Prior, L.

Oxford, UK: Blackwell Publishing Ltd

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