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Neuropsychiatric symptoms in the community-based patients with mild cognitive impairment and the influence of demographic factors
- Authors:
- MUANGPAISAN W., INTALAPAPORN S., ASSANTACHAI P.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.699-703.
- Publisher:
- Wiley
The objective of this study was to investigate the pattern of neuropsychiatric symptoms of mild cognitive impairment (MCI) patients in the Thai population and the influence of demographic factors on the symptoms. One hundred and seven participants aged 50 and over, 77 diagnosed with MCI and 30 normal were recruited from a community-based unit. The Neuropsychiatric Inventory (NPI) was used to assess behavioural disturbances in the subjects. Compared to normal subjects, MCI patients had higher incidence of anxiety (53% vs 27%), dysphoria (46% vs 17%) and sleep problem (45% vs 23%. Although marginally significant, apathy was more common in MCI patients (12% vs 0%). The mean total NPI score and NPI distress score were higher in the MCI group (6.8 vs 1.9 and 2.9 vs 0.6 respectively). The MCI patients aged over 65 had higher incidence of hallucinations (18.9% vs 0%). Males and patients of poor financial status had a higher percentage of dysphoria compared to females and patients with better financial status (65% vs 38.5% and 75% vs 37.9% respectively). Patients with poor financial status also had a higher percentage of anxiety (81.3% vs 44.5%). It was concluded that MCI is associated with significant neuropsychiatric symptoms which caused caregiver distress. In this study, the pattern of neuropsychiatric symptoms in a Thai MCI population was similar to those reported in western countries. Age, sex, educational level and financial status influenced the neuropsychiatric symptoms of MCI patients.