关键词: Alzheimer’s disease Behavioral and Psychological Symptoms of Dementia International Psychogeriatric Association aggression agitation dementia neuropsychiatric symptoms

Mesh : Humans Consensus Geriatric Psychiatry Psychomotor Agitation / diagnosis Cognition Disorders Cognitive Dysfunction / diagnosis

来  源:   DOI:10.1017/S1041610222001041   PDF(Pubmed)

Abstract:
BACKGROUND: The International Psychogeriatric Association (IPA) published a provisional consensus definition of agitation in cognitive disorders in 2015. As proposed by the original work group, we summarize the use and validation of criteria in order to remove \"provisional\" from the definition.
METHODS: This report summarizes information from the academic literature, research resources, clinical guidelines, expert surveys, and patient and family advocates on the experience of use of the IPA definition. The information was reviewed by a working group of topic experts to create a finalized definition.
RESULTS: We present a final definition which closely resembles the provisional definition with modifications to address special circumstances. We also summarize the development of tools for diagnosis and assessment of agitation and propose strategies for dissemination and integration into precision diagnosis and agitation interventions.
CONCLUSIONS: The IPA definition of agitation captures a common and important entity that is recognized by many stakeholders. Dissemination of the definition will permit broader detection and can advance research and best practices for care of patients with agitation.
摘要:
背景:国际精神病学协会(IPA)于2015年发布了认知障碍躁动的临时共识定义。根据原工作组的建议,我们总结了标准的使用和验证,以便从定义中删除“临时”。
方法:本报告总结了来自学术文献的信息,研究资源,临床指南,专家调查,以及患者和家人倡导使用IPA定义的经验。专题专家工作组审查了这些信息,以创建最终定义。
结果:我们提出了一个最终定义,该定义非常类似于临时定义,并进行了修改以解决特殊情况。我们还总结了用于诊断和评估躁动的工具的开发,并提出了传播和整合到精确诊断和躁动干预措施中的策略。
结论:IPA对躁动的定义是一个被许多利益相关者认可的共同且重要的实体。该定义的传播将允许更广泛的检测,并可以推进护理躁动患者的研究和最佳实践。
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