PDF(Pubmed)
Abstract：
The behavioral and psychological symptoms of dementia (BPSD) are a heterogeneous set of challenging disturbances of behavior, mood, perception, and thought that occur in almost all patients with dementia. A huge number of instruments have been developed to assess BPSD in different populations and settings. Although some of these tools are more widely used than others, no single instrument can be considered completely satisfactory, and each of these tools has its advantages and disadvantages. In this narrative review, we have provided a comprehensive overview of the characteristics of a large number of such instruments, addressing their applicability, strengths, and limitations. These depend on the setting, the expertise required, and the people involved, and all these factors need to be taken into account when choosing the most suitable scale or tool. We have also briefly discussed the use of objective biomarkers of BPSD. Finally, we have attempted to provide indications for future research in the field and suggest the ideal characteristics of a possible new tool, which should be short, easy to understand and use, and treatment oriented, providing clinicians with data such as frequency, severity, and triggers of behaviors and enabling them to find appropriate strategies to effectively tackle BPSD.
摘要：
痴呆的行为和心理症状（BPSD）是一组异质性的具有挑战性的行为障碍，心情,感知，并认为几乎所有痴呆症患者都会发生这种情况。已经开发了大量的工具来评估不同人群和环境中的BPSD。尽管其中一些工具比其他工具使用更广泛，没有一个单一的仪器可以被认为是完全令人满意的，这些工具都有其优点和缺点。在这篇叙述性评论中，我们全面概述了大量此类工具的特点，解决它们的适用性，优势,和限制。这些取决于设置，所需的专业知识，和参与的人，在选择最合适的秤或工具时，需要考虑所有这些因素。我们还简要讨论了BPSD的客观生物标志物的使用。最后,我们试图为该领域的未来研究提供指示，并提出可能的新工具的理想特征，应该很短，易于理解和使用，以治疗为导向，为临床医生提供频率等数据，严重程度,和行为的触发因素，使他们能够找到适当的策略来有效地解决BPSD。
