■精神病的症状,以妄想和幻觉为特征,通常是痴呆症患者所经历的。完成了一项系统评价,以确定与痴呆症患者的参考标准相比,评估精神病症状的工具。还确定了报告精神病工具之间相关值的文章。
■搜索概念精神病,痴呆症,诊断准确性用于搜索MEDLINE,PsycINFO,和Embase。符合主要目标的文章描述了一种评估精神病症状的工具,妄想,或者痴呆症患者的幻觉,精神病诊断评估的参考标准形式,以及精神病工具的诊断准确性结果。次要客观文章报道了痴呆症患者的两种或多种精神病工具之间的相关性值。
■一项研究达到了主要目标,并描述了神经精神量表(NPI)和哥伦比亚大学精神病理学量表在识别精神病症状方面的敏感性和特异性。幻觉,和妄想。NPI和CUSPAD在识别精神病症状方面的敏感性分别为83%和90%,分别。符合次要目标的9项研究描述了11种独特的工具,并检查了用于评估痴呆症患者精神病症状的工具的相关程度。
■在一项研究中将NPI和CUSPAD确定为精神病工具,已根据痴呆症患者的精神病评估参考标准进行了评估。存在各种评估痴呆症患者精神病症状负担的工具,但现有工具的诊断准确性仍未得到充分研究。需要对痴呆症患者使用的所有精神病工具的比较实用性和诊断准确性进行进一步研究。
UNASSIGNED: Symptoms of psychosis, characterized by delusions and
hallucinations, are commonly experienced by persons living with dementia. A systematic review was completed to identify tools to evaluate symptoms of psychosis compared to a reference standard in persons with dementia. Articles reporting correlation values between psychosis tools were also identified.
UNASSIGNED: The search concepts psychosis, dementia, and diagnostic accuracy were used to search MEDLINE, PsycINFO, and Embase. Included articles meeting the primary objective described a tool to assess symptoms of psychosis, delusions, or
hallucinations in persons with dementia, a reference standard form of diagnostic assessment for psychosis, and diagnostic accuracy outcomes for the psychosis tool. Secondary objective articles reported correlation values between two or more psychosis tools in persons with dementia.
UNASSIGNED: One study met the primary objective and described the sensitivity and specificity of the Neuropsychiatric Inventory (NPI) and Columbia University Scale for Psychopathology in Alzheimer\'s Disease (CUSPAD) in identifying symptoms of psychosis,
hallucinations, and delusions. The sensitivity of the NPI and CUSPAD in identifying symptoms of psychosis was 83 and 90%, respectively. Nine studies meeting the secondary objective described eleven unique tools and examined the degree to which tools used to assess psychotic symptoms in persons with dementia were related.
UNASSIGNED: The NPI and CUSPAD were identified in a single study as psychosis tools that have been evaluated against a reference standard of psychosis assessment in persons with dementia. Various tools to assess the burden of psychotic symptoms in persons with dementia exist, but the diagnostic accuracy of existing tools remains understudied. Further research on the comparative utility and diagnostic accuracy is required for all psychosis tools used with persons with dementia.