J Korean Geriatr Psychiatry.  2014 Oct;18(2):81-85. 10.0000/jkgp.2014.18.2.81.

Relationship between Premorbid Personality and Behavioral and Psychological Symptoms in Dementia in Korean Patients with Alzheimer's Disease

Affiliations
  • 1Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. minsoogi75@hanmail.net

Abstract


OBJECTIVE
We performed a cross-sectional study to examine the relationship between premorbid personality and behavioral and psychological symptoms in dementia (BPSD) in Korean patients with Alzheimer's disease (AD).
METHODS
We assessed 103 patients diagnosed with AD for the presence of BPSD over the disease course by using the caregiver-rated Korean version of the Neuropsychiatric Inventory (K-NPI) and for the premorbid personality by using a retrospective version of the NEO-Five Factor Inventory questionnaire completed by informants.
RESULTS
Premorbid neuroticism was significantly correlated with delusion, agitation, anxiety, disinhibition, total K-NPI score (p<0.05), and sleep disturbances (p<0.01). Lower premorbid conscientiousness was significantly correlated with symptoms of hallucinations and sleep disturbances in AD patients (p<0.05). However, premorbid neuroticism and low premorbid conscientiousness did not act as independent predictors for "psychosis, hyperactivity," or "moods, apathy, frontal" factors of BPSD.
CONCLUSION
Premorbid personality was associated with the K-NPI score, but was not observed to be potential predictors of BPSD.

Keyword

Alzheimer's disease; Behavioral and psychological symptoms in dementia; Premorbid personality
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