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Psychiatric presentation of Alzheimer’s in Jordan Preliminary survey . Jamal Khatib MD Consultant Psychiatrist Jordanian Alzheimer Association. Jordan Alzheimer's Association. Initiated this summer 2005 by an initiative of Prof Kurdi . On the short term major objectives are
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Psychiatric presentation of Alzheimer’s in JordanPreliminary survey Jamal Khatib MD Consultant Psychiatrist Jordanian Alzheimer Association
Jordan Alzheimer's Association • Initiated this summer 2005 by an initiative of Prof Kurdi . • On the short term major objectives are • public awareness. • Studying the nature and pattern of dementia in Jordan
Public awareness • Media • Brochures • Lectures ,public meetings .
Studies • Problems of alzheimers disease in the arab world . • study on prevalence of Alzheimer's . • Diagnosis and management • Psychiatric presentation.
``Behavioural and psychological symptoms in dementia (BPSD) are the clinically most significant symptoms of the illness. They are non-cognitive and include apathy, agitation, aggression, anxiety, hallucinations and delusions….BPSDs are widespread and often critical with regard to life quality for the patient as well as caregiver stress. The frequency of BPSD increases as the dementing disorder progresses.`
Of the 329 participants with dementia, 214 (65%) had Alzheimer's disease, 62 (19%) had vascular dementia, and 53 (16%) had another DSM-IV dementia diagnosis; 201 (61%) had exhibited one or more mental or behavioral disturbances in the past month. Apathy (27%), depression (24%), and agitation/aggression (24%) were the most common in participants with dementia. These disturbances were almost four times more common in participants with dementia than in those without….. Am J Psychiatry. 2000 May;157(5):708-14 ..
Discussion and conclusion • The major problem with dementia patient is behavioural and almost all the patients are taken to doctors rather than referring themselves with antipsychotic as the mostly prescribed drugs, this reflects some how a late onset time of consult , and rather advanced illness at the time of diagnosis as most of patient who reach the psychiatrists are not yet diagnosed although behaviorally disturbed. • Thus awareness about the illness and the aim to catch patients at earlier stage is the first priority of the Jordanian Alzheimer Association..
Thank you شكرا Jamal