Dementia / Edition 2

Dementia / Edition 2

Pub. Date:
Wiley, John & Sons, Incorporated

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Dementia / Edition 2

Be Guided by the Evidence...

Dementia is at present under-diagnosed and under-treated all over the world. Discrepancies in the diagnostic procedures and therapeutic interventions implemented in the various clinical contexts are significant and, consequently, the need for a review of the currently available research evidence and a discussion of different clinical practices is urgently needed.

This new edition of the third volume of the WPA Series, Evidence & Experience in Psychiatry, provides:

  • State-of-the-art systematic reviews of the subject
  • Accompanying commentaries by an outstanding line up of contributors
  • Coverage of developments in diagnosis, therapy, prognosis, economic evaluation and quality improvement
  • An unbiased and reliable reference point
This new edition will provide invaluable information for all psychiatrists, psychologists, mental health nurses, managers and policy makers.

Product Details

ISBN-13: 9780470849637
Publisher: Wiley, John & Sons, Incorporated
Publication date: 02/24/2003
Series: WPA Series in Evidence & Experience in Psychiatry Series , #7
Edition description: REV
Pages: 416
Product dimensions: 6.04(w) x 9.27(h) x 0.90(d)

Table of Contents

List of Review Contributorsxi
Chapter 1Definition and Epidemiology of Dementia1
Definition and Epidemiology of Dementia: A Review1
1.1The Continuing Evolution of Dementia Epidemiology34
1.2Dementia: Hope for the Future36
1.3Dementia: Much Information, Many Unanswered Questions39
1.4Vascular Factors and Dementia42
1.5Dementia: Known and Unknown45
1.6Dementia: a Public Health Emergency and a Scientific Challenge47
1.7Dementia: Plenty of Questions Still to Be Answered50
1.8Rates and Risk Factors for Dementia: Evidence or Controversy?52
1.9Dementia: the Public Health Challenge55
1.10Definition and Epidemiology of Dementia: Some Issues that Need Clarification57
1.11Dementia: the Challenge for the Next Decade59
1.12Recent Progress in the Definition and Epidemiology of Dementia62
1.13Dementia: Some Controversial Issues64
1.14Is the Prevalence Rate of Alzheimer's Disease Increasing in Japan?66
Chapter 2Clinical Diagnosis of Dementia69
Clinical Diagnosis of Dementia: A Review69
2.1The Value of Inclusive Diagnostic Thinking and Appreciating Developmental Variance116
2.2Reflections on Retrogenesis118
2.3Dementia: Diagnosis, Progression and Retrogression120
2.4Staging of Severe Alzheimer's Disease and the Concept of Retrogenesis: Doors to be Opened for Research and Clinical Practice123
2.5When Diagnosis is Certain, Functional Scores are Robust and Recommendable Markers of the Progression of Alzheimer's Disease125
2.6Findings with the Aid of Functional Assessment Staging (FAST)127
2.7Two Decades of Longitudinal Research in Alzheimer's Disease130
2.8Diagnosing Dementia: the Need for Improved Criteria132
2.9Pitfalls in Diagnosing Alzheimer's Disease135
2.10Evaluating the Performance of Measures to Assess Dementia136
2.11Dementia as a Diagnostic Entity139
Chapter 3Neuropsychological and Instrumental Diagnosis of Dementia143
Neuropsychological and Instrumental Diagnosis of Dementia: A Review143
3.1Improving Diagnosis of Dementia166
3.2The Contribution of Neuropsychology to the Assessment of Dementia Syndromes169
3.3Neuropsychological and Instrumental Diagnosis of Dementia: the Evidence171
3.4Some Clinical Aspects and Research Issues in the Neuropsychological Assessment of Dementia173
3.5The Role of Cognitive and Functional Evaluation in the Care of Patients with Dementia176
3.6Evaluating the Cognitive Changes of Normal and Pathologic Aging179
3.7Alzheimer's Disease and Other Degenerative Dementias: Need for an Early Diagnosis182
3.8Neuropsychological and Instrumental Diagnosis of Dementia in a Clinical Context184
3.9Neuropsychological Tests that are Helpful to the Etiological Diagnosis of Dementia187
3.10The Importance of an Early Diagnosis in Alzheimer's Disease189
3.11When Should We Use Which Diagnostic Tools?193
3.12Factors Affecting Diagnosis in Dementia195
Chapter 4Pharmacological Treatment of Dementia199
Pharmacological Treatment of Dementia: A Review199
4.1Alzheimer's Disease is Treatable247
4.2Treatment of Dementia: Where Do We Go from Here?251
4.3The Future of Alzheimer's Pharmacotherapeutics253
4.4Outcome Measures and Ethical Issues in the Pharmacotherapy of Alzheimer's Disease256
4.5From Bench to Bedside: How to Treat Dementia259
4.6Some Limitations in the Drug Treatment of Alzheimer's Disease262
4.7Issues Regarding the Pharmacotherapy of Dementia266
4.8Treatment of Cognitive and Non-cognitive Disturbances in Dementia269
4.9Are There Concerns about the "Real World" Effectiveness and Safety of Medications for Alzheimer's Disease?272
4.10Phytoneuropsychotropics in Alzheimer's Disease: Treatment and/or Prevention275
Chapter 5Psychosocial Interventions for Dementia279
Psychosocial Interventions for Dementia: A Review279
5.1Psychosocial Dimensions of Dementia Care308
5.2First Experience, then Evidence, then Possibly New Criteria312
5.3The Development of Cognitive Neurorehabilitation for Alzheimer's Disease314
5.4Psychosocial Interventions and Behavioural Treatments for Dementia317
5.5The Need for Greater Specificity in Psychosocial Interventions319
5.6Psychosocial Interventions in Dementia: the Nature and Focus of Intervention, Outcome Measurement and Quality of Life322
5.7General Comments on Psychosocial Interventions for Dementia325
5.8Changing Therapeutic Paradigms327
5.9Psychosocial Interventions in Dementia: Attitudes, Approaches, Therapies and Quality of Life330
5.10The Importance of Touch and Contact332
5.11The Need to Improvise and Look for Evidence334
5.12The Need for Psychosocial Interventions in Dementia337
5.13Sharing and Supporting Families with Dementia338
Chapter 6Costs of Dementia341
Costs of Dementia: A Review341
6.1Dementia: the Challenges for Economic Analysis370
6.2Costs of Dementia: More Questions than Answers372
6.3Toward the Economics of Dementia375
6.4A Cautionary Commentary on Costs of Dementia Studies378
6.5Costs of Dementia: Valuable Information for Economic Evaluations380
6.6Cost of Illness Study in Dementia: a Comment382
6.7Dementia: Whose Burden is it Anyway?384
Acknowledgements for the First Edition389

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