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. 2016 Mar;29(2):65–71. doi: 10.1177/0891988715606229

Table 2.

Percentage of Participants Showing Individual NPS in the Current Study, the Previous Study of PCA, and 14 Previous Studies Using the NPI in AD.a

Current study Isella et al (2014) Suarez- Gonzalez et al, (2014) Van Vliet et al, (2012)33 Toyota et al, (2007)34 Zhang et al, (2012)35 D’Onofrio et al, (2012)36 Karttunen et al, (2011)37 Yener et al, (2009)38 Del Prete et al, (2009)39 Hsieh et al, (2009)40 Caputo et al, (2008)41 Fuh et al, (2005)42 Srikanth et al, (2005)43 Senanarong et al, (2005)44 Mean% showing NPS Range% showing NPS Rank order% showing NPS Mean % (selected studiesb) Range % (selected studiesb)
Diagnosis PCA AD PCA AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD AD
N 28 34 20 20 85 79 68 46 261 46 166 240 81 159 78 94 45 53 25 690 188 107 25 44 73
MMSE Mean 13 14 24 25 16 19 19 17 19 23 14 c- d- e- 19 16 14 14 18
SD 5 4 3 2 6 7 4 8 6 2 5 4 6 6 5 6
CDR - 0.5 (1-2) 1 2 3
Age Mean 64 66 70 75 74 61 79 55 75 75 79 75 73 75 73 73 74 74 69 76 75 75 75 67 70
SD 7 7 8 4 7 5 5 5 5 6 6 6 6 6 8 8 9 7 6 7 7 7 7 9 8
bSelected b b b b b b b
Percentage participants showing NPMs
 Apathy 42 64 60 55 61 38 39 56 64 87 58 47 49 47 59 54 66 77 88 51 43 55 64 93 45 59 38-93 1 56 43-87
 Depression 64 61 45 40 70 16 45 43 39 30 58 37 32 39 42 42 33 79 48 40 46 44 54 75 30 44 16-79 2 39 30-46
 Irritability 50 64 35 5 52 24 26 19 24 54 49 34 33 34 27 25 29 68 12 39 38 45 50 77 47 38 12-77 3 36 25-54
 Agitation 10 26 25 15 23 21 25 28 44 34 44 29 23 32 28 29 33 62 44 41 28 49 64 68 35 37 21-68 4 31 23-49
 Anxiety 42 55 55 15 44 16 26 28 38 32 56 25 28 24 39 39 36 75 28 41 32 43 44 6 42 35 6-75 5 33 24-43
 Sleep 10 0 15 0 10 7 16 19 57 28 96 25 36 47 56 18 38 34 7-96 6 34 19-47
 AMB 10 8 15 5 0 25 22 26 43 28 23 18 16 20 22 23 22 40 56 31 60 20 42 28 0-60 7 21 16-28
 Delusions 25 17 32 7 23 13 50 23 17 22 17 25 27 28 27 11 28 22 19 43 58 9 27 25 7-58 8 26 17-43
 Apetite 3 0 20 20 20 25 6 53 21 4 19 30 40 52 0 27 24 0-53 9 25 6-40
 Hallucinations 10 8 12 2 5 4 22 6 14 15 16 15 22 19 13 13 36 12 13 34 58 2 17 16 2-58 10 17 6-34
 Disinhibition 21 14 10 0 12 11 5 4 16 13 0 14 18 12 15 11 9 17 0 9 13 32 32 45 30 15 0-45 11 16 11-32
 Euphoria 7 0 5 0 3 2 2 8 7 2 4 5 4 6 11 15 7 9 48 4 5 9 16 6 6 8 2-48 12 7 2-15

Abbreviations: AMB, abnormal motor behavior; PCA, posterior cortical atrophy; AD, Alzheimer disease; SD, standard deviation; MMSE, Mini-Mental State Examination; NPI, Neuropsychiatric Inventory; CDR, clinical dementia rating; NPS, neuropsychiatric symptoms.

aIn both PCA studies, the 4 most commonly observed NPS were apathy, depression, irritability, and anxiety (highlighted in gray). Across previous AD studies, apathy, depression, and irritability were also the 3 most commonly observed, with agitation marginally more common than anxiety. The percentage of anxiety in the Isella et al18 AD control group (highlighted in bold), who were significantly older than the corresponding patients with PCA, was unusually low and outside the range (also highlighted in bold) detected for previous studies involving patients with AD of comparable disease severity (estimated from MMSE/CDR score) and age (selected studies marked withb).

cMild AD, MMSE (21-26).

dModerate AD, MMSE (11-20).

eSevere AD, MMSE ≤ 10.