Table 2.
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.