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Alzheimer Disease and Other Dementias

  • Benoit H. Mulsant
  • Joe E. Thornton

Abstract

This chapter discusses the outpatient management of dementia, with a major focus on Alzheimer disease (AD) and other irreversible dementing disorders. Their epidemiology and the demographic characteristics of the American population threaten to make dementia one of the major medical, social, and economic problems of our society during the coming decades. Dementia is a markedly age-dependent condition affecting 5%–15% of the population over age 65 and 25% of those over 85, the fastest growing segment of the U.S. population. Recent epidemiological studies (e.g., Rocca, Amaducci, and Schoenberg, 1986) have predicted that, despite a constant incidence rate, the prevalence of severe AD will increase by 42% during the next 15 years; more than 8 million people could be affected by the year 2000. Dementia is one of the major determinants of institutionalization (Katzman, 1986), and 60%–70% of nursing-home patients suffer from a dementing disorder—AD in 50%–80% of cases (U.S. Congress, 1985). According to the U.S. Congress Office of Technology Assessment, the cost of institutional care for patients with dementia exceeded $25 billion in 1985 and will have escalated to $43 billion a year by 1990.

Keywords

Alzheimer Disease Senile Dementia Apply Behavior Analysis Demented Patient Alzheimer Disease Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Benoit H. Mulsant
    • 1
  • Joe E. Thornton
    • 1
  1. 1.Department of Psychiatry, Western Psychiatric Institute and ClinicUniversity of PittsburghPittsburghUSA

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