Mostrar el registro sencillo del ítem
dc.contributor.author
Zapata Restrepo, Lina
dc.contributor.author
Rivas, Juan
dc.contributor.author
Miranda, Carlos
dc.contributor.author
Miller, Bruce L.
dc.contributor.author
Ibañez, Agustin Mariano
dc.contributor.author
Allen, Isabel E.
dc.contributor.author
Possin, Katherine
dc.date.available
2023-08-09T14:52:07Z
dc.date.issued
2021-11
dc.identifier.citation
Zapata Restrepo, Lina; Rivas, Juan; Miranda, Carlos; Miller, Bruce L.; Ibañez, Agustin Mariano; et al.; The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample; Frontiers Media; Frontiers in Neurology; 12; 11-2021; 1-7
dc.identifier.issn
1664-2295
dc.identifier.uri
http://hdl.handle.net/11336/207621
dc.description.abstract
Objective: To describe the demographic characteristics, initial psychiatric diagnoses, and the time to reach a diagnosis of probable behavioral variant frontotemporal dementia (bvFTD) in a public psychiatric hospital in Cali, Colombia. Methods: We retrospectively reviewed the medical records of 28 patients who were diagnosed with probable bvFTD based on a multidisciplinary evaluation that included a structural MRI, neuropsychological testing, functional assessment, and neurological exam. Prior to this evaluation, all patients were evaluated by a psychiatrist as part of their initial consultation at the hospital. The initial consultation included the Neuropsychiatric Inventory and diagnoses based on the DSM-V. Demographics, clinical features, and initial psychiatric misdiagnoses were extracted from clinical records and summarized in the full sample and by gender. Results: The study sample had a mean education of 10.0 years (SD = 4.9) and 68.0% were female. In the full sample, 28.6% were initially diagnosed with dementia, and 71.4% with a psychiatric disorder. The psychiatric diagnosis at initial consultation differed by gender. Women were most likely to be diagnosed with depression (26.3%) or bipolar disorder (26.3%), while the men were most likely to be diagnosed with anxiety (33.3%) or a psychotic disorder (22.2%). Psychotic symptoms were common (delusions, 60.7% and hallucinations, 39.3%), and the pattern of neuropsychiatric symptoms did not differ by gender. Conclusions: This is one of few case series of bvFTD in a Colombian population, where bvFTD is a recognizable and prevalent disorder. In this psychiatric hospital, the majority of patients with bvFTD were initially diagnosed with a primary psychiatric condition. There was a gender difference in psychiatric diagnosis, but not in neuropsychiatric symptoms. In this sample, the rate of psychiatric misdiagnosis, as well as the psychotic symptoms, were higher compared to rates described in other countries. These results highlight the need for interventions to improve bvFTD diagnosis in under-represented populations.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Frontiers Media
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
BEHAVIORAL VARIANT FRONTOTEMPORAL DEMENTIA
dc.subject
BPSD (BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS IN DEMENTIA)
dc.subject
DEMENTIA CAREGIVERS
dc.subject
FRONTOTEMPORAL DEMENTIA
dc.subject
FRONTOTEMPORAL DEMENTIA (FTD) SPECTRUM
dc.subject
FRONTOTEMPORAL LOBAR DEGENERATION
dc.subject
NEUROPSYCHIATRIC SYMPTOMS IN DEMENTIA
dc.subject
PSYCHIATRIC MISDIAGNOSIS
dc.subject.classification
Neurociencias
dc.subject.classification
Medicina Básica
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-08-09T12:49:02Z
dc.journal.volume
12
dc.journal.pagination
1-7
dc.journal.pais
Países Bajos
dc.description.fil
Fil: Zapata Restrepo, Lina. University of California; Estados Unidos
dc.description.fil
Fil: Rivas, Juan. Universidad del Valle; Colombia
dc.description.fil
Fil: Miranda, Carlos. Universidad del Valle; Colombia
dc.description.fil
Fil: Miller, Bruce L.. University of California; Estados Unidos
dc.description.fil
Fil: Ibañez, Agustin Mariano. Universidad de San Andrés; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Allen, Isabel E.. University of California; Estados Unidos
dc.description.fil
Fil: Possin, Katherine. University of California; Estados Unidos
dc.journal.title
Frontiers in Neurology
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.3389/fneur.2021.729381
Archivos asociados