Risk Factors for Vascular Dementia

Risk Factors for Vascular Dementia

Date: May 2005
Creator: Cornett, Patricia F.
Description: Dementia is a devastating disorder that commonly affects people over the age of 65. Alzheimer's disease and vascular dementia are the most common forms of dementias. A number of studies have implicated cardiovascular risks as important factors in the development of dementia. These risks include high-risk behaviors such as smoking and risks related at least partially to health behaviors such as diet and exercise. This study examines a group of cardiovascular risk factors, as defined by the Framingham study, to ascertain if they are predictors of dementia. A retrospective chart review of 481consecutive patients seen in a geriatric medicine clinic produced a sample of 177 individuals diagnosed with dementia and 304 individuals without a dementia diagnosis. Relative risk ratio (RRR) results indicate that a history of hypertension (RRR= 1.80, p = .009) and a history of hypercholesterolemia (RRR = 1.85, p = .016) are significant predictors of Alzheimer's disease. A history of tobacco use (RRR = 2.18, p = .01) is a significant predictor of vascular dementia. Stepwise regression analyses indicate that hypercholesterolemia is an independent predictor of dementia (b = -.113, p = .009) and hypercholesterolemia (b = -.104, p = .018) and hypertension (b = -.094, p = ...
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Proposed Therapeutic Art to Diminish Agitation in Elder Care

Proposed Therapeutic Art to Diminish Agitation in Elder Care

Date: May 2012
Creator: Curington, Bonnie Dearen
Description: This research study examines the decreased agitation level utilizing nonpharmacological therapeutic interventions in dementia patients, age 65 and older. The study examined the following question: Will a therapeutic art program diminish agitated behaviors in persons diagnosed with dementia, aged 65 and older? In this quasi-experimental research design, the sample consisted of 19 participants in 3 groups, selected using these criteria: must be receiving services from a long term care facility, be diagnosed with dementia, display agitated behaviors, and be age 65 and older. This research measures the reduction of agitated behaviors in demented patients with the use of a therapeutic art program. The therapeutic art group pretest, midtest and posttest means were separated into Factor 1: aggressive behavior, Factor 2: physically nonaggressive behaviors, and Factor 3: verbally aggressive behavior. A multivariate analysis of covariance (ANCOVA) was conducted on the data for Factor 1, Factor 2, and Factor 3. The ANCOVA was not statistically significant for Factor 1. The ANCOVA indicated statistically significant findings when using a one tailed test for Factor 2 and Factor 3. The ANCOVA indicated statistically significant findings using a two tailed test for overall agitation. These findings inform professionals about the efficacy of therapeutic art programs ...
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Caring for Yourself as a Caregiver

Caring for Yourself as a Caregiver

Date: February 28, 2013
Creator: Hayslip, Bert
Description: This presentation is part of the faculty lecture series UNT Speaks Out on Alzheimer's Disease and Dementia. In this presentation, Bert Hayslip, Regents Professor in the Department of Psychology, will discuss caregiving for Alzheimer's and dementia patients.
Contributing Partner: UNT College of Arts and Sciences
Factors of the Geriatric Depression Scale that may Distinguish between Four Cognitive Diagnostic Groups: Normal, Mild Cognitive Impairment, Dementia of the Alzheimer's Type, and Vascular Dementia

Factors of the Geriatric Depression Scale that may Distinguish between Four Cognitive Diagnostic Groups: Normal, Mild Cognitive Impairment, Dementia of the Alzheimer's Type, and Vascular Dementia

Date: December 2009
Creator: Cornett, Patricia F.
Description: The purpose of the current study was to explore the relationship between cognitive status and depression in a sample of geriatric patients. Participants included 282 geriatric patients ranging in age from 65 to 96 years who were classified according to diagnosis as: DAT, VaD, MCI, and Norm. All were referred for neurocognitive testing from the Geriatric Assessment Program (GAP) at the University of North Texas Health Science Center (UNTHSC) in Fort Worth, Texas. This study sought to identify factor structures for two versions of the GDS using a geriatric sample of cognitively impaired and intact patients. It then compared these factors to each other to determine whether the GDS-15 is truly a shorter version of the GDS-30. These were then compared to a previously determined factor structure. This study explored whether the four-factors of the GDS-30 are able to differentiate cognitive diagnostic groups. Further, this study sought to identify whether the severity of cognitive decline impacted GDS factor score for each of the cognitively impaired groups. Results revealed a two-factor model of the GDS - 15 and a four-factor model with the GDS - 30. The GDS-15 factors did not differ from the first two factors of the GDS-30. Comparison ...
Contributing Partner: UNT Libraries
Differential scoring patterns on the clock drawing test: A comparison of vascular dementia and Alzheimer's dementia.

Differential scoring patterns on the clock drawing test: A comparison of vascular dementia and Alzheimer's dementia.

Date: May 2006
Creator: Everitt, Alaina
Description: This study examined differences in scoring patterns among those diagnosed with Alzheimer's dementia and vascular dementia on the clock-drawing test. Archival clock drawing data was retrieved on 279 patients presenting at a county hospital-based memory clinic. Analysis of drawings was based on frequency of qualitative errors, as well as an overall quantitative score. Mean comparisons found those patients with Alzheimer's dementia to perform worse on both quantitative and qualitative scoring measures. However, Pearson's chi-squared test revealed a significantly higher rate of spacing errors among subjects with vascular dementia. Such lends support to my hypothesis that impaired executive functioning in vascular dementia patients would lead to poor qualitative performance. Logistic regression found significant predictive ability for the qualitative criteria in diagnosis (χ2 = 25.49, p < .001), particularly the rate of omission (z = 8.96, p = .003) and addition errors (z = 7.58, p = .006). Such findings hold important implications for the use of qualitative criteria in cognitive screening assessments.
Contributing Partner: UNT Libraries
Association between folate, vitamin B12 and cognitive performance in demented elderly.

Association between folate, vitamin B12 and cognitive performance in demented elderly.

Date: August 2008
Creator: Serova, Svetlana
Description: Dementia is prevalent among elderly people. As the world population ages, it is projected that the number of people affected by dementia may triple in the next 50 years. Over the last two decades, research has focused on identifying potentially modifiable risk factors in development and progression of dementia, such as vitamin B12 and folate. Results concerning the effects of low folate and vitamin B12 on cognitive performance are mixed. The main objective of the present study was to investigate the effects of vitamin deficiency on cognitive functioning in a clinical sample of elderly individuals with cognitive problems using a comprehensive neuropsychological assessment. A retrospective chart-review was performed on the 102 records of patients from the Geriatrics Clinic at the University of North Texas Health Science Center who presented with cognitive deficits. Charts were reviewed to obtain data on vitamin supplementation, vitamin status, history of chronic conditions and other biochemical data. The available database was used to obtain data on neuropsychological assessment. The study demonstrated mild association between vitamin B12 and folate status and cognitive deficits. There appeared to be a higher cut-off level that is above the traditionally used levels for vitamin B12 and folate deficiency concentrations at which ...
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Fear of Developing Dementia

Fear of Developing Dementia

Date: February 28, 2013
Creator: Page, Kyle S.; Hayslip, Bert & Wadsworth, Dee
Description: This presentation is part of the faculty lecture series UNT Speaks Out on Alzheimer's disease and dementia. The presenter discusses his research into the fear of dementia.
Contributing Partner: UNT College of Arts and Sciences
UNT Speaks Out on Alzheimer's Disease and Dementia

UNT Speaks Out on Alzheimer's Disease and Dementia

Date: February 28, 2013
Creator: Lawrence, Samantha
Description: This poster introduces the faculty lecture series UNT Speaks Out on Alzheimer's Disease and Dementia. This series features Dr. Meharvan Singh, professor and chair of the Department of Pharmacology and Neurosciencea at the UNT Health Science Center, Dr. Bert Hayslip, regents professor in the Department of Psychology, and Kyle Page, a doctoral candidate in the Department of Psychology.
Contributing Partner: UNT Libraries