{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:34:40Z","timestamp":1790156080077,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T00:00:00Z","timestamp":1419292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There has been no previous <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese study that differentiated the clinical symptoms among biomarker\u2010confirmed <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer's disease (<jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>), dementia with <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ewy bodies (<jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content>) and frontotemporal dementia (<jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content>). The objective of this study was to compare the cognitive, behavioural, and neuropsychiatric symptoms in biomarker\u2010confirmed <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We recruited 30 patients (14 <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>, 7 <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content>, 9 <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content>) who presented to the memory clinic at <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>ueen <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ary <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital from 1 <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2007 to 31 <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2013. <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content> was diagnosed according to the National Institution of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association criteria with cerebrospinal fluid biomarkers (tau, phosphorylated tau, and amyloid \u03b2\u201042) fulfilling locally determined cut\u2010off values for <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content> was diagnosed based on the <jats:styled-content style=\"fixed-case\">McK<\/jats:styled-content>eith diagnostic criteria. The behavioural variant of <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content> was diagnosed based on the revised diagnostic criteria proposed by the International <jats:styled-content style=\"fixed-case\">bvFTD C<\/jats:styled-content>riteria <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onsortium, and language variant <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content> was diagnosed based on the latest published criteria. In addition, patients with <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content> had typical imaging features on single\u2010photon emission computed tomography or <jats:sup>18<\/jats:sup>fludeoxyglucose\u2010positron emission tomography, either with or without Pittsburgh Compound B imaging, which supported their diagnoses. Data on patient characteristics including demographics, presenting clinical features, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ini\u2010<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tate <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>xamination, clinical dementia ratings, and neuropsychiatry inventory scores were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no differences in age, education level, dementia severity, and duration of symptoms before presentation among the three subgroups of patients. All patients had amnesia symptoms, which were not statistically significant. Apraxia was most common in <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>. While 83% of the patients were affected by behavioural and neuropsychiatric symptoms of dementia, behavioural disinhibition and decline in executive function were most common in <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content> patients. Recurrent hallucinations, fluctuation of consciousness, parkinsonism, and rapid eye movement sleep behaviour disorder were most common in <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Memory impairment and apathy are not useful discriminative symptoms in diagnosing <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">FTD<\/jats:styled-content>. Apraxia favours <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>. Hallucinations, particularly well\u2010formed visual hallucinations, favour <jats:styled-content style=\"fixed-case\">DLB<\/jats:styled-content>. Overall, behavioural and neuropsychiatric symptoms of dementia symptoms are common among the three groups of dementia patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12103","type":"journal-article","created":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T11:09:16Z","timestamp":1419332956000},"page":"235-241","source":"Crossref","is-referenced-by-count":16,"title":["Comparisons of clinical symptoms in biomarker\u2010confirmed <scp>A<\/scp>lzheimer's disease, dementia with <scp>L<\/scp>ewy bodies, and frontotemporal dementia patients in a local memory clinic"],"prefix":"10.1111","volume":"15","author":[{"given":"Yat Fung","family":"Shea","sequence":"first","affiliation":[{"name":"Divsion of Geriatrics Department of Medicine LKS Faculty of Medicine The University of Hong Kong Queen Mary Hospital  Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Ha","sequence":"additional","affiliation":[{"name":"Divsion of Geriatrics Department of 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