The Relationship Between Donepezil and Behavioral Disturbances in Patients With Alzheimer's Disease
Abstract
The authors tested the hypothesis that behavioral disturbances are reported at significantly lower rates by caregivers of Alzheimer's disease (AD) patients receiving the antidementia drug donepezil, compared with a group of patients receiving no antidementia drug treatment. Patients administered donepezilfor 6 months (n=84) were compared with patients not on donepezil (n=248). Patients taking donepezil had significantly lower levels of behavioral disturbances than patients not receiving this agent (P< or =0.011). Specifically, donepezil patients were described as significantly (P< or =0.05) less likely to be threatening, destroy property, and talk loudly. Also, significantly fewer patients receiving donepezil were treated with sedatives (P< or =0.005). These findings support the growing body of evidence that cholinesterase inhibitors have psychotropic properties and reduce behavioral disturbances in patients with AD.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
(2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9780890425596.893619 · Cited by 4,390 · see citing works
A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease
Rogers, S. L., Farlow, M. R., Doody, R. S., Mohs, R., Friedhoff, L. T., & Donepezil Study Group* (1998) · Neurology · doi:10.1212/wnl.50.1.136 · Cited by 1,618 · see citing works
Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist.
Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S., & Vitaliano, P. P. (1992) · Psychology and Aging · doi:10.1037/0882-7974.7.4.622 · Cited by 1,162 · see citing works
(1987) · PubMed · Cited by 1,147 · see citing works
The spectrum of behavioral changes in Alzheimer's disease
Mega, M., Cummings, J., Fiorello, T., & Gornbein, J. (1996) · Neurology · doi:10.1212/wnl.46.1.130 · Cited by 1,124 · see citing works
Self-citationAssessment of behavioral problems in dementia: The Revised Memory and Behavior Problems Checklist.
Teri, L. L., Truax, P. A., Logsdon, R. G., Uomoto, J. M., Zarit, S., & VITALIANO, P. P. (1992) · Psychology and Aging · doi:10.1037//0882-7974.7.4.622 · Cited by 1,117 · see citing works
A 30-Week Randomized Controlled Trial of High-Dose Tacrine in Patients With Alzheimer's Disease
Knapp, M. J. (1994) · JAMA · doi:10.1001/jama.271.13.985 · Cited by 997 · see citing works
(1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-4-351_2 · Cited by 858 · see citing works
Psychiatric symptoms and nursing home placement of patients with Alzheimer's disease
(1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.8.1049 · Cited by 744 · see citing works
Rogers, S. L., & Friedhoff, L. T. (1996) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000106895 · Cited by 743 · see citing works
A Controlled Trial of Tacrine in Alzheimer's Disease
Farlow, M. R. (1992) · JAMA · doi:10.1001/jama.268.18.2523 · Cited by 632 · see citing works
The US economic and social costs of Alzheimer's disease revisited.
Ernst, R. L., & Hay, J. W. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.8.1261 · Cited by 593 · see citing works
Behavioral Disturbance, Cognitive Dysfunction, and Functional Skill
Ten, L., Soo Borson, B., Kiyak, H. A., & Yamagishi, M. (1989) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1989.tb05868.x · Cited by 288 · see citing works
Metrifonate benefits cognitive, behavioral, and global function in patients with Alzheimer's disease
Morris, J. C., Cyrus, P. A., Orazem, J. P., Mas, J., Bieber, F., Ruzicka, B. B., & Gulanski, B. (1998) · Neurology · doi:10.1212/wnl.50.5.1222 · Cited by 287 · see citing works
Efficacy, effectiveness, variations, and quality. Boundary-crossing research.
Brook, R. H., & Lohr, K. N. (1985) · PubMed · doi:10.1097/00005650-198505000-00030 · Cited by 234 · see citing works
Effect of Tacrine on Behavioral Symptoms in Alzheimer's Disease: An Open-Label Study
Kaufer, D., Cummings, J. L., & Christine, D. (1996) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198879600900101 · Cited by 206 · see citing works
Self-citationTeri, L. (1997) · PubMed · Cited by 173 · see citing works
Avorn, J., Gurwitz, J. H., & Rochon, P. A. (2006) · Springer eBooks · doi:10.1007/0-387-22621-4_7 · Cited by 167 · see citing works
Eligibility of Alzheimer's Disease Clinic Patients for Clinical Trials
Schneider, L. S. S., Olin, J. T., Lyness, S. A., & Chui, H. C. (1997) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1997.tb02960.x · Cited by 132 · see citing works
Physostigmine ameliorates the delusions of Alzheimer's disease
Cummings, J. L., Gorman, D. G., & Shapira, J. S. (1993) · Biological Psychiatry · doi:10.1016/0006-3223(93)90009-3 · Cited by 125 · see citing works
Self-citationEffect of Tacrine on Language, Praxis, and Noncognitive Behavioral Problems in Alzheimer Disease
Raskind, M. A., Sadowsky, C. H., Sigmund, W. R., Beitler, P., & Auster, S. (1997) · Archives of Neurology · doi:10.1001/archneur.1997.00550190026010 · Cited by 111 · see citing works
Barrios, V., Argente, J., Pozo, J., s, F. H. A., oz, M. T. M. N., nchez, J. I. S. A., & Hernández, M. (2008) · Hormone Research · doi:10.1159/000185009 · Cited by 101 · see citing works
Clinical Geriatric Psychopharmacology
Targum, S. D. (1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.2.248 · Cited by 95 · see citing works
Differential Neuropsychiatric Symptom Responses to Tacrine in Alzheimer's Disease
Kaufer, D., Cummings, J. L., & Christine, D. (1998) · Journal of Neuropsychiatry · doi:10.1176/jnp.10.1.55 · Cited by 69 · see citing works
Self-citationParticipation in clinical trials and long-term outcomes in Alzheimer's disease
Albert, S. M., Sano, M. E. B., Marder, K. S., et al. (1997) · Neurology · doi:10.1212/wnl.49.1.38 · Cited by 61 · see citing works
Corder, L. S., Woodbury, M. A., & Mantón, K. G. (1996) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(95)00507-2 · Cited by 48 · see citing works
Psychiatric Symptoms in Cases of Clinically Diagnosed Alzheimer's Disease
Baker, F. M., Kokmen, E., Chandra, V., et al. (1991) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198879100400203 · Cited by 34 · see citing works
Clinical Psychopharmacologic Practice
Klein, D. F. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820180093010 · Cited by 25 · see citing works
Berman, G., Kottke, T. E., & Ballard, D. J. (1990) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(12)65128-3 · Cited by 22 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wallin, Å. K., Andreasen, N., Eriksson, S., Båtsman, S., Näsman, B., Ekdahl, A., Kilander, L., Grut, M., Rydén, M., Wallin, A., et al. (2007) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000098052 · Cited by 84 · see citing works
Therapeutic recreation interventions for need-driven dementia-compromised
Fitzsimmons, S., & Buettner, L. L. (2002) · American Journal of Alzheimer's Disease & Other Dementias® · doi:10.1177/153331750201700603 · Cited by 64 · see citing works
- Authors
- Cummings, J. L., Donohue, J. A., & Brooks, R. L.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Donohue, Jane A.
- ORCID
- Cummings, Jeffrey L.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-03
- Volume
- 8
- Issue
- 2
- Pages
- 134-140
- ISSN
- 1064-7481 (ISSN-L)
- OpenAlex
- W2053254879
- Cited by
- 71
- References
- 31
- Citations by year
- 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2016: 1 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (P50AG016570, AG 16570)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- donepezil, Alzheimer's disease, behavioral problems, cholinesterase inhibitors, psychotropic effects, sedative use, caregiver reports, dementia pharmacotherapy
- MeSH terms
- Donepezil, Aged, Aged, 80 and over, Alzheimer Disease, Mental Disorders, Humans, Indans, Neuropsychological Tests, Personality Assessment, Piperidines, Caregivers, Cost of Illness, Nootropic Agents
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review