The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample
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 pa...
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2021
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oai:doaj.org-article:b4c0ccfe098a4eab85cc8987db3183ef2021-11-15T06:16:26ZThe Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample1664-229510.3389/fneur.2021.729381https://doaj.org/article/b4c0ccfe098a4eab85cc8987db3183ef2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.729381/fullhttps://doaj.org/toc/1664-2295Objective: 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.Lina Zapata-RestrepoLina Zapata-RestrepoJuan RivasJuan RivasJuan RivasJuan RivasCarlos MirandaCarlos MirandaBruce L. MillerBruce L. MillerBruce L. MillerAgustín IbanezAgustín IbanezAgustín IbanezAgustín IbanezAgustín IbanezIsabel E. AllenIsabel E. AllenIsabel E. AllenKatherine PossinKatherine PossinKatherine PossinFrontiers Media S.A.articlefrontotemporal lobar degenerationfrontotemporal dementiabehavioral variant frontotemporal dementiaBPSD (behavioral and psychological symptoms in dementia)neuropsychiatric symptoms in dementiadementia caregiversNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021) |
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frontotemporal lobar degeneration frontotemporal dementia behavioral variant frontotemporal dementia BPSD (behavioral and psychological symptoms in dementia) neuropsychiatric symptoms in dementia dementia caregivers Neurology. Diseases of the nervous system RC346-429 |
| spellingShingle |
frontotemporal lobar degeneration frontotemporal dementia behavioral variant frontotemporal dementia BPSD (behavioral and psychological symptoms in dementia) neuropsychiatric symptoms in dementia dementia caregivers Neurology. Diseases of the nervous system RC346-429 Lina Zapata-Restrepo Lina Zapata-Restrepo Juan Rivas Juan Rivas Juan Rivas Juan Rivas Carlos Miranda Carlos Miranda Bruce L. Miller Bruce L. Miller Bruce L. Miller Agustín Ibanez Agustín Ibanez Agustín Ibanez Agustín Ibanez Agustín Ibanez Isabel E. Allen Isabel E. Allen Isabel E. Allen Katherine Possin Katherine Possin Katherine Possin The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample |
| description |
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. |
| format |
article |
| author |
Lina Zapata-Restrepo Lina Zapata-Restrepo Juan Rivas Juan Rivas Juan Rivas Juan Rivas Carlos Miranda Carlos Miranda Bruce L. Miller Bruce L. Miller Bruce L. Miller Agustín Ibanez Agustín Ibanez Agustín Ibanez Agustín Ibanez Agustín Ibanez Isabel E. Allen Isabel E. Allen Isabel E. Allen Katherine Possin Katherine Possin Katherine Possin |
| author_facet |
Lina Zapata-Restrepo Lina Zapata-Restrepo Juan Rivas Juan Rivas Juan Rivas Juan Rivas Carlos Miranda Carlos Miranda Bruce L. Miller Bruce L. Miller Bruce L. Miller Agustín Ibanez Agustín Ibanez Agustín Ibanez Agustín Ibanez Agustín Ibanez Isabel E. Allen Isabel E. Allen Isabel E. Allen Katherine Possin Katherine Possin Katherine Possin |
| author_sort |
Lina Zapata-Restrepo |
| title |
The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample |
| title_short |
The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample |
| title_full |
The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample |
| title_fullStr |
The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample |
| title_full_unstemmed |
The Psychiatric Misdiagnosis of Behavioral Variant Frontotemporal Dementia in a Colombian Sample |
| title_sort |
psychiatric misdiagnosis of behavioral variant frontotemporal dementia in a colombian sample |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/b4c0ccfe098a4eab85cc8987db3183ef |
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