Showing papers by "Leszek Bidzan published in 2009"

Aggressive and impulsive behaviors in Frontotemporal dementia and Alzheimer's disease.

Abstract: Background Differentiating FTD and AD is of great clinical significance, due to the very different efficacy of cholinesterase inhibitors in the two disorders. Previous studies have pointed to behavioral differences in FTD and AD, but less attention has been paid to comparing aggressive and impulsive behaviors in the AD and the FTD. Material/methods Nursing home residents diagnosed with AD (NINCDS/ADRDA criteria) or the behavioral variant of FTD (Frontotemporal Dementia and Pick's Disease Working Group criteria) were included in the research group. Individuals diagnosed with AD who showed atrophy of the frontal lobes in neuroimaging were excluded from the study, as were patients matching the clinical criteria for bvFTD, but with lesions in the temporal lobes. Agitation and aggressive behaviors were assessed using the Cohen-Mansfield Agitation Inventory (CMAI), whereas behavioral and psychological symptoms were assessed with the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH). Results The overall NPI-NH score, including with some partial scores (apathy/indifference and disinhibition), together with the intensity of aberrant motor behavior differentiated individuals with AD from those with bvFTD. On the CMAI scale, both the overall score and physical aggressive behaviors differentiated the two study groups. Conclusions Our research confirms previous results indicating a greater intensity of behavioral pathology in FTD. A detailed assessment of aggressive behaviors revealed further differences between AD and FTD in this respect.

Psychosexual biography and the strategies used by women afflicted with stress urinary incontinence during intercourse: two case studies

Abstract: BACKGROUND Stress urinary incontinence often leads to major physical, psychological and social problems, and many patients struggle to cope with this illness. The issue of urinary leakage during sex is particularly troublesome. CASE REPORT In order to show the relationship between psychosexual biography and the strategies applied to cope with urinary leakage during sexual intercourse, we analyzed the psychosexual biographies of 2 patients with stress urinary incontinence. CONCLUSIONS Psychosexual biography influences the choice of strategies used by incontinent women to cope with urinary leakage during sexual intercourse. Normal psychosexual development in all developmental stages conditions proper sexual functioning in women with urinary leakage during sexual intercourse and the choice of less restrictive coping strategies.