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Arch. Gerontol. Geriatr. Suppl. 9 (2004) 465–470 0167-4943/$ – see front matter # 2004 Elsevier Ireland Ltd. All rights reserved G. ZANNINO, A. GARGIULO*, F. LAMENZA, M.G. MAROTTA, T. BARZOTTI, A. SILVESTRI, E. ETTORRE and V. MARIGLIANO Department of Aging Science, Policlinico Umberto I, University "La Sapienza", Viale de Policlinico, 155, I-00161 Rome, Italy *Corresponding author at address: Via P.A. Micheli, 90, I-00197 Roma, Italy Tel.: +(39-348)-0447-724; Fax: +(39-06)-445-6316; E-mail: alessia.gargiulo@iol.it SUMMARY The exponential growth in the prevalence of cognitive impairment of old patients leads the physicians to deal with a larger incidence of behavioral disorders (such as excitement, aggressiveness), and psychotic symptoms (such as delirium and visual hallucinations). The presence of psychotic troubles in dementia causes a remarkable distress to caregivers and involves higher difficulties in the patient management. The estimates of such troubles range between 15 and 75 %. Geriatric assessment and the management of behavioral troubles require a prompt evaluation of all their possible causes. As a matter of fact, their appea rance often reveals a physical disturbance (pain, fever, etc.), or adverse environmental conditions, or it could also be a consequence of a multiple drug therapy. For this reason, the use of antipsychotics should http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Gerontology and Geriatrics Elsevier
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