Socijalna psihijatrija, Vol. 46 No. 1, 2018.
Pregledni rad
Dementia is More Frequent in Women
Suzana Uzun
; Klinika za psihijatriju Vrapče, Zagreb; 2Sveučilište Josipa Jurja Strossmayera, Medicinski fakultet Osijek, Osijek, Hrvatska
Ivana Todorić Laidlaw
; Klinika za psihijatriju Vrapče, Zagreb, Hrvatska
Marija Kušan Jukić
; Nastavni zavod za javno zdravstvo „Dr. Andrija Štampar“, Hrvatska
Oliver Kozumplik
; Klinika za psihijatriju Vrapče, Zagreb; 2Sveučilište Josipa Jurja Strossmayera, Medicinski fakultet Osijek, Osijek, Hrvatska
Dubravka Kalinić
; Medicinski fakultet Sveučilišta u Zagrebu, Hrvatska
Nela Pivac
; Institut Ruđer Bošković, Zagreb, Hrvatska
Ninoslav Mimica
; Klinika za psihijatriju Vrapče, Zagreb, Medicinski fakultet Sveučilišta u Zagrebu
Sažetak
Dementia is a syndrome of global and progressive impairment of acquired cognitive abilities with preserved consciousness caused by an organic illness of the central nervous system with especially pronounced damage to the ability to memorise, learn, think abstractly, orientate, and perceive spatial relations. The prevalence and incidence of
Alzheimer’s Disease (AD), the most common cause of dementia, is considerably greater in women than in men, and that difference increases with age. The fact that AD occurs twice as often in women than in men may be partially explained by a longer life expectancy among women. Women show worse cognitive performance on numerous neuropsychological tests in comparison to men during the same stage of the disease, meaning that multiple cognitive functions are more widely and severely impaired in women than in men. Possible reasons for such unfavourable results among women are a reduction of oestrogen during post-menopause, larger cognitive reserves in men, and the influence of apolipoprotein E. Certain biological factors may also explain various clinical manifestations of AD regarding sex. Apart from the fact that, according to presented data, women develop AD more often than men, women are also those who offer informal care to people with dementia in much greater numbers, and almost two thirds of informal caregivers are women. In conclusion, further research and clinical work with AD should certainly pay attention to insights about sex differences in the development and progression of this disease.
Ključne riječi
Alzheimer’s disease; Dementia; Hormones; Caregivers; Sex; Women
Hrčak ID:
200579
URI
Datum izdavanja:
30.3.2018.
Posjeta: 3.580 *