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Sundowning (dementia) : ウィキペディア英語版
Sundowning

Sundowning, or sundown syndrome〔http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246134/〕 is a psychological phenomenon associated with increased confusion and restlessness in patients with some form of dementia. Most commonly associated with Alzheimer's disease, but also found in those with mixed dementia, the term "sundowning" was coined due to the timing of the patient's confusion. For patients with sundowning syndrome, a multitude of behavioral problems begin to occur in the evening or while the sun is setting.〔Smith, G. (2011, April 28). Alzheimer. Retrieved from 〕〔Alzheimer's Association, "Sleeplessness and Sundowning." alz.org, 2011. Web. 14 May 2012.〕〔de Jonghe, A, J. C Korevaar, B. C Van Munster, S. E de Rooij. "Effectiveness of melatonin treatment on circadian rhythm disturbances in dementia. Are there implications for delirium? A systematic review." International Journal of Geriatric Psychiatry. 25.12 (2010): 1201-08. Print.〕 Sundowning seems to occur more frequently during the middle stages of Alzheimer's disease and mixed dementia. Patients are generally able to understand that this behavioral pattern is abnormal. Sundowning seems to subside with the progression of a patient's dementia.〔〔 Research shows that 20–45% of Alzheimer's patients will experience some sort of sundowning confusion.〔
==Symptoms==
Symptoms are not limited to but may include:
* Increased general confusion as natural light begins to fade and increased shadows appear.〔〔Keller, S. "Sundowning." WebMD. WebMD LLC, 2012. Web. 14 May 2012. http://www.webmd.com/alzheimers/guide/sundowning-causes-symptoms-treatments〕
* Agitation and mood swings. Individuals may become fairly frustrated with their own confusion as well as aggravated by noise. Individuals found yelling and becoming increasingly upset with their caregiver is not uncommon.〔〔
* Mental and physical fatigue increase with the setting of the sun. This fatigue can play a role in the individual's irritability.〔〔
* Tremors may increase and become uncontrollable.
* An individual may experience an increase in their restlessness while trying to sleep. Restlessness can often lead to pacing and or wandering which can be potentially harmful for an individual in a confused state.〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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