Personality change in old age.
ABSTRACT The present short review summarizes some of the most important personality changes in older adults.
Personality changes in old age are usually minimal. Cluster B personality disorders appear to become less prevalent. Significant changes in personality are typically associated with frontotemporal lobar degeneration (e.g., slowly progressive sociopathy), Alzheimer's disease, mild cognitive impairment due to incipient dementia or underlying medical illness.
Therefore, we suggest that a significant change in personality in old age always warrants careful neuropsychiatric examination.
SourceAvailable from: Ioannis Tsaousis[Show abstract] [Hide abstract]
ABSTRACT: Patients with neurodegenerative disease show distinct patterns of personality change, some of which may be traced to focal neurological damage, whereas others may be mediated by cultural reactions to functional impairment. Although such changes are early and pervasive in behavioral variant frontotemporal dementia (bvFTD), and milder changes are seen in Alzheimer disease (AD), no study has examined all Big 5 factors of personality in mild cognitive impairment (MCI) patients. In addition, the influence of culture and ethnicity on disease-related personality changes has seldom been examined. Premorbid and current personality were measured in 47 Greek patients with bvFTD, AD, and MCI on the basis of informant reports using the Traits Personality Questionnaire 5, a 5-factor inventory in the Greek language that accounts for Greek cultural factors. bvFTDs showed greater decreases in conscientiousness compared with ADs and MCIs. ADs and MCIs showed increased neuroticism, whereas the bvFTD patients were rated as having become much less neurotic in the course of their disease. The pattern of personality change in MCIs was very similar to that of ADs, supporting recent evidence that personality changes occur as early as the MCI disease stage. In all the groups, personality changes were similar to those previously described in non-Mediterranean cultures, supporting the hypothesis that they may result directly from disease-specific neurological processes.Alzheimer disease and associated disorders 10/2012; 27(3). DOI:10.1097/WAD.0b013e31826e5504 · 2.69 Impact Factor
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ABSTRACT: Die moderne Entwicklungspsychologie liefert eine Reihe positiver Ergebnisse hinsichtlich ressourcenorientierter Gestaltungsmöglichkeiten im höheren Lebensalter. In diesem Beitrag untersuchen wir vorwiegend die problematischen und damit psychiatrisch relevanten Aspekte der Persönlichkeit im Alter: das Fortbestehen der Persönlichkeitsstörungen ClusterA und C, die Delikte alter Patienten mit antisozialer Persönlichkeitsstörung, die Interdependenz von Persönlichkeitsmerkmalen und der Diagnose einer leichten kognitiven Störung, Persönlichkeitseigenschaften als potenzielle Risikofaktoren oder frühe Merkmale einer Alzheimer-Demenz, Veränderungen der Persönlichkeit im Rahmen anderer altersassoziierter Hirnerkrankungen, vor allem der frontotemporalen Demenz. Einige neue Forschungsergebnisse, die auf eine funktionelle Neuroanatomie der Persönlichkeit hinweisen, werden erwähnt. Außerdem zitieren wir aus cato maior, de senectute, und stellen fest, dass einige der von Cicero recht kritisch eingeschätzten, klassischen Persönlichkeitsmerkmale mancher alter Menschen auch heute noch aktuell wirken und teilweise positiv beeinflussbar zu sein scheinen. Modern developmental psychology tends to draw a positive, resource-based picture of human aging. We will however focus on more difficult aspects of personality in old age which are of psychiatric relevance: the persistence of cluster A and C personality disorders, antisocial personality in the elderly; the interaction of personality and a detection of mild cognitive impairment (MCI); personality features as risk or protective factors or early signs of Alzheimer’s dementia; changes of personality in Parkinson’s disease and frontotemporal dementia. We will briefly mention recent neuroimaging studies which appear to suggest a functional neuroanatomy of personality. A quote from Cicero’s cato major, de senectute indicates that some of his perceptions regarding classic personality characteristics of the elderly can be recognized in our patients and can be prevented or treated with modern interventions.Der Nervenarzt 11/2009; 80(11):1275-1282. DOI:10.1007/s00115-009-2806-1 · 0.86 Impact Factor
Article: Personality disorders and aging[Show abstract] [Hide abstract]
ABSTRACT: Personality disorder can be defined as an enduring pattern of inner experience and behavior that markedly deviates from the expectations of the individual's culture. With aging, personality disorders may improve or worsen. Their prevalence in the elderly is slightly lower than the prevalence in young adult. Furthermore, their comorbidity and co-occurrence are the rule with an increased risk of late decompensation. Categorical approach used in the current international classifications (ICD-10 and DSM-5) is not adapted to the specificities of the elderly with consequent overrepresentation of "unspecified personality disorder". However, a pathological personality tends to complicate all interventions for somatic or psychological care in the elderly. Thus, this review describes changes in personality disorders related to aging in order to help the clinician to better identify these disorders. Indeed, recognizing a pathological personality in the elderly improves its management both in the field of mental health and in somatic disorders in which the role of personality must be evaluated. Personality and its disorders should therefore be taken into account in all geriatric practices, in particular in the context of cognitive disorders.Geriatrie et psychologie neuropsychiatrie du vieillissement 06/2014; 12(2):209-217. DOI:10.1684/pnv.2014.0465 · 0.40 Impact Factor