<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-7026</journal-id>
<journal-title><![CDATA[Psicología, Conocimiento y Sociedad]]></journal-title>
<abbrev-journal-title><![CDATA[Psicol. Conoc. Soc.]]></abbrev-journal-title>
<issn>1688-7026</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Psicología. Universidad de la República]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-70262018000200098</article-id>
<article-id pub-id-type="doi">10.26864/pcs.v8.n2.8</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El tratamiento de las demencias en el sistema de salud de Uruguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Dementias: Treatment within Uruguayan Health System]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tratamento das demências no sistema de saúde do Uruguai]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Robert]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>11</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>11</month>
<year>2018</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>98</fpage>
<lpage>117</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-70262018000200098&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-70262018000200098&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-70262018000200098&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La Organización Mundial de la Salud ha exhortado a los gobiernos del mundo a declarar la demencia como una prioridad de salud pública. Recientemente ha definido un plan de acción mundial sobre la respuesta de salud pública a la demencia 2017-2025. El objetivo del presente estudio es conocer la respuesta que da el sistema de salud de Uruguay en materia de tratamientos de la demencia, aportando al área de tratamientos y atención de dicho plan. Se diseña un estudio descriptivo e interpretativo basado en las trayectorias de atención, que utiliza métodos cuantitativos y cualitativos para estudiar dos poblaciones: familiares y médicos. Los principales resultados indican que el sistema de salud de Uruguay es accesible para las personas con demencia, pero da una respuesta muy limitada en cuanto a tratamientos, no cumpliendo con el estándar de calidad y buenas prácticas definido internacionalmente. El tratamiento brindado es exclusivamente farmacológico y no existe disponibilidad de tratamientos psicosociales dentro del propio sistema de salud. De esta forma, todos los aspectos de la enfermedad - cognitivos, afectivos, conductuales, de sufrimiento psíquico - son abordados de forma exclusivamente neuroquímica, lo que hace muy ineficiente al propio sistema. Las personas con demencia atendidas presentan un alto consumo de fármacos psicotrópicos, incluido algunos que están especialmente contraindicados por sus efectos secundarios. Se discuten estas estrategias de atención como parte de un dispositivo biopolítico y una perspectiva de enfermedad objetivo-natural, que implican un riesgo de iatrogenia. Finalmente, se realizan algunas recomendaciones para revertir esta situación y mejorar el sistema de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: World Health Organization has called Governments to make dementia a public health priority. A global action plan on the public health response to dementia 2017-2025 has recently been defined. The aim of the present study is to know the response given by the Uruguayan health system regarding treatments for dementia, addressing to areas of this plan. A descriptive and interpretative study is designed based on care trajectories; it uses quantitative and qualitative methods to study two populations: family and doctors. The main results indicate that the health system of Uruguay is accessible to people with dementia, but it gives a very limited response in terms of treatments, not complying with the internationally defined standards of quality and good practice. The treatment provided is exclusively pharmacological and there is no availability for psychosocial treatments within the health system itself. In this way, all aspects of the disease - cognitive, affective, behavioral, psychic suffering, etc. - are dealt within an exclusively neurochemical way, which makes the system itself very inefficient. People treated for dementia show a high consumption of psychotropic drugs, including some that are especially contraindicated due to their side effects. These care strategies are discussed as part of a biopolitical device and a perspective of objective-natural disease, which imply a high risk of iatrogenesis. We conclude by making some recommendations to reverse this situation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A Organização Mundial da Saúde convidou os governos do mundo a declararem a demência como uma prioridade de saúde pública. Recentemente, definiu um plano de ação global sobre a resposta da saúde pública à demência 2017-2025. O objetivo deste estudo é conhecer a resposta do sistema de saúde uruguaio em termos de tratamentos da demência, contribuindo para a área de terapêuticas e cuidados desse plano. Este estudo, descritivo e interpretativo com base em trajetórias das assistência que utilizam métodos quantitativos e qualitativos, estudou duas populações: família e médicos. Os principais resultados indicam que o sistema de saúde do Uruguai é acessível para pessoas com demência, mas dá uma resposta muito limitada em termos de tratamentos, não cumprindo a qualidade internacional e o padrão das boas práticas. O que é fornecido é exclusivamente farmacológico e não há disponibilidade de tratamentos psicossociais dentro do próprio sistema de saúde. Desta forma, todos os aspetos da doença - sofrimento cognitivo, afetivo, comportamental, psíquico, etc. - são tratados de forma exclusivamente neuroquímica, tornando muito ineficiente o próprio sistema. As pessoas com demência tratadas apresentam alto consumo de drogas psicotrópicas, incluindo algumas que são especialmente contraindicadas devido aos efeitos colaterais. Essas estratégias de atenção são discutidas como parte de um dispositivo biopolítico e uma perspetiva de doença meta-natural, implicando um alto risco de iatrogenia; e fazendo algumas recomendações para reverter essa situação.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Demencia]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad de Alzheimer]]></kwd>
<kwd lng="es"><![CDATA[Psicofármacos]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento]]></kwd>
<kwd lng="en"><![CDATA[Dementia]]></kwd>
<kwd lng="en"><![CDATA[Alzheimer&#8217;s disease]]></kwd>
<kwd lng="en"><![CDATA[Psychotropic drugs]]></kwd>
<kwd lng="en"><![CDATA[Treatment]]></kwd>
<kwd lng="pt"><![CDATA[Demências]]></kwd>
<kwd lng="pt"><![CDATA[Doença de Alzheimer]]></kwd>
<kwd lng="pt"><![CDATA[Psicofármacos]]></kwd>
<kwd lng="pt"><![CDATA[Tratamento]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allegri]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Arizaga]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Bavec]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Colli]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Demey]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[MC.]]></given-names>
</name>
<name>
<surname><![CDATA[Zuin]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Guía de Práctica Clínica Enfermedad de Alzheimer]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Sociedad Neurológica Argentina]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<collab>Alzheimer&#8217;s Disease International</collab>
<source><![CDATA[World Alzheimer Report 2015. The global impact of dementia: an analysis of prevalence, incidence, cost and trends]]></source>
<year>2015</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Alzheimer&#8217;s Disease International]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<collab>Alzheimer&#8217;s Disease International</collab>
<source><![CDATA[La demencia en América: el coste y la prevalencia del Alzheimer y otros tipos de demencia]]></source>
<year>2013</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Alzheimer&#8217;s Disease International]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<collab>Alzheimer&#8217;s Society</collab>
<source><![CDATA[Dementia 2014: Opportunity for change]]></source>
<year>2014</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Alzheimer&#8217;s Society]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<collab>Alzheimer&#8217;s Society</collab>
<source><![CDATA[The dementia guide. Living well after diagnosis]]></source>
<year>2013</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Alzheimer&#8217;s Society]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<collab>Alzheimer&#8217;s Society</collab>
<source><![CDATA[Optimising treatment and care for people with behavioural and psychological symptoms of dementia. A best practice guide for health and social care professionals]]></source>
<year>2011</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Alzheimer&#8217;s Society]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ballard]]></surname>
<given-names><![CDATA[C.G.]]></given-names>
</name>
<name>
<surname><![CDATA[Waite]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Birks]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atypical antipsychotics for aggression and psychosis in Alzheimer&#8217;s disease (Review)]]></article-title>
<source><![CDATA[The Cochrane Library]]></source>
<year>2012</year>
<volume>1</volume>
<numero>CD003476</numero>
<issue>CD003476</issue>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banerjee]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Hellier]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Romeo]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Dewey]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Knapp]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Ballard]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Burns]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Study of the use of antidepressants for depression in dementia: the HTA -SADD trial - a multicentre, randomised, double-blind, placebo-controlled trial of the clinical effectiveness and cost-effectiveness of sertraline and mirtazapine]]></article-title>
<source><![CDATA[Health Technology Assessment]]></source>
<year>2013</year>
<volume>17</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bangash]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Stubbs]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Samnani]]></surname>
<given-names><![CDATA[Sh.]]></given-names>
</name>
<name>
<surname><![CDATA[Aziz]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Mitra]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association between antipsychotics and adverse outcomes in dementia]]></article-title>
<source><![CDATA[Progress in Neurology and Psychiatry]]></source>
<year>2017</year>
<volume>21</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>20-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Behuniak]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The living dead? The construction of people with Alzheimer's disease as zombies]]></article-title>
<source><![CDATA[Ageing and Society]]></source>
<year>2011</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>70-92</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Biehl]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Antropologia do devir: psicofármacos - abandono social - desejo]]></article-title>
<source><![CDATA[Revista de Antropologia]]></source>
<year>2008</year>
<volume>51</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>413-49</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boise]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Kaye]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Camicioli]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delays in the diagnosis of dementia: Perspective of family caregivers]]></article-title>
<source><![CDATA[American Journal of Alzheimer&#8217;s Disease and Other Dementias]]></source>
<year>1999</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>20-6</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brasure]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Jutkowitz]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Fuchs]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[VA.]]></given-names>
</name>
<name>
<surname><![CDATA[Kane]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Shippee]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Kane]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nonpharmacologic Interventions for Agitation and Aggression in Dementia]]></article-title>
<source><![CDATA[Comparative Effectiveness Review]]></source>
<year>2016</year>
<numero>177</numero>
<issue>177</issue>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brodaty]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Arasaratnam]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia]]></article-title>
<source><![CDATA[Am J Psychiatry]]></source>
<year>2012</year>
<volume>169</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>946-53</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burns]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Rossor]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Hecker]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Gauthier]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Petit]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Möller]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<collab>The International Donepezil Study Group</collab>
<article-title xml:lang=""><![CDATA[The Effects of Donepezil in Alzheimer&#8217;s Disease - Results from a Multinational Trial]]></article-title>
<source><![CDATA[Dement Geriatr Cogn Disord]]></source>
<year>1999</year>
<numero>10</numero>
<issue>10</issue>
<page-range>237-44</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Sutcliffe]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Verbeek]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Saks]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Soto-Martin]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<collab>RightTimePlaceCare Consortium, T</collab>
<article-title xml:lang=""><![CDATA[Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes. A systematic review]]></article-title>
<source><![CDATA[European Geriatric Medicine]]></source>
<year>2015</year>
<volume>6</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>134-50</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cammisuli]]></surname>
<given-names><![CDATA[D.M.]]></given-names>
</name>
<name>
<surname><![CDATA[Danti]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Bosinelli]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Cipriani]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Non-pharmacological interventions for people with Alzheimer&#8217;s Disease: A critical review of the scientific literature from the last ten years]]></article-title>
<source><![CDATA[Eur Geriatr Med.]]></source>
<year>2016</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>57-64</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cattel]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Gambassi]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Sgadari]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Zuccalà]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Carbonin]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Bernabei]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Correlates of Delayed Referral for the Diagnosis of Dementia in an Outpatient Population]]></article-title>
<source><![CDATA[Journal of Gerontology Medical Sciences]]></source>
<year>2000</year>
<volume>55</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>98-102</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cheston]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Ivanecka]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Individual and group psychotherapy with people diagnosed with dementia: a systematic review of the literature]]></article-title>
<source><![CDATA[Int J Geriatr Psychiatry]]></source>
<year>2017</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-31</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chrisp]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Goddard]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Owens]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dementia timeline: Journeys, delays and decisions on the pathway to an early diagnosis]]></article-title>
<source><![CDATA[Dementia]]></source>
<year>2011</year>
<volume>10</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>555-70</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Mukadam]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Katona]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Lyketsos]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Ames]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Rabins]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Livingston]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systematic review of the effectiveness of non-pharmacological interventions to improve quality of life of people with dementia]]></article-title>
<source><![CDATA[International Psychogeriatrics]]></source>
<year>2012</year>
<volume>24</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>856-70</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Mukadam]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Katona]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Lyketsos]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Blazer]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Ames]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Livingston]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systematic Review of the Effectiveness of Pharmacologic Interventions to Improve Quality of Life and Well-being in People With Dementia]]></article-title>
<source><![CDATA[The American Journal of Geriatric Psychiatry]]></source>
<year>2013</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>173-83</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="book">
<collab>Department of Health</collab>
<source><![CDATA[Living well with dementia: A National Dementia Strategy]]></source>
<year>2009</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Department of Health]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Drebing]]></surname>
<given-names><![CDATA[Ch.]]></given-names>
</name>
<name>
<surname><![CDATA[Movitz]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Lyon]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Harden]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[McCarty]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Herz]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Documenting pathways to dementia care: Relative validity of questionnaire, interview, and medical record formats]]></article-title>
<source><![CDATA[American Journal of Alzheimer&#8217;s Disease and Other Dementias]]></source>
<year>2004</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>187-97</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galende]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Psicofármacos y salud mental: la ilusión de no ser]]></source>
<year>2008</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Lugar]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Alberca]]></surname>
<given-names><![CDATA[J.M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Las terapias de intervención cognitiva en el tratamiento de los trastornos de conducta en la enfermedad de Alzheimer. Evidencias sobre su eficacia y correlaciones neurobiológicas]]></article-title>
<source><![CDATA[Neurología]]></source>
<year>2015</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>8-15</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gater]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida E. Sousa]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Barrientos]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Caraveo]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Chandrashekar]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Dhadphale]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Sartorius]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pathways to psychiatric care: A cross-cultural study]]></article-title>
<source><![CDATA[Psychological Medicine]]></source>
<year>1991</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>761-74</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goffman]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Internados. Ensayos sobre la situación social de los enfermos mentales]]></source>
<year>2001</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Amorrortu]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Higgs]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Gilleard]]></surname>
<given-names><![CDATA[Ch.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ageing, dementia and the social mind: past, present and future perspectives]]></article-title>
<source><![CDATA[Sociology of Health y Illness]]></source>
<year>2017</year>
<volume>39</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>175-81</page-range></nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Homma]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Imai]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Tago]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Asada]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Shigeta]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Iwamoto]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Ohbayashi]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Donepezil Treatment of Patients with Severe Alzheimer&#8217;s Disease in a Japanese Population: Results from a 24-Week, Double-Blind, Placebo-Controlled, Randomized Trial]]></article-title>
<source><![CDATA[Dement Geriatr Cogn Disord]]></source>
<year>2008</year>
<volume>25</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>399-407</page-range></nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="book">
<collab>Human Rights Watch</collab>
<source><![CDATA[&#8220;They Want Docile&#8221;. How Nursing Homes in the United States Overmedicate People with Dementia]]></source>
<year>2018</year>
<publisher-loc><![CDATA[(Nueva York) ]]></publisher-loc>
<publisher-name><![CDATA[Human Rights Watch]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="">
<collab>Instituto Nacional de Estadística</collab>
<source><![CDATA[Indicadores demográficos]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kirsch]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Deacon]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Huedo-Medina]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Scoboria]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration]]></article-title>
<source><![CDATA[PloS Med]]></source>
<year>2008</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B34">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Livingston]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Kelly]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis-Holmes]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Baio]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Morris]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia]]></article-title>
<source><![CDATA[Health Technol Assess]]></source>
<year>2014</year>
<volume>18</volume>
<numero>39</numero>
<issue>39</issue>
<page-range>1-226</page-range></nlm-citation>
</ref>
<ref id="B35">
<nlm-citation citation-type="book">
<collab>Ministerio de Sanidad, Política Social e Igualdad de España</collab>
<source><![CDATA[Guía de Práctica Clínica sobre la Atención Integral a las Personas con Enfermedad de Alzheimer y otras Demencias]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Catalunya ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Ciencia e Innovación]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B36">
<nlm-citation citation-type="book">
<collab>National Institute for Health and Clinical Excellence</collab>
<source><![CDATA[A NICE-SCIE Guideline on supporting people with dementia and their carers in health and social care]]></source>
<year>2007</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[The British Psychological Society y The Royal College of Psychiatrists]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B37">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Olazarán]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Reisberg]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Clare]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[del Ser]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Muñiz]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Eficacia de las terapias no farmacológicas en la enfermedad de Alzheimer: una revisión sistemática]]></article-title>
<source><![CDATA[Dement Geriatr Cogn Disord]]></source>
<year>2010</year>
<numero>30</numero>
<issue>30</issue>
<page-range>161-78</page-range></nlm-citation>
</ref>
<ref id="B38">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[O&#8217;Neil]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Christensen]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Telerant]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Addleman]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Kansagara]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Non-pharmacological Interventions for Behavioral Symptoms of Dementia: A Systematic Review of the Evidence]]></article-title>
<source><![CDATA[VA-ESP Project]]></source>
<year>2011</year>
<numero>#05-225</numero>
<issue>#05-225</issue>
</nlm-citation>
</ref>
<ref id="B39">
<nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Plan de acción mundial sobre la respuesta de salud pública a la demencia, para el período 2017-2025]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B40">
<nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Demencia: Una prioridad de salud pública]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B41">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Las dolencias de la mente. Prácticas de atención y cuidado de personas con demencia en Uruguay]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Remedios de Escalada, República Argentina ]]></publisher-loc>
<publisher-name><![CDATA[Departamento de Salud Comunitaria, Universidad Nacional de Lanús]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B42">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richter]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Möhler]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Köpke]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychosocial interventions for reducing antipsychotic medication in care home residents]]></article-title>
<source><![CDATA[Cochrane Database of Systematic Reviews]]></source>
<year>2012</year>
<numero>12</numero>
<issue>12</issue>
</nlm-citation>
</ref>
<ref id="B43">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sabat]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mind, meaning and personhood in dementia: The effect of positioning]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Hughes]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Louw]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Sabat]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Dementia: Mind, meaning and the person]]></source>
<year>2006</year>
<page-range>287-302</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B44">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sink]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Holden]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Yaffe]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pharmacological Treatment of Neuropsychiatric Symptoms of Dementia. A Review of the Evidence]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2005</year>
<volume>293</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>596-608</page-range></nlm-citation>
</ref>
<ref id="B45">
<nlm-citation citation-type="book">
<collab>Sociedad Española de Geriatría y Gerontología</collab>
<source><![CDATA[Documento de consenso sobre sujeciones mecánicas y farmacológicas]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[SEGG]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B46">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Speechly]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Bridges-Webb]]></surname>
<given-names><![CDATA[Ch.]]></given-names>
</name>
<name>
<surname><![CDATA[Passmore]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pathway to dementia diagnosis]]></article-title>
<source><![CDATA[Medical Journal of Australia]]></source>
<year>2008</year>
<volume>189</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>487-9</page-range></nlm-citation>
</ref>
<ref id="B47">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stolkiner]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Medicalización de la vida, sufrimiento subjetivo y prácticas en salud mental]]></source>
<year>2013</year>
<publisher-loc><![CDATA[(s.l.) ]]></publisher-loc>
<publisher-name><![CDATA[(s.n.)]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B48">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Lv]]></surname>
<given-names><![CDATA[X.]]></given-names>
</name>
<name>
<surname><![CDATA[Tuerxun]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Luo]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delayed help seeking behavior in dementia care: preliminary findings from the Clinical Pathway for Alzheimer&#8217;s Disease in China (CPAD) study]]></article-title>
<source><![CDATA[International Psychogeriatrics]]></source>
<year>2016</year>
<volume>28</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>211-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
