Research Article

A Factor Analytic Approach to Symptom Patterns in Dementia

Table 4

A four-factor analysis of 30 clinical items scored in 190 patients with neuropathological diagnosis of VaD, AD, mixed AD/VaD and FTD. Factor loadings ≥0.25 are in bold. Factor loadings ≤−0.24 are set in italic.

Factor 1Factor 2Factor 3Factor 4
VascularFrontalAlz.typeMood

History of stroke0.71−0.040.02−0.03
Stepwise progression0.670.03−0.070.14
Focal neurological symptoms0.740.200.000.01
Abrupt onset0.750.02−0.04−0.04
Focal neurological signs0.640.090.12−0.17
Evidence of associated atherosclerosis0.49−0.120.040.00
History of hypertension0.48−0.060.06−0.03
Fluctuating course0.49−0.22−0.070.08
Depression0.040.11−0.110.72
Somatic complaints0.01−0.10−0.050.55
Relative preservation of personality0.04−0.49−0.130.21
Slow progression−0.79−0.130.11−0.04
Echolalia, late mutism, amimia (during the course)−0.110.58−0.03−0.04
Early signs of disinhibition0.000.68−0.14−0.01
Early loss of insight−0.180.420.16−0.18
Progressive reduction of speech0.010.440.040.25
Klüver-Bucy syndrome (hyperorality, hypersexuality, utilization behaviour)0.130.480.060.16
Stereotypy of speech−0.070.42−0.10−0.09
Logorrhea (voluble speech)−0.020.300.10−0.33
Irritability, dysphoria0.000.220.310.40
Dyspraxia, dysphasia, dysgnosia (all symptoms present to some extent)−0.23−0.560.48−0.17
Epileptic seizure of late onset−0.000.030.620.11
Increased muscular tension0.01−0.090.590.10
Myoclonic twitchings0.000.000.62−0.19
Early spatial disorientation−0.31−0.710.28−0.04
Early amnesia for remote events−0.38−0.650.29−0.14
Confabulation, spontanteous0.05−0.030.34−0.21
Logoclonia (stuttering-like speech disturbance)−0.100.020.41−0.04
Nocturnal confusion0.02−0.170.390.06
Emotional incontinence0.120.050.390.42

Eigenvalue5.23.71.91.6
Variance %17.312.26.45.3