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The recognition of behavioral and psychological symptoms of dementia (BPSD) varies in Asian countries. In India, for example, symptoms such as repetition, forgetfulness, anxiety, and agitation are simply ignored in the rural setting and are of no concern to family members; other symptoms, such as wandering, are easily tolerated. This cultural acceptance of certain BPSD, combined with the difficulty in locating a physician skilled in the diagnosis and treatment of these symptoms, limits their assessment and treatment in India (International Psychogeriatric Association, 1998). Fortunately, in a few Asian countries, empiric data on the frequency of BPSD have been obtained using formal assessment instruments.
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