The effectiveness of preferred or familiar music listening on behavioural and psychological symptoms of institutionalised older adults with dementia: a systematic review

Purpose The purpose of this paper was to systematically review the association between behavioural and psychological symptoms of dementia (BPSD) and the development of carer burden. Although this association has been well established in the literature, it is not clear whether there are individual symptoms or clusters of symptoms that are particularly burdensome for carers. Design/methodology/approach A systematic review of the available literature was carried out to determine whether any specific symptom or cluster of symptoms was most closely associated with carer burden. In addition, the categorisation of behavioural symptoms, conceptualisations of burden and methods of measurement used were examined and quality of the studies appraised. Findings A total of 21 studies measured the association between at least one individual symptom or symptom cluster and carer burden, with all studies finding at least one symptom to be significantly associated with burden. The majority of studies were of fair to good quality. However, there was considerable heterogeneity in focus, analysis, recruitment and measurement of behaviour and burden. Originality/value Symptoms, which were found to be significantly associated with carer burden, were aggression/agitation, frontal systems behaviour, disinhibition, disrupted eating and sleeping behaviour, unusual motor behaviour, anxiety and psychotic symptoms. However, because of the heterogeneity of studies, there was insufficient evidence to establish whether any symptoms are more important than others in the development of carer burden. Future focus on clarifying the dimensions of carer burden and the mechanisms by which BPSD impact negatively on carers could inform the development of effective interventions.

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General practitioners’ knowledge, attitudes and experiences of managing behavioural and psychological symptoms of dementia: protocol of a mixed methods systematic review and meta-ethnography

Systematic Reviews ◽

10.1186/s13643-018-0732-7 ◽

2018 ◽

Vol 7 (1) ◽

Cited By ~ 4

Author(s):

Aisling A. Jennings ◽

Tony Foley ◽

Kieran A. Walsh ◽

Alice Coffey ◽

John P. Browne ◽

...

Keyword(s):

Systematic Review ◽

Mixed Methods ◽

General Practitioners ◽

Psychological Symptoms ◽

Behavioural And Psychological Symptoms

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Noninvasive brain stimulation for behavioural and psychological symptoms of dementia: A systematic review and meta-analysis

International Journal of Geriatric Psychiatry ◽

10.1002/gps.5003 ◽

2018 ◽

Vol 34 (9) ◽

pp. 1336-1345 ◽

Cited By ~ 11

Author(s):

Sara M. Vacas ◽

Florindo Stella ◽

Julia C. Loureiro ◽

Frederico Simões do Couto ◽

Albino J. Oliveira-Maia ◽

...

Keyword(s):

Systematic Review ◽

Brain Stimulation ◽

Psychological Symptoms ◽

Meta Analysis ◽

Noninvasive Brain Stimulation ◽

Behavioural And Psychological Symptoms

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Occupational therapy for people with dementia and their family carers provided at home: a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2018-026308 ◽

2019 ◽

Vol 9 (11) ◽

pp. e026308 ◽

Cited By ~ 10

Author(s):

Sally Bennett ◽

Kate Laver ◽

Sebastian Voigt-Radloff ◽

Lori Letts ◽

Lindy Clemson ◽

...

Keyword(s):

Systematic Review ◽

Occupational Therapy ◽

Psychological Symptoms ◽

Meta Analysis ◽

Family Carers ◽

Moderate Quality ◽

People With Dementia ◽

Behavioural And Psychological Symptoms ◽

Randomised Controlled ◽

At Home

ObjectiveTo determine the effect of occupational therapy provided at home on activities of daily living, behavioural and psychological symptoms of dementia (BPSD) and quality of life (QOL) for people with dementia, and the effect on family carer burden, depression and QOL.DesignSystematic review and meta-analysis.MethodsEight databases were searched to February 2018. Randomised controlled trials of occupational therapy delivered at home for people with dementia and their family carers that measured ADL, and/or BPSD were included. Two independent reviewers determined eligibility, risk of bias and extracted data.ResultsFifteen trials were included (n=2063). Occupational therapy comprised multiple components (median=8 sessions). Compared with usual care or attention control occupational therapy resulted in improvements in the following outcomes for people with dementia: overall ADL after intervention (standardised means difference (SMD) 0.61, 95% CI 0.16 to 1.05); instrumental ADL alone (SMD 0.22, 95% CI 0.07 to 0.37; moderate quality); number of behavioural and psychological symptoms (SMD −0.32, 95% CI −0.57 to −0.08; moderate quality); and QOL (SMD 0.76, 95% CI 0.28 to 1.24) after the intervention and at follow-up (SMD 1.07, 95% CI 0.58 to 1.55). Carers reported less hours assisting the person with dementia (SMD −0.33, 95% CI −0.58 to −0.07); had less distress with behaviours (SMD −0.23, 95% CI −0.42 to −0.05; moderate quality) and improved QOL (SMD 0.99, 95% CI 0.66 to 1.33; moderate quality). Two studies compared occupational therapy with a comparison intervention and found no statistically significant results. GRADE ratings indicated evidence was very low to moderate quality.ConclusionsFindings suggest that occupational therapy provided at home may improve a range of important outcomes for people with dementia and their family carers. Health professionals could consider referring them for occupational therapy.PROSPERO registration numberCRD42011001166.

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Self-compassionate Aging: A Systematic Review

The Gerontologist ◽

10.1093/geront/gny108 ◽

2018 ◽

Vol 59 (4) ◽

pp. e311-e324 ◽

Cited By ~ 5

Author(s):

Lydia Brown ◽

Jeff C Huffman ◽

Christina Bryant

Keyword(s):

Systematic Review ◽

Older Adults ◽

Psychological Symptoms ◽

Meta Analysis ◽

Later Life ◽

Well Being ◽

Physical Symptoms ◽

Search Term ◽

Self Compassion ◽

The Impact

Abstract Abstract Background and Objectives There is considerable heterogeneity in experiences of aging, with some experiencing greater well-being and adapting more successfully to the challenges of aging than others. Self-compassion is a modifiable psychological skill that might help explain individual differences in well-being and adjustment in later life. The aim of this study was to systematically review the literature on self-compassion and well-being outcomes in studies of older adults aged 65 and older. Research Design and Methods This systematic review was conducted according to PRISMA guidelines, using databases PsycINFO, Medline, and Embase. The search term self-compassion was paired with terms relating to well-being, psychological symptoms, and adjustment. Meta-analysis was used to synthesize results on the relationship between self-compassion and four outcomes including depression, anxiety, hedonic well-being, and eudaimonic well-being. Results Eleven studies met inclusion criteria for this review. Meta-analysis revealed that self-compassion was associated with lower levels of depression (r = −.58, 95% CI [−.66, −.48]) and anxiety (r = −.36, 95% CI [−.60, −.07]), and higher levels of hedonic (r = .41, 95% CI [.15, .62]) and eudaimonic (r = .49, 95% CI [.41, .57]) well-being. Further, three studies found self-compassion weakened the impact of physical symptoms on well-being outcomes. Discussion and Implications We found preliminary evidence that self-compassion is associated with well-being outcomes in older adults, and that self-compassion may buffer the psychological sequelae of health symptoms in later life. Higher quality studies with uniform outcome measures are needed to replicate and extend these results.

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