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

2018 ◽  
Vol 7 (1) ◽  
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

A systematic review of the association between individual behavioural and psychological symptoms in dementia and carer burden

2020 ◽  
Vol 24 (3) ◽  
pp. 181-203
Author(s):  
Catriona George ◽  
Nuno Ferreira ◽  
Rosalind Evans ◽  
Victoria Honeyman
Keyword(s):  
Systematic Review ◽  
Psychological Symptoms ◽  
Psychotic Symptoms ◽  
Specific Symptom ◽  
Content Type ◽  
Carer Burden ◽  
Effective Interventions ◽  
Behavioural And Psychological Symptoms ◽  
Focus Analysis

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.

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

2018 ◽  
Vol 34 (9) ◽  
pp. 1336-1345 ◽  
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

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

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e026308 ◽  
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.

scholarly journals Atypical antipsychotic drugs in the treatment of behavioural and psychological symptoms of dementia: systematic review

BMJ ◽  
2004 ◽  
Vol 329 (7457) ◽  
pp. 75 ◽  
Author(s):  
Philip E Lee ◽  
Sudeep S Gill ◽  
Morris Freedman ◽  
Susan E Bronskill ◽  
Michael P Hillmer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Atypical Antipsychotic ◽  
Antipsychotic Drugs ◽  
Psychological Symptoms ◽  
Atypical Antipsychotic Drugs ◽  
Behavioural And Psychological Symptoms

scholarly journals Effectiveness and Safety of Aromatherapy in Managing Behavioral and Psychological Symptoms of Dementia: A Mixed-Methods Systematic Review

2021 ◽  
pp. 273-297
Author(s):  
Becky Siu Yin Li ◽  
Carmen Wing Han Chan ◽  
Minjie Li ◽  
Irene Kit Yee Wong ◽  
Yvonne Hoi Un Yu
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Adverse Effects ◽  
Psychological Symptoms ◽  
Experimental Studies ◽  
Qualitative Studies ◽  
Qualitative Synthesis ◽  
Quasi Experimental ◽  
Adherence Monitoring ◽  
Behavioral And Psychological Symptoms

<b><i>Introduction:</i></b> Behavioral and psychological symptoms of dementia (BPSD) is the most prominent and distressing manifestation for older persons with dementia (PWD) and caregivers. Aromatherapy has demonstrated its effectiveness in managing BPSD in various studies. However, previous studies and systematic reviews have obtained inconsistent findings, and a review of qualitative studies is yet to be conducted. <b><i>Method:</i></b> A mixed-methods systematic review with a convergent segregated approach was performed to evaluate the effectiveness of aromatherapy in improving the BPSD and quality of life (QoL) of PWD and in relieving the distress and burden of caregivers, as well as its safety for PWD. Both published and unpublished quantitative and qualitative studies written in English and Chinese between January 1996 and December 2020 were retrieved from 28 databases, including MEDLINE, EMBASE, and Web of Science, based on the prespecified criteria. The methodological quality was assessed by using critical appraisal tools from the Joanna Briggs Institute. Quantitative synthesis, qualitative synthesis, and integration of quantitative and qualitative evidence were performed. <b><i>Results:</i></b> A total of 12 randomized controlled trials, 10 quasi-experimental studies, and 2 qualitative studies were included in the review. Some inconsistent findings regarding the effectiveness of aromatherapy in reducing the severity of BPSD were observed. Some studies reported that aromatherapy significantly improved the QoL of PWD and relieved the distress and burden of caregivers, promoted a positive experience among caregivers, and had very low adverse effects on PWD (with aromatherapy inhalation reporting no adverse effects). <b><i>Conclusion:</i></b> Aromatherapy, especially in the inhalation approach, could be a potentially safe and effective strategy for managing BPSD. However, more structuralized and comparable studies with sufficient sample size, adherence monitoring, and sound theoretical basis could be conducted to obtain conclusive findings.

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