Short-term Effects of Home-visit Rehabilitation for a                        Community-dwelling Older Individual with Severe Dementia and Trans-tibial                        Amputation: Case Report of an Intervention on Physical Performance,                        Behavioral and Psychological Symptoms of Dementia, and Burden of                        Caregiver

Abstract The use of creative arts on supporting elderly with dementia has been becoming popular due to its safe and engaging process. This non-pharmacological approach can complement with other treatment methods to support elderly with dementia on various aspects, including physical, cognitive and social functioning. In our randomized controlled trial on dance movement therapy (DMT) for 204 community dwelling elders with mild dementia, we found DMT could significantly reduce the level of depression, loneliness and negative mood (β=0.33-0.42, p<.01), and also the diurnal cortisol slope (β =0.30, p<.01); while in another trial on 73 elderly with moderate dementia, we found music and movement could help reduce the behavioral and psychological symptoms such as agitation (β = -0.41, p<.01), aberrant motor behavior (β=-1.02, p<.01), and dysphonia (β=-0.61, p<.05). The present presentation aims to share with the audience our practical experiences, the research procedures as well as the findings of the projects.

Download Full-text

Rationale, Design, and Methodology of a Prospective Cohort Study for Coping with Behavioral and Psychological Symptoms of Dementia: The RECage Project

Journal of Alzheimer s Disease ◽

10.3233/jad-201215 ◽

2021 ◽

Vol 80 (4) ◽

pp. 1613-1627

Author(s):

Eleni Poptsi ◽

Magda Tsolaki ◽

Sverre Bergh ◽

Bruno Mario Cesana ◽

Alfonso Ciccone ◽

...

Keyword(s):

Cohort Study ◽

Psychotropic Drug ◽

Psychological Symptoms ◽

Cost Of Care ◽

Community Dwelling ◽

Drug Consumption ◽

Study Results ◽

Short And Long Term ◽

Behavioral And Psychological Symptoms

Background: Behavioral and psychological symptoms of dementia (BPSD) are quite challenging problems during the dementia course. Special Care Units for people with dementia (PwD) and BPSD (SCU-B) are residential medical structures, where BPSD patients are temporarily admitted, in case of unmanageable behavioral disturbances at home. Objective: RECage (REspectful Caring for AGitated Elderly) aspires to assess the short and long-term effectiveness of SCU-Bs toward alleviating BPSD and improving the quality of life (QoL) of PwD and their caregivers. Methods: RECage is a three-year, prospective study enrolling 500 PwD. Particularly, 250 community-dwelling PwDs presenting with severe BPSD will be recruited by five clinical centers across Europe, endowed with a SCU-B, for a short period of time; a second similar group of 250 PwD will be followed by six other no-SCU-B centers solely via outpatient visits. RECage’s endpoints include short and long-term SCU-B clinical efficacy, QoL of patients and caregivers, cost-effectiveness of the SCU-B, psychotropic drug consumption, caregivers’ attitude toward dementia, and time to nursing home placement. Results: PwD admitted in SCU-Bs are expected to have diminished rates of BPSD and better QoL and their caregivers are also expected to have better QoL and improved attitude towards dementia, compared to those followed in no-SCU-Bs. Also, the cost of care and the psychotropic drug consumption are expected to be lower. Finally, PwD followed in no-SCU-Bs are expected to have earlier admission to nursing homes. Conclusion: The cohort study results will refine the SCU-B model, issuing recommendations for implementation of SCU-Bs in the countries where they are scarce or non-existent.

Download Full-text

The impact of lockdown during SARS-CoV-2 outbreak on behavioral and psychological symptoms of dementia

Neurological Sciences ◽

10.1007/s10072-020-05035-8 ◽

2021 ◽

Vol 42 (3) ◽

pp. 825-833

Author(s):

Arianna Manini ◽

Michela Brambilla ◽

Laura Maggiore ◽

Simone Pomati ◽

Leonardo Pantoni

Keyword(s):

Logistic Regression ◽

Psychological Symptoms ◽

Neuropsychiatric Symptoms ◽

Community Dwelling ◽

Caregiver Distress ◽

Neuropsychiatric Inventory ◽

Logistic Regression Models ◽

The Impact ◽

Behavioral And Psychological Symptoms

Abstract Background During Covid-19 pandemic, the Italian government adopted restrictive limitations and declared a national lockdown on March 9, which lasted until May 4 and produced dramatic consequences on people’s lives. The aim of our study was to assess the impact of prolonged lockdown on behavioral and psychological symptoms of dementia (BPSD). Methods Between April 30 and June 8, 2020, we interviewed with a telephone-based questionnaire the caregivers of the community-dwelling patients with dementia who had their follow-up visit scheduled from March 9 to May 15 and canceled due to lockdown. Among the information collected, patients’ BPSDs were assessed by the Neuropsychiatric Inventory (NPI). Non-parametric tests to compare differences between NPI scores over time and logistic regression models to explore the impact of different factors on BPSD worsening were performed. Results A total of 109 visits were canceled and 94/109 caregivers completed the interview. Apathy, irritability, agitation and aggression, and depression were the most common neuropsychiatric symptoms experienced by patients both at baseline and during Covid-19 pandemic. Changes in total NPI and caregiver distress scores between baseline and during lockdown, although statistically significant, were overall modest. The logistic regression model failed to determine predictors of BPSD worsening during lockdown. Conclusion This is one of the first studies to investigate the presence of BPSD during SARS-CoV-2 outbreak and related nationwide lockdown, showing only slight, likely not clinically relevant, differences in BPSD burden, concerning mostly agitation and aggression, anxiety, apathy and indifference, and irritability.

Download Full-text

Short-term effects of on-field combined core strength and small-sided games training on physical performance in young soccer players

Biology of Sport ◽

10.5114/biolsport.2021.102865 ◽

2021 ◽

Author(s):

Ersan Arslan ◽

Yusuf Soylu ◽

Filipe Clemente ◽

Tahir Hazir ◽

Ayse Kin Isler ◽

...

Keyword(s):

Physical Performance ◽

Soccer Players ◽

Short Term ◽

Core Strength ◽

Short Term Effects

Download Full-text

Association between Daily Activities and Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Older Adults with Memory Complaints by Their Families

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186831 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6831 ◽

Cited By ~ 1

Author(s):

Yuriko Ikeda ◽

Gwanghee Han ◽

Michio Maruta ◽

Maki Hotta ◽

Eri Ueno ◽

...

Keyword(s):

Psychological Symptoms ◽

Process Analysis ◽

Family Members ◽

Community Dwelling ◽

Stepwise Multiple Regression ◽

Short Version ◽

Memory Complaints ◽

Behavior Disturbance ◽

With Memory ◽

Behavioral And Psychological Symptoms

It is important and useful to consider information provided by family members about individuals with memory complaints’ instrumental activities of daily living (IADL). The purpose of this study was to clarify the characteristics and relevance of individuals with memory complaints’ IADL and behavioral and psychological symptoms of dementia (BPSD) assessed from the perspective of the family members using the Process Analysis of Daily Activity for Dementia and short version Dementia Behavior Disturbance scale. A self-administered questionnaire was sent to 2000 randomly selected members of Consumer’s Co-operative Kagoshima, and 621 responded. Of the returned responses, there were 159 participants who answered about individuals with memory complaints. The stepwise multiple regression analysis was used to examine the association between IADL and BPSD. The result showed that many IADL of the individuals with memory complaints were associated with BPSD of apathy, nocturnal wakefulness, and unwarranted accusations, adjusted for age, gender, and the observation list for early signs of dementia. In addition, each IADL was associated with BPSD of apathy, nocturnal wakefulness, and dresses inappropriately. Modifying lifestyle early on when families recognize these changes may help maintain and improve the long-term quality of life of the individuals with memory complaints and their family.

Download Full-text

Validity of mobile application for monitoring behavioral and psychological symptoms in moderate to severe dementia in Thailand

Journal of the Neurological Sciences ◽

10.1016/j.jns.2019.10.1739 ◽

2019 ◽

Vol 405 ◽

pp. 93

Author(s):

P. Rangseekhajee ◽

P. Paholpak ◽

S. Aphisitpinyo

Keyword(s):

Mobile Application ◽

Psychological Symptoms ◽

Severe Dementia ◽

Behavioral And Psychological Symptoms

Download Full-text

Prevalence of Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Dementia Patients: A Systematic Review

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.741059 ◽

2021 ◽

Vol 12 ◽

Author(s):

Chan-Young Kwon ◽

Boram Lee

Keyword(s):

Systematic Review ◽

Eating Disorder ◽

Sleep Disorders ◽

Motor Behavior ◽

Psychological Symptoms ◽

Community Dwelling ◽

Dementia Patients ◽

Pooled Prevalence ◽

Severity Of Dementia ◽

Behavioral And Psychological Symptoms

Background: Identifying the characteristics of behavioral and psychological symptoms of dementia (BPSD) associated with different dementia types may be a promising strategy to effectively deal with BPSD. We aimed to synthesize the prevalence rates of BPSD characteristics in community-dwelling dementia patients.Methods: We searched Medline, EMBASE, and PsycARTICLES databases for original clinical studies published until December 2020 that enrolled at least 300 community-dwelling dementia patients. The methodological qualities of prevalence studies were assessed using the Joanna Briggs Institute's critical appraisal checklist.Results: Thirty studies were included. The prevalence of the BPSD characteristic ranged from 4 (elation and mania) to 32% (apathy) in the pooled samples. The prevalence of delusions, anxiety, apathy, irritability, elation and mania, and aberrant motor behavior in Alzheimer's disease patients was 1.72–2.88 times greater than that in vascular dementia (VD) patients, while the prevalence of disinhibition in VD patients was 1.38 times greater. The prevalence of anxiety, irritability, and agitation and aggression, delusion, hallucinations, apathy, disinhibition, and aberrant motor behavior tended to increase as the severity of dementia increased, while that of depression, eating disorder, sleep disorders, and elation and mania tended to stable. In community-dwelling patients with dementia, the pooled prevalence of apathy, depression, anxiety, irritability, agitation and aggression, sleep disorders, and eating disorder was higher than 20%, while that of disinhibition and elation and mania was lower than 10%.Conclusion: Overall, the pooled prevalence of apathy, depression, anxiety, irritability, agitation and aggression, sleep disorders, and eating disorder was generally high in patients with dementia. Also, the prevalence of some BPSD characteristics differed according to the type and the severity of dementia. The methodological quality of the included studies is not the best, and high heterogeneity may affect the certainty of the findings. However, the results of this review can deepen our understanding of the prevalence of BPSD.Systematic Review Registration:https://osf.io/dmj7k, identifier: 10.17605/OSF.IO/DMJ7K.

Download Full-text