Journal
AGING & MENTAL HEALTH
Volume 26, Issue 4, Pages 725-734Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13607863.2021.1910792
Keywords
Dementia; needs assessment; daytime activities; company; BPSD
Categories
Funding
- aegis of JPND
- Germany, Ministry of Education and Research
- Ireland, Health research board
- Italy, Ministry of Health
- Netherlands, The Netherlands Organization for Health Research and Development
- Sweden, The Swedish Research Council for Health, Working Life and Welfare
- Norway, The Research Council of Norway
- Portugal, Foundation for Science and Technology, FTC
- United Kingdom, Economic and Social Research Council
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The study found that unmet needs for daytime activities and company were closely associated with affective and psychotic symptoms in dementia patients, indicating that reducing these unmet needs could help alleviate symptoms in dementia patients.
Objectives To examine prospectively the association between unmet needs for daytime activities and company and behavioural and psychological symptoms of dementia. Methods We included 451 people with mild or moderate dementia, from eight European countries, who were assessed three times over 12 months. Unmet needs were measured with the Camberwell Assessment of Need for the Elderly. Three sub-syndromes of the Neuropsychiatric Inventory-Questionnaire were regressed, one-by-one, against unmet needs for daytime activities and company, adjusting for demographic and clinical-functional covariates. Results Unmet needs for daytime activities were associated with more affective symptoms at baseline, six and twelve months, mean 0.74 (p < 0.001), 0.76 (p < 0.001) and 0.78 (p = 0.001) points higher score respectively, and with more psychotic symptoms at baseline (mean 0.39 points, p = 0.007) and at six months follow-up (mean 0.31 points, p = 0.006). Unmet needs for company were associated with more affective symptoms at baseline, six and twelve months, mean 0.44 (p = 0.033), 0.67 (p < 0.001) and 0.91 (p < 0.001) points higher score respectively, and with more psychotic symptoms at baseline (mean 0.40 points, p = 0.005) and at six months (mean 0.35 points, p = 0.002) follow-up. Conclusion Interventions to reduce unmet needs for daytime activities and company could reduce affective and psychotic symptoms in people with dementia.
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