| Title |
Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence
|
|---|---|
| Published in |
Nursing Outlook, June 2017
|
| DOI | 10.1016/j.outlook.2017.06.006 |
| Pubmed ID | |
| Authors |
Ann Kolanowski, Marie Boltz, Elizabeth Galik, Laura N. Gitlin, Helen C. Kales, Barbara Resnick, Kimberly S. Van Haitsma, Amy Knehans, Jane E. Sutterlin, Justine S. Sefcik, Wen Liu, Darina V. Petrovsky, Lauren Massimo, Andrea Gilmore-Bykovskyi, Margaret MacAndrew, Glenna Brewster, Vycki Nalls, Ying-Ling Jao, Naomi Duffort, Danny Scerpella |
| Abstract |
Behavioral and psychological symptoms of dementia (BPSD) are prevalent in people with neurodegenerative diseases. In this scoping review the Kales, Gitlin and Lykestos framework is used to answer the question: What high quality evidence exists for the patient, caregiver and environmental determinants of five specific BPSD: aggression, agitation, apathy, depression and psychosis? An a priori review protocol was developed; 692 of 6013 articles retrieved in the search were deemed eligible for review. Gough's Weight of Evidence Framework and the Cochrane Collaboration's tool for assessing risk of bias were used. The findings from 56 high quality/low bias articles are summarized. Each symptom had its own set of determinants, but many were common across several symptoms: neurodegeneration, type of dementia, severity of cognitive impairments, and declining functional abilities, and to a lesser extent, caregiver burden and communication. Research and policy implications are relevant to the National Plan to Address Alzheimer's Disease. |
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X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 309 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 42 | 14% |
| Student > Ph. D. Student | 28 | 9% |
| Student > Master | 23 | 7% |
| Researcher | 19 | 6% |
| Student > Doctoral Student | 13 | 4% |
| Other | 42 | 14% |
| Unknown | 142 | 46% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 47 | 15% |
| Medicine and Dentistry | 40 | 13% |
| Psychology | 27 | 9% |
| Neuroscience | 14 | 5% |
| Social Sciences | 13 | 4% |
| Other | 23 | 7% |
| Unknown | 145 | 47% |