TY - JOUR
T1 - Associations between unmet needs for daytime activities and company and scores on the Neuropsychiatric Inventory-Questionnaire in people with dementia
T2 - a longitudinal study
AU - Michelet, Mona
AU - Selbaek, Geir
AU - Strand, Bjørn Heine
AU - Lund, Anne
AU - Engedal, Knut
AU - Bieber, Anja
AU - Gonçalves-Pereira, Manuel
AU - Hopper, Louise
AU - Irving, Kate
AU - Jelley, Hannah
AU - Marques, Maria J
AU - Orrell, Martin
AU - Portolani, Daniel M
AU - Sjölund, Britt-Marie
AU - Sköldunger, Anders
AU - Stephan, Astrid
AU - Verhey, Frans
AU - de Vugt, Marjolein
AU - Wolfs, Claire
AU - Woods, Bob
AU - Zanetti, Orazio
AU - Bergh, Sverre
PY - 2022/4
Y1 - 2022/4
N2 - 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.
AB - 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.
KW - Dementia
KW - needs assessment
KW - daytime activities
KW - company
KW - BPSD
U2 - 10.1080/13607863.2021.1910792
DO - 10.1080/13607863.2021.1910792
M3 - Article
C2 - 33860718
SN - 1360-7863
VL - 26
SP - 725
EP - 734
JO - Aging & Mental Health
JF - Aging & Mental Health
IS - 4
ER -