Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission
| Autor: | Debby L. Gerritsen, Miranda M. H. de Valk, Raymond T.C.M. Koopmans, Richard C. Oude Voshaar, Anne M. A. van den Brink |
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| Přispěvatelé: | Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Cognitive Neuropsychiatry Research Program (CCNP) |
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] INVENTORY Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine PEOPLE Humans Medicine Dementia Longitudinal Studies Reliability (statistics) Aged Skilled Nursing Facilities Psychotropic Drugs Natural course 030214 geriatrics business.industry Mental Disorders DEMENTIA Other Research Radboud Institute for Health Sciences [Radboudumc 0] Multimorbidity NEED Middle Aged CARE medicine.disease STATE PREVALENCE Psychiatry and Mental health Functional Status Chronic Disease RELIABILITY Disease Progression CAMBERWELL ASSESSMENT Geriatrics and Gerontology Pshychiatric Mental Health business Nursing homes 030217 neurology & neurosurgery RESIDENTS |
| Zdroj: | Aging & Mental Health, 24, 155-161 Aging & Mental Health, 24, 1, pp. 155-161 AGING & MENTAL HEALTH, 24(1), 155-161. ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD |
| ISSN: | 1360-7863 |
| Popis: | Objective: Aging societies will bring an increase in the number of long-term care patients with mental-physical multimorbidity (MPM). This paper aimed to describe the natural course of neuropsychiatric symptoms (NPS) in patients with MPM in the first 8 months after admission to a geronto-psychiatric nursing home (GP-NH) unit. Methods: Longitudinal cohort study among 63 patients with MPM no dementia living in 17 GP-NH units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, and brief neuropsychological testing, among which our primary outcome measure the Neuropsychiatric Inventory (NPI). Descriptive and bivariate analyses were conducted. Results: Our study showed a significant increase of the NPI total score (from 25.3 to 29.3, p = 0.045), and the total scores of a NPI hyperactivity cluster (from 9.7 to 11.8, p = 0.039), and a NPI mood/apathy cluster (from 7.7 to 10.1, p = 0.008). Just over 95% had any clinically relevant symptom at baseline and/or six months later, of which irritability was the most prevalent and persistent symptom and the symptom with the highest incidence. Hyperactivity was the most prevalent and persistent symptom cluster. Also, depression had a high persistence. Conclusions: Our results indicate the omnipresence of NPS of which most were found to be persistent. Therefore, we recommend to explore opportunities to reduce NPS in NH patients with MPM, such as creating a therapeutic milieu, educating the staff, and evaluating patient's psychotropic drug use. |
| Databáze: | OpenAIRE |
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