TY - JOUR

T1 - Associations between unmet needs for daytime activities and company and scores on the Neuropsychiatric Inventory-Questionnaire in people with dementia: a longitudinal study

AU - Actifcare Consortium

AU - Michelet, Mona

AU - Selbaek, Geir

AU - Strand, Bjorn Heine

AU - Lund, Anne

AU - Engedal, Knut

AU - Bieber, Anja

AU - Goncalves-Pereira, Manuel

AU - Hopper, Louise

AU - Irving, Kate

AU - Jelley, Hannah

AU - Marques, Maria J.

AU - Orrell, Martin

AU - Portolani, Daniel Michael

AU - Sjölund, Britt-Marie

AU - Skoldunger, Anders

AU - Stephan, Astrid

AU - Verhey, Frans

AU - de Vugt, Marjolein

AU - Wolfs, Claire

AU - Woods, Bob

AU - Zanetti, Orazio

AU - Berg, Sverre

PY - 2022/4/3

Y1 - 2022/4/3

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 - BPSD

KW - Dementia

KW - company

KW - daytime activities

KW - needs assessment

U2 - 10.1080/13607863.2021.1910792

DO - 10.1080/13607863.2021.1910792

M3 - Article

VL - 26

SP - 725

EP - 734

JO - Aging and Mental Health

JF - Aging and Mental Health

SN - 1360-7863

IS - 4

ER -