PMID- 25417722
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220321
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 15
IP  - 2
DP  - 2015 Jun
TI  - Alzheimer's disease patients institutionalized in group homes run by long-term 
      care insurance exhibit fewer symptoms of behavioural problems as evaluated by the 
      Behavioural Pathology in Alzheimer's Disease Rating Scale.
PG  - 102-108
LID - 10.1111/psyg.12079 [doi]
AB  - BACKGROUND: The behavioural and psychological symptoms of dementia (BPSD) caused 
      by Alzheimer's disease (AD) can burden caregivers. Group homes (GH), small 
      nursing homes, for the elderly with dementia are institutions commonly run by the 
      public long-term care insurance system in Japan. The purpose of this study was to 
      compare the prevalence of BPSD of AD, as evaluated by the Behavioural Pathology 
      in Alzheimer's Disease Rating Scale, between GH patients and community residents. 
      METHODS: A total of 74 patients with AD were enrolled: 37 were patients 
      institutionalized in GH (Hachinski score < 5) and 37 were demographic-matched 
      community residents undergoing treatment at the Osaki-Tajiri SKIP Center. There 
      were no significant differences in mean age (81.4 vs 81.1 years, P = 0.816), mean 
      educational level (7.7 vs 8.0 years, P = 0.497), sex (women/men: 30/7 vs 30/7, P 
      = 1.000) and mean Mini-Mental State Examination scores (14.1 vs 14.1, P = 0.950) 
      between the two groups. Care level (range: 0.5-5.0, slight to bedridden), 
      activities of daily living care level (range: 1-7, almost normal to severe), and 
      the presence or absence BPSD based on the domains of the Behavioural Pathology in 
      Alzheimer's Disease Rating Scale were compared. RESULTS: GH patients had a 
      significantly higher care level (P < 0.05) and activities of daily living care 
      level (P < 0.05) but had fewer symptoms of BPSD (P < 0.05) than community 
      residents. When the activities of daily living care level was controlled, GH 
      patients had significantly fewer symptoms than community residents in 
      Aggressiveness (21% vs 50%; chi(2) = 4.5, P = 0.035), Affective disturbances (13% 
      vs 42%; chi(2) = 5.1, P = 0.023), and Anxieties and phobias (4% vs 46%; chi(2) = 
      11.1, P = 0.001). CONCLUSIONS: GH run by the long-term care insurance system 
      appear to be effective in improving environmental factors for moderate AD 
      patients and reducing Aggressiveness, Affective disturbances, and Anxieties and 
      phobias.
CI  - (c) 2014 The Authors. Psychogeriatrics (c) 2014 Japanese Psychogeriatric Society.
FAU - Kasai, Mari
AU  - Kasai M
AD  - Division of Geriatric Behavioral Neurology, CYRIC, Tohoku University, Sendai, 
      Japan.
FAU - Meguro, Kenichi
AU  - Meguro K
AD  - Division of Geriatric Behavioral Neurology, CYRIC, Tohoku University, Sendai, 
      Japan.
AD  - The Osaki-Tajiri SKIP Center, Osaki, Japan.
FAU - Akanuma, Kyoko
AU  - Akanuma K
AD  - Division of Geriatric Behavioral Neurology, CYRIC, Tohoku University, Sendai, 
      Japan.
AD  - The Osaki-Tajiri SKIP Center, Osaki, Japan.
FAU - Yamaguchi, Satoshi
AU  - Yamaguchi S
AD  - The Osaki-Tajiri SKIP Center, Osaki, Japan.
LA  - eng
PT  - Journal Article
DEP - 20141123
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
OTO - NOTNLM
OT  - Alzheimer's disease
OT  - BEHAVE-AD
OT  - behavioural and psychological symptoms of dementia
OT  - group home
EDAT- 2014/11/25 06:00
MHDA- 2014/11/25 06:01
CRDT- 2014/11/25 06:00
PHST- 2014/02/23 00:00 [received]
PHST- 2014/08/30 00:00 [revised]
PHST- 2014/09/04 00:00 [accepted]
PHST- 2014/11/25 06:00 [pubmed]
PHST- 2014/11/25 06:01 [medline]
PHST- 2014/11/25 06:00 [entrez]
AID - 10.1111/psyg.12079 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2015 Jun;15(2):102-108. doi: 10.1111/psyg.12079. Epub 2014 Nov 
      23.