PMID- 27899689 OWN - NLM STAT- MEDLINE DCOM- 20180104 LR - 20220408 IS - 1461-7285 (Electronic) IS - 0269-8811 (Linking) VI - 31 IP - 2 DP - 2017 Feb TI - Herbal medicine for management of the behavioural and psychological symptoms of dementia (BPSD): A systematic review and meta-analysis. PG - 169-183 LID - 10.1177/0269881116675515 [doi] AB - Management of the behavioural and psychological symptoms of dementia remains a challenge worldwide. Herbal medicines may play a role in the development of new interventions. To determine effects of herbal medicines for management of the behavioural and psychological symptoms of dementia, meta-analysis was conducted of 31 controlled trials (3613 participants). Frequently tested herbal medicines were the Ginkgo biloba leaf extract EGb 761 (seven studies) and the multi-ingredient formula Yokukansan (eight studies). Sixteen studies tested other herbal medicines. Improvements were detected in Neuropsychiatric Inventory scores in EGb 761 groups compared to placebo (MD -3.46 [-5.94, -0.98]; I(2) = 93%; n = 1757) and Yokukansan groups compared to no treatment (SMD -0.53 [-0.86, -0.21]; I(2) = 0%; n = 150). Cognitive scores were improved in EGb 761 groups while Yokukansan did not appear to affect cognitive function. Of the other herbal medicines, there were improvements in the behavioural and psychological symptoms of dementia and cognitive outcomes in two of four placebo-controlled studies. EGb 761 and Yokukansan appeared safe and well tolerated. Adverse effects and dropouts were not reported consistently for the other herbal medicines. Weaknesses of these included short durations, small sample sizes, lack of blinding and other risks of bias. Well-designed studies are needed to further investigate the reported effects of these interventions on the behavioural and psychological symptoms of dementia. FAU - Hyde, Anna J AU - Hyde AJ AD - 1 The China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia. FAU - May, Brian H AU - May BH AD - 1 The China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia. FAU - Dong, Lin AU - Dong L AD - 1 The China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia. FAU - Feng, Mei AU - Feng M AD - 2 Guangdong Provincial Academy of Chinese Medical Sciences & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. FAU - Liu, Shaonan AU - Liu S AD - 2 Guangdong Provincial Academy of Chinese Medical Sciences & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. FAU - Guo, Xinfeng AU - Guo X AD - 2 Guangdong Provincial Academy of Chinese Medical Sciences & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. FAU - Zhang, Anthony Lin AU - Zhang AL AD - 1 The China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia. FAU - Lu, Chuanjian AU - Lu C AD - 2 Guangdong Provincial Academy of Chinese Medical Sciences & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. FAU - Xue, Charlie Changli AU - Xue CC AD - 1 The China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia. AD - 2 Guangdong Provincial Academy of Chinese Medical Sciences & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20161207 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 0 (Plant Extracts) SB - IM MH - Behavior/*drug effects MH - Cognition/*drug effects MH - Dementia/*drug therapy MH - Herbal Medicine/methods MH - Humans MH - Neuropsychological Tests MH - Phytotherapy/methods MH - Plant Extracts/*therapeutic use OTO - NOTNLM OT - Alzheimer's disease OT - Dementia OT - herbal medicine OT - neurocognitive disorders OT - systematic review EDAT- 2016/12/03 06:00 MHDA- 2018/01/05 06:00 CRDT- 2016/12/01 06:00 PHST- 2016/12/03 06:00 [pubmed] PHST- 2018/01/05 06:00 [medline] PHST- 2016/12/01 06:00 [entrez] AID - 0269881116675515 [pii] AID - 10.1177/0269881116675515 [doi] PST - ppublish SO - J Psychopharmacol. 2017 Feb;31(2):169-183. doi: 10.1177/0269881116675515. Epub 2016 Dec 7.