PMID- 29417692
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR  - 20181211
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 18
IP  - 4
DP  - 2018 Jul
TI  - Advantages of different care services for reducing neuropsychiatric symptoms in 
      dementia patients.
PG  - 252-258
LID - 10.1111/psyg.12317 [doi]
AB  - BACKGROUND: It is assumed that care services effectively reduce behavioural and 
      psychological symptoms of dementia (BPSD). However, it is unclear which care 
      services are effective for reducing specific BPSD. The aim of this study was to 
      clarify which care services were recognized by care specialists as being 
      effective for reducing each of 11 BPSD. METHODS: We sent unsigned questionnaires 
      to care specialists in Japan. The questionnaires asked specialists to choose from 
      12 kinds of care services the most, second-most, and third-most effective service 
      for reducing each of 11 BPSD. The most effective service was scored as 3 points, 
      the second-most was 2 points, and the third-most was 1 point. Specialists were 
      also asked to describe why they chose each service. The 12 kinds of care services 
      were categorized into four categories: (i) home-visit; (ii) outpatient; (iii) 
      short-stay; and (iv) facility. Total scores for each category were analyzed using 
      a two-way anova. The reasons care specialists chose each service were analyzed 
      using morphological analysis, and representative reasons were extracted. RESULTS: 
      A total of 103 questionnaires were returned. Of the four service categories, 
      outpatient services yielded the highest score for reducing apathy (P < 0.001) due 
      to the effectiveness of participating in recreation and receiving stimulation. 
      Facility services yielded the highest score for reducing aberrant motor behaviour 
      (P < 0.001). Short-stay services yielded the lowest score for reducing depression 
      (P < 0.001). For eight other kinds of BPSD, there were no significant differences 
      between home-visit and facility services or between outpatient and facility 
      services. CONCLUSIONS: Care specialists reported that effective care services for 
      reducing BPSD differed among types of BPSD. In-home care services might be 
      effective at reducing many BPSD except for aberrant motor behaviour, suggesting 
      that greater use of in-home care services might enable people with BPSD to live 
      in their homes for longer.
CI  - (c) 2018 Japanese Psychogeriatric Society.
FAU - Suzuki, Yukiko
AU  - Suzuki Y
AUID- ORCID: 0000-0003-3982-6494
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
FAU - Kazui, Hiroaki
AU  - Kazui H
AUID- ORCID: 0000-0002-6838-8406
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
AD  - Department of Neuropsychiatry, Kochi Medical School, Kochi University, Nankoku, 
      Japan.
FAU - Yoshiyama, Kenji
AU  - Yoshiyama K
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
FAU - Azuma, Shingo
AU  - Azuma S
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
FAU - Kanemoto, Hideki
AU  - Kanemoto H
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
FAU - Sato, Shunsuke
AU  - Sato S
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
FAU - Suehiro, Takashi
AU  - Suehiro T
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
FAU - Ikeda, Manabu
AU  - Ikeda M
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, 
      Japan.
LA  - eng
PT  - Journal Article
DEP - 20180207
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Behavioral Symptoms/diagnosis/*epidemiology/psychology
MH  - Cognition Disorders/diagnosis/*epidemiology
MH  - Dementia/*diagnosis/epidemiology/psychology
MH  - Female
MH  - Humans
MH  - Japan/epidemiology
MH  - Long-Term Care/*statistics & numerical data
MH  - Male
MH  - Mental Disorders/complications
MH  - Nursing Homes/*statistics & numerical data
MH  - Psychiatric Status Rating Scales
MH  - Severity of Illness Index
OTO - NOTNLM
OT  - Long-term Care Insurance
OT  - Neuropsychiatric Inventory
OT  - behavioural and psychological symptoms of dementia (BPSD)
OT  - dementia care services
OT  - questionnaire
OT  - treatment
EDAT- 2018/02/09 06:00
MHDA- 2018/12/12 06:00
CRDT- 2018/02/09 06:00
PHST- 2017/12/29 00:00 [received]
PHST- 2018/01/03 00:00 [accepted]
PHST- 2018/02/09 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
PHST- 2018/02/09 06:00 [entrez]
AID - 10.1111/psyg.12317 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2018 Jul;18(4):252-258. doi: 10.1111/psyg.12317. Epub 2018 Feb 
      7.