PMID- 30394003
OWN - NLM
STAT- MEDLINE
DCOM- 20190808
LR  - 20221207
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 19
IP  - 2
DP  - 2019 Mar
TI  - Prevalence of behavioural and psychological symptoms of dementia in cognitively 
      impaired elderly residents of long-term care facilities in East Asia: a 
      cross-sectional study.
PG  - 171-180
LID - 10.1111/psyg.12380 [doi]
AB  - OBJECTIVE: The aim of this study was to compare the prevalence of behavioural and 
      psychological symptoms of dementia (BPSD) in cognitively impaired elderly 
      residents of long-term care facilities in East Asia and to explore the factors 
      associated with these patterns. METHODS: This was a cross-sectional survey of 
      BPSD in cognitively impaired elderly residents of long-term care facilities in 
      Japan, South Korea, China, Taiwan, and Thailand. The Mini-Mental State 
      Examination, Clinical Dementia Rating (CDR), and Neuropsychiatric Inventory, 
      Nursing Home version (NPI-NH), were used to assess cognitive status, dementia 
      severity, and BPSD, respectively. NPI-NH subscale severity scores were multiplied 
      by frequency scores to obtain the subscale scores and aggregated into two groups 
      based on score (clinically insignificant = 1- 3; clinically significant >/=4). 
      RESULTS: Data from 662 people were analyzed. Median age, median Mini-Mental State 
      Examination scores, and median CDR scores differed significantly among the seven 
      study sites. The prevalence of BPSD varied from 64% in Taiwan to 100% in dementia 
      care units in Japan, and the median total NPI-NH scores ranged from 2 in Taiwan 
      to 14 in dementia care units in Japan. After stratification of the sample by 
      dementia severity and clinical significance of NPI-NH scores, differences in the 
      prevalence of clinically significant BPSD were mostly observed among facilities 
      dedicated to dementia patients in the CDR 1 group. In the CDR 3 group, the 
      prevalence of some clinically significant BPSD, such as apathy, was high even 
      among study sites with low median total NPI-NH scores. CONCLUSIONS: Our findings 
      may suggest referral and selection biases in the study sites. Future prospective 
      studies are needed to address the impact of environmental and care factors on the 
      occurrence of BPSD in Asian countries.
CI  - (c) 2018 Japanese Psychogeriatric Society.
FAU - Makimoto, Kiyoko
AU  - Makimoto K
AUID- ORCID: 0000-0003-0242-1290
AD  - Department of Health Sciences, Graduate School of Medicine, Osaka University, 
      Osaka, Japan.
AD  - Department of Nursing, School of Nursing and Rehabilitation, Konan Women's 
      University, Kobe, Japan.
FAU - Kang, Younhee
AU  - Kang Y
AD  - College of Nursing, Ewha Womans University, Seoul, South Korea.
FAU - Kobayashi, Sayuri
AU  - Kobayashi S
AD  - Faculty of Nursing Komazawa Women's University, Tokyo, Japan.
FAU - Liao, Xiao-Yan
AU  - Liao XY
AD  - Department of Nursing, Nanfang Hospital, Guangzhou, China.
FAU - Panuthai, Sirirat
AU  - Panuthai S
AD  - Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
FAU - Sung, Huei-Chuan
AU  - Sung HC
AD  - Graduate Institute of Long-term Care, Tzu Chi University of Science and 
      Technology, Hualien, Taiwan.
FAU - Suzuki, Mizue
AU  - Suzuki M
AD  - Department of Nursing, School of Medicine, Hamamatsu University, Shizuoka, Japan.
FAU - Terada, Saya
AU  - Terada S
AUID- ORCID: 0000-0001-9437-967X
AD  - Department of Health Sciences, Graduate School of Medicine, Osaka University, 
      Osaka, Japan.
FAU - Yamakawa, Miyae
AU  - Yamakawa M
AD  - Department of Health Sciences, Graduate School of Medicine, Osaka University, 
      Osaka, Japan.
LA  - eng
GR  - Grant Number JP26305018/Japan Society for the Promotion of Science/
PT  - Journal Article
DEP - 20181104
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross-Sectional Studies
MH  - Dementia/*epidemiology/*physiopathology/psychology
MH  - Asia, Eastern
MH  - Female
MH  - Geriatric Assessment/*statistics & numerical data
MH  - *Homes for the Aged
MH  - Humans
MH  - Male
MH  - Neuropsychological Tests
MH  - *Nursing Homes
MH  - Prevalence
MH  - Psychiatric Status Rating Scales
MH  - Severity of Illness Index
OTO - NOTNLM
OT  - aged
OT  - behavioural symptoms
OT  - dementia
OT  - epidemiology
OT  - long-term care
OT  - prevalence
EDAT- 2018/11/06 06:00
MHDA- 2019/08/09 06:00
CRDT- 2018/11/06 06:00
PHST- 2018/03/14 00:00 [received]
PHST- 2018/07/31 00:00 [revised]
PHST- 2018/08/27 00:00 [accepted]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2019/08/09 06:00 [medline]
PHST- 2018/11/06 06:00 [entrez]
AID - 10.1111/psyg.12380 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2019 Mar;19(2):171-180. doi: 10.1111/psyg.12380. Epub 2018 Nov 
      4.