PMID- 32286161
OWN - NLM
STAT- MEDLINE
DCOM- 20220617
LR  - 20220707
IS  - 1545-2301 (Electronic)
IS  - 0731-7115 (Linking)
VI  - 45
IP  - 4
DP  - 2022 Jul-Sep
TI  - Feasibility of the Cognitive Model for Behavioral Interventions in Older Adults 
      with Behavioral and Psychological Symptoms of Dementia.
PG  - 903-914
LID - 10.1080/07317115.2020.1740904 [doi]
AB  - Objectives: The purpose of this study was to develop an individually tailored, 
      non-pharmacological treatment model, the Cognitive Model for Behavioral 
      Interventions (CoMBI), for patients with Behavioral and Psychological Symptoms of 
      Dementia (BPSD) and comorbid maladaptive personality traits (CMPT), and to 
      explore its feasibility and effectiveness.Methods: CoMBI was developed and 
      implemented in two geriatric psychiatric inpatient wards in the Netherlands. In 
      this single-group pretest-posttest, feasibility study, 40 patients with BPSD and 
      CMPT (M = 73.8, SD = 8.5) were treated with CoMBI. BPSD and CMPT were assessed 
      using informant-based questionnaires. Wilcoxon signed-rank tests and effect size 
      calculations were conducted to determine differences.Results: Wilcoxon 
      signed-rank tests demonstrated a significant decrease of BPSD with medium (r 
      = 0.45) to large (r = 0.56) effect sizes. CoMBI demonstrated high acceptability 
      and compliance by health-care professionals and family members.Conclusions: CoMBI 
      is a feasible treatment model for challenging behavior in patients with BPSD and 
      CMPT. CoMBI is associated with a significant decrease in challenging behaviors 
      regardless of etiology.Clinical implications: Focusing on personality and 
      associated core needs could have a key role in the non-pharmacological treatment 
      of the elderly with BPSD.
FAU - Ekiz, Erol
AU  - Ekiz E
AUID- ORCID: 0000-0001-7143-5157
AD  - PersonaCura, Clinical Center of Excellence for Personality Disorders and Autism 
      in Older Adults, GGz Breburg, Tilburg, The Netherlands.
AD  - Tranzo Department, Tilburg University, Tilburg, The Netherlands.
FAU - Videler, Arjan C
AU  - Videler AC
AUID- ORCID: 0000-0002-2175-3453
AD  - PersonaCura, Clinical Center of Excellence for Personality Disorders and Autism 
      in Older Adults, GGz Breburg, Tilburg, The Netherlands.
AD  - Tranzo Department, Tilburg University, Tilburg, The Netherlands.
FAU - van Alphen, Sebastiaan P J
AU  - van Alphen SPJ
AD  - Clinical Center of Excellence for Personality Disorders in Older Adults, 
      Mondriaan Hospital, Heerlen-Maastricht, The Netherlands.
AD  - Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The 
      Netherlands.
AD  - Department of Clinical and Lifespan Psychology, Vrije Universiteit Brussel (VUB), 
      Brussels, Belgium.
LA  - eng
PT  - Journal Article
DEP - 20200414
PL  - United States
TA  - Clin Gerontol
JT  - Clinical gerontologist
JID - 8300869
SB  - IM
MH  - Aged
MH  - Cognition
MH  - *Cognitive Behavioral Therapy
MH  - *Dementia/psychology
MH  - Feasibility Studies
MH  - Humans
MH  - Personality
OTO - NOTNLM
OT  - CoMBI
OT  - behavioral therapyI
OT  - bpsd
OT  - caregiver
OT  - dementia
OT  - disruptive behavior
OT  - neurocognitive disorders
OT  - non-pharmacological intervention
OT  - older adults
OT  - personality
EDAT- 2020/04/15 06:00
MHDA- 2022/06/18 06:00
CRDT- 2020/04/15 06:00
PHST- 2020/04/15 06:00 [pubmed]
PHST- 2022/06/18 06:00 [medline]
PHST- 2020/04/15 06:00 [entrez]
AID - 10.1080/07317115.2020.1740904 [doi]
PST - ppublish
SO  - Clin Gerontol. 2022 Jul-Sep;45(4):903-914. doi: 10.1080/07317115.2020.1740904. 
      Epub 2020 Apr 14.