Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. Export

@article{citeulike:550104, abstract = {OBJECTIVE: The authors systematically reviewed the literature on psychological approaches to treating the neuropsychiatric symptoms of dementia. METHOD: Reports of studies that examined effects of any therapy derived from a psychological approach that satisfied prespecified criteria were reviewed. Data were extracted, the quality of each study was rated, and an overall rating was given to each study by using the Oxford Centre for Evidence-Based Medicine criteria. RESULTS: A total of 1,632 studies were identified, and 162 satisfied the inclusion criteria for the review. Specific types of psychoeducation for caregivers about managing neuropsychiatric symptoms were effective treatments whose benefits lasted for months, but other caregiver interventions were not. Behavioral management techniques that are centered on individual patients' behavior or on caregiver behavior had similar benefits, as did cognitive stimulation. Music therapy and Snoezelen, and possibly sensory stimulation, were useful during the treatment session but had no longer-term effects; interventions that changed the visual environment looked promising, but more research is needed. CONCLUSIONS: Only behavior management therapies, specific types of caregiver and residential care staff education, and possibly cognitive stimulation appear to have lasting effectiveness for the management of dementia-associated neuropsychiatric symptoms. Lack of evidence regarding other therapies is not evidence of lack of efficacy. Conclusions are limited because of the paucity of high-quality research (only nine level-1 studies were identified). More high-quality investigation is needed.}, author = {Livingston, Gill and Johnston, Kate and Katona, Cornelius and Paton, Joni and Lyketsos, Constantine G. and {Old Age Task Force of the World Federation of Biological Psychiatry}}, citeulike-article-id = {550104}, citeulike-linkout-0 = {http://dx.doi.org/10.1176/appi.ajp.162.11.1996}, citeulike-linkout-1 = {http://ajp.psychiatryonline.org/cgi/content/abstract/162/11/1996}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/16263837}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=16263837}, citeulike-linkout-4 = {http://ajp.psychiatryonline.org/cgi/reprint/162/11/1996}, day = {1}, doi = {10.1176/appi.ajp.162.11.1996}, issn = {0002-953X}, journal = {The American journal of psychiatry}, keywords = {dementie, geriatrie, neuropsychiatrie, psychologie}, month = {November}, number = {11}, pages = {1996--2021}, posted-at = {2009-07-24 18:53:05}, priority = {2}, title = {Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia.}, url = {http://dx.doi.org/10.1176/appi.ajp.162.11.1996}, volume = {162}, year = {2005} }

TY - JOUR ID - citeulike:550104 L3 - citeulike-article-id:550104 N2 - OBJECTIVE: The authors systematically reviewed the literature on psychological approaches to treating the neuropsychiatric symptoms of dementia. METHOD: Reports of studies that examined effects of any therapy derived from a psychological approach that satisfied prespecified criteria were reviewed. Data were extracted, the quality of each study was rated, and an overall rating was given to each study by using the Oxford Centre for Evidence-Based Medicine criteria. RESULTS: A total of 1,632 studies were identified, and 162 satisfied the inclusion criteria for the review. Specific types of psychoeducation for caregivers about managing neuropsychiatric symptoms were effective treatments whose benefits lasted for months, but other caregiver interventions were not. Behavioral management techniques that are centered on individual patients' behavior or on caregiver behavior had similar benefits, as did cognitive stimulation. Music therapy and Snoezelen, and possibly sensory stimulation, were useful during the treatment session but had no longer-term effects; interventions that changed the visual environment looked promising, but more research is needed. CONCLUSIONS: Only behavior management therapies, specific types of caregiver and residential care staff education, and possibly cognitive stimulation appear to have lasting effectiveness for the management of dementia-associated neuropsychiatric symptoms. Lack of evidence regarding other therapies is not evidence of lack of efficacy. Conclusions are limited because of the paucity of high-quality research (only nine level-1 studies were identified). More high-quality investigation is needed. IS - 11 JF - The American journal of psychiatry SN - 0002-953X EP - 2021 TI - Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. VL - 162 SP - 1996 KW - dementie KW - geriatrie KW - neuropsychiatrie KW - psychologie AU - Livingston, Gill AU - Johnston, Kate AU - Katona, Cornelius AU - Paton, Joni AU - Lyketsos, Constantine PY - 2005/11/01/ UR - http://dx.doi.org/10.1176/appi.ajp.162.11.1996 ER -