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Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence.

Publication ,  Journal Article
Kolanowski, A; Boltz, M; Galik, E; Gitlin, LN; Kales, HC; Resnick, B; Van Haitsma, KS; Knehans, A; Sutterlin, JE; Sefcik, JS; Liu, W; Nalls, V ...
Published in: Nursing outlook
September 2017

Behavioral and psychological symptoms of dementia (BPSD) are prevalent in people with neurodegenerative diseases.In this scoping review the Kales, Gitlin and Lykestos framework is used to answer the question: What high quality evidence exists for the patient, caregiver and environmental determinants of five specific BPSD: aggression, agitation, apathy, depression and psychosis?An a priori review protocol was developed; 692 of 6013 articles retrieved in the search were deemed eligible for review. Gough's Weight of Evidence Framework and the Cochrane Collaboration's tool for assessing risk of bias were used. The findings from 56 high quality/low bias articles are summarized.Each symptom had its own set of determinants, but many were common across several symptoms: neurodegeneration, type of dementia, severity of cognitive impairments, and declining functional abilities, and to a lesser extent, caregiver burden and communication.Research and policy implications are relevant to the National Plan to Address Alzheimer's Disease.

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Published In

Nursing outlook

DOI

EISSN

1528-3968

ISSN

0029-6554

Publication Date

September 2017

Volume

65

Issue

5

Start / End Page

515 / 529

Related Subject Headings

  • Psychotic Disorders
  • Psychomotor Agitation
  • Nursing
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depression
  • Dementia
  • Apathy
 

Citation

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Kolanowski, A., Boltz, M., Galik, E., Gitlin, L. N., Kales, H. C., Resnick, B., … Scerpella, D. (2017). Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence. Nursing Outlook, 65(5), 515–529. https://doi.org/10.1016/j.outlook.2017.06.006
Kolanowski, Ann, Marie Boltz, Elizabeth Galik, Laura N. Gitlin, Helen C. Kales, Barbara Resnick, Kimberly S. Van Haitsma, et al. “Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence.Nursing Outlook 65, no. 5 (September 2017): 515–29. https://doi.org/10.1016/j.outlook.2017.06.006.
Kolanowski A, Boltz M, Galik E, Gitlin LN, Kales HC, Resnick B, et al. Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence. Nursing outlook. 2017 Sep;65(5):515–29.
Kolanowski, Ann, et al. “Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence.Nursing Outlook, vol. 65, no. 5, Sept. 2017, pp. 515–29. Epmc, doi:10.1016/j.outlook.2017.06.006.
Kolanowski A, Boltz M, Galik E, Gitlin LN, Kales HC, Resnick B, Van Haitsma KS, Knehans A, Sutterlin JE, Sefcik JS, Liu W, Petrovsky DV, Massimo L, Gilmore-Bykovskyi A, MacAndrew M, Brewster G, Nalls V, Jao Y-L, Duffort N, Scerpella D. Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence. Nursing outlook. 2017 Sep;65(5):515–529.
Journal cover image

Published In

Nursing outlook

DOI

EISSN

1528-3968

ISSN

0029-6554

Publication Date

September 2017

Volume

65

Issue

5

Start / End Page

515 / 529

Related Subject Headings

  • Psychotic Disorders
  • Psychomotor Agitation
  • Nursing
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depression
  • Dementia
  • Apathy