Personalized dementia care: Proven effectiveness of psychosocial interventions in subgroups

Mierlo, L. D. Van; Roest, Henriëtte van der; Meiland, Franka; Dröes, Rose-Marie

doi:10.1016/j.arr.2009.09.002

Cited by 73 publications

(50 citation statements)

References 74 publications

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“…reality orientation, procedural memory stimulation, and brief counseling) have obtained similar effects in individuals in the early stages of dementia (e.g. Bates, Boote, & Beverley, 2004;Ingersoll-Dayton et al, 2013;Van Mierlo et al, 2010). Therefore, even small pilot or feasibility studies like the current test of the PIPAC intervention are valuable.…”

Section: Discussionmentioning

confidence: 89%

Preserving Identity and Planning for Advance Care (PIPAC): preliminary outcomes from a patient-centered intervention for individuals with mild dementia

Hilgeman

Allen

Snow

et al. 2013

Aging & Mental Health

117

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Emotion-focused, patient-centered interventions like PIPAC hold promise for advancing treatment options in the early and mild stages of dementia. A full-scale, randomized clinical trial of this intervention is warranted to determine both short-term and long-term impacts on clinical outcomes including improved depressive symptomatology, quality of life, and health-related factors that impact daily functioning in social environments.

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Section: Discussionmentioning

confidence: 89%

Preserving Identity and Planning for Advance Care (PIPAC): preliminary outcomes from a patient-centered intervention for individuals with mild dementia

Hilgeman

Allen

Snow

et al. 2013

Aging & Mental Health

117

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“…The next step is to repeat the measurements and test whether the QOL changes over time with the progression of the disease. Another possibility is to examine the individual characteristics of persons with dementia that are related to QOL and follow the effects of interventions on the different domains of QOL [73]. The different domains that are relevant in QOL may respond differently to various interventions.…”

Section: Discussionmentioning

confidence: 99%

Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study

Klapwijk

Caljouw

Pieper

et al. 2016

Dement Geriatr Cogn Disord

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Background: To determine which characteristics are associated with quality of life (QOL) in residents with moderate to very severe dementia in long-term care facilities (LTCFs). Material and Methods: This was a cross-sectional analysis of a cluster randomized controlled study in 12 Dutch LTCFs that enrolled 288 residents, with moderate to severe dementia assessed with the Reisberg Global Deterioration Scale (Reisberg GDS) and QOL with the QUALIDEM. Characteristics that were hypothesized to be associated with the six domains of QOL (applicable to very severe dementia) included demographic variables, activities of daily living (Katz ADL), cognitive performance (Cognitive Performance Scale; CPS), pain (Pain Assessment Checklist for Seniors with Limited Ability to Communicate; PACSLAC-D), neuropsychiatric symptoms (Neuropsychiatric Inventory-Nursing Home Version; NPI-NH) and comorbidities. Results: Multivariate logistic regression modelling showed associations with age in the domain Social isolation [odds ratio, OR, 0.95 (95% confidence interval, CI, 0.91-0.99)], ADL level in the domain Positive affect [OR 0.89 (95% CI 0.83-0.95)] and the domain Social relations [OR 0.87 (95% CI 0.81-0.93)], severity of dementia in the domain Social relations [OR 0.28 (95% CI 0.12-0.62)] and in the domain Social isolation [OR 2.10 (95% CI 1.17-3.78)], psychiatric disorders in the domain Positive affect [OR 0.39 (95% CI 0.17-0.87)] and pulmonary diseases in the domain Negative affect [OR 0.14 (95% CI 0.03-0.61)] of the QUALIDEM. Neuropsychiatric symptoms were independently associated with all six domains of the QUALIDEM [OR 0.93 (95% CI 0.90-0.96) to OR 0.97 (95% CI 0.95-0.99)]. Pain was associated with the domains Care relationship [OR 0.92 (95% CI 0.84-1.00)] and Negative affect [OR 0.92 (95% CI 0.85-1.00)]. Conclusion: QOL in dementia is independently associated with age, ADL, dementia severity, pain, psychiatric disorders, pulmonary diseases and neuropsychiatric symptoms. It is possible to detect persons with dementia at risk for a lower QOL. This information is important for developing personalized interventions to improve QOL in persons with dementia in LTCFs.

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“…Psychosocial adaptation is diagnostically and prognostically connected to neurological diseases [68], brain injury [69], aging, dementia and old age psychiatry [70]–[72], mental illness [73]–[76], ADHD and child/adolescent psychiatry [77]–[81], bipolar disorder and depression [82], schizophrenia [83]–[86] and epilepsy [87]–[88], to cite some examples. Neuropsychological and neurological assessments dominate the current neuropsychological and neuropsychiatric literature, but psychosocial considerations, in both the normal and the psychiatric/neurological population, are important.…”

Section: Introductionmentioning

confidence: 99%

Fluid Intelligence and Psychosocial Outcome: From Logical Problem Solving to Social Adaptation

et al. 2011

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BackgroundWhile fluid intelligence has proved to be central to executive functioning, logical reasoning and other frontal functions, the role of this ability in psychosocial adaptation has not been well characterized.Methodology/Principal FindingsA random-probabilistic sample of 2370 secondary school students completed measures of fluid intelligence (Raven's Progressive Matrices, RPM) and several measures of psychological adaptation: bullying (Delaware Bullying Questionnaire), domestic abuse of adolescents (Conflict Tactic Scale), drug intake (ONUDD), self-esteem (Rosenberg's Self Esteem Scale) and the Perceived Mental Health Scale (Spanish adaptation).Lower fluid intelligence scores were associated with physical violence, both in the role of victim and victimizer. Drug intake, especially cannabis, cocaine and inhalants and lower self-esteem were also associated with lower fluid intelligence. Finally, scores on the perceived mental health assessment were better when fluid intelligence scores were higher.Conclusions/SignificanceOur results show evidence of a strong association between psychosocial adaptation and fluid intelligence, suggesting that the latter is not only central to executive functioning but also forms part of a more general capacity for adaptation to social contexts.

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Personalized dementia care: Proven effectiveness of psychosocial interventions in subgroups

Cited by 73 publications

References 74 publications

Preserving Identity and Planning for Advance Care (PIPAC): preliminary outcomes from a patient-centered intervention for individuals with mild dementia

Preserving Identity and Planning for Advance Care (PIPAC): preliminary outcomes from a patient-centered intervention for individuals with mild dementia

Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study

Fluid Intelligence and Psychosocial Outcome: From Logical Problem Solving to Social Adaptation

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