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Review
. 2015 Jul 3:8:181-5.
doi: 10.2147/PRBM.S44775. eCollection 2015.

Dealing with behavioral and psychological symptoms of dementia: a general overview

Majda Azermai  1
Affiliations
Review

Dealing with behavioral and psychological symptoms of dementia: a general overview

Majda Azermai. Psychol Res Behav Manag. .

Abstract

Dealing with the behavioral and psychological symptoms of dementia (BPSD) is often complex. Given the controversy with regard to antipsychotics for behavioral problems in people with dementia, there has been a renewed emphasis on nonpharmacological interventions, with progress in the design of the relevant studies. Potential nonpharmacological interventions for BPSD are: cognitive training/stimulation, rehabilitative care, activities of daily living, music therapy, massage/touch, physical activity, education/training of professionals, and education and psychosocial support of informal caregivers. Use of antipsychotics in the management of BPSD is controversial due to limited efficacy and the risk of serious adverse effects, but credible alternatives remain scarce. The problem of chronic use of antipsychotics in nursing homes should be tackled. Discontinuation of antipsychotic medication in older individuals with BPSD appears to be feasible. Discontinuation efforts are needed to differentiate between patients for whom antipsychotics have no added value and patients for whom the benefits outweigh the risks.

Keywords: behavioral symptoms; dementia; interventions; nonpharmacological intervention; psychological symptoms.

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References

    1. Prince M, Jackson J, editors. World Alzheimer Report. London, UK: Alzheimer Disease International; 2009. [Accessed October 27, 2014]. Available from: http://www.alz.co.uk/research/files/WorldAlzheimerReport.pdf.
    1. Petrovic M, Hurt C, Collins D, et al. Clustering of behavioural and psychological symptoms in dementia (BPSD): a European Alzheimer’s Disease Consortium (EADC) study. Acta Clin Belg. 2007;62:426–432. - PubMed
    1. Lyketsos CG, Steinberg M, Tschanz JT, Norton MC, Steffens DC, Breitner JC. Mental and behavioral disturbances in dementia: findings from the Cache County Study on Memory in Aging. Am J Psychiatry. 2000;157:708–714. - PubMed
    1. Aguero-Torres H, Von Strauss E, Viitanen M, Winblad B, Fratiglioni L. Institutionalization in the elderly: the role of chronic diseases and dementia. Cross-sectional and longitudinal data from a population-based study. J Clin Epidemiol. 2001;54:795–801. - PubMed
    1. Azermai M, Petrovic M, Elseviers MM, Bourgeois J, Van Bortel LM, Vander Stichele RH. Systematic appraisal of dementia guidelines on the management of behavioural and psychological symptoms. Ageing Res Rev. 2012;11:78–86. - PubMed