Impact of underlying depression on treatment of neuropsychiatric symptoms in older adults with dementia

Research in Gerontological Nursing
Linda BuettnerWilliam N Dudley

Abstract

This article examines the moderating effect of depression on interdisciplinary treatment approaches for behaviors in dementia. A secondary analysis of data collected on tailored treatment of 105 long-term care residents with dementia found a significant relationship between treatment and passivity (p < 0.001), treatment and agitation (p = 0.001), and the mediating effect of change in passivity on change in agitation (p < 0.001). The moderating effect of depression was found as a significant factor. For participants with depression and agitation, a significant change in passive behavior was related to significant change in agitated behavior. Thus, by focusing treatment on passivity, both types of neuropsychiatric behaviors improved. The implications of thoroughly assessing not only a behavior problem such as agitation but also other neuropsychiatric symptoms that complicate the delivery of the intervention are discussed.

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Citations

Dec 24, 2016·JBI Database of Systematic Reviews and Implementation Reports·Catherine TraversElizabeth Beattie
Oct 19, 2016·Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring·Jordan Elliott-KingEef Hogervorst
Mar 31, 2019·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Sandipan BhattacharjeeWilliam J Burke

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