Severity of Neuropsychiatric Symptoms in Nursing Home Residents

Anne Sofie Helvik, Knut Engedal, Bei Wu, Jurate Šaltyte Benth, Kirsten Corazzini, Irene Røen, Geir Selbæk

Research output: Contribution to journalArticle

Abstract

We aimed at assessing time shift in the severity of neuropsychiatric symptoms (NPS) in nursing home residents between 2004/2005 and 2010/2011 and associations between NPS and socio-demographic variables, physical health status, dementia severity, and the use of psychotropic drugs. The Neuropsychiatric Inventory Nursing Home Version was used in 2004/2005 (n = 1,163) and 2010/2011 (n = 1,858). Linear mixed model analysis was applied. There was no time shift in the severity of apathy, psychosis, and affective symptoms, but agitation did exhibit a time shift. Agitation was less severe in 2010/2011 than in 2004/2005 in residents with a Clinical Dementia Rating (CDR) sum of boxes score ≤4, and more severe in residents with a CDR sum of boxes score >16. Higher CDR sum of boxes scores and use of psychotropic medication were associated with more severe apathy, agitation, psychosis, and affective symptoms. Poor physical health was associated with more severe apathy, psychosis, and affective symptoms. Women had more severe agitation and less severe affective symptoms than men. A longer stay in a nursing home was associated with more severe agitation and less severe affective symptoms. In conclusion, agitation was less severe in 2010/2011 than in 2004/2005 among nursing home residents with a milder degree of dementia, and more severe in residents with severe dementia.

Original languageEnglish (US)
Pages (from-to)28-42
Number of pages15
JournalDementia and Geriatric Cognitive Disorders Extra
Volume6
Issue number1
DOIs
StatePublished - Jan 1 2016

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Keywords

  • Neuropsychiatric Inventory Nursing Home Version
  • Neuropsychiatric symptoms
  • Nursing home

ASJC Scopus subject areas

  • Cognitive Neuroscience
  • Psychiatry and Mental health

Cite this

Helvik, A. S., Engedal, K., Wu, B., Benth, J. Š., Corazzini, K., Røen, I., & Selbæk, G. (2016). Severity of Neuropsychiatric Symptoms in Nursing Home Residents. Dementia and Geriatric Cognitive Disorders Extra, 6(1), 28-42. https://doi.org/10.1159/000442250