Psychosocial treatments of behavior symptoms in dementia: A systematic review of reports meeting quality standards

DSpace/Manakin Repository

Search OPUS

Advanced Search


My Account

Show simple item record O'connor, D Ames, D Gardner, B King, MT 2010-05-28T09:56:19Z 2009-01
dc.identifier.citation International Psychogeriatrics, 2009, 21 (2), pp. 225 - 240
dc.identifier.issn 1041-6102
dc.identifier.other C1 en_US
dc.description.abstract Objective: To provide a systematic review of selected experimental studies of psychosocial treatments of behavioral disturbances in dementia. Psychosocial treatments are defined here as strategies derived from one of three psychologically oriented paradigms (learning theory, unmet needs and altered stress thresholds). Method: English language reports published or in press by December 2006 were identified by means of database searches, checks of previous reviews and contact with recognized experts. Papers were appraised with respect to study design, participants' characteristics and reporting details. Because people with dementia often respond positively to personal contact, studies were included only if control conditions entailed similar levels of social attention or if one treatment was compared with another. Results: Only 25 of 118 relevant studies met every specification. Treatment proved more effective than an attention control condition in reducing behavioral symptoms in only 11 of the 25 studies. Effect sizes were mostly small or moderate. Treatments with moderate or large effect sizes included aromatherapy, ability-focused carer education, bed baths, preferred music and muscle relaxation training. Conclusions: Some psychosocial interventions appear to have specific therapeutic properties, over and above those due to the benefits of participating in a clinical trial. Their effects were mostly small to moderate with a short duration of action. This limited action means that treatments will work best in specific, time-limited situations. In the few studies that addressed within-group differences, there were marked variations in response. Some participants benefited greatly from a treatment, while others did not. Interventions proved more effective when tailored to individuals' preferences.
dc.publisher Cambridge
dc.relation.isbasedon 10.1017/S1041610208007588
dc.title Psychosocial treatments of behavior symptoms in dementia: A systematic review of reports meeting quality standards
dc.type Journal Article
dc.parent International Psychogeriatrics
dc.journal.volume 2
dc.journal.volume 21
dc.journal.number 2 en_US
dc.publocation United Kingdom en_US
dc.identifier.startpage 225 en_US
dc.identifier.endpage 240 en_US BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1103 Clinical Sciences
dc.personcode 020118
dc.percentage 100 en_US Clinical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords dementia, behavior, treatment, evidence, systematic review en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
utslib.copyright.status Open Access 2015-04-15 12:23:47.074767+10
utslib.collection.history General (ID: 2)

Files in this item

This item appears in the following Collection(s)

Show simple item record