Factors Associated with Behavioral and Psychological Symptoms of Dementia during Covid-19
Bibliographic Data
(1) Background: Preventive measures to control the spread of COVID-19 are essential, but they often cause social isolation and diminish the physical and mental health of older adults. In cognitively impaired individuals, the pandemic has worsened behavioral and psychological symptoms of dementia (BPSD). Here, we explored the factors contributing to the worsening of BPSD during the COVID-19 pandemic. (2) Methods: Potential patients were identified at a memory clinic in Japan between June 2017 and June 2021. Eligible patients had a diagnosis of mild cognitive impairment (MCI) or dementia during the study period. The outcome was BPSD, as assessed by using the Dementia Behavioral Disorders Scale. Information on patients' lifestyle habits and use of care services was obtained for use as primary explanatory variables; multiple regression analysis was performed to examine the relationship between BPSD and care services use or lifestyle habits. The model was adjusted for sociodemographic factors, and the interaction terms of the pandemic period with lifestyle and service use were included to evaluate the effects of COVID-19. (3) Results: We identified 977 participants with MCI and 1380 with dementia (MCI group: 69.8% age 75 years or older, 54.2% female; dementia group: 79.8% age 75 years or older, 64.8% female). After adjustment for possible confounders, significantly worse BPSD was demonstrated in those who used daycare services during COVID-19 (both MCI and dementia patients; p = 0.007 and p = 0.025 respectively) and in those with poor nutritional function (dementia patients; p = 0.040). (4) Conclusions and Implications: During COVID-19, poor nutritional status and use of daycare services were associated with BPSD in those with cognitive decline. These findings indicate the need to fully examine the quantity and quality of care services for people with cognitive decline during emergencies and to continue to provide effective services
2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19 · Dementia · Disease · Psychiatry · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Clinical Psychology · Dementia and Cognitive Impairment Research · Intensive Care Unit Cognitive Disorders · Long-Term Effects of COVID-19 · Medicine · Psychology · Internal Medicine · Virology
Sars Control and Psychological Effects of Quarantine, Toronto, Canada
Screening for Undernutrition in Geriatric Practice
European guideline for the diagnosis and treatment of insomnia
The diagnosis of mild cognitive impairment due to Alzheimer's disease
Validation of the Mini Nutritional Assessment short-form (MNA®-SF)
Social relationships and risk of dementia
Caregiver burden among dementia patient caregivers
Understanding, compliance and psychological impact of the Sars quarantine experience
Epidemiology of Insomnia, Depression, and Anxiety
The diagnosis of dementia due to Alzheimer's disease
Older Adults' Reasons for Using Technology while Aging in Place
Covid-19 and the consequences of isolating the elderly
“Mini-mental state”
Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia
Prevalence of Behavioral and Psychological Symptoms in Patients With Cognitive Decline Before and During the Covid-19 Pandemic
Changes in Lifestyle, Behaviors, and Risk Factors for Cognitive Impairment in Older Persons During the First Wave of the Coronavirus Disease 2019 Pandemic in Finland
Change of Use in Community Services among Disabled Older Adults during Covid-19 in Japan
Effects of Adult Day Care on Daily Stress of Caregivers
Assessment of Older People
| Highly cited | No |
|---|