Publication

Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission

van den Brink, A., Gerritsen, D. L., de Valk, M. M. H., Oude Voshaar, R. & Koopmans, R., 2-Jan-2020, In : AGING & MENTAL HEALTH. 24, 1, p. 155-161 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

van den Brink, A., Gerritsen, D. L., de Valk, M. M. H., Oude Voshaar, R., & Koopmans, R. (2020). Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission. AGING & MENTAL HEALTH, 24(1), 155-161. https://doi.org/10.1080/13607863.2018.1531384

Author

van den Brink, Anne ; Gerritsen, Debby L ; de Valk, Miranda M H ; Oude Voshaar, Richard ; Koopmans, Raymond. / Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission. In: AGING & MENTAL HEALTH. 2020 ; Vol. 24, No. 1. pp. 155-161.

Harvard

van den Brink, A, Gerritsen, DL, de Valk, MMH, Oude Voshaar, R & Koopmans, R 2020, 'Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission', AGING & MENTAL HEALTH, vol. 24, no. 1, pp. 155-161. https://doi.org/10.1080/13607863.2018.1531384

Standard

Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission. / van den Brink, Anne; Gerritsen, Debby L; de Valk, Miranda M H; Oude Voshaar, Richard; Koopmans, Raymond.

In: AGING & MENTAL HEALTH, Vol. 24, No. 1, 02.01.2020, p. 155-161.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

van den Brink A, Gerritsen DL, de Valk MMH, Oude Voshaar R, Koopmans R. Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission. AGING & MENTAL HEALTH. 2020 Jan 2;24(1):155-161. https://doi.org/10.1080/13607863.2018.1531384


BibTeX

@article{efa486a318ef4b0da364c1ded9818188,
title = "Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission",
abstract = "Objective: Aging societies will bring an increase in the number of long-term care patients with mental-physical multimorbidity (MPM). This paper aimed to describe the natural course of neuropsychiatric symptoms (NPS) in patients with MPM in the first 8 months after admission to a geronto-psychiatric nursing home (GP-NH) unit. Methods: Longitudinal cohort study among 63 patients with MPM no dementia living in 17 GP-NH units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, and brief neuropsychological testing, among which our primary outcome measure the Neuropsychiatric Inventory (NPI). Descriptive and bivariate analyses were conducted. Results: Our study showed a significant increase of the NPI total score (from 25.3 to 29.3, p = 0.045), and the total scores of a NPI hyperactivity cluster (from 9.7 to 11.8, p = 0.039), and a NPI mood/apathy cluster (from 7.7 to 10.1, p = 0.008). Just over 95{\%} had any clinically relevant symptom at baseline and/or six months later, of which irritability was the most prevalent and persistent symptom and the symptom with the highest incidence. Hyperactivity was the most prevalent and persistent symptom cluster. Also, depression had a high persistence. Conclusions: Our results indicate the omnipresence of NPS of which most were found to be persistent. Therefore, we recommend to explore opportunities to reduce NPS in NH patients with MPM, such as creating a therapeutic milieu, educating the staff, and evaluating patient's psychotropic drug use.",
keywords = "CAMBERWELL ASSESSMENT, DEMENTIA, INVENTORY, NEED, PREVALENCE, RESIDENTS, CARE, RELIABILITY, PEOPLE, STATE",
author = "{van den Brink}, Anne and Gerritsen, {Debby L} and {de Valk}, {Miranda M H} and {Oude Voshaar}, Richard and Raymond Koopmans",
year = "2020",
month = "1",
day = "2",
doi = "10.1080/13607863.2018.1531384",
language = "English",
volume = "24",
pages = "155--161",
journal = "AGING & MENTAL HEALTH",
issn = "1360-7863",
publisher = "ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD",
number = "1",

}

RIS

TY - JOUR

T1 - Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission

AU - van den Brink, Anne

AU - Gerritsen, Debby L

AU - de Valk, Miranda M H

AU - Oude Voshaar, Richard

AU - Koopmans, Raymond

PY - 2020/1/2

Y1 - 2020/1/2

N2 - Objective: Aging societies will bring an increase in the number of long-term care patients with mental-physical multimorbidity (MPM). This paper aimed to describe the natural course of neuropsychiatric symptoms (NPS) in patients with MPM in the first 8 months after admission to a geronto-psychiatric nursing home (GP-NH) unit. Methods: Longitudinal cohort study among 63 patients with MPM no dementia living in 17 GP-NH units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, and brief neuropsychological testing, among which our primary outcome measure the Neuropsychiatric Inventory (NPI). Descriptive and bivariate analyses were conducted. Results: Our study showed a significant increase of the NPI total score (from 25.3 to 29.3, p = 0.045), and the total scores of a NPI hyperactivity cluster (from 9.7 to 11.8, p = 0.039), and a NPI mood/apathy cluster (from 7.7 to 10.1, p = 0.008). Just over 95% had any clinically relevant symptom at baseline and/or six months later, of which irritability was the most prevalent and persistent symptom and the symptom with the highest incidence. Hyperactivity was the most prevalent and persistent symptom cluster. Also, depression had a high persistence. Conclusions: Our results indicate the omnipresence of NPS of which most were found to be persistent. Therefore, we recommend to explore opportunities to reduce NPS in NH patients with MPM, such as creating a therapeutic milieu, educating the staff, and evaluating patient's psychotropic drug use.

AB - Objective: Aging societies will bring an increase in the number of long-term care patients with mental-physical multimorbidity (MPM). This paper aimed to describe the natural course of neuropsychiatric symptoms (NPS) in patients with MPM in the first 8 months after admission to a geronto-psychiatric nursing home (GP-NH) unit. Methods: Longitudinal cohort study among 63 patients with MPM no dementia living in 17 GP-NH units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, and brief neuropsychological testing, among which our primary outcome measure the Neuropsychiatric Inventory (NPI). Descriptive and bivariate analyses were conducted. Results: Our study showed a significant increase of the NPI total score (from 25.3 to 29.3, p = 0.045), and the total scores of a NPI hyperactivity cluster (from 9.7 to 11.8, p = 0.039), and a NPI mood/apathy cluster (from 7.7 to 10.1, p = 0.008). Just over 95% had any clinically relevant symptom at baseline and/or six months later, of which irritability was the most prevalent and persistent symptom and the symptom with the highest incidence. Hyperactivity was the most prevalent and persistent symptom cluster. Also, depression had a high persistence. Conclusions: Our results indicate the omnipresence of NPS of which most were found to be persistent. Therefore, we recommend to explore opportunities to reduce NPS in NH patients with MPM, such as creating a therapeutic milieu, educating the staff, and evaluating patient's psychotropic drug use.

KW - CAMBERWELL ASSESSMENT

KW - DEMENTIA

KW - INVENTORY

KW - NEED

KW - PREVALENCE

KW - RESIDENTS

KW - CARE

KW - RELIABILITY

KW - PEOPLE

KW - STATE

U2 - 10.1080/13607863.2018.1531384

DO - 10.1080/13607863.2018.1531384

M3 - Article

VL - 24

SP - 155

EP - 161

JO - AGING & MENTAL HEALTH

JF - AGING & MENTAL HEALTH

SN - 1360-7863

IS - 1

ER -

ID: 81735753