UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

A systematic review of the relationship between behavioral and psychological symptoms (BPSD) and caregiver well-being

Feast, A; Moniz-Cook, E; Stoner, C; Charlesworth, G; Orrell, M; (2016) A systematic review of the relationship between behavioral and psychological symptoms (BPSD) and caregiver well-being. International Psychogeriatrics , 28 (11) pp. 1761-1774. 10.1017/S1041610216000922. Green open access

[img]
Preview
Text
A systematic review of the relationship between BPSD and caregiver wellbeing_resubmission.pdf - Accepted version

Download (721kB) | Preview

Abstract

BACKGROUND: Behavioral and psychological symptoms in dementia (BPSD) are important predictors of institutionalization as well as caregiver burden and depression. Previous reviews have tended to group BPSD as one category with little focus on the role of the individual symptoms. This review investigates the role of the individual symptoms of BPSD in relation to the impact on different measures of family caregiver well-being. METHODS: Systematic review and meta-analysis of papers published in English between 1980 and December 2015 reporting which BPSD affect caregiver well-being. Paper quality was appraised using the Downs and Black Checklist (1998). RESULTS: Forty medium and high quality quantitative papers met the inclusion criteria, 16 were suitable to be included in a meta-analysis of mean distress scores. Depressive behaviors were the most distressing for caregivers followed by agitation/aggression and apathy. Euphoria was the least distressing. Correlation coefficients between mean total behavior scores and mean distress scores were pooled for four studies. Irritability, aberrant motor behavior and delusions were the most strongly correlated to distress, disinhibition was the least correlated. CONCLUSIONS: The evidence is not conclusive as to whether some BPSD impact caregiver well-being more than others. Studies which validly examined BPSD individually were limited, and the included studies used numerous measures of BPSD and numerous measures of caregiver well-being. Future research may benefit from a consistent measure of BPSD, examining BPSD individually, and by examining the causal mechanisms by which BPSD impact well-being by including caregiver variables so that interventions can be designed to target BPSD more effectively.

Type: Article
Title: A systematic review of the relationship between behavioral and psychological symptoms (BPSD) and caregiver well-being
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S1041610216000922
Publisher version: http://dx.doi.org/10.1017/S1041610216000922
Language: English
Additional information: © International Psychogeriatric Association 2016.
Keywords: Behavioral and psychological symptoms of dementia, carer, dementia, neuropsychiatric symptoms, quality of life
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1493421
Downloads since deposit
246Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item