A pilot study of differences in behavioral and psychological symptoms of dementia in nursing home residents in Sydney and Shanghai
Background: There are limited cross-cultural studies of behavioral and psychological symptoms of dementia (BPSD). The aim of the present study was to increase understanding of the effects of culture on BPSD by comparing the rates of BPSD in nursing home residents across three residential facility ty...
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| Veröffentlicht in: | International psychogeriatrics 2009-06, Vol.21 (3), p.476-484 |
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| creator | Wu, Helen Zong Ying Low, Lee-Fay Xiao, Shifu Brodaty, Henry |
| description | Background: There are limited cross-cultural studies of behavioral and psychological symptoms of dementia (BPSD). The aim of the present study was to increase understanding of the effects of culture on BPSD by comparing the rates of BPSD in nursing home residents across three residential facility types: (1) mainstream nursing homes in Sydney, (2) ethno-specific Chinese nursing homes in Sydney, and (3) a long-term high care facility in Shanghai known as a dementia hospital. Methods: 149 residents and their caregivers voluntarily participated in this study. The rates and levels of BPSD were assessed by interviewing staff with the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH). Clinical interviews using the Mini-mental State Examination (MMSE) and Global Deterioration Scale (GDS) were conducted with residents to assess dementia severity. Results: The mean NPI-NH total score for the sample was 28.5 (SD = 17.2) with no significant differences across the three facility types. Comparison of NPI-NH subscales showed residents from the ethno-specific Chinese facilities had lower rates of hallucinations than Shanghai residents (p = 0.003), but no differences from those in mainstream facilities. Shanghai residents had lower frequencies of disinhibition and irritability than ethno-specific Chinese residents (p = 0.003, p = 0.004 respectively), but no differences with mainstream residents. Conclusion: The prevalence of BPSD does not differ among nursing home populations of different cultural backgrounds. Longitudinal community studies among different cultural groups would better elucidate the effects of culture on BPSD at different stages of dementia. |
| doi_str_mv | 10.1017/S1041610209008643 |
| format | Article |
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The aim of the present study was to increase understanding of the effects of culture on BPSD by comparing the rates of BPSD in nursing home residents across three residential facility types: (1) mainstream nursing homes in Sydney, (2) ethno-specific Chinese nursing homes in Sydney, and (3) a long-term high care facility in Shanghai known as a dementia hospital. Methods: 149 residents and their caregivers voluntarily participated in this study. The rates and levels of BPSD were assessed by interviewing staff with the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH). Clinical interviews using the Mini-mental State Examination (MMSE) and Global Deterioration Scale (GDS) were conducted with residents to assess dementia severity. Results: The mean NPI-NH total score for the sample was 28.5 (SD = 17.2) with no significant differences across the three facility types. Comparison of NPI-NH subscales showed residents from the ethno-specific Chinese facilities had lower rates of hallucinations than Shanghai residents (p = 0.003), but no differences from those in mainstream facilities. Shanghai residents had lower frequencies of disinhibition and irritability than ethno-specific Chinese residents (p = 0.003, p = 0.004 respectively), but no differences with mainstream residents. Conclusion: The prevalence of BPSD does not differ among nursing home populations of different cultural backgrounds. Longitudinal community studies among different cultural groups would better elucidate the effects of culture on BPSD at different stages of dementia.</description><identifier>ISSN: 1041-6102</identifier><identifier>EISSN: 1741-203X</identifier><identifier>DOI: 10.1017/S1041610209008643</identifier><identifier>PMID: 19257917</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult and adolescent clinical studies ; Aged, 80 and over ; Asian Continental Ancestry Group - statistics & numerical data ; Australia - epidemiology ; Behavioral psychology ; Behavioral Symptoms - diagnosis ; Behavioral Symptoms - epidemiology ; Biological and medical sciences ; Caregivers - psychology ; Caregivers - statistics & numerical data ; China - epidemiology ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Cross-Cultural Comparison ; Cultural differences ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Dementia - diagnosis ; Dementia - epidemiology ; Dementia - psychology ; Female ; Geriatric psychology ; Geriatrics ; Humans ; Male ; Medical sciences ; Neurology ; Neuropsychological Tests ; Nursing homes ; Nursing Homes - classification ; Nursing Homes - statistics & numerical data ; Organic mental disorders. Neuropsychology ; Pilot Projects ; Prevalence ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Severity of Illness Index</subject><ispartof>International psychogeriatrics, 2009-06, Vol.21 (3), p.476-484</ispartof><rights>Copyright © International Psychogeriatric Association 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-8d434c4c12a3819243e1a646edeb36b9d61e309862dbefeb239dfa7a83ebc2c93</citedby><cites>FETCH-LOGICAL-c497t-8d434c4c12a3819243e1a646edeb36b9d61e309862dbefeb239dfa7a83ebc2c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1041610209008643/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,12846,27924,27925,30999,55628</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21432684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19257917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Helen Zong Ying</creatorcontrib><creatorcontrib>Low, Lee-Fay</creatorcontrib><creatorcontrib>Xiao, Shifu</creatorcontrib><creatorcontrib>Brodaty, Henry</creatorcontrib><title>A pilot study of differences in behavioral and psychological symptoms of dementia in nursing home residents in Sydney and Shanghai</title><title>International psychogeriatrics</title><addtitle>Int Psychogeriatr</addtitle><description>Background: There are limited cross-cultural studies of behavioral and psychological symptoms of dementia (BPSD). The aim of the present study was to increase understanding of the effects of culture on BPSD by comparing the rates of BPSD in nursing home residents across three residential facility types: (1) mainstream nursing homes in Sydney, (2) ethno-specific Chinese nursing homes in Sydney, and (3) a long-term high care facility in Shanghai known as a dementia hospital. Methods: 149 residents and their caregivers voluntarily participated in this study. The rates and levels of BPSD were assessed by interviewing staff with the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH). Clinical interviews using the Mini-mental State Examination (MMSE) and Global Deterioration Scale (GDS) were conducted with residents to assess dementia severity. Results: The mean NPI-NH total score for the sample was 28.5 (SD = 17.2) with no significant differences across the three facility types. Comparison of NPI-NH subscales showed residents from the ethno-specific Chinese facilities had lower rates of hallucinations than Shanghai residents (p = 0.003), but no differences from those in mainstream facilities. Shanghai residents had lower frequencies of disinhibition and irritability than ethno-specific Chinese residents (p = 0.003, p = 0.004 respectively), but no differences with mainstream residents. Conclusion: The prevalence of BPSD does not differ among nursing home populations of different cultural backgrounds. Longitudinal community studies among different cultural groups would better elucidate the effects of culture on BPSD at different stages of dementia.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged, 80 and over</subject><subject>Asian Continental Ancestry Group - statistics & numerical data</subject><subject>Australia - epidemiology</subject><subject>Behavioral psychology</subject><subject>Behavioral Symptoms - diagnosis</subject><subject>Behavioral Symptoms - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Caregivers - psychology</subject><subject>Caregivers - statistics & numerical data</subject><subject>China - epidemiology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cross-Cultural Comparison</subject><subject>Cultural differences</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Dementia - diagnosis</subject><subject>Dementia - epidemiology</subject><subject>Dementia - psychology</subject><subject>Female</subject><subject>Geriatric psychology</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Nursing homes</subject><subject>Nursing Homes - classification</subject><subject>Nursing Homes - statistics & numerical data</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Pilot Projects</subject><subject>Prevalence</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Psychiatry</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Helen Zong Ying</creatorcontrib><creatorcontrib>Low, Lee-Fay</creatorcontrib><creatorcontrib>Xiao, Shifu</creatorcontrib><creatorcontrib>Brodaty, Henry</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database (ProQuest)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International psychogeriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Helen Zong Ying</au><au>Low, Lee-Fay</au><au>Xiao, Shifu</au><au>Brodaty, Henry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pilot study of differences in behavioral and psychological symptoms of dementia in nursing home residents in Sydney and Shanghai</atitle><jtitle>International psychogeriatrics</jtitle><addtitle>Int Psychogeriatr</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>21</volume><issue>3</issue><spage>476</spage><epage>484</epage><pages>476-484</pages><issn>1041-6102</issn><eissn>1741-203X</eissn><abstract>Background: There are limited cross-cultural studies of behavioral and psychological symptoms of dementia (BPSD). The aim of the present study was to increase understanding of the effects of culture on BPSD by comparing the rates of BPSD in nursing home residents across three residential facility types: (1) mainstream nursing homes in Sydney, (2) ethno-specific Chinese nursing homes in Sydney, and (3) a long-term high care facility in Shanghai known as a dementia hospital. Methods: 149 residents and their caregivers voluntarily participated in this study. The rates and levels of BPSD were assessed by interviewing staff with the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH). Clinical interviews using the Mini-mental State Examination (MMSE) and Global Deterioration Scale (GDS) were conducted with residents to assess dementia severity. Results: The mean NPI-NH total score for the sample was 28.5 (SD = 17.2) with no significant differences across the three facility types. Comparison of NPI-NH subscales showed residents from the ethno-specific Chinese facilities had lower rates of hallucinations than Shanghai residents (p = 0.003), but no differences from those in mainstream facilities. Shanghai residents had lower frequencies of disinhibition and irritability than ethno-specific Chinese residents (p = 0.003, p = 0.004 respectively), but no differences with mainstream residents. Conclusion: The prevalence of BPSD does not differ among nursing home populations of different cultural backgrounds. Longitudinal community studies among different cultural groups would better elucidate the effects of culture on BPSD at different stages of dementia.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19257917</pmid><doi>10.1017/S1041610209008643</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult and adolescent clinical studies Aged, 80 and over Asian Continental Ancestry Group - statistics & numerical data Australia - epidemiology Behavioral psychology Behavioral Symptoms - diagnosis Behavioral Symptoms - epidemiology Biological and medical sciences Caregivers - psychology Caregivers - statistics & numerical data China - epidemiology Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cross-Cultural Comparison Cultural differences Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia Dementia - diagnosis Dementia - epidemiology Dementia - psychology Female Geriatric psychology Geriatrics Humans Male Medical sciences Neurology Neuropsychological Tests Nursing homes Nursing Homes - classification Nursing Homes - statistics & numerical data Organic mental disorders. Neuropsychology Pilot Projects Prevalence Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Severity of Illness Index |
| title | A pilot study of differences in behavioral and psychological symptoms of dementia in nursing home residents in Sydney and Shanghai |
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