The Impact of Behavioral and Psychological Symptoms of Dementia on Individual's Autonomy: a Scoping Review.

IF 2.1 4区心理学 Q2 PSYCHOLOGY

Archives of Clinical Neuropsychology Pub Date : 2024-10-23 DOI:10.1093/arclin/acae097

Valeska Maria Eboli Bello Delineau, Ana Rita Ferreira, Ligia Passos, Lia Fernandes

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Abstract

The purpose of this study was to identify, map, summarize, and clarify the existing literature on the effects of behavioral and psychological symptoms of dementia (BPSD) an individual's autonomy across all types of dementia diagnoses. The study aimed to determine whether there is a correlation between BPSD and a decrease in a person's autonomy, as this relationship is important for improving dementia care through effective interventions. To achieve this goal, a scoping review was conducted using the Joanna Briggs Institute's methodology for scoping reviews and the PRISMA extension for scoping reviews checklist. The inclusion criteria were: (i) population: participants with a clinical diagnosis of any type of dementia; (ii) concept: examining the relationship between one or more neuropsychiatric symptoms or BPSD and the individual's autonomy; (iii) context: the progress of any type and any stage of dementia. The database search yielded 74 records, of which 41 fully met the pre-established eligibility criteria. Most studies in this review focused on participants with Alzheimer's disease and analysed their functional abilities. Most studies in this review showed significant outcomes regarding the impact of BPSD on a person's autonomy. The main BPSD investigated in the studies were depression, apathy, irritability, agitation, aggression, disinhibition, and lability. Apathy had a recurrent association with reduced autonomy in persons with dementia, while depression and psychosis were also found to have an impact on individuals' autonomy.

查看原文本刊更多论文

痴呆症的行为和心理症状对个人自主性的影响：范围界定综述》（The Impact of Behavioral and Psychological Symptoms of Dementia on Individual's Autonomy: a Scoping Review）。

本研究的目的是识别、绘制、总结和澄清现有文献中关于痴呆症的行为和心理症状（BPSD）对所有类型痴呆症诊断中个人自主性的影响。该研究旨在确定行为和心理症状与患者自主性下降之间是否存在相关性，因为这种关系对于通过有效干预改善痴呆症护理非常重要。为了实现这一目标，我们采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的范围界定综述方法和 PRISMA 扩展范围界定综述核对表进行了范围界定综述。纳入标准为(i) 人群：临床诊断为任何类型痴呆症的参与者；(ii) 概念：研究一种或多种神经精神症状或 BPSD 与个人自主性之间的关系；(iii) 背景：任何类型和任何阶段痴呆症的进展。数据库搜索共获得 74 条记录，其中 41 条完全符合预先设定的资格标准。本综述中的大多数研究侧重于阿尔茨海默氏症患者，并分析了他们的功能能力。本综述中的大多数研究都显示出 BPSD 对患者自主性影响的重要结果。研究中调查的主要 BPSD 包括抑郁、冷漠、易激惹、激动、攻击性、抑制和易变。在痴呆症患者中，冷漠与自主性降低有反复关联，而抑郁和精神病也会对患者的自主性产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Clinical Neuropsychology 医学-心理学

CiteScore

4.60

自引率

7.70%

发文量

358

审稿时长

6-12 weeks

期刊介绍： The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.