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BACKGROUND Psychiatric and behavioural symptoms in dementia are associated with a range of negative outcomes, including institutional placement and the widespread use of psychotropic drugs in spite of limited evidence for their efficacy. AIMS To determine the prevalence of psychiatric and behavioural symptoms and the pattern of psychotropic drug(More)
BACKGROUND Psychiatric symptoms and behavioral disturbances are highly prevalent in the residents of nursing homes. The Neuropsychiatric Inventory (NPI) is a commonly used scale for the assessment of such symptoms in diverse settings. We have conducted a study of the reliability and the validity of the Norwegian version of the NPI nursing home version(More)
BACKGROUND Pain is frequent and distressing in people with dementia, but no randomized controlled trials have evaluated the effect of analgesic treatment on pain intensity as a key outcome. METHODS Three hundred fifty-two people with dementia and significant agitation from 60 nursing home units were included in this study. These units, representing 18(More)
OBJECTIVE This study investigates the natural course of neuropsychiatric symptoms and the concomitant use of psychotropic medication among a large and representative sample of nursing-home patients with dementia. METHOD The authors performed two data collections with structured interviews in a 1-year follow-up cohort-study including 26 nursing homes in(More)
BACKGROUND Neuropsychiatric symptoms (NPS) are prevalent in nursing-home (NH) patients with dementia, but little is known about the long-term course of these symptoms. METHODS In this study, 931 NH patients with dementia took part in a prospective cohort study with four assessments over a 53-month follow-up period. NPS and level of dementia were assessed(More)
BACKGROUND Psychotropic drugs are extensively prescribed for the treatment of neuropsychiatric symptoms, despite modest efficacy and severe side effects. AIMS We examined trends in psychotropic drug prescribing in Norwegian nursing homes from 1997 to 2009, in order to gain insight in practice development. METHODS The study is a secondary data analysis(More)
BACKGROUND Nursing home patients have complex mental and physical health problems, disabilities and social needs, combined with widespread prescription of psychotropic drugs. Preservation of their quality of life is an important goal. This can only be achieved within nursing homes that offer competent clinical conditions of treatment and care.(More)
AIM The present investigation screened for depression in order to assess the prevalence of depression and to study the associated factors with depression in elderly medically hospitalised patients from a rural area in Norway. METHODS A cross-sectional study evaluated 484 (243 women) elderly medical inpatients with age range 65-101 (mean 80.7) years(More)
OBJECTIVE Mini-Mental State Examination cutoffs have been presented for schooling levels to screen cognitive impairment. However, items may behave differently with regards to education. The objective of this study was to examine the impact of education on MMSE subscales and items. METHOD Community-dwelling participants aged 65 years or more (n = 990,(More)
BACKGROUND Depression among patients in nursing homes is frequent and apparently underdiagnosed. Because depression is associated with negative outcomes, identification of groups at risk would improve the diagnosis and potentially improve the prognosis. AIM To confirm or reject the hypothesis that depression in nursing homes is associated with worse(More)