International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Aug 2014
Randomized Controlled TrialEfficacy of pain treatment on mood syndrome in patients with dementia: a randomized clinical trial.
Depression is common in nursing home (NH) patients with dementia, and often clustered with anxiety and other mood symptoms. An association between pain and depressive symptoms has been reported, but the impact of pain management on depression and other mood symptoms has not been investigated. ⋯ Mood symptoms including depression significantly improved with pain treatment, emphasizing the importance of more rigorous treatment of pain in agitated people with dementia. Findings have potentially immediate clinical relevance.
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Int J Geriatr Psychiatry · Feb 2014
Randomized Controlled TrialCost-effectiveness of a stepped care programme to prevent depression and anxiety in residents in homes for the older people: a randomised controlled trial.
Depression and anxiety are common in residents of elderly homes. Both disorders have negative effects on functioning, well-being and health-care utilisation. Besides treatment, prevention can be an option to reduce the burden of mental disorders. The objective of this study was to evaluate the cost-effectiveness of a stepped care programme to prevent the onset of depression and anxiety disorders in residents of elderly homes compared with usual care from a societal perspective. ⋯ A stepped care programme to prevent depression and anxiety in older people living in elderly homes was not considered cost-effective in comparison with usual care.
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Int J Geriatr Psychiatry · Dec 2013
Randomized Controlled Trial Multicenter StudyProviding activity for people with dementia in care homes: a cluster randomised controlled trial.
Activity levels remain low in care homes, but activity engagement can enhance residents' quality of life. ⋯ The results may be related to the following: wide variability in how the intervention was implemented, such as low staff attendance at the education and coaching sessions, and patchy provision of additional activities to residents; or the residents' severity of dementia or the choice of outcome measures. Future studies need to pay more attention to process measures such as implementation and fidelity strategies, and outcome measures that better capture the focus of the intervention such as level of engagement and activity.
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Int J Geriatr Psychiatry · Oct 2013
Randomized Controlled TrialThe effect of music therapy compared with general recreational activities in reducing agitation in people with dementia: a randomised controlled trial.
This study aimed to compare the effects of music therapy with general recreational day activities in reducing agitation in people with dementia, residing in nursing home facilities. ⋯ Both music therapy and recreational activities lead to a short-term decrease in agitation, but there was no additional beneficial effect of music therapy over general activities. More research is required to provide insight in the effects of music therapy in reducing agitation in demented older people.
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Int J Geriatr Psychiatry · Nov 2012
Randomized Controlled TrialSpecialist mental health consultation for depression in Australian aged care residents with dementia: a cluster randomized trial.
This cluster randomized controlled trial sought to determine whether multidisciplinary specialist mental health consultation was more effective than care as usual in treating the depression of aged care residents with dementia. ⋯ The results of this study suggest that the psychosocial and medical management of depressed aged care residents can be improved by increasing access to specialist mental health consultation.