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Centre for Policy on Ageing | |
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Behavioural and psychological symptoms in dementia and the challenges for family carers
— systematic review | | Author(s) | Alexandra Feast, Martin Orrell, Georgina Charlesworth |
| Journal title | British Journal of Psychiatry, vol 208, No 6, 2016 |
| Publisher | Royal College of Psychiatrists, 2016 |
| Pages | pp 429-434 (+ 14 pp Data supplement) |
| Source | http://bjp.rcpsych.org/content/early/2016/03/10/bj... |
| Keywords | Dementia ; Behaviour disorders ; Mental disorder ; Symptoms ; Family care ; Qualitative Studies ; Quantitative studies ; Literature reviews. |
| Annotation | Tailored psychosocial interventions can help families to manage behavioural and psychological symptoms in dementia (BPSD), but carer responses to their relative's behaviours contribute to the success of support programmes. The authors conducted a systematic review and meta-ethnographic synthesis of high-quality quantitative and qualitative studies between 1980 and 2012, which aimed to understand why some family carers have difficulty in dealing with BPSD, in order to improve the quality of personalised care that is offered. The authors identified 25 high-quality studies and two main reasons for behaviours being reported as challenging by family carers: changes in communication and relationships, resulting in 'feeling bereft'; and perceptions of transgressions against social norms associated with 'misunderstandings about behaviour' in the relative with dementia. The underlying belief that their relative had lost, or would inevitably lose, their identity to dementia was a fundamental reason why family carers experienced behaviour as challenging. Family carers' perceptions of BPSD as challenging are associated with a sense of a declining relationship, transgressions against social norms and underlying beliefs that people with dementia inevitably lose their 'personhood'. Interventions for the management of challenging behaviour in family settings should acknowledge unmet psychological need in family carers. The Data supplement itemises the search strategy used and the characteristics of included studies. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence. (OFFPRINT) (RH). |
| Accession Number | CPA-160510002 A |
| Classmark | EA: EP: E: CT: P6:SJ: 3DP: 3DQ: 64A * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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