Dementia and Geriatric Cognitive Disorders· 2017Q2
The Determinants of Quality of Life of Nursing Home Residents with Young-Onset Dementia and the Differences between Dementia Subtypes
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- Q2SCImago
- 2017year
Short summary
Quality of life (QoL) in nursing home residents with young-onset dementia (YOD) is negatively linked to advanced dementia, psychotropic drug use (PDU), and neuropsychiatric symptoms (NPS). While these determinants generally affect QoL similarly across dementia subtypes, specific QoL aspects differ, with frontotemporal dementia (FTD) residents showing better emotional well-being, acceptance of help, and environmental comfort but poorer social relationships.
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Key points
- QoL in YOD nursing home residents is negatively associated with advanced dementia, psychotropic drug use (PDU), and neuropsychiatric symptoms (NPS).
- These determinants of QoL showed similar relationships across Alzheimer, vascular/mixed, frontotemporal, and other dementia subtypes.
- Residents with frontotemporal dementia (FTD) reported better emotional states, acceptance of help, and environmental comfort compared to other subtypes.
- FTD residents experienced lower quality social relationships despite other QoL advantages.
AI-generated from the title and abstract; the full text is not read.
Abstract
AIMS: The aims of this study are to (1) explore the determinants of quality of life (QoL) in nursing home residents with young-onset dementia (YOD), (2) investigate whether there are differences between dementia subtypes (Alzheimer dementia, vascular/mixed dementia, frontotemporal dementia, other) regarding these determinants, and (3) compare QoL profiles of YOD nursing home residents across dementia subtypes. METHODS: This cross-sectional study included 207 nursing home residents. Multilevel modeling was used to determine the relationships between QoL and neuropsychiatric symptoms (NPS), dementia severity, psychotropic drug use (PDU), dementia subtype, age, and gender. Additional multilevel models were used to compare aspects of QoL between dementia subtypes. RESULTS: Residents' QoL was negatively associated with advanced dementia, PDU, and NPS. In general, the relationships between the determinants and QoL were similar across the dementia subtypes. Aspects of QoL differed by dementia subtype. Residents with frontotemporal dementia showed less negative emotions, accepted more help and experienced better quality of relationships with professional caregivers, had a more positive self-image, felt more comfortable in the nursing home environment, and experienced lower quality of social relationships. CONCLUSIONS: Considering the high rates of NPS and PDU in YOD residents and their negative associations with QoL, we recommend emphasizing services to manage and reduce NPS and PDU in nursing home residents with YOD. Furthermore, our findings suggest accounting for differences in aspects of QoL by dementia subtype to address specific needs and thereby improve QoL.
The authors' abstract, as published at the source. Dementia and Geriatric Cognitive Disorders, 2017 · DOI ↗
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Field: Psychiatry and Mental health
Psychiatry and Mental healthMedicine