Evidence map›Paper›PMID 25096416›Full record

SynthesisInternational psychogeriatrics2014

Assessing neuropsychiatric symptoms in people with dementia: a systematic review of measures.

Laura N Gitlin, Katherine A Marx, Ian H Stanley, Bryan R Hansen, Kimberly S Van Haitsma

Abstract readSystematic Review
In one paragraph

Synthesis in International psychogeriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Clinical Associations and Possible Risk Factors for Affective Neuropsychiatric Symptoms in Older Adults With and Without Cognitive Impairment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  10. Observational
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Validation of PARADISE 24 and Development of PARADISE-EDEN 36 in Patients with Dementia.International journal of environmental research and public health · 2022
    Article
  19. The Diagnosis of Schizophrenia Among Nursing Home Residents With ADRD: Does Race Matter?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Article
  20. Validation of a Brief Screen to Identify Persons With Dementia at Risk for Behavioral Problems.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Laura N GitlinCenter for Innovative Care in Aging,Johns Hopkins University,Baltimore,Maryland,USA.
Katherine A MarxCenter for Innovative Care in Aging,Johns Hopkins University,Baltimore,Maryland,USA.
Ian H StanleyCenter for Innovative Care in Aging,Johns Hopkins University,Baltimore,Maryland,USA.
Bryan R HansenCenter for Innovative Care in Aging,Johns Hopkins University,Baltimore,Maryland,USA.
Kimberly S Van HaitsmaPolisher Research Institute,North Wales,Pennsylvania,USA.

Funding

Reducing Agitation in Dementia Patients at Home: The Customized Activity TrialR01AG041781 · NIA · JOHNS HOPKINS UNIVERSITY · PI GITLIN, LAURA N. · 2012 to 2017
$3.3M
NIA NIH HHS R01 AG041781NIA NIH HHS R01AG041781
6 · The paper itself

Abstract

backgroundNeuropsychiatric symptoms (NPS) occur in people with dementia throughout disease course and across etiologies. NPS are associated with significant morbidities and hastened disease processes. Nevertheless, people with dementia are not systematically assessed for NPS in clinical settings. We review existing NPS measures for clinical and/or research purposes, and identify measurement gaps.

methodsWe conducted a computerized search of peer-reviewed published studies of measures (January 1, 1980-December 1, 2013) using multiple search terms. Measures selected for review were in English, had adequate psychometric properties, and were developed for or used with people with dementia. Papers describing measures were evaluated by three coders along seven characteristics: behavioral domains, number of items, method of administration, response categories, targeted population, setting, and psychometric properties.

resultsOverall, 2,233 papers were identified through search terms, and 36 papers from manual searches of references. From 2,269 papers, 85 measures were identified of which 45 (52.9%) had adequate psychometric properties and were developed or used with dementia populations. Of these, 16 (35.6%) were general measures that included a wide range of behaviors; 29 (64.4%) targeted specific behaviors (e.g. agitation). Measures differed widely as to behaviors assessed and measurement properties.

conclusionsA robust set of diverse measures exists for assessing NPS in different settings. No measures identify risk factors for behaviors or enable an evaluation of the context in which behaviors occur. To improve clinical efforts, research is needed to evaluate concordance of behavioral ratings between formal and informal caregivers, and to develop and test measures that can identify known risks for behaviors and the circumstances under which behaviors occur.

Indexed as

AgedDementiaHumansMental DisordersPsychiatric Status Rating Scales

Identifiers

PMID25096416
PMCPMC4435793

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.