Evidence map›Paper›PMID 29689719›Full record

ArticleJournal of Alzheimer's disease : JAD2018

The Behavioral and Psychological Symptoms of Dementia in Down Syndrome (BPSD-DS) Scale: Comprehensive Assessment of Psychopathology in Down Syndrome.

Alain D Dekker, Silvia Sacco, Angelo Carfi, Bessy Benejam, Yannick Vermeiren, Gonny Beugelsdijk, Mieke Schippers, Lyanne Hassefras, José Eleveld, Sharina Grefelman and 16 more

Open access · bronzeAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 3% of its field
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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Article
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  9. AT(N) biomarker profiles and Alzheimer's disease symptomology in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Article
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  12. Article
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  14. Delusion of Pregnancy in Down Syndrome: Two Case Reports.International journal of environmental research and public health · 2022
    Article
  15. Review
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  17. Article
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  19. Article
  20. Astrocytes in Down Syndrome Across the Lifespan.Frontiers in cellular neuroscience · 2021
    Review
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

26 authors at 10 institutions in 6 countries.

Alain D DekkerDepartment of Neurology and Alzheimer Research Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Silvia SaccoInstitut Jérôme Lejeune, Paris, France.
Angelo CarfiDepartment of Geriatrics, Policlinico Gemelli, Universitá Cattolica del Sacro Cuore, Rome, Italy.
Bessy BenejamDown Medical Center, Catalan Down Syndrome Foundation, Barcelona, Spain.
Yannick VermeirenDepartment of Neurology and Alzheimer Research Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Gonny BeugelsdijkIpse de Bruggen, Center for Intellectual Disabilities, Nieuwveen/Zwammerdam, The Netherlands.
Mieke SchippersIpse de Bruggen, Center for Intellectual Disabilities, Nieuwveen/Zwammerdam, The Netherlands.
Lyanne HassefrasIpse de Bruggen, Center for Intellectual Disabilities, Nieuwveen/Zwammerdam, The Netherlands.
José EleveldCosis, Center for Intellectual Disabilities, Groningen, The Netherlands.
Sharina GrefelmanCosis, Center for Intellectual Disabilities, Groningen, The Netherlands.
Roelie FopmaTalant, Center for Intellectual Disabilities, Heerenveen, The Netherlands.
Monique Bomer-VeenboerPameijer, Center for Intellectual Disabilities, Rotterdam, The Netherlands.
Mariángeles BotiDown Medical Center, Catalan Down Syndrome Foundation, Barcelona, Spain.
G Danielle E OosterlingAveleijn, Center for Intellectual Disabilities, Borne, The Netherlands.
Esther ScholtenElver, Center for Intellectual Disabilities, Nieuw-Wehl, The Netherlands.
Marleen TollenaereLaboratory of Neurochemistry and Behaviour, Institute Born-Bunge, University of Antwerp, Wilrijk, Belgium.
Laura CheckleyDivision of Psychiatry, University College London, London, UK.
André StrydomDivision of Psychiatry, University College London, London, UK.
Gert Van GoethemHet GielsBos, Center for Intellectual Disabilities, Gierle, Belgium.
Graziano OnderDepartment of Geriatrics, Policlinico Gemelli, Universitá Cattolica del Sacro Cuore, Rome, Italy.
Rafael BlesaDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Christine Zu EulenburgDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Antonia M W CoppusDichterbij, Center for Intellectual Disabilities, Gennep, The Netherlands.
Anne-Sophie RebillatInstitut Jérôme Lejeune, Paris, France.
Juan ForteaDown Medical Center, Catalan Down Syndrome Foundation, Barcelona, Spain.
Peter P De DeynDepartment of Neurology and Alzheimer Research Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Ipse de Bruggen · NLUniversity of Antwerp · BEFondation Jérôme-Lejeune · FRUniversità Cattolica del Sacro Cuore · ITUniversity College London · GBUniversity of Groningen · NLAntwerp University Hospital · BEAveleijn · NLHospital de Sant Pau · ESUniversitat Autònoma de Barcelona · ES

Funding

Medical Research Council MR/R024901/1
6 · The paper itself

Abstract

People with Down syndrome (DS) are prone to develop Alzheimer's disease (AD). Behavioral and psychological symptoms of dementia (BPSD) are core features, but have not been comprehensively evaluated in DS. In a European multidisciplinary study, the novel Behavioral and Psychological Symptoms of Dementia in Down Syndrome (BPSD-DS) scale was developed to identify frequency and severity of behavioral changes taking account of life-long characteristic behavior. 83 behavioral items in 12 clinically defined sections were evaluated. The central aim was to identify items that change in relation to the dementia status, and thus may differentiate between diagnostic groups. Structured interviews were conducted with informants of persons with DS without dementia (DS, n = 149), with questionable dementia (DS+Q, n = 65), and with diagnosed dementia (DS+AD, n = 67). First exploratory data suggest promising interrater, test-retest, and internal consistency reliability measures. Concerning item relevance, group comparisons revealed pronounced increases in frequency and severity in items of anxiety, sleep disturbances, agitation & stereotypical behavior, aggression, apathy, depressive symptoms, and eating/drinking behavior. The proportion of individuals presenting an increase was highest in DS+AD, intermediate in DS+Q, and lowest in DS. Interestingly, among DS+Q individuals, a substantial proportion already presented increased anxiety, sleep disturbances, apathy, and depressive symptoms, suggesting that these changes occur early in the course of AD. Future efforts should optimize the scale based on current results and clinical experiences, and further study applicability, reliability, and validity. Future application of the scale in daily care may aid caregivers to understand changes, and contribute to timely interventions and adaptation of caregiving.

Indexed as

AdultAgedBehavioral SymptomsCross-Sectional StudiesDementiaDown SyndromeFemaleHumansInterviews as TopicMaleMiddle AgedNeuropsychological TestsObserver VariationReproducibility of ResultsSeverity of Illness IndexAlzheimer’s diseasebehaviorBPSDdementiaDown syndromeneuropsychiatric symptomstrisomy 21

Identifiers

PMID29689719
PMCPMC5929348
OpenAlexW2800834148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.