Evidence map›Paper›PMID 33803277›Full record

ReviewPharmaceuticals (Basel, Switzerland)2021

Behavioral and Psychological Symptoms in Dementia (BPSD) and the Use of Antipsychotics.

Valeria Calsolaro, Grazia Daniela Femminella, Sara Rogani, Salvatore Esposito, Riccardo Franchi, Chukwuma Okoye, Giuseppe Rengo, Fabio Monzani

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
6.0field-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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  9. Brexpiprazole for the Treatment of Agitation Associated with Dementia due to Alzheimer's Disease: Clinical Perspectives.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
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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

8 authors at 3 institutions in 1 country.

Valeria CalsolaroGeriatrics Unit, Department of Clinical & Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Grazia Daniela FemminellaDivision of Geriatrics, Department of Translational Medical Sciences, Federico II University of Naples, 80138 Naples, Italy.
Sara RoganiGeriatrics Unit, Department of Clinical & Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Salvatore EspositoDivision of Geriatrics, Department of Translational Medical Sciences, Federico II University of Naples, 80138 Naples, Italy.
Riccardo FranchiGeriatrics Unit, Department of Clinical & Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Chukwuma OkoyeGeriatrics Unit, Department of Clinical & Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Giuseppe RengoDivision of Geriatrics, Department of Translational Medical Sciences, Federico II University of Naples, 80138 Naples, Italy.ORCID 0000-0002-9701-0437
Fabio MonzaniGeriatrics Unit, Department of Clinical & Experimental Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0003-1676-098X
University of Pisa · ITUniversity of Naples Federico II · ITIstituti Clinici Scientifici Maugeri · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dementia affects about 47 million people worldwide, number expected to exponentially increase within 30 years. Alzheimer's disease (AD) is the most common dementia type, accounting on its own for almost 70% of all dementia cases. Behavioral and psychological symptoms (BPSD) frequently occur during the disease progression; to treat agitation, aggressiveness, delusions and hallucinations, the use of antipsychotic drugs should be limited, due to their safety issues. In this literature review regarding the use of antipsychotics for treating BPSD in dementia, the advantages and limitation of antipsychotic drugs have been evaluated. The available medications for the management of behavioral and psychological symptoms are the antipsychotics, classed into typical and atypical, depending on their action on dopamine and serotonin receptors. First generation, or typical, antipsychotics exhibit lack of tolerability and display a broad range of side effects such as sedation, anticholinergic effects and extrapyramidal symptoms. Atypical, or second generation, antipsychotics bind more selectively to dopamine receptors and simultaneously block serotonin receptors, resulting in higher tolerability. High attention should be paid to the management of therapy interruption or switch between antipsychotics, to limit the possible rebound effect. Several switching strategies may be adopted, and clinicians should "tailor" therapies, accounting for patients' symptoms, comorbidities, polytherapies and frailty.

Indexed as

atypical antipsychoticsbehavioral and psychological symptoms of dementia (BPSD)dementiafrailtytypical antipsychotics

Identifiers

PMID33803277
PMCPMC8002184
OpenAlexW3134078792

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.