Evidence map›Paper›PMID 35128762›Full record

SynthesisPsychogeriatrics : the official journal of the Japanese Psychogeriatric Society2022

The Effects of COVID-19 lockdown on neuropsychiatric symptoms in patients with dementia or mild cognitive impairment: A systematic review and meta-analysis.

Pinar Soysal, Lee Smith, Mike Trott, Panagiotis Alexopoulos, Mario Barbagallo, Semen Gokce Tan, Ai Koyanagi, Susan Shenkin, Nicola Veronese, European Society of Geriatric Medicine Special Interest Group in Dementia and Systematic Reviews and Meta-Analyses

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Agitation in dementia: Evidence-based consensus recommendations.Journal of the Chinese Medical Association : JCMA · 2026
    Review
  4. Observational
  5. Article
  6. Updates and future perspectives on neuropsychiatric symptoms in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  7. A Community-Based Study of Cognitive Impairment Caregiving Outcomes Pre- and During the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Italian guidance on Dementia Day Care Centres: A position paper.Aging clinical and experimental research · 2023
    Review
  16. Article
  17. Observational
  18. Article
  19. Article
  20. 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

10 authors at 7 institutions in 7 countries.

Pinar SoysalDepartment of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-6042-1718
Lee SmithCambridge Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Mike TrottCambridge Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Panagiotis AlexopoulosDepartment of Psychiatry, Patras University General Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
Mario BarbagalloGeriatric Unit, Department of Medicine, University of Palermo, Palermo, Italy.
Semen Gokce TanDepartment of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain.
Susan ShenkinGeriatric Medicine Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.
Nicola VeroneseDepartment of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
European Society of Geriatric Medicine Special Interest Group in Dementia and Systematic Reviews and Meta-Analyses
Bezmiâlem Vakıf Üniversitesi · TRUniversity of Palermo · ITAnglia Ruskin University · GBHealth First · USInstitució Catalana de Recerca i Estudis Avançats · ESUniversity of Edinburgh · GBUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic may have a disproportionate impact on people with dementia/mild cognitive impairment (MCI) due to isolation and loss of services. The aim of this systematic review was to investigate the effects of the COVID-19 lockdown on neuropsychiatric symptoms (NPS) in people living with dementia/MCI. Two authors searched major electronic databases from inception to June 2021 for observational studies investigating COVID-19 and NPS in people with dementia/MCI. Summary estimates of mean differences in NPS scores pre- versus post-COVID-19 were calculated using a random-effects model, weighting cases using inverse variance. Study quality and risk of bias were assessed by the Newcastle-Ottawa Scale. From 2730 citations, 21 studies including 7139 patients (60.0% female, mean age 75.6 ± 7.9 years, 4.0% MCI) with dementia were evaluated in the review. Five studies found no changes in NPS, but in all other studies, an increase in at least one NPS or the pre-pandemic Neuropsychiatric Inventory (NPI) score was found. The most common aggravated NPS were depression, anxiety, agitation, irritability, and apathy during lockdown, but 66.7% of the studies had a high bias. Seven studies including 420 patients (22.1% MCI) yielded enough data to be included in the meta-analysis. The mean follow-up time was 5.9 ± 1.5 weeks. The pooled increase in NPI score before compared to during COVID-19 was 3.85 (95% CI:0.43 to 7.27; P = 0.03; I

Indexed as

Cognitive DysfunctionCOVID-19DementiaAgedAged, 80 and overCommunicable Disease ControlFemaleHumansMaleNeuropsychological TestsPandemicsCOVID-19dementiamild cognitive impairment neuropsychiatric symptoms

Identifiers

PMID35128762
PMCPMC9115368
OpenAlexW4210455512

What OpenQuestion holds

Textmetadata
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.