Evidence map›Paper›PMID 40080338›Full record

ArticleEuropean geriatric medicine2025

Prevalence of psychiatric vulnerability and neurocognitive disorders in nursing homes: impact on care levels.

Katrin Gillis, Hanne Van Herbruggen, Marianne De Witte, Lore Baeck, Melanie Elisabeth Benoit Van Bogaert, Hilde Lahaye, Linda van Diermen

Abstract read
In one paragraph

Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Katrin GillisCentre for Research and Innovation in Care, Antwerp University, Universiteitsplein 1, 2650, Wilrijk, Belgium. Katrin.gillis@uantwerpen.be.ORCID http://orcid.org/0000-0002-2258-8285
Hanne Van HerbruggenDepartment of Psychiatry, Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, Antwerp University, Campus Drie Eiken, Universiteitsplein 1, 2610, Wilrijk, Belgium.
Marianne De WitteOdisee University College, Centre for Health for People, Hospitaalstraat 23, 9100, Sint-Niklaas, Belgium.ORCID http://orcid.org/0009-0006-4922-5050
Lore BaeckOdisee University College, Centre for Health for People, Hospitaalstraat 23, 9100, Sint-Niklaas, Belgium.
Melanie Elisabeth Benoit Van BogaertOdisee University College, Centre for Health for People, Hospitaalstraat 23, 9100, Sint-Niklaas, Belgium.ORCID http://orcid.org/0009-0003-0621-0666
Hilde LahayeOdisee University College, Centre for Health for People, Hospitaalstraat 23, 9100, Sint-Niklaas, Belgium.ORCID http://orcid.org/0009-0002-6245-5249
Linda van DiermenDepartment of Psychiatry, Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, Antwerp University, Campus Drie Eiken, Universiteitsplein 1, 2610, Wilrijk, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is an increasing number of residents with more complex needs in nursing homes. Due to the deinstitutionalisation of mental health care, more individuals with psychiatric vulnerabilities are being referred to nursing homes. The aim of this study is to gain insight into the prevalence of psychiatric vulnerability in Belgian nursing homes and its impact on care levels.

methodsAfter screening 3238 patient files of residents in twenty-four Belgian nursing homes, informed consent was obtained from 1155 of the 1608 residents or their legal representatives with a neurocognitive and/or psychiatric diagnosis. Residents were classified into three groups: residents with only a psychiatric diagnosis, with only a neurocognitive diagnosis, and both a psychiatric and neurocognitive diagnosis. The Health of Nations Outcome Scale 65 + was used to assess residents' behaviour, limitations, symptoms, and functioning.

resultsOf all residents, 17.5% had a lifetime psychiatric diagnosis and 41.8% had a neurocognitive disorder. Most prevalent were depressive disorder (8.2%) and Alzheimer's disease (19.3%). Scores for behavioural problems (1.4 and 1.4 versus 0.9, p < 0.0001) and symptoms (5.5 and 5.1 versus 4.4, p < 0,0001) were higher in residents with only a psychiatric or both diagnoses compared to those with only neurocognitive disorders. Conversely, scores for limitations were higher in residents with only a neurocognitive disorder (3.6 versus 2.2 and 3.1, p < 0.0001).

conclusionWith almost 1 in 5 nursing home residents having a psychiatric vulnerability with higher levels of symptoms and behavioural problems, more attention towards improving nursing home caregivers' competence in psychiatric care is recommended.

Indexed as

Homes for the AgedMental DisordersNeurocognitive DisordersNursing HomesAgedAged, 80 and overAlzheimer DiseaseBelgiumFemaleHumansMalePrevalenceAnxietyDementiaDepressionNursing homesSubstance abuse

Identifiers

PMID40080338
PMCPMC12174251

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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.