Psychiatric symptoms and nursing home placement of patients with Alzheimer's disease
Abstract
Two hundred ten community-dwelling patients with Alzheimer's disease were examined prospectively by psychiatrists as part of a longitudinal study. Twenty-five of these patients who were institutionalized during the next 3 years were then matched to 25 patients who were not institutionalized, and the groups were compared. The patients who had been institutionalized had higher scores on standardized psychiatric rating scales but not on formal neuropsychological tests of cognition. These results suggest that potentially treatable (noncognitive) behavioral and psychiatric symptoms are risk factors for institutionalization, and that treating these symptoms might delay or prevent institutionalization of some patients.
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- Authors
- Steele, C., Rovner, B. W., Chase, G. A., & Folstein, M.
- Affiliations
- Johns Hopkins University (US)
- ORCID
- Barry W. Rovner
- Venue
- American Journal of Psychiatry
- Published
- 1990-08-01
- Volume
- 147
- Issue
- 8
- Pages
- 1049-1051
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1688235741
- Cited by
- 744
- References
- 15
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 12 · 2023: 9 · 2022: 9 · 2021: 12 · 2020: 9 · 2019: 13 · 2018: 19 · 2017: 17 · 2016: 28 · 2015: 19 · 2014: 19 · 2013: 21 · 2012: 29
- FWCI
- 9.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (P50AG005146, AG 05146)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- Alzheimer's disease, psychiatric symptoms, behavioral symptoms, nursing home admission, institutionalization, community-dwelling patients, risk factors, neuropsychological assessment, cognitive function, longitudinal follow-up
- MeSH terms
- Aged, Alzheimer Disease, Mental Disorders, Female, Humans, Institutionalization, Male, Neuropsychological Tests, Nursing Homes, Probability, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors
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