{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:38:28Z","timestamp":1792013908806,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T00:00:00Z","timestamp":1704585600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT 1194084"],"award-info":[{"award-number":["GNT 1194084"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the number and severity of neuropsychiatric symptoms (NPS) and associated caregiver distress between those with and without a noted history of psychological trauma among those referred to a specialised national dementia NPS support service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a 5\u2010year retrospective observational study of records from the Dementia Support Australia NPS support service. NPS were reported by formal or informal caregivers at service entry using the Neuropsychiatric Inventory Nursing Home version or Questionnaire version. A history of psychological trauma was recorded in the person's social or medical history and\/or endorsed as a contributor to NPS by a trained dementia consultant after a comprehensive clinical review. Regression was used to examine the impact of a recorded history of psychological trauma on NPS severity and associated caregiver distress, controlling for age and sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 41,876 eligible referrals with dementia, 6% (<jats:italic>n<\/jats:italic>\u00a0=\u00a02529) had some reference in their records to a history of psychological trauma. Referrals with a recorded history of psychological trauma were rated with a higher rate of both NPS severity (mean\u00a0=\u00a012.0) and associated caregiver distress (mean\u00a0=\u00a016.5) at service entry than those without a recorded history of psychological trauma (means\u00a0=\u00a010.7 and 14.5, respectively). A recorded history of psychological trauma was associated with higher odds of psychotic symptoms, agitation\/aggression, irritability, disinhibition, affective symptoms and night\u2010time behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Traumatic stress symptoms may represent a neglected target for intervention to reduce the impact of NPS in people with dementia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.6054","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T04:49:40Z","timestamp":1704689380000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Neuropsychiatric symptoms of dementia in those with and without a recorded history of psychological trauma: A comparative study from an Australian dementia support service"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9262-0463","authenticated-orcid":false,"given":"Monica","family":"Cations","sequence":"first","affiliation":[{"name":"College of Education, Psychology and Social Work Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0837-3245","authenticated-orcid":false,"given":"Mustafa","family":"Atee","sequence":"additional","affiliation":[{"name":"The Dementia Centre HammondCare  Osborne Park Western Australia Australia"},{"name":"Faculty of Health Sciences Curtin Medical School Curtin University  Bentley Western Australia Australia"},{"name":"Faculty of Medicine and Health Sydney Pharmacy School The University of Sydney  Sydney New South Wales Australia"},{"name":"Centre for Research in Aged Care School of Nursing and Midwifery Edith Cowan University  Joondalup Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Morris","sequence":"additional","affiliation":[{"name":"The Dementia Centre HammondCare  St Leonards New South Wales Australia"},{"name":"Faculty of Medicine and Health Sydney School of Public Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Whiting","sequence":"additional","affiliation":[{"name":"The Dementia Centre HammondCare  St Leonards New South Wales 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