{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:58:24Z","timestamp":1785437904886,"version":"3.56.0"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0790966726101943_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lewy body dementia (LBD), including Parkinson\u2019s disease dementia (PDD) and dementia with Lewy bodies (DLB), is common but under-recognised and poorly supported in the Irish healthcare system. This study evaluates the \u2018Mind and Movement Clinic\u2019 at St James\u2019s Hospital, Dublin, developed to address the needs of this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101943_as2\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To analyse the demographic, cognitive, and neuropsychiatric profiles of 99 consecutive referrals and to map the care pathway for individuals with Parkinson\u2019s disease (PD), PD with mild cognitive impairment (PD-MCI), PDD, and DLB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101943_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cohort study of the first 99 referrals to the clinic was conducted, including clinical, demographic, cognitive, motor, and neuropsychiatric data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101943_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The sample included 36 individuals with PD-MCI, 9 with PD, and 48 with LBD (11 PDD, 37 DLB). Main referral reasons were cognitive impairment (64.65%), psychotic symptoms (30.30%), and affective symptoms (44.44%). LBD patients had significantly higher rates of hallucinations (75% vs. 26.7%) and delusions (31.25% vs. 4.44%) compared to those without dementia (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Medication interventions included cholinesterase inhibitors, antidepressants, and adjustments to dopaminergic therapy. Significant service needs were reflected in referrals to 16 different services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101943_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients with LBD have complex care requirements, supporting the need for a specialised service integrating memory and movement disorder care. Development of a core outcome set for LBD and an integrated care pathway, including post-diagnostic support, is recommended in the Irish context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ipm.2026.10194","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:52:04Z","timestamp":1780397524000},"page":"1-11","source":"Crossref","is-referenced-by-count":0,"title":["The Mind and Movement clinic: developing a new integrated cognitive-neuropsychiatric service for Lewy body dementia"],"prefix":"10.1017","author":[{"given":"Panagiotis","family":"Alexopoulos","sequence":"first","affiliation":[{"name":"University of Patras; Mental Health Services, Patras University General Hospital"},{"name":"Trinity College Dublin"},{"name":"Technical University of Munich"},{"name":"Patras Dementia Day Care 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What is Parkinson\u2019s? https:\/\/www.parkinsons.ie\/understanding-parkinsons\/what-is-parkinsons\/."}],"container-title":["Irish Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0790966726101943","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:52:07Z","timestamp":1780397527000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0790966726101943\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":26,"alternative-id":["S0790966726101943"],"URL":"https:\/\/doi.org\/10.1017\/ipm.2026.10194","relation":{},"ISSN":["0790-9667","2051-6967"],"issn-type":[{"value":"0790-9667","type":"print"},{"value":"2051-6967","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]}}}