{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:59:15Z","timestamp":1788785955386,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T00:00:00Z","timestamp":1624838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004737","name":"National Health Research Institutes","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Behavioral and psychological symptoms of dementia (BPSD) are important predictors for institutional placement, caregiver distress and depression for patients with dementia. We aim to investigate BPSD in institutional residents with dementia in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a nationwide study surveying institutional residents in Taiwan. Institutional residents from 22 counties and cities in Taiwan were recruited and analyzed in our study. We recorded demographic data, severity of dementia and disability, presence of BPSD, and past medical history of institutional residents in Taiwan. We recorded the characteristics of BPSD and analyzed the possible risks of BPSD in residents with dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 4722 institutional residents were recruited and analyzed in our study. The prevalence of dementia was 87.2% (4119 residents). Among residents with dementia, 1546 (37.5%) had presented BPSD in the past 3 months. The most frequent three types of BPSD were nighttime behavior (17.9%), resistance against care (13.4%) and depression (12.9%). Old age, female gender, and lower MMSE (Mini\u2010Mental State Examination) scores were associated with BPSD. Moderate dementia (OR\u00a0=\u00a01.73, 95% CI\u00a0=\u00a01.30\u20132.31) and mild activities of daily living (ADL) dependence (OR\u00a0=\u00a02.13, 95% CI\u00a0=\u00a01.06\u20134.27) increased the risks of BPSD. Reviews of past medical history showed that orthopedic disease, eye disease, genitourinary disease, dementia, psychiatric disorder and intellectual disability were associated with increasing risks of BPSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      We concluded that moderate dementia and mild ADL dependence increased the risks of BPSD in institutional residents with dementia.\n                      <jats:bold>Geriatr Gerontol Int 2021; 21: 718\u2013724<\/jats:bold>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.14220","type":"journal-article","created":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T21:45:42Z","timestamp":1624916742000},"page":"718-724","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Behavioral and psychological symptoms in institutional residents with dementia in Taiwan"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3952-7718","authenticated-orcid":false,"given":"Sun\u2010Wung","family":"Hsieh","sequence":"first","affiliation":[{"name":"Department of Neurology, Kaohsiung Municipal SiaoGang Hospital Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Neurology, Kaohsiung Medical University Hospital Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Neuroscience Research Center Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling\u2010Chun","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kaohsiung Medical University Hospital Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Neuroscience Research Center Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Neurology, Kaohsiung Municipal Ta\u2010Tung Hospital Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsung\u2010Jen","family":"Hsieh","sequence":"additional","affiliation":[{"name":"School of Medicine I\u2010Shou University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Fen","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Population Health Sciences National Health Research Institutes  Miaoli Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Cheng","family":"Hsu","sequence":"additional","affiliation":[{"name":"Institute of Population Health Sciences National Health Research Institutes  Miaoli Taiwan"},{"name":"Department of Family Medicine Min\u2010Sheng General Hospital  Taoyuan Taiwan"},{"name":"Department of Health Services Administration China Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1699-4842","authenticated-orcid":false,"given":"Yuan\u2010Han","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kaohsiung Medical University Hospital Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Neuroscience Research Center Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Neurology, Kaohsiung Municipal Ta\u2010Tung Hospital Kaohsiung Medical University Hospital  Kaohsiung Taiwan"},{"name":"Department of and Master's Program in Neurology, Faculty of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Chinese Mentality Protection Association  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610215000848"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.05.016"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2012.00073"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610216000922"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2003.30103.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2011.04.009"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610216001654"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2058"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000339729"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb04998.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.1.52"},{"key":"e_1_2_7_13_1","unstructured":"Alzheimer's Society.Low Expectations: Attitudes on Choice Care and Community for People with Dementia in Care Homes. 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