{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:34:43Z","timestamp":1787236483408,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,12,22]],"date-time":"2015-12-22T00:00:00Z","timestamp":1450742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Various eating\u2010related problems are commonly observed among people with dementia, and these problems place a huge burden on the caregivers. An appropriate classification of these problems is important in order to understand their underlying mechanisms and to develop a therapeutic approach for managing them. The aim of this study was to develop a possible classification of eating\u2010related problems and to reveal the background factors affecting each of these problems across various conditions causing dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The participants were 208 institutionalized patients with a diagnosis of dementia. Care staff were asked to report all kinds of eating\u2010related problems that they observed. After the nurses' responses were analyzed, 24 items relating to eating\u2010related problems were extracted. A factor analysis of these 24 items was conducted, followed by a logistic regression analysis to investigate the independent variables that most affected each of the eating\u2010related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four factors were obtained. Factor 1 was overeating, factor 2 was swallowing problems, factor 3 was decrease in appetite, and factor 4 was obsession with food. Each factor was associated with different background variables, including Mini\u2010Mental State Examination scores, Clinical Dementia Ratings, and neuropsychiatric symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that eating\u2010related problems are common across conditions causing dementia and should be separately considered in order to understand their underlying mechanisms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pcn.12375","type":"journal-article","created":{"date-parts":[[2015,11,10]],"date-time":"2015-11-10T23:24:49Z","timestamp":1447197889000},"page":"175-181","source":"Crossref","is-referenced-by-count":24,"title":["Classifying eating\u2010related problems among institutionalized people with dementia"],"prefix":"10.1111","volume":"70","author":[{"given":"Shunichiro","family":"Shinagawa","sequence":"first","affiliation":[{"name":"Department of Psychiatry Jikei University School of Medicine  Tokyo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry, Graduate School of Medical Science Kumamoto University  Kumamoto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuo","family":"Kashibayashi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Rehabilitation Nishi\u2010Harima Hospital  Hyogo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazue","family":"Shigenobu","sequence":"additional","affiliation":[{"name":"Asakayama General Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department 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