{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T03:42:53Z","timestamp":1773027773994,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,11,23]],"date-time":"2014-11-23T00:00:00Z","timestamp":1416700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The behavioural and psychological symptoms of dementia (<jats:styled-content style=\"fixed-case\">BPSD<\/jats:styled-content>) caused by <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer's disease (<jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>) can burden caregivers. Group homes (<jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content>), small nursing homes, for the elderly with dementia are institutions commonly run by the public long\u2010term care insurance system in <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan. The purpose of this study was to compare the prevalence of <jats:styled-content style=\"fixed-case\">BPSD<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>, as evaluated by the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ehavioural <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>athology in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer's <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>isease <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>ating <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale, between <jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> patients and community residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 74 patients with <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content> were enrolled: 37 were patients institutionalized in <jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>achinski score &lt; 5) and 37 were demographic\u2010matched community residents undergoing treatment at the <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>saki\u2010<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>ajiri <jats:styled-content style=\"fixed-case\">SKIP C<\/jats:styled-content>enter. There were no significant differences in mean age (81.4 vs 81.1 years, <jats:italic>P<\/jats:italic> = 0.816), mean educational level (7.7 vs 8.0 years, <jats:italic>P<\/jats:italic> = 0.497), sex (women\/men: 30\/7 vs 30\/7, <jats:italic>P<\/jats:italic> = 1.000) and mean <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ini\u2010<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tate <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>xamination scores (14.1 vs 14.1, <jats:italic>P<\/jats:italic> = 0.950) between the two groups. Care level (range: 0.5\u20135.0, slight to bedridden), activities of daily living care level (range: 1\u20137, almost normal to severe), and the presence or absence <jats:styled-content style=\"fixed-case\">BPSD<\/jats:styled-content> based on the domains of the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ehavioural <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>athology in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer's <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>isease <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>ating <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> patients had a significantly higher care level (<jats:italic>P<\/jats:italic> &lt; 0.05) and activities of daily living care level (<jats:italic>P<\/jats:italic> &lt; 0.05) but had fewer symptoms of <jats:styled-content style=\"fixed-case\">BPSD<\/jats:styled-content> (<jats:italic>P<\/jats:italic> &lt; 0.05) than community residents. When the activities of daily living care level was controlled, <jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> patients had significantly fewer symptoms than community residents in Aggressiveness (21% vs 50%; \u03c7<jats:sup>2<\/jats:sup> = 4.5, <jats:italic>P<\/jats:italic> = 0.035), Affective disturbances (13% vs 42%; \u03c7<jats:sup>2<\/jats:sup> = 5.1, <jats:italic>P<\/jats:italic> = 0.023), and Anxieties and phobias (4% vs 46%; \u03c7<jats:sup>2<\/jats:sup> = 11.1, <jats:italic>P<\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> run by the long\u2010term care insurance system appear to be effective in improving environmental factors for moderate <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content> patients and reducing <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ggressiveness, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ffective disturbances, and <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nxieties and phobias.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12079","type":"journal-article","created":{"date-parts":[[2014,11,24]],"date-time":"2014-11-24T03:35:53Z","timestamp":1416800153000},"page":"102-108","source":"Crossref","is-referenced-by-count":12,"title":["<scp>A<\/scp>lzheimer's disease patients institutionalized in group homes run by long\u2010term care insurance exhibit fewer symptoms of behavioural problems as evaluated by the <scp>B<\/scp>ehavioural <scp>P<\/scp>athology in <scp>A<\/scp>lzheimer's <scp>D<\/scp>isease <scp>R<\/scp>ating <scp>S<\/scp>cale"],"prefix":"10.1111","volume":"15","author":[{"given":"Mari","family":"Kasai","sequence":"first","affiliation":[{"name":"Division of Geriatric Behavioral Neurology CYRIC Tohoku University  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichi","family":"Meguro","sequence":"additional","affiliation":[{"name":"Division of Geriatric Behavioral Neurology CYRIC Tohoku University  Sendai Japan"},{"name":"The Osaki\u2010Tajiri SKIP Center  Osaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoko","family":"Akanuma","sequence":"additional","affiliation":[{"name":"Division of Geriatric Behavioral Neurology CYRIC Tohoku University  Sendai Japan"},{"name":"The Osaki\u2010Tajiri SKIP Center  Osaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"The Osaki\u2010Tajiri SKIP Center  Osaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"From home page of Ministry of Health Labor and Welfare in Japan.Long\u2010term care insurance in Japan.2002. 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