{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:50:12Z","timestamp":1791496212847,"version":"4.3.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004271","name":"Sapienza Universit\u00e0 di Roma","doi-asserted-by":"publisher","award":["Avvio alla Ricerca - Tipo 1 2023"],"award-info":[{"award-number":["Avvio alla Ricerca - Tipo 1 2023"]}],"id":[{"id":"10.13039\/501100004271","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Neuropsychiatric symptoms (NPS) are among the most challenging manifestations of dementia. Currently available assessment tools often fail to fully capture their complexity. Thus, novel approaches are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The present study aimed to explore the application of a diary-based assessment of NPS in patients with dementia attending a memory clinic and compare this novel approach with the Neuropsychiatric Inventory (NPI) in terms of scores, time efficiency, and influence of potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All consecutive outpatients with dementia and NPS attending the Center for Cognitive Disorders and Dementia, Sapienza University of Rome, were considered for enrollment. Caregivers completed a specially designed NPS diary for one month. Subsequently, a standard NPI (sNPI) was administered, and two diary-based NPIs (dNPI-R1 and dNPI-R2) were independently reconstructed by trained raters. Scores were compared using repeated-measures ANOVA and Cochran's Q test. Multivariate regression models were conducted to examine the impact of covariates. In addition, the NPS diary was qualitatively analyzed, and caregivers provided structured feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty patient-caregiver dyads completed the study procedures. The sNPI yielded higher scores and longer administration time than dNPIs. Diary-based assessments showed high inter-rater reliability and were less influenced by caregiver burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The NPS diary offered an ecological, caregiver stress-resistant, reliable, time-efficient, and feasible evaluation of NPS. It allowed a detailed description of NPS, including temporal fluctuations, triggers, and resolution strategies. Integration of this complementary modality with standard evaluations allows a more comprehensive assessment of NPS in dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261443922","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T14:32:38Z","timestamp":1776954758000},"page":"1663-1675","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A diary-based approach to improve neuropsychiatric symptom assessment in dementia: A cross-sectional comparison with the neuropsychiatric inventory"],"prefix":"10.1177","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1336-0932","authenticated-orcid":false,"given":"Marco","family":"Toccaceli Blasi","sequence":"first","affiliation":[{"name":"Sapienza University"},{"name":"Barcelona\u03b2eta Brain Research Center (BBRC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Salzillo","sequence":"additional","affiliation":[{"name":"Sapienza University"},{"name":"Dementia Research Centre, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Buscarnera","sequence":"additional","affiliation":[{"name":"Sapienza University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Nuti","sequence":"additional","affiliation":[{"name":"Sapienza University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Stanziale","sequence":"additional","affiliation":[{"name":"Sapienza University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Pecorari","sequence":"additional","affiliation":[{"name":"Sapienza University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daria Agata","family":"Ottone","sequence":"additional","affiliation":[{"name":"Sapienza University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0029-0645","authenticated-orcid":false,"given":"Emanuela","family":"Salati","sequence":"additional","affiliation":[{"name":"Sapienza University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0898-5938","authenticated-orcid":false,"given":"Fabrizia","family":"D\u2019Antonio","sequence":"additional","affiliation":[{"name":"Sapienza University"},{"name":"IRCCS Fondazione Santa Lucia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7333-6478","authenticated-orcid":false,"given":"Marco","family":"Canevelli","sequence":"additional","affiliation":[{"name":"Sapienza University"},{"name":"Karolinska Institutet and Stockholm University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6948-7169","authenticated-orcid":false,"given":"Giuseppe","family":"Bruno","sequence":"additional","affiliation":[{"name":"Sapienza University"},{"name":"IRCCS Fondazione Santa Lucia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2012.00073"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2011.05.2410"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(200004)15:1 <S2::AID-GPS159>3.0.CO;2-3"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.12.1475"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.843088"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000137689"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/alz.70079"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2023.1263771"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.48.5_Suppl_6.10S"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/frdem.2023.1226060"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S63504"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2017.01.012"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/138255891007056"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2016.00073"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.7748\/ns.29.44.36.e9251"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.1992.00369.x"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1327"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.310.6992.1469"},{"key":"e_1_3_3_20_2","first-page":"237","article-title":"Home blood pressure monitoring","volume":"104","author":"Weinfeld JM","year":"2021","unstructured":"Weinfeld JM, Hart KM, Vargas JD. 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