The impact of auditory hallucinations on "living well" with dementia: Findings from the IDEAL programme.

Saved in:
Bibliographic Details
Title: The impact of auditory hallucinations on "living well" with dementia: Findings from the IDEAL programme.
Authors: Choi, Aaron (AUTHOR), Ballard, Clive (AUTHOR), Martyr, Anthony (AUTHOR), Collins, Rachel (AUTHOR), Morris, Robin G. (AUTHOR), Clare, Linda (AUTHOR), IDEAL programme team (CORPORATE AUTHOR)
Source: International Journal of Geriatric Psychiatry. Sep2021, Vol. 36 Issue 9, p1370-1377. 8p.
Subjects: World Health Organization, Auditory hallucinations, Dementia, Life satisfaction, Psychotic depression, Quality of life, Burden of care
Abstract: Objective: To determine whether auditory hallucinations in community-dwelling people with dementia (PwD) living in the community impacted on quality of life (QoL), subjective wellbeing and life satisfaction.Design: Cross-sectional cohort study.Settings and Participants: 1251 community-dwelling PwD and caregivers were included in this study.Measures: Neuropsychiatric Inventory Questionnaire completed by caregiver interview. Mean differences between the absence and presence of auditory hallucinations were compared to scores on three validated measures of living well: QoL in Alzheimer's disease scale (QoL-AD), World Health Organization-Five Well-being Index and Satisfaction with Life Scale. Analysis of covariance determined the confounding contributions of cognition via Mini-Mental State Examination, depression via Geriatric Depression Scale-10, caregiver stress via Relative Stress Scale and whether antipsychotic drugs were prescribed.Results: Auditory hallucinations were associated with lower scores for QoL (p < 0.001, η2  = 0.01), wellbeing (p < 0.001, η2  = 0.02) and life satisfaction (p < 0.001, η2  = 0.01). After controlling for background measures, which were potential confounds, the relationship between auditory hallucinations and QoL (p = 0.04, pη2  = 0.01) and wellbeing (p < 0.000, pη2  = 0.02) remained significant but there was no significant association with life satisfaction.Conclusion: Auditory hallucinations are associated with lower QoL and wellbeing in PwD living in the community. This has implications for targeted therapies in PwD with psychotic symptoms. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Description
Abstract:<bold>Objective: </bold>To determine whether auditory hallucinations in community-dwelling people with dementia (PwD) living in the community impacted on quality of life (QoL), subjective wellbeing and life satisfaction.<bold>Design: </bold>Cross-sectional cohort study.<bold>Settings and Participants: </bold>1251 community-dwelling PwD and caregivers were included in this study.<bold>Measures: </bold>Neuropsychiatric Inventory Questionnaire completed by caregiver interview. Mean differences between the absence and presence of auditory hallucinations were compared to scores on three validated measures of living well: QoL in Alzheimer's disease scale (QoL-AD), World Health Organization-Five Well-being Index and Satisfaction with Life Scale. Analysis of covariance determined the confounding contributions of cognition via Mini-Mental State Examination, depression via Geriatric Depression Scale-10, caregiver stress via Relative Stress Scale and whether antipsychotic drugs were prescribed.<bold>Results: </bold>Auditory hallucinations were associated with lower scores for QoL (p < 0.001, η2  = 0.01), wellbeing (p < 0.001, η2  = 0.02) and life satisfaction (p < 0.001, η2  = 0.01). After controlling for background measures, which were potential confounds, the relationship between auditory hallucinations and QoL (p = 0.04, pη2  = 0.01) and wellbeing (p < 0.000, pη2  = 0.02) remained significant but there was no significant association with life satisfaction.<bold>Conclusion: </bold>Auditory hallucinations are associated with lower QoL and wellbeing in PwD living in the community. This has implications for targeted therapies in PwD with psychotic symptoms. [ABSTRACT FROM AUTHOR]
ISSN:08856230
DOI:10.1002/gps.5533