Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia

Jeannette C.L. van Duinen-van den IJssel, Ans J.M.J. Mulders, Martin Smalbrugge, Sandra A. Zwijsen, Britt Appelhof, Syste U. Zuidema, Marjolein E. de Vugt, Frans R.J. Verhey, Christian Bakker, Raymond T.C.M. Koopmans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). Design/Setting: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study. Participants: A total of 382 nursing home residents with YOD and 261 nursing home residents with LOD were included. Measurements: The Neuropsychiatric Inventory, nursing home version, was used to assess nursing staff distress and the frequency (F) and severity (S) of NPS. Multilevel logistic regression analysis was used to investigate the relationships between nursing staff distress related to NPS and YOD and LOD care units, the F × S score per symptom, gender, dementia subtype, and dementia severity. Results: Nurses working in YOD care units rated sleep and nighttime behavior disorders, delusions, and agitation/aggression most often as highly distressing and euphoria most often as not distressing. Multivariate analyses indicated that the frequency and severity of NPS were significantly associated with staff distress in all symptoms, except for apathy. Comparison of the 2 groups of nurses demonstrated that the odds for distress related to sleep and nighttime behavior disorders were higher for nurses in YOD care units than for nurses in LOD units. For both the YOD and LOD nurses, irritability in male residents had higher impact than similar behavior in female residents. Conclusion: This study provides important insight into distress related to individual NPS and the interaction with residents' characteristics. All NPS result in distress. The frequency and severity of the behavior is an important predictor. Sleep and nighttime behavior disorders are more likely to result in distress in YOD nurses than in LOD nurses. The amount of distress related to NPS emphasizes the urgent need for adequate management of NPS and the support of professional caregivers.

Original languageEnglish
Pages (from-to)627-632
Number of pages6
JournalJournal of the American Medical Directors Association
Volume19
Issue number7
DOIs
Publication statusPublished - 1 Jul 2018

Cite this

van Duinen-van den IJssel, Jeannette C.L. ; Mulders, Ans J.M.J. ; Smalbrugge, Martin ; Zwijsen, Sandra A. ; Appelhof, Britt ; Zuidema, Syste U. ; de Vugt, Marjolein E. ; Verhey, Frans R.J. ; Bakker, Christian ; Koopmans, Raymond T.C.M. / Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia. In: Journal of the American Medical Directors Association. 2018 ; Vol. 19, No. 7. pp. 627-632.
@article{b9097b76fcac4e148174f63992251146,
title = "Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia",
abstract = "Objective: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). Design/Setting: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study. Participants: A total of 382 nursing home residents with YOD and 261 nursing home residents with LOD were included. Measurements: The Neuropsychiatric Inventory, nursing home version, was used to assess nursing staff distress and the frequency (F) and severity (S) of NPS. Multilevel logistic regression analysis was used to investigate the relationships between nursing staff distress related to NPS and YOD and LOD care units, the F × S score per symptom, gender, dementia subtype, and dementia severity. Results: Nurses working in YOD care units rated sleep and nighttime behavior disorders, delusions, and agitation/aggression most often as highly distressing and euphoria most often as not distressing. Multivariate analyses indicated that the frequency and severity of NPS were significantly associated with staff distress in all symptoms, except for apathy. Comparison of the 2 groups of nurses demonstrated that the odds for distress related to sleep and nighttime behavior disorders were higher for nurses in YOD care units than for nurses in LOD units. For both the YOD and LOD nurses, irritability in male residents had higher impact than similar behavior in female residents. Conclusion: This study provides important insight into distress related to individual NPS and the interaction with residents' characteristics. All NPS result in distress. The frequency and severity of the behavior is an important predictor. Sleep and nighttime behavior disorders are more likely to result in distress in YOD nurses than in LOD nurses. The amount of distress related to NPS emphasizes the urgent need for adequate management of NPS and the support of professional caregivers.",
keywords = "Distress, Long-term care, Neuropsychiatric symptoms, Nursing staff, Young-onset dementia",
author = "{van Duinen-van den IJssel}, {Jeannette C.L.} and Mulders, {Ans J.M.J.} and Martin Smalbrugge and Zwijsen, {Sandra A.} and Britt Appelhof and Zuidema, {Syste U.} and {de Vugt}, {Marjolein E.} and Verhey, {Frans R.J.} and Christian Bakker and Koopmans, {Raymond T.C.M.}",
year = "2018",
month = "7",
day = "1",
doi = "10.1016/j.jamda.2017.10.004",
language = "English",
volume = "19",
pages = "627--632",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "7",

}

van Duinen-van den IJssel, JCL, Mulders, AJMJ, Smalbrugge, M, Zwijsen, SA, Appelhof, B, Zuidema, SU, de Vugt, ME, Verhey, FRJ, Bakker, C & Koopmans, RTCM 2018, 'Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia' Journal of the American Medical Directors Association, vol. 19, no. 7, pp. 627-632. https://doi.org/10.1016/j.jamda.2017.10.004

Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia. / van Duinen-van den IJssel, Jeannette C.L.; Mulders, Ans J.M.J.; Smalbrugge, Martin; Zwijsen, Sandra A.; Appelhof, Britt; Zuidema, Syste U.; de Vugt, Marjolein E.; Verhey, Frans R.J.; Bakker, Christian; Koopmans, Raymond T.C.M.

In: Journal of the American Medical Directors Association, Vol. 19, No. 7, 01.07.2018, p. 627-632.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Nursing Staff Distress Associated With Neuropsychiatric Symptoms in Young-Onset Dementia and Late-Onset Dementia

AU - van Duinen-van den IJssel, Jeannette C.L.

AU - Mulders, Ans J.M.J.

AU - Smalbrugge, Martin

AU - Zwijsen, Sandra A.

AU - Appelhof, Britt

AU - Zuidema, Syste U.

AU - de Vugt, Marjolein E.

AU - Verhey, Frans R.J.

AU - Bakker, Christian

AU - Koopmans, Raymond T.C.M.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Objective: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). Design/Setting: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study. Participants: A total of 382 nursing home residents with YOD and 261 nursing home residents with LOD were included. Measurements: The Neuropsychiatric Inventory, nursing home version, was used to assess nursing staff distress and the frequency (F) and severity (S) of NPS. Multilevel logistic regression analysis was used to investigate the relationships between nursing staff distress related to NPS and YOD and LOD care units, the F × S score per symptom, gender, dementia subtype, and dementia severity. Results: Nurses working in YOD care units rated sleep and nighttime behavior disorders, delusions, and agitation/aggression most often as highly distressing and euphoria most often as not distressing. Multivariate analyses indicated that the frequency and severity of NPS were significantly associated with staff distress in all symptoms, except for apathy. Comparison of the 2 groups of nurses demonstrated that the odds for distress related to sleep and nighttime behavior disorders were higher for nurses in YOD care units than for nurses in LOD units. For both the YOD and LOD nurses, irritability in male residents had higher impact than similar behavior in female residents. Conclusion: This study provides important insight into distress related to individual NPS and the interaction with residents' characteristics. All NPS result in distress. The frequency and severity of the behavior is an important predictor. Sleep and nighttime behavior disorders are more likely to result in distress in YOD nurses than in LOD nurses. The amount of distress related to NPS emphasizes the urgent need for adequate management of NPS and the support of professional caregivers.

AB - Objective: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). Design/Setting: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study. Participants: A total of 382 nursing home residents with YOD and 261 nursing home residents with LOD were included. Measurements: The Neuropsychiatric Inventory, nursing home version, was used to assess nursing staff distress and the frequency (F) and severity (S) of NPS. Multilevel logistic regression analysis was used to investigate the relationships between nursing staff distress related to NPS and YOD and LOD care units, the F × S score per symptom, gender, dementia subtype, and dementia severity. Results: Nurses working in YOD care units rated sleep and nighttime behavior disorders, delusions, and agitation/aggression most often as highly distressing and euphoria most often as not distressing. Multivariate analyses indicated that the frequency and severity of NPS were significantly associated with staff distress in all symptoms, except for apathy. Comparison of the 2 groups of nurses demonstrated that the odds for distress related to sleep and nighttime behavior disorders were higher for nurses in YOD care units than for nurses in LOD units. For both the YOD and LOD nurses, irritability in male residents had higher impact than similar behavior in female residents. Conclusion: This study provides important insight into distress related to individual NPS and the interaction with residents' characteristics. All NPS result in distress. The frequency and severity of the behavior is an important predictor. Sleep and nighttime behavior disorders are more likely to result in distress in YOD nurses than in LOD nurses. The amount of distress related to NPS emphasizes the urgent need for adequate management of NPS and the support of professional caregivers.

KW - Distress

KW - Long-term care

KW - Neuropsychiatric symptoms

KW - Nursing staff

KW - Young-onset dementia

UR - http://www.scopus.com/inward/record.url?scp=85035115169&partnerID=8YFLogxK

U2 - 10.1016/j.jamda.2017.10.004

DO - 10.1016/j.jamda.2017.10.004

M3 - Article

VL - 19

SP - 627

EP - 632

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 7

ER -