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Prognostic factors for a favourable long-term outcome from an integrative psychotherapeutic nursing home programme


Bakker, Ton J. E. M., Duivenvoorden, Hugo J., van der Lee, Jacqueline, Olde Rikkert, Marcel G. M., Beekman, Aartjan T. F., Ribbe, Miel W.


Dementia And Geriatric Cognitive Disorders, Volume: 32, No.: 5, Pages.: 318-331

Year of Publication



Background/aims: The prevalence of multiple psychiatric symptoms (MPS) in psychogeriatric patients is about 80%. MPS have negative effects on caregivers; 70-80% of caregivers are moderately to heavily burdened. We tested an integrative psychotherapeutic programme (IRR) focused on MPS as well as caregiver burden. To develop decision rules in indicating IRR, prognostic potentialities of diagnostic and functional baseline variables for a favourable outcome of IRR were identified.; Methods: Patients with a DSM-IV classification of dementia, amnestic disorders or other cognitive disorders were followed in a randomised controlled trial, comparing IRR (n=81) with usual nursing home care (n=87). Assessments at T1 (intake) and T2 (6 months’ follow-up).; Results: In the combined prognostic models Alzheimer dementia showed significant prognostic qualities for improvement on NPI sum severity (OR 3.01), IRR on general burden and competence of caregiver (OR 2.29 and 3.34). Cognitive functions had low prognostic value.; Conclusion: Prognostic modelling of positive change on severity of MPS and caregiver burden was feasible. Applying three decision rules, all resulted in IRR as indicated intervention. It seems justified to refer psychogeriatric patients suffering from a broad range of cognitive function disorders, specifically patients with dementia of the Alzheimer type, to the IRR programme.; Copyright © 2012 S. Karger AG, Basel.

Bibtex Citation

@article{Bakker_2011, doi = {10.1159/000334969}, url = {}, year = 2011, publisher = {S. Karger {AG}}, volume = {32}, number = {5}, pages = {318--331}, author = {Ton J.E.M. Bakker and Hugo J. Duivenvoorden and Jacqueline van der Lee and Marcel G.M. Olde Rikkert and Aartjan T.F. Beekman and Miel W. Ribbe}, title = {Prognostic Factors for a Favourable Long-Term Outcome from an Integrative Psychotherapeutic Nursing Home Programme}, journal = {Dementia and Geriatric Cognitive Disorders} }


activities of daily living, aged, aged, 80 and over, alzheimer disease, amnesia, classification, comorbidity, cooperative behavior, dementia, diagnosis, disease progression, double-blind method, female, homes for the aged, humans, integrative, integrative medicine, interdisciplinary communication, male, mental disorders, mental status schedule, methods, neuropsychological tests, nursing homes, patient care team, prognosis, psychology, psychometrics, psychotherapy, statistics & numerical data, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Behaviour, Carer Burden (instruments measuring burden), Other carer outcomes (e.g. financial burden and more)


Community, Nursing Homes

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions