Abstract

Patients with dementia suffer from psychological symptoms such as depression, agitation, and aggression. One purpose of dementia intervention is to manage patients’ inappropriate behaviors and psychological symptoms while taking into consideration their quality of life (QOL). Animal-assisted intervention (AAI) and pet-robot intervention (PRI) are effective intervention strategies for older people with cognitive impairment and dementia. In addition, AAI and PRI have been shown to have positive effects on behavioral and psychological symptoms of dementia (BPSD). However, studies into the association between AAI/PRI and BPSD have elicited inconsistent results. Thus, we performed a meta-analysis to investigate this association. We analyzed nine randomized controlled trials on AAI and PRI for dementia patients published between January 2000 and August 2019 and evaluated the impact of AAI/PRI on agitation, depression, and QOL. We found that AAI and PRI significantly reduce depression in patients with dementia. Subsequent studies should investigate the impact of AAI and PRI on the physical ability and cognitive function of dementia patients and conduct a follow-up to investigate their effects on the rate of progression and reduction of symptoms of dementia. Our research will help with neuropsychological and environmental intervention to delay or improve the development and progression of BPSD.

Highlights

  • In 2016, it was estimated that 47 million individuals are living with dementia worldwide, and this figure is projected to increase to 113 million in 30 years

  • Dementia patients were subjected to various interventions involving living or robotic animals

  • An additional 506 studies were excluded: 1 because the original text was unavailable, 9 because they were written in a language other than English, 173 because they were not randomized controlled trials (RCTs), 216 because they were duplicates, 92 because they were inappropriate for the purpose of our study/because they were unsuitable based on a review of their titles and abstracts, and 7 because data were missing or disorganized

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Summary

Introduction

In 2016, it was estimated that 47 million individuals are living with dementia worldwide, and this figure is projected to increase to 113 million in 30 years. The public health burden of dementia is anticipated to significantly increase in the coming years [1]. Biomedicines 2020, 8, 150 implemented national strategies aimed at optimizing dementia management in preparation for the anticipated burden of dementia and its effects on their healthcare system [3]. Dementia patients commonly suffer from behavioral and psychological symptoms of dementia (BPSD) [4]. BPSD include socially inappropriate neurobehavioral symptoms such as mental and emotional symptoms, hyperactivity, and sleep disorders [5]. Depression and agitation are the most common emotional problems that affect dementia patients [4].

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