Focussing, A Psychosocial Intervention to Control on the Behaviour of Patient with the Behavioural Variant of Frontotemporal Dementia? A pilot study
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2018-07-06
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en
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Abstract
Taking care of people with the behavioural variant of frontotemporal dementia (bvFTD) is a
challenge. So far there isn’t a psychosocial intervention available for bvFTD patients. A
specialized geriatric care centre in Nijmegen, Joachim and Anna, develop a psychosocial
intervention named Focussing. This explorative study investigated the relation between the
intervention Focussing and the bvFTD patients behaviour, the distress of the caregiver caused by
the disinhibited behaviour and the chosen assessments scales and observation tool were studied.
Three patients, diagnosed with bvFTD, residing on a young onset dementia special care unit and a
nurse participated. The behaviour of the participants were assessed with Dementia care mapping
(DCM). In addition, the Frontal Behavioural Inventory (FBI), the Neuropsychiatric Inventorynursing
home (NPI-NH) and the Middelheim Frontality scale (MFS) were used to create an
overview of the participants behaviour, the Severe Impairment Battery - Short Version was used to
assess the participants cognitive capabilities. Besides, the NPI-NH was used to indicate the distress
caused by the disinhibited behaviour. A within-subject design was used whereby the first
observational moment one participant got the intervention Focussing, expanding to all of the
participant the third observation. The results assume that the intervention Focussing enables the
caregivers to adjust the behaviour of the participants. Besides the distress caused by the
disinhibited behaviour is related to the severity of the disinhibited behaviour. In addition, DCM
and the assessment scales were useful to create a global overview of the participants behaviour
and, in case of DCM, the intervention Focussing.
Keywords: behavioural variant of frontotemporal dementia, psychosocial intervention Focussing,
disinhibited behaviour, young onset dementia
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Faculteit der Sociale Wetenschappen