Prepandemic | Pandemic | P value | |||||
N (%) with symptom load of clinical relevance* | Median | IQR | N (%) with symptom load of clinical relevance* | Median | IQR | ||
Neuropsychiatric inventory (NPI-12) | |||||||
Total score, range 0–144 | 16 | 4.5–29 | 20 | 7–32.5 | 0.03† | ||
Subsyndromes | |||||||
Psychosis‡, range 0–24 | 0 | 0–3 | 0.5 | 0–6 | 0.01† | ||
Hyperactive behaviour§, range 0–60 | 5.5 | 0–12 | 4 | 0–12 | 0.79 | ||
Mood¶, range 0–48 | 6 | 0–12 | 6.5 | 1–12 | 0.21 | ||
Domain scores, range 0–12 | |||||||
Delusions | 20 (19) | 0 | 0–2 | 31 (30) | 0 | 0–6 | 0.04† |
Hallucinations | 8 (8) | 0 | 0–0 | 16 (15) | 0 | 0–0 | 0.23 |
Agitation | 23 (22) | 0 | 0–3 | 18 (17) | 0 | 0–2 | 0.45 |
Depression | 25 (24) | 0 | 0–3 | 40 (38) | 1 | 0–6 | 0.04† |
Anxiety | 18 (17) | 0 | 0–2 | 31 (30) | 0 | 0–4 | 0.07 |
Euphoria | 8 (8) | 0 | 0–0 | 4 (4) | 0 | 0–0 | 0.19 |
Apathy | 35 (34) | 0 | 0–4 | 30 (29) | 0 | 0–4 | 0.50 |
Disinhibitions | 9 (9) | 0 | 0–0 | 15 (14) | 0 | 0–1.5 | 0.16 |
Irritability | 28 (27) | 0 | 0–4 | 29 (28) | 0 | 0–4 | 0.78 |
Aberrant motor behaviour | 23 (22) | 0 | 0–1 | 24 (23) | 0 | 0–2.5 | 0.66 |
Sleep disturbances | 25 (24) | 0 | 0–3 | 28 (27) | 0 | 0–4 | 0.82 |
Appetite changes | 14 (13) | 0 | 0–1 | 17 (16) | 0 | 0–1 | 0.84 |
No of BPSD with symptom load of clinical relevance*, range 0–12 | 2 | 0–4 | 3 | 1–5 | <0.001† | ||
Cornell Scale for Depression in Dementia (CSDD) | |||||||
Total score, range 0–38 | 34 (33) | 5 | 3–9 | 41 (39) | 7 | 4–12 | 0.01† |
*NPI domain scores ≥4 indicate BPSD with symptom load of clinical relevance. CSDD total score ≥8 indicates depression of clinical relevance.
†Indicates two-tailed p<0.05.
‡ Psychosis: delusions and hallucinations
§ Hyperactive behaviour: agitation, euphoria, irritation, disinhibition, aberrant motor behaviour
¶ Mood: depression, apathy, sleep disturbances and appetite changes
BPSD, behavioural and psychological symptoms of dementia; P, p value for difference in median between time points by the Wilcoxon matched-pairs signed-rank test; Pandemic, PAN.DEM assessment (20 April 2020 to 15 May 2020); Prepandemic, Six-month assessment of parent trial (12 December 2019 to 11 March 2020).