A Psychosocial Intervention for Managing Disinhibition in People With the Behavioral Variant of Frontotemporal Dementia: A Matter of Focusing.

R. D. de Heus,Malissa J Janssen,E. Prins,R. Leontjevas,Debby L. Gerritsen,R. Koopmans,C. Bakker

Published 2026 in Journal of the American Medical Directors Association

ABSTRACT

Management of disinhibited behavior in people with the behavioral variant of frontotemporal dementia is challenging. To support health care professionals in long-term care, we developed "Focusing," a psychosocial intervention based on theory of automatic behavior, stimulus processing, and resident-staff interactions. The intervention was evaluated for feasibility and limited efficacy with a replicated single-case A-B observation study in 6 cases, and using questionnaires and interviews with health care professionals. The intervention was feasible in all cases and a decrease in disinhibited behavior was observed following the introduction of the intervention in 4 cases. Professionals deemed the intervention highly relevant, as they perceive disinhibition as a complex problem. These results form a foundation for larger-scale evaluation of effectiveness and show promise of the intervention for further implementation in clinical practice.

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