Consequences of Aggressive Behavior in Patients With Dementia

被引：49

作者：

Kunik, Mark E. ^{[1
,2
,3
]}

Snow, A. Lynn ^{[1
,4
,5
,6
]}

Davila, Jessica A. ^{[1
]}

McNeese, Thomas ^{[1
,2
,3
,7
]}

Steele, Avila B. ^{[1
,2
,3
]}

Balasubramanyam, Valli ^{[1
]}

Doody, Rachelle ^{[3
]}

Schulz, Paul E. ^{[3
]}

Kalavar, Jagadeesh S. ^{[2
,3
]}

Walder, Annette ^{[1
]}

Morgan, Robert O. ^{[1
]}

机构：

[1] Houston Ctr Qual Care & Utilizat Studies, Houston, TX 77030 USA

[2] Michael E DeBakey VA Med Ctr, Houston, TX USA

[3] Baylor Coll Med, Houston, TX 77030 USA

[4] Univ Alabama, Ctr Mental Hlth & Aging, Tuscaloosa, AL 35487 USA

[5] Univ Alabama, Dept Psychol, Tuscaloosa, AL 35487 USA

[6] Tuscaloosa Vet Affairs Med Ctr, Tuscaloosa, AL USA

[7] Univ Houston, Dept Psychol, Houston, TX 77004 USA

来源：

JOURNAL OF NEUROPSYCHIATRY AND CLINICAL NEUROSCIENCES | 2010年 / 22卷 / 01期

关键词：

NURSING-HOME RESIDENTS; SELF-INJURIOUS-BEHAVIOR; PSYCHOLOGICAL SYMPTOMS; DRUG-USE; INSTITUTIONALIZATION; CARE; DEPRESSION; RESTRAINTS; PLACEMENT; OUTCOMES;

D O I：

10.1176/appi.neuropsych.22.1.40

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This study examined aggression as a predictor of nursing-home placement, injuries, use of restraints, and use of health services in community-dwelling patients with newly diagnosed dementia. Participants were identified from 2001-2004 Veterans Administration databases; all had a new diagnosis of dementia and no aggression. Patients and caregivers were evaluated for aggression, using the Cohen-Mansfield Agitation Inventory-aggression subscale, and other outcomes for 2 years, with outcome rates compared between patients who did or did not develop aggression and between pre- and postaggressive periods. Of 215 patients, 88 became aggressive, associated with significantly increased use of psychotropic medication (p <= 0.04), injuries (p <= 0.0001), and nursing-home placement (p <= 0.004). (The Journal of Neuropsychiatry and Clinical Neurosciences 2010; 22:40-47)

引用

页码：40 / 47

页数：8

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