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
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
收藏
页码:40 / 47
页数:8
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