Case-Controlled Study of Nursing Home Residents Referred for Treatment of Vocally Disruptive Behavior
Open accessAbstract
The aim of this study was to identify factors associated with vocally disruptive behavior (VDB) in nursing home patients referred to aged care services for treatment, using a case-control methodology. Characteristics of the VDB, reasons for referral, perceived causal factors, and psychotropic use were noted. Twenty-five subjects and controls were examined with the Screaming Behavior Mapping Instrument, the Cornell Scale for Depression in Dementia, the Dementia Behavior Disturbance Scale, and measures of cognition, functional capacity, social activities, and emotional reactions of nursing staff. VDB was associated with other disturbed behaviors, depression, anxiety, severe dementia, functional impairment, communication difficulties, use of psychotropic medication, social isolation, and emotional distress in the nursing staff. Reasons for referral may relate more to the stress experienced by nursing home staff in managing VDB than to specific attributes of the VDB itself.
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One high-quality RCT found no additional effect on agitation of individualising activities according to functional level and interest, although two lower-quality RCTs did.
“One high-quality RCT found no additional effect on agitation of individualising activities according to functional level and interest, 24 although two lower-quality RCTs did. 25,26”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [26]
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- Authors
- Draper, B., Snowdon, J., Meares, S., Turner, J., Gonski, P., McMinn, B., McIntosh, H., Latham, L., Draper, D., & Luscombe, G.
- Affiliations
- UNSW Sydney (AU)
- The University of Sydney (AU)
- Westmead Hospital (AU)
- Royal North Shore Hospital (AU)
- Hunter New England Local Health District (AU)
- Prince of Wales Hospital (AU)
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2000-07
- Volume
- 12
- Issue
- 3
- Pages
- 333-344
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2140756231
- Cited by
- 77
- References
- 32
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 5 · 2019: 2 · 2018: 7 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 8 · 2013: 2 · 2012: 5
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- nursing home residents, dementia, behavioral and psychological symptoms of dementia, psychotropic drugs, depression, anxiety, functional disability, communication difficulties, social isolation, staff stress, aged care services
- MeSH terms
- Aged, Aged, 80 and over, Cognition Disorders, Female, Humans, Male, Neuropsychological Tests, Nursing Homes, Psychotropic Drugs, Referral and Consultation, Speech Disorders, Verbal Behavior, Case-Control Studies
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