PMID- 17323402
OWN - NLM
STAT- MEDLINE
DCOM- 20080501
LR  - 20220318
IS  - 0885-6230 (Print)
IS  - 0885-6230 (Linking)
VI  - 22
IP  - 9
DP  - 2007 Sep
TI  - Prevalence and correlates of disruptive behavior in patients in Norwegian nursing 
      homes.
PG  - 916-21
AB  - BACKGROUND: Although Behavioral and Psychological Symptoms of Dementia (BPSD) 
      increase with increasing dementia severity, and institutionalization of an 
      individual with dementia is often caused by behavioral symptoms, relatively few 
      studies have explored the prevalence of BPSD in nursing homes. OBJECTIVE: To 
      study the prevalence and correlates of agitation in residents with dementia, in 
      Norwegian nursing homes. METHODS: This study has taken place in dementia wards in 
      four Norwegian nursing homes. To measure agitation in residents with dementia we 
      used the Cohen-Mansfield Agitation Inventory (CMAI), consisting of 29 agitation 
      items. Dementia stage was measured by Functional Assessment Staging (FAST). 
      RESULTS: Two hundred and eleven patients (71% female) were included in the study: 
      mean (SD) age 85.5 (8.4), FAST 4.7 (2.1), CMAI total sumscore 39.5 (12.6). 
      Dementia was present in 167 (79%) subjects. Among those with dementia, weekly 
      occurrence of at least one CMAI item (i.e. a score of 3 or higher) occurred in 
      75.4% (95% CI 68.4-81.4). Six of the items occurred at least weekly in 20% of the 
      residents with dementia, and 11 of the items, including physical aggression, 
      occurred in less than 5% of the residents. Agitation was associated with more 
      severe dementia (p = 0.001), but not with age and gender. CONCLUSION: Symptoms of 
      agitation were common, but may nevertheless be lower compared to findings in 
      other geographical areas. Further studies are warranted to test this hypothesis, 
      and if confirmed, to explore possible causes for such differences.
FAU - Testad, I
AU  - Testad I
AD  - Stavanger University Hospital, Psychiatric Clinic, Stavanger, Norway. tesi@sus.no
FAU - Aasland, A M
AU  - Aasland AM
FAU - Aarsland, D
AU  - Aarsland D
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Int J Geriatr Psychiatry
JT  - International journal of geriatric psychiatry
JID - 8710629
SB  - IM
MH  - Age Distribution
MH  - Aged
MH  - Aged, 80 and over
MH  - Aggression/psychology
MH  - Behavioral Symptoms/*epidemiology
MH  - Dementia/*psychology
MH  - Female
MH  - *Homes for the Aged
MH  - Humans
MH  - Male
MH  - Norway/epidemiology
MH  - *Nursing Homes
MH  - Prevalence
MH  - Psychiatric Status Rating Scales
MH  - Psychomotor Agitation/epidemiology
MH  - Psychotic Disorders/epidemiology
MH  - Sex Distribution
MH  - Statistics as Topic
MH  - Violence
EDAT- 2007/02/27 09:00
MHDA- 2008/05/02 09:00
CRDT- 2007/02/27 09:00
PHST- 2007/02/27 09:00 [pubmed]
PHST- 2008/05/02 09:00 [medline]
PHST- 2007/02/27 09:00 [entrez]
AID - 10.1002/gps.1766 [doi]
PST - ppublish
SO  - Int J Geriatr Psychiatry. 2007 Sep;22(9):916-21. doi: 10.1002/gps.1766.