Behavioral Approaches to Gerontology

Wisocki, Patricia A.

doi:10.1016/b978-0-12-535616-9.50009-2

Cited by 12 publications

(5 citation statements)

References 110 publications

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“…In our study, we found that older age (in the age group of >65 years old) might be a protective factor against psychiatric clinical exacerbation in PD during the COVID-19 pandemic. We may speculate that this could be associated with the observed reduced behavioral reservoir of old individuals, which include psychiatric behaviors (45).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic and Psychiatric Symptoms: The Impact on Parkinson's Disease in the Elderly

et al. 2020

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Background: The coronavirus disease 2019 (COVID-19) pandemic represents a condition of increased vulnerability and frailty for elderly patients with Parkinson's disease (PD). Social isolation may worsen the burden of the disease and specifically exacerbate psychiatric symptoms, often comorbid with PD. This study aimed at identifying risk/protective factors associated with subjective worsening of psychiatric symptomatology during the COVID-19 outbreak in a sample of individuals with PD aged 65 years or older.Methods: Patients with PD routinely followed at the outpatient clinic of Gemelli University Hospital, Rome, were assessed for subjective worsening of psychiatric symptoms through a dedicated telephone survey, after Italy COVID-19 lockdown. Patients' medical records were reviewed to collect sociodemographic and clinical data, including lifetime psychiatric symptoms and pharmacological treatment.Results: Overall, 134 individuals were assessed and 101 (75.4%) reported lifetime psychiatric symptoms. Among those, 23 (22.8%) presented with subjective worsening of psychiatric symptomatology during the COVID-19 outbreak. In this group, the most frequent symptom was depression (82.6%), followed by insomnia (52.2%). Subjective worsening of neurological symptoms (Wald = 24.03, df = 1, p = 0.001) and lifetime irritability (Wald = 6.35, df = 1, p = 0.020), together with younger age (Wald = 5.06, df = 1, p = 0.038) and female sex (Wald = 9.07 df = 1, p = 0.007), resulted as specific risk factors for ingravescence of psychiatric presentation. Lifetime pre-existing delusions, having received antipsychotics, and not having received mood stabilizer were also associated with subjective worsening of psychiatric symptomatology due to the COVID-19 pandemic.Conclusions: Individuals with PD and lifetime history of psychiatric symptoms may be exposed to increased vulnerability to the stressful effect of COVID-19 outbreak. Interventions aimed at reducing irritability and mood instability might have an indirect effect on the health of patients with PD during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic and Psychiatric Symptoms: The Impact on Parkinson's Disease in the Elderly

et al. 2020

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“…Reviews of the behavioural analysis literature reveal that both behavioural excesses and deficits seen in the individual who has dementia often can be at least partially alleviated by the use of behaviour management programmes (Burgio and Burgio, 1986;Carstensen, 1988;Pinkston and Linsk, 1984;Wisocki, 1984). McEvoy and Patterson (1986) have shown that skills lost during a dementing illness can be rehabilitated, especially when the training programme involves physical practice, feedback from more than one sensory system is employed, and there are low cognitive demands.…”

Section: Introductionmentioning

confidence: 99%

Operant Conditioning with Subjects Suffering From Dementia

Burgess

Wearden

Cox

et al. 1992

Behav. Cogn. Psychother.

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Two experiments are reported in which patients who resided on continuing care psychogeriatric wards were exposed to an operant conditioning procedure. In the first experiment, the subjects were three female patients, all of whom were suffering from severe dementia. For two of the subjects, extended acquisition training was required before evidence of learning was found. Responding under fixed interval (FI) schedules of three different durations was well maintained by the third subject. Evidence of temporal control was found. The second experiment was a partial replication of the first. The subjects were two male patients who were suffering from mild to moderate degrees of dementia. They were exposed to FI schedules of three different durations. Responding was maintained for the 16 sessions of the study. Procedural modifications as well as some broader implications of these results are noted.

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“…3 Previous research has suggested that behavior management may be one effective means of dealing with a range of problem behaviors among institutionalized elders, [4][5][6][7][8] although it is not frequently used 9 or taught to nurse aides. 10 Although professional nursing journals regularly provide theoretical and practical information about mental health care for the elderly, nursing assistants themselves have little access to this information. It is not prepared directly for them as readers nor presented explicitly as guidelines for teaching and supeivising aides.…”

Section: Introductionmentioning

confidence: 99%

Behavior Management Training for Nurse Aides: Is it Effective?

Cohn¹,

Horgas²,

Marsiske³

1990

J Gerontol Nurs

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Nursing assistants are responsible for 80% to 90% of all direct resident care in nursing homes, but are the least well trained personnel. Even with currently mandated training, specific skills to meet mental health needs are not taught. Training in behavior management skills prepares aides to observe and respond to problem behaviors more effectively. Aides view their own use of skills as increased by this training. To be practically useful, mental health training programs for nurse aides should be provided by professional personnel in brief, concrete, self-contained units that model the skills they present.

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Behavioral Approaches to Gerontology

Cited by 12 publications

References 110 publications

COVID-19 Pandemic and Psychiatric Symptoms: The Impact on Parkinson's Disease in the Elderly

COVID-19 Pandemic and Psychiatric Symptoms: The Impact on Parkinson's Disease in the Elderly

Operant Conditioning with Subjects Suffering From Dementia

Behavior Management Training for Nurse Aides: Is it Effective?

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