Overt Aggression Scale

Yudofsky, Stuart C.; Silver, Jonathan; Jackson, Wynn; Endicott, Jean; Williams, Daniel

doi:10.1037/t04911-000

Cited by 9 publications

(6 citation statements)

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“…If we succeeded in achieving a consensus on a set of tools to measure psychiatric symptoms using a collection of single-focus measures, the data volume and time to complete assessment could still be unwieldy. For example, a set of 15 well-known mental health instruments would measure cognition, (123), delirium (124), depression (125), anxiety (126), psychosis (127), mania (128), trauma (129), pain (130), sleep (131), behavior (132), substance use (133), instrumental activities of daily living (134), functional status (135), suicidality (136), and aggression (137). Despite comprising more than 400 different items, this set does not address many of the key issues highlighted previously.…”

Section: Conglomeration Versus Integration Of Assessmentmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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Section: Conglomeration Versus Integration Of Assessmentmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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“…Among the elderly in nursing facilities and AD patients, the reported incidences of agitation have been measured by the OASS [28]. Because agitation also affects an individual's quality of life and is associated with depression and anxiety, an appropriate and accurate assessment of agitation is necessary [29]. The OASS describes agitation as "a progressive set of objective neurobiological and anatomic/functional vocal and motor behaviors, e.g., oral/facial movements, on a continuum of behavioral expressions that extend from anxiety to aggression" [29].…”

Section: Agitation/anxiety Scalesmentioning

confidence: 99%

“…Because agitation also affects an individual's quality of life and is associated with depression and anxiety, an appropriate and accurate assessment of agitation is necessary [29]. The OASS describes agitation as "a progressive set of objective neurobiological and anatomic/functional vocal and motor behaviors, e.g., oral/facial movements, on a continuum of behavioral expressions that extend from anxiety to aggression" [29]. Kopecky et al established its reliability and validity in a study in 1998 of agitation severity (r = 0.95, p < 0.01) [28].…”

Section: Agitation/anxiety Scalesmentioning

confidence: 99%

“…A score of one indicates no engagement in a certain behavior, whereas a score of seven indicates engagement of several times an hour. It has been shown to be effective in characterizing longitudinal changes in patients with cognitive impairment as well as in clinical research on patients with dementia [39] as well as used to measure agitated behavior [29]. Using raters who were registered nurses and certified nursing assistants (CNAs), rater reliability and validity were evaluated by Finkel et al in a study of 232 residents [40].…”

Section: Cohen Mansfield Agitation Inventory (Cmai)mentioning

confidence: 99%

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Timeslips—Comparing Agitation and Anxiety Rating Scales to Evaluate the Benefit of Non-Pharmacologic Creative Sessions in Nursing Home Patients with Dementia

Sullivan

Sillup²,

Klimberg³

2014

OJN

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Timeslips™ is a group storytelling program that encourages creative expression among dementia patients without the pressure to recall the past. Analysis of the literature was conducted to determine the nine most relevant agitation and anxiety scales most appropriate for use with Timeslips in nursing home patients with dementia, who experience agitation and anxiety. Qualitative assessment of the nine scales was conducted to identify six criteria to determine the most pertinent characteristics for implementation of Timeslips within this patient population: 1) validity/reliability, 2) observation period, 3) training required, 4) time to administer, 5) most appropriate administrator and 6) accessibility/cost. Utilizing these six criteria, quantitative assessment was conducted using the Analytical Hierarchical Process (AHP) to identify that the Overt Agitation Severity Scale (OASS) was optimal. IRB approvals have been attained to investigate use of the OASS with Timeslips in the nursing home setting for patients with dementia, who experience agitation and anxiety.

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“…The normal aggressive behavior in the human species aims to maintain the physical integrity, subsistence, territory establishment/maintenance of the individual, and perpetuation of the species. 5 6 Aggressiveness becomes pathological when its manifestation becomes exaggerated in response to a stimulus that would normally not cause danger or even in the absence of a stimulus. 7 Unfortunately, for patients with affective disorders resistant to treatment and their families, pathological aggressiveness represents an extreme emotional and psychological burden, in addition to an increased risk of suicide.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment for Refractory Aggression after Bacterial Meningitis Complicated by Stroke: Case Report

Vaccario

Rocha

Silva

2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Bacterial meningitis remains a public health problem. One of the complications of this group of diseases is cerebral ischemia, an important indicator of severity and an independent predictor of poor prognosis. It is already known that, in many cases, pathological aggressiveness is the result of brain abnormalities in individuals with mental illnesses. The indication of neurosurgeries for psychiatric disorders (NPDs) relies on numerous studies based on scientific evidence that correlate psychiatric illnesses with the limbic system and the pathophysiology of emotions. The development of sophisticated stereotactic target localization techniques, brain atlases, and imaging methods made stereotaxis possible, a procedure that increased the precision of neurosurgery and reduced brain damage. Nowadays, multiple targets can be treated during NPD, according to the particular characteristics of the patient. Moreover, the combination of lesions leads to more significant improvements compared with isolated procedures. The present study aimed to report the rare case of a patient with a history of bacterial meningitis who developed stroke and chronic pathological aggressiveness refractory to clinical treatment and underwent ablation using the multitarget stereotactic technique.

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Overt Aggression Scale

Cited by 9 publications

References 0 publications

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

Timeslips—Comparing Agitation and Anxiety Rating Scales to Evaluate the Benefit of Non-Pharmacologic Creative Sessions in Nursing Home Patients with Dementia

Surgical Treatment for Refractory Aggression after Bacterial Meningitis Complicated by Stroke: Case Report

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