Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors

Brodaty, Henry; Draper, Brian; Saab, Dania; Low, Lee‐Fay; Richards, Vicki; Paton, Helen; Lie, David

doi:10.1002/gps.382

Cited by 239 publications

(215 citation statements)

References 40 publications

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“…Evidence suggests that between 60% and 90% of individuals with AD experience at least one disturbance during the course of their illness (e.g., Steinberg, 2006;Ikeda et al, 2004;Brodaty et al, 2001). They contribute to greater caregiver and patient distress (e.g., Craig et al, 2005;Danhauer, 2004), more costly interventions (e.g., Beeri et al, 2002;Finkel, 2000), and accelerated cognitive and functional decline (e.g., Boyle et al, 2003;Copeland et al, 2003;Holtzer et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Vascular factors and risk for neuropsychiatric symptoms in Alzheimer's disease: the Cache County Study

Treiber

Corcoran

Steinberg

et al. 2008

IPG

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Objective-To examine, in an exploratory analysis, the association between vascular conditions and the occurrence of neuropsychiatric symptoms (NPS) in a population-based sample of incident Alzheimer's disease (AD).Methods-The sample consisted of 254 participants, identified through two waves of assessment. NPS were assessed using the Neuropsychiatric Inventory. Prior to the onset of AD, data regarding a history of stroke, hypertension, hyperlipidemia, heart attack or CABG, and diabetes were recorded. Logistic regression procedures were used to examine the relationship of each vascular condition to individual neuropsychiatric symptoms. Covariates considered were age, gender, education, APOE genotype, dementia severity, and overall health status.Results-One or more NPS were observed in 51.0% of participants. Depression was most common (25.8%), followed by apathy (18.6%), and irritability (17.7%). Least common were elation (0.8%), hallucinations (5.6%), and disinhibition (6.0%). Stroke prior to the onset of AD was associated with increased risk of delusions (OR=4.76, p=0.02), depression (OR=3.87, p=0.03), and apathy (OR=4.48, p=0.02). Hypertension was associated with increased risk of delusions (OR=2.34, p=0.02), anxiety (OR=4.10, p=0.002), and agitation/aggression (OR=2.82, p=0.01). No associations were observed between NPS and diabetes, hyperlipidemia, heart attack or CABG, or overall health. Conclusions-Resultssuggest that a history of stroke and hypertension increase the risk of specific NPS in patients with AD. These conditions may disrupt neural circuitry in brain areas involved in CORRESPONDING AUTHOR:

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Section: Introductionmentioning

confidence: 99%

Vascular factors and risk for neuropsychiatric symptoms in Alzheimer's disease: the Cache County Study

Treiber

Corcoran

Steinberg

et al. 2008

IPG

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“…These behaviors and psychological symptoms are very common in populations of old people with dementia and the prevalence of BPSD in different studies varies between 79% and approximately 92% (Brodaty et al, 2001;Margallo-Lana et al, 2001;Pitkala et al, 2004). Some of the symptoms increase the difficulty of caring for the person with dementia, and there is a correlation between BPSD and burden of care, and even with caregiver depression (Black and Almeida, 2004).…”

Section: Introductionmentioning

confidence: 99%

Relationship between antipsychotic drug use and behavioral and psychological symptoms of dementia in old people with cognitive impairment living in geriatric care

Lövheim

Sandman

Kallin

et al. 2006

Int. Psychogeriatr.

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Relationship between antipsychotic drug use and behavioral and psychological symptoms of dementia in old people with cognitive impairment living in geriatric care.. International psychogeriatrics, ABSTRACTBackground: Behavioral and psychological symptoms of dementia (BPSD) commonly occur among cognitively impaired people in geriatric care. BPSD are often managed with antipsychotic drugs, despite the associated serious health risks. The aim of the present study was to discover factors associated with the use of antipsychotics.

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“…interventions, this literature review focuses on situations in which aggressive resident behavior occurs and nurses can potentially influence [11,12].…”

mentioning

confidence: 99%

Aggressive Behavior of Nursing Home Residents Toward Caregivers: A Systematic Literature Review

Zeller¹,

Hahn²,

Needham³

et al. 2009

Geriatric Nursing

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(Geriatr Nurs 2009;30:174-187) Aggressive behavior of residents continues to challenge and burden caregivers working in nursing homes [1,2]. Working in a nursing home or long-term care facility is associated with a high risk of experiencing aggression [3].Studies show that aggressive behavior is more likely to occur among older people with cognitive impairment than among those with no cognitive impairment [2,4,5] although cognitively intact residents also threaten or assault the caregivers [6]. Irrespective of whether demented residents can be held responsible for their aggressive behavior, many gerontological nurses find that physical or verbal attacks by an elderly person they are giving nursing care to is one of the most difficult, emotionally distressing, and potentially dangerous aspects of their work [7], often resulting in feelings of powerlessness, sadness, anger, and ineffectiveness [8].Some studies have investigated the prevalence of aggression and associated factors in nursing homes, but it is probable that nursing home residents' aggressive behavior often goes underreported in both prevalence measures and nursing documentation. Possible causes for underreporting are a lack of competence to cope with aggressive behavior, feelings of failure, or the assumption that aggressive behavior is a common feature in the care of the elderly, especially those with psychological disturbance [1,4,9,10]. Psychological disturbances and other illnesses in the elderly may lead to aggressive behavior irrespective of situational factors. However, because such illness processes can be influenced only indirectly by nursing

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Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors

Abstract: BPSD are ubiquitous in nursing home residents. Behavioural disturbances are frequently associated with psychosis and/or depression. The findings suggest the need for psychogeriatric services to nursing homes and smaller facilities.

Cited by 239 publications

References 40 publications

Vascular factors and risk for neuropsychiatric symptoms in Alzheimer's disease: the Cache County Study

Vascular factors and risk for neuropsychiatric symptoms in Alzheimer's disease: the Cache County Study

Relationship between antipsychotic drug use and behavioral and psychological symptoms of dementia in old people with cognitive impairment living in geriatric care

Aggressive Behavior of Nursing Home Residents Toward Caregivers: A Systematic Literature Review

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