Mental health correlates of aggression in nursing home residents with dementia.
Mental health correlates of aggression in nursing home residents with dementia.
复制标题
疗养院居民的心理健康状况与痴呆症的攻击行为相关。
DOI：
10.1093/geront/42.2.169
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Strumpf,NevilleE
中科院分区：
文献类型：
--
作者：
Talerico,KarenAmann;Evans,LoisK;Strumpf,NevilleE
目的：攻击行为继续挑战痴呆症患者的照顾者，需要确定有效干预的焦点。摘要本研究旨在探讨(a)老年痴呆症患者的抑郁、沟通和认知特征，以及(b)行为管理策略对攻击行为的影响。设计与方法：本横断面相关研究采用层次回归方法，考察了居民特征和行为管理策略与双变量攻击、身体攻击和言语攻击的关系。结果：主要发现沟通障碍与各种形式的攻击有关，抑郁与身体攻击有关，定向障碍与言语攻击有关。先前3个月的抗精神病药物使用模式始终与各种形式的攻击和身体约束使用与身体攻击相关。大多数可解释的差异可归因于抗精神病药物的使用。暗示：身体攻击和语言攻击的不同解释模型表明，它们可能是独特的实体，具有不同的治疗重点。这些结果提供了证据，表明尽管使用抗精神病药物，攻击行为仍然存在，进一步的心理健康干预可能针对补偿沟通障碍和治疗抑郁症，以改善痴呆症养老院居民的心理健康。
Purpose:Aggression continues to challenge caregivers of persons with dementia, and identification of foci for effective interventions is needed. The purpose of this study was to examine the influence of (a) the resident characteristics of depression, communication, and cognition and (b) behavior management strategies on aggression in a group of older nursing home residents (N= 405) with evidence of dementia.Design and Methods:This cross-sectional correlational study examined the association of resident characteristics and behavior management strategies with bivariate aggression, physical aggression, and verbal aggression, using hierarchical regression.Results:Main findings are that impaired communication is associated with all forms of aggression, depression with physical aggression, and disorientation with verbal aggression. A 3-month prior pattern of antipsychotic drug use was consistently associated with all forms of aggression and physical restraint use with physical aggression. Most of the explained variance was attributable to antipsychotic drug use.Implications:The separate explanatory models for physical and verbal aggression indicate that these may be unique entities with different foci for treatment. These results provide evidence that aggression persists despite antipsychotic drug use and that further mental health interventions might be targeted at compensating for impaired communication and the treatment of depression to improve the mental health of nursing home residents with dementia.