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Assessment of Behavioral and Psychological Symptoms of Dementia

Published online by Cambridge University Press:  07 November 2014

Abstract

In spite of their prevalence and persistence, why are behavioral and psychological symptoms of dementia difficult for clinicians to assess and manage? This paper provides an overview of the methodological challenges encountered in measuring behavioral disturbances of dementia. Specifically, conceptual constructs of behavioral and psychological symptoms of dementia, the strengths and weaknesses of the currently existing rating instruments, analytic methodologies, and the utility of technological devices are outlined in the service of formulating future directions in behavioral and psychological symptoms of dementia assessment research.

Type
Feature Article
Copyright
Copyright © Cambridge University Press 2002

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References

REFERENCES

1.Rabins, PV, Lyketsos, CG, Steele, CD. Practical Dementia Care. New York, NY: Oxford University Press; 1999.Google Scholar
2.Finkel, SI, Burns, A, Cohen, GD. Overview. Int Psychogeriatr. 2000;12(suppl 1):1318.CrossRefGoogle Scholar
3.Steele, C, Rovner, B, Chase, GA, et al.Psychiatric symptoms and nursing home placement of patients with Alzheimer's disease. Am J Psychiatry. 1990;147:10491051.Google ScholarPubMed
4.Brody, JA. An epidemiologist views senile dementia: facts and figures. Am J Epidemiology. 1982;113:155162.CrossRefGoogle Scholar
5.Ernst, RL, Hay, JW, Fenn, C, et al.Cognitive function and the costs of Alzheimer's disease. An exploratory study. Arch Neurol. 1997;54:687693.CrossRefGoogle ScholarPubMed
6.Cohen-Mansfield, J. Approaches to the assessment of disruptive behaviors. In: Lawton, MP, Rubinstein, RL, eds. Interventions in Dementia Care: Toward Improving Quality of Life. New York, NY: Springer Publishing Company; 2000:3964.Google Scholar
7.Venn, RD. The Sandoz Clinical Assessment-Geriatric (SCAG) Scale: a general-purpose psychogeriatric rating scale. Gerontology. 1983;29:185198.CrossRefGoogle Scholar
8.Devanand, DP, Miller, L, Richards, M, et al.The Columbia University Scale for Psychopathology in Alzheimer's Disease. Arch Neurol. 1992;49:371376.CrossRefGoogle ScholarPubMed
9.Rosen, J, Burgio, L, Kollar, M, et al.The Pittsburgh Agitation Scale: a userfriendly instrument for rating agitation in dementia patients. Am J Geriatr Psychiatry. 1994;2:5259.CrossRefGoogle Scholar
10.International Psychogeriatric Association. Behavioral and psychological signs and symptoms of dementia: implications for research and treatment. Int Psychogeriatr. 1996:8(suppl 3):215552.Google Scholar
11.International Psychogeriatric Association. Behavioral and psychological symptoms of dementia (BPSD): a clinical and research update. Int Psychogeriatr. 2000;12(suppl 1):1424.Google Scholar
12.Cohen-Mansfield, J. Agitated behaviors in the elderly. II. Preliminary results in the cognitively deteriorated. J Am Geriatr Soc. 1986;34:722727.CrossRefGoogle ScholarPubMed
13.Cummings, JL, Mega, M, Gray, K, et al.The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology. 1994;44:23082314.CrossRefGoogle ScholarPubMed
14.Levin, HS, High, WM, Goethe, KK, et al.The neurobehavioral rating scale: assessment of the behavioral sequelae of head injury by the clinician. J Neurol Neurosurg Psychiatry. 1987;50:183193.CrossRefGoogle ScholarPubMed
15.Reisberg, B, Borenstein, J, Salob, SP, et al.Behavioral symptoms in Alzheimer's disease: phenomenology and treatment. J Clin Psychiatry. 1987;48(suppl):915.Google ScholarPubMed
16.Tariot, PN, Mack, JL, Patterson, MB, et al.The behavioral rating scale for dementia of the consortium to establish a registry for Alzheimer's disease. The Behavioral Pathology Committee of the Consortium to Establish a Registry for Alzheimer's Disease. Am J Psychiatry. 1995;152:13491357.Google Scholar
17.Baumgarten, M, Becker, R, Gauthier, S. Validity and reliability of the dementia behavior disturbance scale. J Am Geriatr Soc. 1990;38:221226.CrossRefGoogle ScholarPubMed
18.Rosen, J, Bobys, PD, Mazumdar, S, et al.OBRA regulations and neuroleptic use: defining agitation using the Pittsburgh Agitation Scale and the Neurobehavioral Rating Scale. Ann Long-Term Care. 1999;7:429436.Google Scholar
19.Cohen-Mansfield, J, Werner, P, Culpepper, WJ, Wolfsman, M, Biskel, E. Assessment of ambulatory behavior in nursing home residents who pace or wander: a comparison of four commercially available devices. Dement Geriatr Cogn Disord. 1997;8:359365.CrossRefGoogle ScholarPubMed
20.Martino-Saltzman, D. Systematic observation of wandering behavior. Gerontologist. 1989;29(special issue):141A.Google Scholar
21.Cohen-Mansfield, J, Werner, P, Marx, MS. An observational study of agitation in agitated nursing home residents. Int Psychogeriatr. 1989;1:153165.CrossRefGoogle ScholarPubMed
22.Mulsant, BH, Mazumdar, S, Pollock, BG, Sweet, RA, Rosen, J, Lo, K. Methodological issues in characterizing treatment response in demented patients with behavioral disturbances. Int J Geriatr Psychiatry. 1997;12:537547.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
23.Pollock, BG, Mulsant, BH, Rosen, J, et al.Comparison of citalopram, perphenazine, and placebo for the acute treatment of psychosis and behavioral disturbances in hospitalized, demented patients. Am J Psychiatry. 2002;159:460465.CrossRefGoogle ScholarPubMed
24.Kastango, KB, Kim, Y, Dew, MA, et al.Verification of scale sub-domains in elderly patients with dementia: a confirmatory factor analytical approach. Am J Geriatr Psychiatry. 2002;10:706714.CrossRefGoogle Scholar
25.Landreville, P, Bordes, M, Dicaire, L, et al.Behavioral approaches for reducing agitation in residents of long-term care facilities: critical review and suggestions for future research. Int Psychogeriatr. 1998;10:397419.CrossRefGoogle ScholarPubMed
26.Rosen, J, Mulsant, BH, Kollar, M, et al.Mental health training for nursing home staff using computer-based interactive video: a 6-month randomized trial. J Am Med Dir Assoc. 2002;3:291297.CrossRefGoogle ScholarPubMed
27.Teri, L, Logsdon, RG, Peskind, E, et al.Treatment of agitation in AD: a randomized, placebo-controlled clinical trial. Neurology. 2000;55:12711278.CrossRefGoogle Scholar
28.Davis, LL, Buckwalter, K, Burgio, L. Measuring problem behaviors in dementia: developing a methodological agenda. ANS Adv Nurs Sci. 1997;20:4055.CrossRefGoogle ScholarPubMed
29.Wactlar, HD, Kanade, T, Smith, MA, et al.Intelligent access to digital video: Informedia Project. IEEE Computer. 1996;29:4652.CrossRefGoogle Scholar
30.Stevens, SM, Atkeson, C, Bharucha, AJ, et al.ITR: CareMedia: automated video and sensor analysis for geriatric care. National Science Foundation grant # 0205219, approved November 1, 2002.Google Scholar