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Related Experiment Videos

Wandering in dementia: a longitudinal study.

T Hope1, J Keene, R H McShane

  • 1Department of Psychiatry, University of Oxford, Warneford Hospital, UK.

International Psychogeriatrics
|August 10, 2001
PubMed
Summary
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Wandering behavior in dementia changes over time, often increasing in moderate stages and decreasing in late stages. Cognitive state influences specific wandering types, impacting carers significantly.

Area of Science:

  • Gerontology
  • Neuroscience
  • Psychiatry

Background:

  • Wandering behavior is a common and challenging symptom in dementia.
  • Understanding the natural history of wandering is crucial for effective care management.

Purpose of the Study:

  • To analyze the longitudinal changes in wandering behavior throughout the course of dementia.
  • To explore the relationship between cognitive decline and specific types of wandering.

Main Methods:

  • A 10-year prospective, longitudinal study involving 86 community-dwelling individuals with dementia.
  • Carer interviews using the Present Behavioural Examination assessed wandering behavior at 4-month intervals.
  • Cognitive assessments and autopsy follow-up were conducted.

Related Experiment Videos

Main Results:

  • Wandering behavior changes were not strongly linked to gender, age, or dementia duration.
  • Increased walking behaviors emerged during moderate dementia, typically lasting 1-2 years.
  • Late-stage dementia was characterized by reduced walking and immobility, linked to cognitive state.

Conclusions:

  • Wandering behavior evolves with dementia progression, presenting significant challenges for caregivers.
  • Cognitive impairment, such as confusion and disrupted diurnal rhythms, contributes to specific wandering patterns.
  • Tailored interventions considering the stage of dementia and cognitive status are necessary for managing wandering.