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Physically aggressive elderly: a social skills training program.

F J Vaccaro1

  • 1Hofstra University.

Journal of Behavior Therapy and Experimental Psychiatry
|December 1, 1992
PubMed
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Social skills training significantly reduced physical aggression in elderly patients. The program demonstrated lasting positive effects on behavior in institutional settings.

Area of Science:

  • Gerontology
  • Behavioral Psychology
  • Clinical Psychology

Background:

  • Institutionalized elderly patients often exhibit physically aggressive behaviors.
  • Effective interventions are needed to manage aggression in geriatric care settings.

Purpose of the Study:

  • To assess the efficacy of a social skills training program in reducing physically aggressive behavior among institutionalized elderly patients.
  • To evaluate the generalization of treatment effects to ward behavior and other social interactions.

Main Methods:

  • A social skills training program incorporating instructions, modeling, role-playing, and feedback was implemented.
  • An ABAB research design was used to monitor physically aggressive incidents.
  • A 5-month follow-up period assessed long-term effects and generalization.

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Main Results:

  • The social skills training program significantly decreased physically aggressive behavior.
  • Treated patients showed generalization of improved behavior to ward settings and other social interactions.
  • The study explored differences between physical and verbal aggression and the role of vicarious reinforcement.

Conclusions:

  • Group-based social skills training is an effective method for reducing physical aggression in institutionalized elderly individuals.
  • Interventions can lead to sustained behavioral improvements and generalization of positive social behaviors.
  • Further research into the nuances of aggression and reinforcement in this population is warranted.