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Correlates of aggressive behavior in dementia
Kathryn A Hall1, Daniel W O'Connor
1Aged Mental Health Research Group, Department of Psychological Medicine, Monash University, Kingston Centre, Warrigal Road, Cheltenham, Victoria 3192, Australia. Kathhall@bigpond.net.au
International Psychogeriatrics
|August 21, 2004
Summary
Aggressive behavior in elderly dementia patients is linked to cognitive decline, physical illness, and environmental factors. Understanding these biopsychosocial contributors aids clinical management and research.
Area of Science:
- Gerontology
- Neuroscience
- Psychiatry
Background:
- Aggressive behavior is a common and challenging symptom in elderly individuals with dementia.
- Understanding the multifaceted origins of aggression is crucial for effective patient care.
Purpose of the Study:
- To review and synthesize the existing literature on the biopsychosocial factors contributing to aggressive behavior in elderly dementia patients.
- To provide a clinical aid for assessing behavioral symptoms and inform future research directions.
Main Methods:
- Comprehensive literature searches were conducted between 1995 and 2001.
- Databases utilized included Medline, CINHAL, and PsycINFO, supplemented by library resources.
Main Results:
- Identified associations between aggression and cognitive impairment, personality traits, sensory changes, physical illness, and language deficits.
- Explored the influence of brain pathology, affective and psychotic disorders, gender, sexuality, circadian rhythm disruption, and environmental factors.
Conclusions:
- Recognizing the correlates of aggressive behavior can enhance clinicians' ability to manage these symptoms effectively.
- This review serves as a foundation for further investigation into the complex etiology of aggression in dementia.