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Related Experiment Videos

Are wandering and physically nonaggressive agitation equivalent?

Donna L Algase1, Cathy Antonakos, Lan Yao

  • 1University of Michigan School of Nursing, Ann Arbor, MI 48109-0482, USA. dalgase@umich.edu

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
|April 2, 2008
PubMed
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Wandering and physically nonaggressive agitation (PNA) in dementia patients are related but distinct behaviors. This study found wandering is a more robustly validated concept than PNA.

Area of Science:

  • Gerontology
  • Psychiatry
  • Nursing Science

Background:

  • Dementia care often involves managing behavioral disturbances.
  • Wandering and physically nonaggressive agitation (PNA) are common behavioral symptoms in dementia.
  • Clarifying the relationship between these behaviors is crucial for accurate assessment and intervention.

Purpose of the Study:

  • To examine the conceptual equivalence of wandering and PNA in ambulatory residents with dementia.
  • To determine if these behaviors represent overlapping or distinct constructs.

Main Methods:

  • A cross-sectional correlational design was employed with 181 ambulatory residents diagnosed with dementia.
  • Video observations were coded for wandering using an ambulation taxonomy and for PNA behaviors using the agitation behavior mapping instrument.

Related Experiment Videos

  • Factor analyses were conducted on wandering and PNA data.

    • Main Results:

    • Most participants (73.5%) exhibited wandering, and all displayed PNA behaviors.
    • Factor analysis revealed one factor for wandering and two factors for PNA.
    • Wandering significantly correlated with both PNA factors, indicating an overlap but not complete equivalence.

    Conclusions:

    • Wandering and PNA are overlapping but not equivalent phenomena in individuals with dementia.
    • The construct validity for wandering appears more robust than for PNA.
    • Findings highlight the importance of precise terminology for accurate clinical and scientific detection of these behaviors.