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Aggressive behavior in patients with dementia: correlates and management
Gabriele Cipriani1, Marcella Vedovello, Angelo Nuti
1Neurolocy Unit Department of Psychiatry, Versilia Hospital, Lido di Camaiore, Italy. cprgrl@gmail.com
Geriatrics & Gerontology International
|August 17, 2011
Summary
Aggressive behavior is a common and distressing issue in dementia, affecting 30-50% of patients. Management requires identifying triggers and prioritizing non-pharmacological interventions for dementia care.
Area of Science:
- Gerontology
- Neuroscience
- Psychiatry
Background:
- Aggressive behavior (AB) is a significant challenge in dementia care.
- It impacts a substantial percentage of individuals with dementia.
- Understanding its multifaceted nature is crucial for effective management.
Purpose of the Study:
- To examine the phenomenon of aggressive behavior in individuals with dementia.
- To identify factors contributing to aggression in dementia.
- To outline treatment principles for managing aggression in dementia.
Main Methods:
- Literature review of electronic databases and key journals.
- Search terms included: aggressive behavior, dementia, and behavioral and psychological symptoms.
- Synthesis of findings on the causes and management of aggression in dementia.
Main Results:
- Aggressive behavior affects 30-50% of patients with dementia.
- Aggression is associated with internal factors (e.g., pain, psychosis) and external factors (e.g., caregiver stress, social environment).
- Premorbid personality traits may influence challenging behaviors in dementia.
Conclusions:
- Effective management of aggressive behavior in dementia necessitates careful symptom identification.
- Non-pharmacological interventions should be prioritized.
- Pharmacological treatments should be used judiciously, employing the least harmful medications for the shortest duration possible.
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