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Physical aggression among patients with dementia, neuropathologically confirmed post-mortem
Madeleine Liljegren1, Maria Landqvist Waldö2, Elisabet Englund1
1Division of Oncology and Pathology, Department of Clinical Sciences, Lund University/Department of Clinical Pathology, Lund, Sweden.
International Journal of Geriatric Psychiatry
|September 1, 2017
Summary
Physical aggression is common in dementia patients, particularly those with frontotemporal dementia (FTD). FTD patients exhibit aggression earlier and more frequently than Alzheimer
Area of Science:
- Neurology
- Geriatrics
- Psychiatry
Background:
- Physical aggression is a challenging behavior in dementia care.
- Understanding its prevalence and patterns across dementia types is crucial for effective management.
Purpose of the Study:
- To determine the prevalence of physical aggression in different dementia types.
- To compare clinical traits associated with aggression, including behavior patterns and disease stage.
- To identify the targets of physical aggression.
Main Methods:
- Retrospective review of 281 neuropathologically diagnosed dementia cases from a brain bank.
- Data collected from medical records covering post-mortem examinations between 1967 and 2013.
Main Results:
- 35% of patients (97/281) exhibited physical aggression.
- Frontotemporal dementia patients showed aggression earlier and more frequently than Alzheimer's disease patients.
- Health staff, other patients, family members, and unknown individuals were common targets.
Conclusions:
- Physical aggression patterns vary significantly between frontotemporal dementia and Alzheimer's disease.
- This knowledge can inform patient care decisions and improve management strategies.
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