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Violent Behaviors in Frontotemporal Dementia
Othman Mounir Alaoui1, Alexandra Fayel1, Emmanuel Morain1
1Cognitive Neurology Center, Assistance Publique Hopitaux de Paris, Paris, France.
Journal of Geriatric Psychiatry and Neurology
|June 9, 2025
Summary
Violent behaviors are common in frontotemporal dementia (FTD), often verbal and directed at caregivers. Many cases go unreported, highlighting the need for systematic screening in medical settings.
Area of Science:
- Neurology
- Geriatrics
- Psychiatry
Background:
- Frontotemporal dementia (FTD) is a neurodegenerative disorder affecting behavior and personality.
- Violent behaviors and behavioral and psychological symptoms of dementia (BPSD) are significant challenges in FTD care.
- Caregiver burden and underreporting of symptoms are critical issues in managing FTD.
Purpose of the Study:
- To determine the prevalence and characteristics of violent behaviors in FTD patients.
- To identify factors contributing to violent behaviors in FTD.
- To assess the extent of underreporting of violent behaviors by caregivers.
Main Methods:
- A nationwide online survey of caregivers of FTD patients in France.
- Data collection on the frequency, types, and targets of violent behaviors and associated BPSD.
- Statistical analysis to explore associations between violent behaviors, BPSD, and demographic factors.
Main Results:
- Violent behaviors were reported in 56.29% of FTD patients, primarily verbal (83.2%) and often directed at caregivers (68.1%).
- Higher scores in Neuropsychiatric Inventory (NPI), delusions, agitation/aggression, and irritability were associated with increased violence.
- Only 48.8% of caregivers disclosed violent behaviors to health professionals, indicating significant underreporting.
Conclusions:
- Violent behaviors are prevalent in FTD and frequently underreported by caregivers.
- Associated factors include specific BPSD like delusions and agitation.
- Systematic screening for violent behaviors during medical appointments is crucial for timely intervention and improved patient management.
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