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Violent Behaviors in Frontotemporal Dementia.

Othman Mounir Alaoui1, Alexandra Fayel1, Emmanuel Morain1

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Summary
This summary is machine-generated.

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.

Keywords:
behavioral and psychological symptoms of dementiafrontotemporal dementianeuropsychiatric symptomsviolence

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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.