OBJECTIVE: The aim of this study is to analyze modifiable factors related to agitation of nursing home residents with dementia. METHODS: Relationship of agitation with three modifiable factors (depression, psychosis, and pain) was explored using longitudinal Minimum Data Set (MDS) information from 2032 residents of Dutch nursing homes. Presence of agitation and depression was ascertained using validated scales based on MDS information. Presence of psychosis and pain was ascertained from the individual MDS items. RESULTS: There was a significant correlation between MDS depression and agitation scores. Depression scores increased in residents whose agitation worsened and decreased in residents whose agitation improved. Psychosis scores (combination of delusions and hallucinations) also correlated with MDS depression scores, and psychosis scores increased in residents whose agitation worsened. Pain scores correlated with agitation scores, but the pain scores did not change with changes in agitation. Depression symptoms were present in 51% of residents, while psychotic symptoms were present only in 15% of residents, and two-thirds of these residents were also depressed. CONCLUSION: These results indicate that depression may be the most common factor associated with agitation in nursing home residents with dementia.
OBJECTIVE: The aim of this study is to analyze modifiable factors related to agitation of nursing home residents with dementia. METHODS: Relationship of agitation with three modifiable factors (depression, psychosis, and pain) was explored using longitudinal Minimum Data Set (MDS) information from 2032 residents of Dutch nursing homes. Presence of agitation and depression was ascertained using validated scales based on MDS information. Presence of psychosis and pain was ascertained from the individual MDS items. RESULTS: There was a significant correlation between MDS depression and agitation scores. Depression scores increased in residents whose agitation worsened and decreased in residents whose agitation improved. Psychosis scores (combination of delusions and hallucinations) also correlated with MDS depression scores, and psychosis scores increased in residents whose agitation worsened. Pain scores correlated with agitation scores, but the pain scores did not change with changes in agitation. Depression symptoms were present in 51% of residents, while psychotic symptoms were present only in 15% of residents, and two-thirds of these residents were also depressed. CONCLUSION: These results indicate that depression may be the most common factor associated with agitation in nursing home residents with dementia.
Authors: Alycia A Bristol; Kimberly A Convery; Victor Sotelo; Catherine E Schneider; Shih-Yin Lin; Jason Fletcher; Randall Rupper; James E Galvin; Abraham A Brody Journal: Contemp Clin Trials Date: 2020-04-19 Impact factor: 2.226
Authors: Yu-Jung Jenny Wei; Cheng Chen; Roger B Fillingim; Steven T DeKosky; Siegfried Schmidt; Marco Pahor; Laurence Solberg; Almut G Winterstein Journal: J Am Med Dir Assoc Date: 2021-06-03 Impact factor: 7.802
Authors: Janine van Kooten; Suzanne Delwel; Tarik T Binnekade; Martin Smalbrugge; Johannes C van der Wouden; Roberto S G M Perez; Didi Rhebergen; Wouter W A Zuurmond; Max L Stek; Frank Lobbezoo; Cees M P M Hertogh; Erik J A Scherder Journal: BMC Geriatr Date: 2015-03-21 Impact factor: 3.921
Authors: Annelore H van Dalen-Kok; Marjoleine J C Pieper; Margot W M de Waal; Albert Lukas; Bettina S Husebo; Wilco P Achterberg Journal: BMC Geriatr Date: 2015-04-19 Impact factor: 3.921
Authors: Wilco P Achterberg; Marjoleine J C Pieper; Annelore H van Dalen-Kok; Margot W M de Waal; Bettina S Husebo; Stefan Lautenbacher; Miriam Kunz; Erik J A Scherder; Anne Corbett Journal: Clin Interv Aging Date: 2013-11-01 Impact factor: 4.458
Authors: Elizabeth L Sampson; Nicola White; Kathryn Lord; Baptiste Leurent; Victoria Vickerstaff; Sharon Scott; Louise Jones Journal: Pain Date: 2015-04 Impact factor: 7.926
Authors: Rianne M van der Linde; Tom Dening; Blossom C M Stephan; A Matthew Prina; Elizabeth Evans; Carol Brayne Journal: Br J Psychiatry Date: 2016-08-04 Impact factor: 9.319