Citation

O'Rourke HM, Fraser KD, Duggleby W. Am. J. Alzheimers Dis. Other Demen. 2020; 35: e1533317520939781.

Copyright

(Copyright © 2020, SAGE Publishing)

DOI

10.1177/1533317520939781

PMID

32666818

Abstract

Little is known about how individual behavioral and psychological symptoms of dementia (BPSD) impact the person with dementia. This cross-sectional, retrospective study examined the association between one BPSD, aggressive behavior, and a patient-identified outcome, sadness, among people with moderate and severe dementia (n = 5001) using clinical administrative Resident Assessment Instrument 2.0 data. For people with moderate or severe cognitive impairment, the odds of sadness were significantly higher if verbal aggression was exhibited 4 to 6 (adjusted odds ratio [aOR] = 2.85, P <.001) or 1 to 3 (aOR = 2.28, P <.001) times per week, or daily (aOR = 1.77, P =.003). People with severe cognitive impairment and who displayed physical aggression either daily (OR = 2.16, P =.002) or 1 to 3 times per week (OR = 1.45, P =.023) also had an increased odds of sadness. Aggression may harm the person with dementia's mental well-being, depending on the level of cognitive impairment, and type and frequency of aggression. Prospective studies can build on these correlational findings.

Language: en

Keywords

behavioral and psychological symptoms of dementia; logistic regression; Resident Assessment Instrument