Development and treatment of aggression in individuals with dementia
Autor: | Soledad Argüelles-Borge, Meghan Gilmore, Brizel Trinidad, Charles J. Golden, Lisa Stebbins |
---|---|
Rok vydání: | 2020 |
Předmět: |
education.field_of_study
Lewy body business.industry Aggression 050901 criminology 05 social sciences Population Disease medicine.disease Pathology and Forensic Medicine Psychiatry and Mental health Clinical Psychology mental disorders medicine Dementia 0501 psychology and cognitive sciences 0509 other social sciences medicine.symptom Vascular dementia business education Psychosocial 050104 developmental & child psychology Clinical psychology Frontotemporal dementia |
Zdroj: | Aggression and Violent Behavior. 54:101415 |
ISSN: | 1359-1789 |
DOI: | 10.1016/j.avb.2020.101415 |
Popis: | Behavioral and psychological symptoms of dementia (BPSD) are a group of non-cognitive symptoms and behaviors that often occur with a diagnosis of dementia. Aggression is the most prevalent and serious of these noncognitive symptoms. However, the development and treatment of aggression in this population are not always clear and the type of dementia does not further help to clarify this problem. There are biological, psychosocial, and environmental factors that attribute to the development of aggression, but identification has proven difficult due to the homogeneity of symptoms. Few studies have compared the type of aggression across the four most common types of dementia: Alzheimer's Disease (AD), vascular dementia (VaD), dementia with Lewy body (DLB) and frontotemporal dementia (FTD). Results indicated that those with AD are more likely to be physically aggressive, but other factors play a role in how and why it is exhibited. Treatment for aggression in dementia has focused on pharmacological and nonpharmacological methods. Atypical antipsychotics are the most frequently prescribed, nevertheless, these medications come with severe risks. The more recent Nonpharmacological treatments have shown promising results shown in conjunction with psychosocial approaches. Aggression in dementia is associated with a variety of factors and can be treated in multiple ways. Future research is needed in terms of identifying the etiology and presentation of aggression in AD, VaD, DLB, and FTD, developing safe pharmacologic treatments, and evidence-based nonpharmacological methods. |
Databáze: | OpenAIRE |
Externí odkaz: |