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Factors associated with problematic vocalizations in nursing home residents with dementia
- Authors:
- BECK Cornelia, et al
- Journal article citation:
- Gerontologist, 51(3), June 2011, pp.389-405.
- Publisher:
- Oxford University Press
Problematic vocalisations include non-aggressive behaviours such as continuous talking and complaining and aggressive behaviours such as screaming and abusive language. This article notes that they are the most frequent and persistent disruptive behaviours shown by nursing home residents with dementia. It reports on a study using the Need-Driven Dementia-Compromised Behavior model to identify the characteristics of people with dementia who are likely to display problematic vocalisations and the conditions in which these behaviours are likely to occur and persist. The study included 138 residents of 17 nursing homes in central Arkansas, approximately half of whom had a history of problematic vocalisations. Data was gathered through interviews, chart reviews, physical and neuropsychological assessments, observations and videotapes. The article describes the methods, analysis and results. 2 background factors were consistently associated with an increase in problematic vocalisations (female gender and positive history of agreeableness), a history of conscientiousness predicted a decrease in problematic vocalisations, general health state deterioration was predictive of increased problematic vocalisations and an increased likelihood of aggressive problematic vocalisations, and increased age tended to decrease aggressive problematic vocalisations. The article includes a table summarising the studies identified in the literature review carried out.