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An individualized psychosocial approach for "treatment resistant" behavioral symptoms of dementia among aged care residents

Davison, Tanya, Hudgson, Catherine, McCabe, Marita, George, Kuruvilla and Buchanan, Greg 2007, An individualized psychosocial approach for "treatment resistant" behavioral symptoms of dementia among aged care residents, International psychogeriatrics: the official journal of the international psychogeriatric association, vol. 19, no. 5, pp. 859-873.

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Title An individualized psychosocial approach for "treatment resistant" behavioral symptoms of dementia among aged care residents
Author(s) Davison, Tanya
Hudgson, Catherine
McCabe, Marita
George, Kuruvilla
Buchanan, Greg
Journal name International psychogeriatrics: the official journal of the international psychogeriatric association
Volume number 19
Issue number 5
Start page 859
End page 873
Publisher Cambridge University Press
Place of publication Cambridge, Eng.
Publication date 2007-10
ISSN 1041-6102
1741-203X
Keyword(s) aged care
behaviour therapy
dementia
BPSD
staff burden
Summary Background: Behavioral symptoms of dementia are common among residents in mainstream aged care settings, and have a substantial impact on residents and professional caregivers. This study evaluated the impact of individualized psychosocial interventions for behavioral symptoms through a small preliminary study.
Method: Interventions were delivered to a patient group of 31 psychogeriatric aged care residents who presented with behavioral symptoms of dementia that had failed to respond to pharmacological treatment approaches. Outcome data on severity of behaviors, health service utilization and staff burden of care were collected.
Results: A modest but significant reduction in staff ratings of the severity of aggressive and verbally agitated behavioral symptoms was found, with an associated reduction in their perceptions of the burden of caring for these patients. Reduced behavioral disturbance was associated with a reduction in the requirement for primary care consultations, and all participants were able to continue to reside in mainstream aged care facilities, despite an increase in the severity of dementia.
Conclusions: This study supported the use of individualized psychological strategies for behavioral symptoms at all stages of dementia. Methodological limitations of this preliminary study are discussed.

Notes Published online by Cambridge University Press 14 Sep 2006
Language eng
Field of Research 170102 Developmental Psychology and Ageing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006 International Psychogeriatric Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007583

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.