Challenging Behaviour in Dementia: A Psychosocial Approach to Intervention

Handbook of the Clinical Psychology of Ageing: Second Edition

Volumn , Issue , 2008, Pages 571-594

  Bird, Mike ^a   Moniz Cook, Esme ^b  

^a Southern Area Mental Health Service   (Australia)

^b UNIVERSITY OF HULL   (United Kingdom)

Author keywords

antecedents, behaviour and consequences the ABC model; Behavioural and psychological symptoms in dementia; Carer education and unmet need hypothesis; Challenging behaviour in dementia; Mental illness in challenging behaviour

Indexed keywords

EID: 84889347942     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1002/9780470773185.ch33     Document Type: Chapter

References (94)

1. Ancoli-Israel, S., Parker, L., Sinaee, R. et al. (1989) Sleep fragmentation in patients from a nursing home. Journal of Gerontology: Medical Sciences, 44, 8-21.
2. Ayalon, L., Gum, A.M., Feliciano, L. & Arean, P.A. (2006) Effectiveness of non-pharmacological interventions for the management of neuropsychiatric symptoms in patients with dementia: systematic review. Archives of Internal Medicine, 166, 2182-8.
3. Baillon, S., Scothern, G., Neville, P.G.&Boyle, A. (1996) Factors that contribute to stress in care staff in residential homes for the elderly. International Journal of Geriatric Psychiatry, 11, 219-26.
4. Baker, R., Dowling, Z,Waering, L.A. et al. (1997) Snoozlem: its long-term and short-term effects on people with dementia. British Journal of Occupational Therapy 60, 213-18.
5. Ballard, C. & Cream, J. (2005) Drugs used to relieve behavioural symptoms in people with dementia or an unacceptable chemical cosh? International Psychogeriatrics, 17, 4-12.
6. Ballard, C., O'Brien, J., James, I. & Swann, A. (2001) Dementia: Management Of Behavioural And Psychological Symptoms. Oxford University Press, Oxford.
7. Baltes, M.M., Neumann, E.M. & Zank, S. (1994) Maintenance and rehabilitation of independence in old age: an intervention program for staff. Psychology and Aging, 9, 179-88.
8. Bassiony, M.M., Steinberg, M.S.,Warren, A. et al. (2000) Delusions and hallucinations in Alzheimer's disease: prevalence and clinical correlates. International Journal of Geriatric Psychiatry, 15, 99-107.
9. Beck, C., Baldwin, B., Modlin, T. & Lewis, S. (1990) Caregivers' Perception of Aggressive Behavior in Cognitively Impaired Nursing Home Residents. Journal of Neuroscience Nursing, 22, 169-72.
10. Beck, C., Frank, L., Chumbler,N. et al. (1998) Correlates of disruptive behavior in severely cognitively impaired nursing home residents. Gerontologist, 38, 187-98.
11. Berg, A., Hallberg, I. & Norberg, A. (1998) Nurses' reflections about dementia care, the patients, the care and themselves in their daily caregiving. International Journal of Nursing Studies, 35, 271-82.
12. Berg, A., Hansson, U.W. & Hallberg, I.R. (1994) Nurses' creativity, tedium and burnout during one year of clinical supervision and implementation of individually planned nursing care: comparisons between a ward for severely demented patients and a similar control ward. Journal of Advanced Nursing, 20, 742-9.
13. Bird, M. (1998) Clinical use of preserved learning capacity in dementia. Australasian Journal on Ageing, 17, 161-6.
14. Bird, M. (1999) Challenging behaviour in dementia: a critical role for psychology. Australian Psychologist, 34, 144-214.
15. Bird, M. (2003) Dementia and suffering in nursing homes. Journal of Religious Gerontology, 13, 49-68.
16. Bird, M. (2005) A predominantly psychosocial approach to behaviour problems in dementia: treating causality, in Dementia, 3rd edn (eds A. Burns, D. Ames & J. O'Brien). Arnold, London.
17. Bird, M., Alexopoulos, P. & Adamowicz, J. (1995) Success and failure in five case studies: use of cued recall to ameliorate behaviour problems in senile dementia. International Journal of Geriatric Psychiatry, 10, 305-11.
18. Bird, M., Blair, A. & Caldwell, T. (in press) ACT Dementia Pilot. Replication of a Swedish Staff Support and Supervision Model for Dementia Care in Everyday Australian Conditions: Evaluation of a Controlled Trial. Australian Government Department of Health and Ageing, Canberra.
19. Bird, M., Llewellyn Jones, R., Korten, A. & Smithers, H. (2007) A controlled trial of a predominantly psychosocial approach to BPSD: treating causality. International Psychogeriatrics, 19, 874-91.
20. Bird, M., Llewellyn-Jones, R., Smithers, H. & Korten, A. (2002) Psychosocial Approaches To Challenging Behaviour In Dementia: A Controlled Trial. Report to the Commonwealth Department of Health and Ageing, Canberra. Available from http://www.health.gov.au/internet/wcms/publishing.nsf/Content/ageing-publicat-psychsoc.htm.
21. Bird, M., Llewellyn-Jones, R., Smithers, H. et al. (1998) Challenging behaviour in dementia: a project at Hornsby/Ku-ring-gai Hospital. Australasian Journal on Ageing, 17, 252-7.
22. Bjorksten, K.S., Basun, H.&Wetterberg, L. (1995) Disorganized sleep-wake schedule associated with neuroendocrine abnormalities in dementia. A clinical study. International Journal of Geriatric Psychiatry, 10, 107-13.
23. Bråane, G., Karlsson, I., Kihlgren, M. & Norberg, A. (1989) Integrity-promoting care of demented nursing home patients: psychological and biochemical changes. International Journal of Geriatric Psychiatry. 4, 165-72.
24. Bridges-Parlet, S., Knopman, D. & Thompson, T. (1994) A descriptive study of physically aggressive behavior in dementia by direct observation. Journal of the American Geriatrics Society, 42, 192-7.
25. Brodaty, H., Draper, B. & Low, L.F. (2003) Behavioural and psychological symptoms of dementia: a seven-tiered model of service delivery. Medical Journal of Australia, 178, 231-4.
26. Burgener, S.C., Jirovec, M., Murrell, L. & Barton, D. (1992) Caregiver and environmental variables related to difficult behaviors in institutionalized, demented elderly persons. Journal of Gerontology Psychological Sciences, 47, 242-9.
27. Burgio, L., Scilley, K., Hardin, J. et al. (1996) Environmental 'white noise': an intervention for verbally agitated nursing home residents. Journal of Gerontology: Psychological Sciences, 51B, 364-73.
28. Burns, A., Jacoby, R. & Levy, R. (1990) Psychiatric Phenomena in Alzheimer's disease. IV: disorders of behaviour. British Journal of Psychiatry, 157, 86-94.
29. Clark, M.E., Lipe, A.W.&Bilbrey, M. (1998) Use of music to decrease aggressive behaviors in people with dementia. Journal of Gerontological Nursing, 24, 10-17.
30. Cohen-Mansfield, J. (2001) Non-pharmacologic interventions for inappropriate behaviors in dementia: a review summary and critique. American Journal of Geriatric Psychiatry, 9, 361-81.
31. Cohen-Mansfield, J. (2003) Non-pharmacologic interventions for psychotic symptoms in dementia. Journal of Geriatric Psychiatry and Neurology, 16, 219-24.
32. Cohen-Mansfield, J. (2005) Nonpharmacological interventions for persons with dementia. Alzheimer's Care Quarterly, 6, 129-45.
33. Cohen-Mansfield, J. & Lipson, S. (2002) Pain in cognitively impaired nursing home residents: How well are physicians diagnosing it? Journal of the American Geriatrics Society, 50, 1039-44.
34. Cohen-Mansfield, J., Lipson, S., Werner, P. et al. (1999) Withdrawal of Haloperidol, Thioridazine and Lorazepam in the nursing home. Archives of International Medicine, 159, 1733-40.
35. Cohen-Mansfield, J., Marx, M., Werner, P. & Freedman, L. (1992) Temporal patterns of agitated nursing home residents. International Psychogeriatrics, 4, 197-206.
36. Cohen-Mansfield, J., Taylor, L. &Werner, P. (1997) Delusions and hallucinations in an adult day care population: a longitudinal study. American Journal of Geriatric Psychiatry, 6, 104-21.
37. Cohen-Mansfield, J. & Werner, P. (1997) Typology of disruptive vocalizations in older persons suffering from dementia. International Journal of Geriatric Psychiatry, 12, 1079-91.
38. Cohen-Mansfield, J.&Werner, P. (1999) Longitudinal predictors of non-aggressive agitated behaviors in the elderly. International Journal of Geriatric Psychiatry, 14, 831-44.
39. Day, K., Carreon, D. & Stump, C. (2000) The therapeutic design of environments for people with dementia: a review of the empirical research. Gerontologist, 40, 397-416.
40. Dempsey, O.P. & Moore, H. (2005) Psychotropic prescribing for older people in residential care in the UK; are guidelines being followed? Primary Care and Community Psychiatry, 10, 13-18.
41. De Vugt, M.E., Stevens, F., Aalten, P. et al. (2004) Do caregiver management strategies influence patient behaviour in dementia? International Journal of Geriatric Psychiatry, 19, 85-92.
42. Donaldson, C., Tarrier, N. & Burns, A. (1997) The impact of dementia on caregivers. British Journal of Psychiatry, 170, 62-8.
43. Duffy, M. (2002) Strategies for working with women with dementia, in Psychotherapy and Counselling with Older Women: Cross-cultural, Family, and End of Life Issues (eds F. Trotman & C. Brody). Springer, New York.
44. Duffy, M. & Karlin, B. (2006) Treating depression in long-term care: beyond the medical model, in Geropsychological Interventions in Long-term Care (eds L. Hyer & R. Intrieri). Springer, New York.
45. Edberg, A.-K., Hallberg, I. R. & Gustafson, L. (1996) Effects of clinical supervision on nurse-patient cooperation quality. Clinical Nursing Research, 5, 127-49.
46. Edberg, A. K., Norberg, A. & Hallberg, K. R. (1999) Mood and general behavior of patients with severe dementia during one year of supervised, individualized planned care and systematic clinical supervision. Comparison with a similar control group. Aging and Clinical Experimental Research, 11, 395-403.
47. Edberg, A.-K., Bird, M., Richards, D. et al. (in press) Strain in nursing care of people with dementia: nurses' experience in Australia, Sweden and United Kingdom. Aging & Mental Health, in press.
48. Eggermont, L. & Scherder, E. (2006) Physical activity in dementia: a review of the literature and implications for psychosocial intervention in primary care. Dementia, 5, 411-28.
49. Ersser, S.,Wiles, A., Taylor, H. et al. (1999) The sleep of older people in hospital and nursing homes. Journal of Clinical Nursing, 8, 360-368.
50. Finkel, S., Silva, J.C., Cohen, G. et al. (1997) Behavioral and psychological signs and symptoms of dementia: a consensus statement on current knowledge and implications for research and treatment. International Journal of Geriatric Psychiatry, 12, 1060-1.
51. Finnema, E., Droes, R., Ribbe, M. & VanTilburg, W. (2000) The effects of emotion-oriented approaches in the care for persons suffering from dementia: a reviewof the literature. International Journal of Geriatric Psychiatry, 15, 141-61.
52. Fossey, J., Ballard, C.G., Juszczak, E. et al. (2006) Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial. British Medical Journal, 332, 756-8.
53. Gilley, D.W., Bienias, J.L., Wilson, R.S. et al. (2004) Influence of behavioral symptoms on rates of institutionalization for persons with Azheimer's Disease. Psychological Medicine, 34, 1129-35.
54. Greve, M. & O'Connor, D. (2005) A survey of Australian and New Zealand old age psychiatrists' preferred medications to treat behavioural and psychological symptoms of dementia (BPSD) International Psychogeriatrics, 17, 195-205.
55. Haffmans, P.M.J., Sival, R.C., Lucius, S.A.P. et al. (2001) Bright light therapy and melatonin in motor restless behaviour in dementia: A placebo-controlled study. International Journal of Geriatric Psychiatry, 16, 106-10.
56. Hallberg, I. & Norberg, A. (1993) Strain among nurses and their emotional reactions during one year of systematic supervision combined with the implementation of individualized care. Journal of Advanced Nursing, 18, 1860-75.
57. Hallberg, I.R. & Norberg, A. (1995) Nurses' experiences of strain and their reactions in the care of severely demented patients. International Journal of Geriatric Psychiatry, 10, 757-66.
58. Hinchliffe, A.C., Hyman, I.L., Blizard, B. & Livingston, G. (1995) Behavioural complications of dementia-can they be treated? International Journal of Geriatric Psychiatry, 10, 839-47.
59. Hope, T., Keene, J., Fairburn, C. et al. (1997) Behaviour changes in dementia II: are there behavioural syndromes? International Journal of Geriatric Psychiatry, 12, 1074-8.
60. Howard, R., Ballard, C., O'Brien, J. & Burns, A. (2001) Guidelines for the management of agitation in dementia. International Journal Geriatric Psychiatry, 16, 714-71.
61. Kitwood, T. (1997) Dementia Reconsidered: The Person Comes First. Oxford University Press, Oxford.
62. Landreville, P., Bedard, A.,Verreault, R. et al. (2006) Non-pharmacological intervention for aggressive behaviour in older adults living in long term care facilities. International Psychogeriatrics, 18, 47-74.
63. Levine, J.M., Marchello, V. & Totolos, E. (1995) Progress toward a restraint-free environment in a large academic nursing facility. Journal of the American Geriatrics Society, 43, 914-18.
64. Livingston, G., Johnston, K., Paton, J. & Lyketsos, C. (2005) Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. American Journal of Psychiatry, 162, 1996-2021.
65. Meares, S.&Draper, B. (1999) Treatment of vocally disruptive behaviour of multi-factorial aetiology. International Journal of Geriatric Psychiatry, 14, 285-90.
66. Menon, A.S., Gruber-Baldini, A.L., Hebel, J.R. et al. (2001) Relationship between aggressive behaviours and depression among nursing home residents with dementia. International Journal of Geriatric Psychiatry, 16, 139-46.
67. Moniz-Cook, E. (2001) Behavioural Disturbance in Care Homes, unpublisherd PhD, University of Wales (Bangor).
68. Moniz-Cook, E. (2003) Mealtime challenges for people with dementia and staff in care homes-a psychological perspective, in The Food Book (ed. M. Marshall). Hawker, London, pp. 109-13.
69. Moniz-Cook, E., Agar, S., Silver, M. et al. (1998) Can staff training reduce behavioural problems in residential care for the elderly mentally ill? International Journal of Geriatric Psychiatry, 13, 149-58.
70. Moniz-Cook, E. & Bird, M. (2003) Sensory stimulation and dementia: cause of behavioural and psychological symptoms of dementia needs to be established first. British Medical Journal, 326, 661.
71. Moniz-Cook, E., Stokes, G. & Agar, S. (2003) Difficult Behaviour and Dementia in Nursing Homes: Five Cases of Psychosocial Intervention. International Journal of Clinical Psychology & Psychotherapy, 10, 197-208.
72. Moniz-Cook, E.,Woods, R.&Gardiner,E. (2000) Staff factors associated with perception of behaviour as 'challenging' in residential and nursing homes. Aging and Mental Health, 4, 48-55.
73. Moniz-Cook, E., Woods, R., Gardiner, E. et al. (2001b) The Challenging Behaviour Scales (CBS): Development of a New Scale for Staff Caring for Older People in Residential and Nursing Homes. British Journal of Clinical Psychology, 40, 309-22.
74. Moniz-Cook, E., Woods, R. & Richards, K. (2001a) Functional analysis of challenging behaviour in dementia: the role of superstition. International Journal of Geriatric Psychiatry, 16, 45-56.
75. Namazi, K.H. & Johnson, B.D. (1996) Issues related to behavior and the physical environment: bathing cognitively impaired patients. Geriatric Nursing,17, 234-8.
76. Opie, J., Rosewarne, R. & O'Connor, D.W. (1999) The efficacy of psychosocial approaches to behaviour disorders in dementia: A systematic literature review. Australian and New Zealand Journal of Psychiatry, 33, 789-99.
77. Peisah, C. & Brodaty, H. (1994) Practical guidelines for the treatment of behavioural complications of dementia. The Medical Journal of Australia, 161, 558-64.
78. Proctor, R., Burns, A., Stratton-Powell, H. et al. (1999) Behavioural Management in nursing and residential homes: a randomised controlled trial. The Lancet, 354, 26-9.
79. Rovner, B., Steele, C. & Folstein, M. (1996) A randomized trial of dementia care in nursing homes. Journal of the American Geriatrics Society, 44, 7-13.
80. Schneider, J.F., Pollock, V.E. & Lyness, A. (1990) A meta-analysis of controlled trials of neuroleptic treatment in dementia. Journal of the American Geriatrics Society, 38, 553-63.
81. Schnelle, J.F., Alessi, C.A., Al-Samarrai, N.R. et al. (1999) The nursing home at night: effects of an intervention on noise, light and sleep. Journal of the American Geriatrics Society, 47, 430-4.
82. Shah, A. & Suh, G.H. (2005) A case for judicious use of risperidone and olanzapine in behavioural and psychological symptoms (BPSD) International Psychogeriatrics, 17, 12-22.
83. Sink, K.M., Holden, F.H.&Yaffe, K. (2005) Pharmacological treatment of neuropsychiatric symptoms of dementia: a reviewof the evidence. Journal of the American Medical Association, 293, 596-608.
84. Smith, M., Gerdner, L., Hall, G. & Buckwalter, K. (2004) History, development, and future of the progressively lowered stress threshold: a conceptual model for dementia care. Journal of the American Geriatrics Society, 52, 1755-60.
85. Snyder, L., Rupprecht, P., Pyrex, J. et al. (1978) Wandering. Gerontologist, 18, 272-80.
86. Sohlberg, M. & Mateer, C. (2001) Cognitive Rehabilitation: An Integrative Neuropsychological Approach. Guilford, New York.
87. Spira, A. & Edelstein, B. (2006) Behavioral interventions for agitation in older adults with dementia: an evaluative review. International Psychogeriatrics, 18, 195-225.
88. Stokes, G. (2000) Challenging Behaviour in Dementia: A Person Centred Approach. Winslow Press, Bicester, pp. 135-6 and 142-54.
89. Svarstad, B.L. & Mount, J.K. (2001) Chronic benzodiazepine use in nursing homes: effects of federal guidelines, resident mix, and nurse staffing. Journal of the American Geriatric Society, 49, 1673-8.
90. Teri, L. (1999) Training families to provide care: effects on people with dementia. International Journal of Geriatric Psychiatry, 14, 110-19.
91. Teri, L., Gibbons, L., McCurry, S. et al. (2003) Exercise plus behavioural management in patients with Alzheimer's diseases:Arandomized controlled trial. Journal of the American Medical Association, 290, 2015-22.
92. Teri, L., McCurry, S.M., Logsdon, R. & Gibbons L. (2005) Training community consultants to help family members improve dementia care. Gerontologist, 45, 802-11.
93. Woods, P. & Ashley, J. (1995) Stimulated presence therapy: using selected memories to manage problem behaviors in Alzheimer's disease patients. Geriatric Nursing, 16, 9-14.
94. Woods, R. & Bird, M. (1998) Non-pharmacological approaches to treatment, in Diagnosis and Management of Dementia: A Manual for Memory Disorders Teams. (eds G. Wilcock, R. Bucks & K. Rockwood). Oxford University Press, Oxford.