Temporal patterns of negative and positive behavior among nursing home residents with Alzheimer's disease

Psychology and Aging
Judith J McCannDenis A Evans

Abstract

Although clinical observations suggest a late-day peak in disruptive behavior in persons with dementia, results from studies of temporal patterns of behavior are equivocal. This study used direct observation methods and systematic time sampling to examine temporal patterns of negative and positive behavior in 177 residents of 2 long-term care facilities with clinically diagnosed Alzheimer's disease (AD). The authors found small statistically significant diurnal variation in both negative and positive behavior, characterized by a curvilinear pattern with a single peak. This pattern was unaffected by seasonal differences in length of day, severity of cognitive impairment, level of behavior, or sleep disturbances. Time when behavior peaked differed by type of behavior and by facility, and there was substantial heterogeneity in behavior patterns.

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Citations

May 18, 2012·International Psychogeriatrics·Tomislav MajićMichael A Rapp
Oct 20, 2006·Aging & Mental Health·Kimberly A SkarupskiDenis A Evans
Sep 25, 2012·Research in Gerontological Nursing·Andrea M YevchakLois K Evans
Mar 1, 2008·Aggression and Violent Behavior·Tony RosenMark Lachs
Jul 2, 2008·American Journal of Alzheimer's Disease and Other Dementias·Susan H McFadden, Melissa Lunsman
Mar 8, 2007·Journal of Geriatric Psychiatry and Neurology·Sytse ZuidemaFrans Verhey
Mar 13, 2009·International Journal of Geriatric Psychiatry·Sytse U ZuidemaRaymond T C M Koopmans

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