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This version was published on June 1, 2008
American Journal of Alzheimer's Disease and Other Dementias®, Vol. 23, No. 3, 227-232 (2008)
DOI: 10.1177/1533317507313373

Aggression in Individuals Newly Diagnosed With Dementia

Claudia A. Orengo, MD, PhD

Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center

Jennifer Khan, BA

Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center Houston, Texas

Mark E. Kunik, MD, MPH

Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, , mkunik{at}bcm.tmc.edu, Department of Medicine Baylor College of Medicine, Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center, Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center Houston, Texas

Andrea L. Snow, PhD

Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center, University of Alabama, Center for Mental Health and Aging Tuscaloosa, Alabama

Robert Morgan, PhD

Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center, Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center Houston, Texas

Avila Steele, PhD

Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center Houston, Texas

Jeffrey A. Cully, PhD

Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Department of Medicine Baylor College of Medicine, Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center, Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center Houston, Texas

David P. Graham, MD, MS

Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center, Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center Houston, Texas

Aggression is often associated with dementia. In this study, aggression in veterans newly diagnosed with dementia was examined and characterized. Participants were ≥60 years diagnosed with dementia at the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Texas, from 2001 to 2004. Aggression was defined as a positive caregiver response to 1 or more of 3 probes from the Ryden Aggression Scale, administered during a telephone screen. Of 1276 contacts, 385 (30%) were eligible and agreed to participate; at initial screening, 75 (19.5%) were aggressive (23 [31%] verbally, 9 [12%] physically, 24 [32%] verbally and physically, and 19 [25%] with unspecified aggression). The surprisingly high prevalence of aggression in individuals newly diagnosed with dementia suggests the potential usefulness of early screening for aggression in this population.

Key Words: dementia • aggression • behavioral disorder • screening


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