1998
DOI: 10.1097/00005053-199805000-00006
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Contribution of Cognitive Impairment, Depression, and Psychosis to the Outcome of Agitated Geropsychiatric Inpatients with Dementia

Abstract: This study investigated the correlates of change in behavioral disturbance in geropsychiatric inpatients with dementia. It was hypothesized that improvement in specific psychiatric symptoms, such as psychosis and depression, contribute to the improvement of specific behavioral disturbances. All admissions between October 1993 and May 1995 were reviewed to identify those patients admitted to the Houston VA geropsychiatry unit with a diagnosis of dementia; 233 patients were included in the study. Improvement in … Show more

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Cited by 8 publications
(4 citation statements)
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“…Although there was only a trend for decreased delusions, severe cognitive impairment of the patients in this study made it difficult to detect or assess psychotic symptoms due to difficulty in communication. Psychotic symptoms may have been present in a higher frequency than detected as they frequently co-exist with aggression in Alzheimer's disease (Gilley et al, 1997;Kunik et al, 1998). Depression is the main clinical indication for sertraline and alleviation of depression may have led to improvement in behavioral symptoms in other studies.…”
Section: Discussionmentioning
confidence: 99%
“…Although there was only a trend for decreased delusions, severe cognitive impairment of the patients in this study made it difficult to detect or assess psychotic symptoms due to difficulty in communication. Psychotic symptoms may have been present in a higher frequency than detected as they frequently co-exist with aggression in Alzheimer's disease (Gilley et al, 1997;Kunik et al, 1998). Depression is the main clinical indication for sertraline and alleviation of depression may have led to improvement in behavioral symptoms in other studies.…”
Section: Discussionmentioning
confidence: 99%
“…[40][41][42][43] Recognition and treatment of depression in persons with dementia has resulted in improved outcomes with cognition and behavior. [40][41][42][43] Recognition and treatment of depression in persons with dementia has resulted in improved outcomes with cognition and behavior.…”
Section: Depression and Behavioral Managementmentioning
confidence: 99%
“…This practice may mask the root cause of the problem by attending only to the symptomatology of the disease while ignoring underlying causes that may be reversible. For example, effective treatment of depression has been shown to decrease behavioral disturbances (Kunik, Graham, Snow-Turek, Molinari, Orengo, & Workman, 1998). However, those who are unfamiliar with late-life depression may not consider it as an etiology for agitation.…”
Section: Polypharmacymentioning
confidence: 99%