“…In clinical samples, depression is associated with milder cognitive impairment (Rei¯er et al, 1989;Teri et al, 1997), whereas delusions are more common in people with dementia of moderate severity (Ballard et al, 1991;Jeste et al, 1992) and both visual hallucinations (Flynn et al, 1991) and aggression (Burns et al, 1990;Eastley and Wilcock, 1998) are associated with more severe cognitive impairment. Whether this pattern of associations is also evident amongst dementia patients in care facilities is unknown, but has important implications for the care needs of the residents and the skills required by the care sta.…”