Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study

Junko Sato,1 Shutaro Nakaaki,2 Katsuyoshi Torii,1 Mizuki Oka,2 Atsushi Negi,1 Hiroshi Tatsumi,3 Jin Narumoto,4 Toshi A Furukawa,5 Masaru Mimura21Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, 2Department of Neuropsychia...

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Autores principales:	Sato J, Nakaaki S, Torii K, Oka M, Negi A, Tatsumi H, Narumoto J, Furukawa TA, Mimura M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/16311cb670b7466096bfc15028d3d9a7
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spelling	oai:doaj.org-article:16311cb670b7466096bfc15028d3d9a72021-12-02T03:02:04ZBehavior management approach for agitated behavior in Japanese patients with dementia: a pilot study1176-63281178-2021https://doaj.org/article/16311cb670b7466096bfc15028d3d9a72012-12-01T00:00:00Zhttp://www.dovepress.com/behavior-management-approach-for-agitated-behavior-in-japanese-patient-a11810https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Junko Sato,1 Shutaro Nakaaki,2 Katsuyoshi Torii,1 Mizuki Oka,2 Atsushi Negi,1 Hiroshi Tatsumi,3 Jin Narumoto,4 Toshi A Furukawa,5 Masaru Mimura21Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, 2Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, 3Department of Health Science, Faculty of Psychological and Physical Science, Aichi Gakuin University, Nagoya, 4Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, 5Department of Health Promotion and Human Behavior (Cognitive-Behavioral Medicine), Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, JapanBackground: Agitated behaviors are frequently observed in patients with dementia and can cause severe distress to caregivers. However, little evidence of the efficacy of nonpharmacological interventions for agitated behaviors exists for patients with dementia. The present pilot study aimed to evaluate a behavioral management program developed by the Seattle Protocols for patients with agitated behaviors in Japan.Methods: Eighteen patients with dementia (Alzheimer&rsquo;s disease, n = 14; dementia with Lewy bodies, n = 4) participated in an open study testing the effectiveness of a behavioral management program. The intervention consisted of 20 sessions over the course of 3 months. The primary outcomes were severity of agitation in dementia, as measured using the Agitated Behavior in Dementia scale (ABID) and the Cohen-Mansfield Agitation Inventory (CMAI).Results: The behavioral management program resulted in significant reductions in total scores on both the ABID and CMAI. Although both physically agitated and verbally agitated behavior scores on the ABID improved significantly, symptoms of psychosis did not improve after the intervention.Conclusion: The behavioral management technique may be beneficial to distressed caregivers of patients with dementia. In the future, a well designed study to develop the behavioral management program more fully is needed.Keywords: Alzheimer&rsquo;s disease, dementia with Lewy bodies, agitated behavior, behavioral management, Agitated Behavior in Dementia scaleSato JNakaaki STorii KOka MNegi ATatsumi HNarumoto JFurukawa TAMimura MDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 9-14 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Sato J Nakaaki S Torii K Oka M Negi A Tatsumi H Narumoto J Furukawa TA Mimura M Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study
description	Junko Sato,1 Shutaro Nakaaki,2 Katsuyoshi Torii,1 Mizuki Oka,2 Atsushi Negi,1 Hiroshi Tatsumi,3 Jin Narumoto,4 Toshi A Furukawa,5 Masaru Mimura21Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, 2Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, 3Department of Health Science, Faculty of Psychological and Physical Science, Aichi Gakuin University, Nagoya, 4Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, 5Department of Health Promotion and Human Behavior (Cognitive-Behavioral Medicine), Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, JapanBackground: Agitated behaviors are frequently observed in patients with dementia and can cause severe distress to caregivers. However, little evidence of the efficacy of nonpharmacological interventions for agitated behaviors exists for patients with dementia. The present pilot study aimed to evaluate a behavioral management program developed by the Seattle Protocols for patients with agitated behaviors in Japan.Methods: Eighteen patients with dementia (Alzheimer&rsquo;s disease, n = 14; dementia with Lewy bodies, n = 4) participated in an open study testing the effectiveness of a behavioral management program. The intervention consisted of 20 sessions over the course of 3 months. The primary outcomes were severity of agitation in dementia, as measured using the Agitated Behavior in Dementia scale (ABID) and the Cohen-Mansfield Agitation Inventory (CMAI).Results: The behavioral management program resulted in significant reductions in total scores on both the ABID and CMAI. Although both physically agitated and verbally agitated behavior scores on the ABID improved significantly, symptoms of psychosis did not improve after the intervention.Conclusion: The behavioral management technique may be beneficial to distressed caregivers of patients with dementia. In the future, a well designed study to develop the behavioral management program more fully is needed.Keywords: Alzheimer&rsquo;s disease, dementia with Lewy bodies, agitated behavior, behavioral management, Agitated Behavior in Dementia scale
format	article
author	Sato J Nakaaki S Torii K Oka M Negi A Tatsumi H Narumoto J Furukawa TA Mimura M
author_facet	Sato J Nakaaki S Torii K Oka M Negi A Tatsumi H Narumoto J Furukawa TA Mimura M
author_sort	Sato J
title	Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study
title_short	Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study
title_full	Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study
title_fullStr	Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study
title_full_unstemmed	Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study
title_sort	behavior management approach for agitated behavior in japanese patients with dementia: a pilot study
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/16311cb670b7466096bfc15028d3d9a7
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Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study

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