Definition
Challenging behaviors among individuals with dementia are defined as maladaptive behaviors that contribute to a diminished quality of life for an individual or constitute a danger to the individual, other residents, or caregivers. Challenging behaviors typically include verbally or physically aggressive behavior, agitation, sexually inappropriate behavior, or wandering. Interventions discussed in this entry include medications, behavioral interventions, systematic individualized interventions, cognitive/emotion-oriented interventions, sensory stimulation interventions, and psychosocial interventions. For each intervention, a brief description is provided and the effectiveness of the intervention discussed.
Introduction
In 2013 the number of individuals with dementia worldwide was estimated to be 44.4 million, and this number is expected to increase substantially over the next 15 years...
References
Alzheimer’s Disease International. (2015). The global voice on dementia: Dementia statistics. Retrieved from http://www.alz.co.uk/research/statistics 22 Feb 2015.
Bernabei, V., De Ronchi, D., La Ferla, T., Moretti, F., Tonelli, L., Ferrari, B., Forlani, M., & Atti, A. R. (2013). Animal-assisted interventions for elderly patients affected by dementia or psychiatric disorders: A review. Journal of Psychiatric Research, 47, 762–773.
Cameron, M. H., Lonergan, E., & Lee, H. (2009). Transcutaneous electrical nerve stimulation (TENS) for dementia. Cochrane Database of Systematic Reviews, 3.
Chung, J. C. C. & Lai, C. K. Y. (2009). Snoezelen for dementia. Cochrane Database of Systematic Reviews, 4, CD003152.
Cohen-Mansfield, J., Thein, K., Marx, M. S., Dakheel-Ali, M., & Freedman, L. (2012). Efficacy of nonpharmacologic interventions for agitation in advanced dementia: A randomized, placebo-controlled trial. Journal of Clinical Psychiatry, 73, 1255–1261.
Eggermont, L. H. P., & Scherder, E. J. A. (2006). Physical activity and behaviour in dementia: A review of the literature and implications for psychosocial intervention in primary care. Dementia, 5, 411–428.
Forbes, D., Thiessen, E. J., Blake, C. M., Forbes, S. C., & Forbes, S. (2013). Exercise programs for people with dementia. Cochrane Database of Systematic Reviews, 2, CD006489.
Forbes, D., Blake, C. M., Thiessen, E. J., Peacock, S., & Hawranik, P. (2014). Light therapy for improving cognition, activities of daily living, sleep, challenging behavior, and psychiatric disturbances in dementia. Cochrane Database of Systematic Reviews, 2, CD003946.
Hansen, N. V., Jørgensen T., & Ørtenblad, L. (2008). Massage and touch for dementia. Cochrane Database of Systematic Reviews, 4, CD004989.
Heyn, P., Abreu, B. C., & Ottenbacher, K. J. (2004). The effects of exercise training on elderly persons with cognitive impairment and dementia: A meta-analysis. Archives of Physical Medicine and Rehabilitation, 85, 1694–1704.
Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2014). Management of neuropsychiatric symptoms of dementia in clinical settings: Recommendations from a multidisciplinary expert panel. Journal of American Geriatrics Society, 62, 762–769.
Kamioka, H., Okada, S., Tsutani, K., Park, H., Okuizumi, H., Handa, S., Oshio, T., Park, S. J., Kitayuguchi, J., Abe, T., Honda, T., & Mutoh, Y. (2014). Effectiveness of animal-assisted therapy: A systematic review of randomized controlled trials. Complementary Therapies in Medicine, 22, 371–390.
Livingston, G., Johnston, K., Katona, C., Paton, J., & Lyketsos, C. G. (2005). Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. The American Journal of Psychiatry, 162, 1996–2021.
Livingston, G., Kelly, L., Lewis-Holmes, E., Baio, G., Morris, S., Patel, N., Omar, R. Z., Katona, C., & Cooper, C. (2014). Non-pharmacological interventions for agitation in dementia: A systematic review of randomized controlled trials. British Journal of Psychiatry, 205, 436–442.
McDermott, O., Crellin, N., Ridder, H. M., & Orrell, M. (2013). Music therapy in dementia: A narrative synthesis systematic review. International Journal of Geriatric Psychiatry, 28, 781–794.
Moniz-Cook, E., Swift, K., James, I., Malouf, R., DeVugt, M., & Verhey, F. (2012). Functional analysis-based interventions for challenging behavior in dementia. Cochrane Database of Systematic Reviews, 2, CD006929.
Moyle, W., Murfield, J. E., O’Dwyer, S., & Van Wyk, S. (2012). The effect of massage on agitated behaviours in older people with dementia: A literature review. Journal of Clinical Nursing, 22, 601–610.
National Institute for Health and Clinical Excellence (NICE). (2007). Dementia: A NICE–SCIE Guideline on supporting people with dementia and their careers in health and social care. National Clinical Practice Guideline Number 42. The British Psychological Society and Gaskell
Neal, M. & Barton Wright, P. (2005). Validation therapy for dementia. Cochrane Database of Systematic Reviews, 3, CD001394.
O’Neil, M., Freeman, M., Christensen, V. Telerant, A., Addleman, A., & Kansagara, D. (2011). Non-pharmacological interventions for behavioral symptoms of dementia: A systematic review of the evidence. VA-ESP Project #05-225. Evidence-based Synthesis Program, Portland VA Medical Center, Portland.
Seitz, D. P., Adunuri. N., Gill S. S., Herrmann, N., & Rochon, P. (2011). Antidepressants for agitation and psychosis in dementia. Cochrane Database of Systematic Reviews, 2, CD008191.
Spira, A., & Edelstein, B. (2006). Behavioral interventions for agitation in older adults with dementia: An evaluative review. International Psychogeriatrics, 18(2), 195–225.
Vink, A. C., Bruinsma, M. S., & Scholten, R. J. P. M. (2011). Music therapy for people with dementia. Cochrane Database of Systematic Reviews, 4, CD003477.
Woods, B., Spector, A. E., Jones, C. A., Orrell, M., & Davies, S. P. (2009). Reminiscence therapy for dementia. Cochrane Database of Systematic Reviews, 3, CD001120.
Woods, B., Aguirre, E., Spector, A. E., & Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database of Systematic Reviews, 2, CD005562.
Zetteler, J. (2008). Effectiveness of simulated presence therapy for individuals with dementia: Asystematic review and meta-analysis. Aging & Mental Health, 12, 779–785.
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Cavanagh, C., Edelstein, B. (2015). Challenging Behavior. In: Pachana, N. (eds) Encyclopedia of Geropsychology. Springer, Singapore. https://doi.org/10.1007/978-981-287-080-3_174-1
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DOI: https://doi.org/10.1007/978-981-287-080-3_174-1
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