Agitation is a mental health problem of significant dimensions. This proposal aims to investigate agitated behaviors in nursing home residents. The construct of agitation, the characteristics of the agitated population and precipitating factors for agitation will be examined. The study involves two projects exploring agitation on macro and micro levels. The first project will assess the agitation level of 400 nursing home residents and will relate it to demographic, medical, social and psychological variables. Additionally, this study will obtain information regarding the frequency of agitated behaviors and syndromes in which agitation is manifested. The second project involves in-depth observations of 24 agitated demented subjects through behavior mapping of their agitation and its physical and social context. The observations, covering both day-time and night-time periods, reflect the agitated behaviors, the object of the behaviors, the resident's social environment, the resident's physical location, the general activity in which the resident is occupied, and background variables. The project will examine the relationship between manifestations of agitation and possible precipitating factors such as time of day, hunger, constipation, other resident's behaviors, etc. The impact of these factors on agitation will be tested both within and across individuals.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG008675-06
Application #
3120402
Study Section
Life Course and Prevention Research Review Committee (LCR)
Project Start
1989-07-01
Project End
1994-06-30
Budget Start
1991-07-01
Budget End
1992-06-30
Support Year
6
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Hebrew Home of Greater Washington
Department
Type
DUNS #
City
Rockville
State
MD
Country
United States
Zip Code
20852
Cohen-Mansfield, Jiska; Wirtz, Philip W (2011) Predictors of entry to the nursing home: does length of follow-up matter? Arch Gerontol Geriatr 53:309-15
Cohen-Mansfield, J; Pawlson, G; Lipson, S et al. (2001) The measurement of health: a comparison of indices of disease severity. J Clin Epidemiol 54:1094-102
Cohen-Mansfield, J; Lipson, S; Brenneman, K S et al. (2001) Health status of participants of adult day care centers. J Health Soc Policy 14:71-89
Cohen-Mansfield, J; Werner, P (1999) Longitudinal predictors of non-aggressive agitated behaviors in the elderly. Int J Geriatr Psychiatry 14:831-44
Cohen-Mansfield, J; Taylor, L; Werner, P (1998) Delusions and hallucinations in an adult day care population. A longitudinal study. Am J Geriatr Psychiatry 6:104-21
Cohen-Mansfield, J; Werner, P (1998) Longitudinal changes in behavioral problems in old age: a study in an adult day care population. J Gerontol A Biol Sci Med Sci 53:M65-71
Werner, P; Cohen-Mansfield, J; Watson, V et al. (1998) Pain in participants of adult day care centers: assessment by different raters. J Pain Symptom Manage 15:8-17
Cohen-Mansfield, J; Werner, P (1998) Predictors of aggressive behaviors: a longitudinal study in senior day care centers. J Gerontol B Psychol Sci Soc Sci 53:P300-10
Cohen-Mansfield, J; Gruber-Baldini, A L; Culpepper 2nd, W J et al. (1996) Longitudinal changes in cognitive functioning in adult day care participants. J Geriatr Psychiatry Neurol 9:30-8
Cohen-Mansfield, J (1995) Assessment of disruptive behavior/agitation in the elderly: function, methods, and difficulties. J Geriatr Psychiatry Neurol 8:52-60

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