Vocally disruptive behavior (VDB) in the institutionalized elderly: A naturalistic multiple case report.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
Serval ID
serval:BIB_EBCB548259FD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Vocally disruptive behavior (VDB) in the institutionalized elderly: A naturalistic multiple case report.
Journal
Archives of Gerontology and Geriatrics
Author(s)
von Gunten A., Favre M., Gurtner C., Abderhalden C.
ISSN
1872-6976 (Electronic)
ISSN-L
0167-4943
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
52
Number
3
Pages
e110-e116
Language
english
Abstract
Employing a naturalistic multiple case study approach, we investigated the current clinical practice in the treatment and care of VDB among a convenience sample of 85 patients cared for in specialized old age psychiatric clinics and nursing homes in French and German-speaking Switzerland. We wished to clinically characterize VDB patients, to identify common approaches used to treat VDB in everyday practice, and to explore how the efficiency of the interventions employed was judged by the responsible carers. Data were collected by means of a questionnaire. Most patients with VDB in this study had dementia, of whom 75% had at least one current or premorbid psychiatric disorder and 25% had premorbid personality disorder. A majority of patients received multiple psychosocial care interventions that were often judged to be effective, but the potential of psychosocial interventions is underused. Many patients did not receive psychotropic medication specifically targeted at VDB, but about 70% of all prescriptions were judged to have positive effects. Premorbid psychiatric and personality disorders or traits are likely candidates to be entered into the etiopathogenic equation of VDB and set a new frame for approaches used to treat these underlying disorders.
Pubmed
Web of science
Create date
18/04/2011 14:16
Last modification date
20/08/2019 16:13
Usage data