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Temporal patterns of disruptive vocalization in elderly nursing home residents
Author(s) Louis D Burgio, Kay Scilley, J Michael Hardin
Journal titleInternational Journal of Geriatric Psychiatry, vol 16, no 4, April 2001
Pagespp 378-386
KeywordsBehaviour disorders ; Time conditions ; Residents [care homes] ; Nursing homes ; United States of America.
AnnotationThe temporal distribution of disruptive vocalization (DV) exhibited by 68 residents in four nursing homes in the Pittsburgh, PA area was observed and analysed in hourly blocks from 8am to 8pm. Exploratory cluster analysis uncovered three distinct temporal patterns of DV, with two of the patterns being generally supportive of sundowning. Cluster 1 showed a relatively constant pattern of low rate DV. Clusters 2 and 3 showed cyclic trends. Peaks in DV were observed during the afternoon and in the evening for Cluster 2. Cluster 3 showed peaks in DV in the early morning hours and late afternoon. MANOVA was used to examine differences among clusters in age, cognitive status and activities of daily living (ADL) status. Those in Cluster 1 (low level DV) manifested higher cognitive status than those in Clusters 2 and 3. The authors note that the scientific literature on agitation is fraught with contradictory findings, and assert that inconsistencies may be due to differences across studies in problem definition, method of measurement and sample size. The results are discussed in relation to these methodological issues and the clinical implications of the findings. (RH).
Accession NumberCPA-010517203 A
ClassmarkEP: 4E: KX: LHB: 7T

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