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Language impairment in dementia
 — impact on symptoms and care needs in residential homes
Author(s)Dawn Potkins, Pat Myint, Carol Bannister
Journal titleInternational Journal of Geriatric Psychiatry, vol 18, no 11, November 2003
Pagespp 1002-1006
KeywordsDementia ; Cognitive processes ; Symptoms ; Needs [elderly] ; Care homes ; Evaluation.
AnnotationImpairment of language skills affects an individual's level of functioning, interferes with effective communication, and can result in development of disruptive behaviour. In this UK study, 115 residents with dementia (29% living in nursing homes, 71% in social care facilities) were assessed using standardised psychiatric schedules including the Sheffield Screening Test for Acquired Language Disorders and the NeuroPsychiatric Inventory (NPI). Dementia Care Mapping (DCM) was undertaken at random in at least 50% of residents in each facility. Expressive language impairment was associated with the presence of delusions, even controlling for severity of dementia, and showed a tendency of association with depression. Receptive language difficulties were strongly associated with presence of Aberrant Motor Behaviour, even controlling for severity of dementia. Decreased participation in social activities was correlated with both expressive and receptive aspects of language, but social withdrawal was only correlated with receptive language difficulties. If patients are to maintain social interactions and reduce the impact on behavioural problems on their quality of life, their needs in communication skills should be considered earlier. (RH).
Accession NumberCPA-031217210 A
ClassmarkEA: DA: CT: IK: KW: 4C

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