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Measurement and analysis of behavioural disturbance among community-dwelling and institutionalized persons with dementia
Author(s)Norm O'Rourke, Michel Bédard, Yaacov G Bachner
Journal titleAging & Mental Health, vol 11, no 3, May 2007
Pagespp 256-265
Sourcehttp://www.tandfonline.com
KeywordsBehaviour disorders ; Dementia ; Living in the community ; Institutional accommodation ; Indicators ; Evaluation ; Canada.
AnnotationCensus data suggest that people aged 85+ represent the fastest growing segment of the population in most western nations. As advancing age remains the single strongest risk factor for dementia, prevalence rates are expected to increase. This awareness underscores the need to understand the clinical presentation of Alzheimer's disease (AD) and other neurodegenerative diseases more fully. This study examines responses to the 28-item Dementia Behaviour Disturbance Scale (DBD; Baumgarten, Becker and Gauthier, 1990) in a national sample of people with dementia (PWD) in Canada. A 5-factor solution appears to best reflect DBD responses for both institutionalised and community-living PWD. This finding is notable, given that the former were significantly more impaired and presented with significantly greater levels of behavioural disturbance. Support for the factorial validity of these constructs is provided relative to caregiver burden and depressive symptomatology. Of note, only 14 of 28 DBD items were retained in the authors' analyses. On this basis, they propose the use of an abridged version of the scale. These findings can be generalised with greater confidence, given the random and representative nature of the PWD and caregiver samples. (RH).
Accession NumberCPA-070614212 A
ClassmarkEP: EA: K4: KV: 3RI: 4C: 7S

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