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Centre for Policy on Ageing | |
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Agitation in the morning
— symptom of depression in dementia? | | Author(s) | Anne-Katharina Theison, Urban W Geisthoff, Hans Förstl |
| Journal title | International Journal of Geriatric Psychiatry, vol 24, no 4, April 2009 |
| Pages | pp 335-340 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Dementia ; Aggression ; Time conditions ; Symptoms ; Depression ; Residents [care homes] ; Nursing homes ; Evaluation ; Germany. |
| Annotation | Data were collected from three independent nursing homes in an urban setting in Bochum, Germany. Trained nursing home staff pre-selected 110 demented and agitated patients aged 60+. Three main groups were formed based on agitation peak either in the morning, evening or none. Each is respectively "sunrisers", "sundowners" and "constants". Agitation was assessed by the same staff twice a day for a 2-week timeframe using the Cohen-Mansfield Agitation Inventory (CMAI), Mini Mental State Examination ((MMSE) for dementia re-evaluation and staging, and Cornell Score for Depression in Dementia (CSID). 63 patients (60%) were depressive, but only 16 of them were treated with antidepressants. 44 patients were classified as "sunrisers", 38 as "sundowners", and 23 as "constants". There were no significant differences in depression between the three groups for the difference in proportion of depressed or not depressed people. "Sunrising" appears to play an important role in dementia. In the population studied, agitation was slightly more common in the morning than in the evening, but peak agitation does not seem to be related to depression in dementia. The data supports that the diagnosis of depression is still often overlooked in demented and agitated people. (RH). |
| Accession Number | CPA-090824002 A |
| Classmark | EA: EPB: 4E: CT: ENR: KX: LHB: 4C: 767 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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