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The relationship between pre-morbid personality and challenging behaviour in people with dementia
 — a systematic review
Author(s)Hannah Osborne, Jane Simpson, Graham Stokes
Journal titleAging & Mental Health, vol 14, no 5, July 2010
PublisherTaylor & Francis, July 2010
Pagespp 503-515
Sourcehttp://www.tandfonline.com
KeywordsDementia ; Personality ; Behaviour disorders ; Personality disorders ; Correlation ; Literature reviews.
AnnotationIt has been suggested that challenging behaviour in people with dementia reflects a person's pre-morbid personality traits and a number of studies have explored this hypothesis. However, inconsistencies in outcome between studies suggest a need to review the available evidence systematically. As a result, major bibliographic databases were searched for studies examining the relationship between pre-morbid personality and challenging behaviour in order to conduct a systematic review. The authors included all English language studies published in referenced journals that assessed pre-morbid personality via a valid comprehensive personality measure, and also explored a relationship with challenging behaviour in people with dementia. A total of 18 studies were identified that covered a wide range of challenging behaviours including 'wandering', affective states, aggression, anxiety and delusions/hallucinations. Studies were assessed for their methodological quality and statistical findings. Studies lacked representative samples, were affected by confounding variables and suffered from small sample sizes. However, 72% of the studies reported significant relationships between pre-morbid personality and behaviour. In terms of specific relationships, the strongest evidence was found for a positive relationship between pre-morbid neuroticism and mood, and aggression and overall behavioural acts, thus supporting the inclusion of personality as one factor in the formulation of behaviour (C Ballard, J O'Brien, I James and A Swann, 'Dementia: management of behavioural and psychological symptoms', Oxford: Oxford University Press, 2001; and T Kitwood, Person and process in dementia: editorial, International Journal of Geriatric Psychiatry, vol 1, 1993, pp 41-545). (KJ/RH).
Accession NumberCPA-100927212 A
ClassmarkEA: DK: EP: EK: 49: 64A

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