von Gunten Armin, Alnawaqil Abdel-Messieh, Abderhalden Christoph, Needham Ian, Schupbach Brigitte
Service Universitaire de Psychiatrie de l'Age Avancé (SUPAA), Prilly, Switzerland.
Int Psychogeriatr. 2008 Aug;20(4):653-72. doi: 10.1017/S1041610208006728. Epub 2008 Feb 13.
Vocally disruptive behavior (VDB) in the elderly is a common condition, especially in people with dementia, but difficult to treat. It may occur in as many as 40% of nursing home residents. This study is a review of the existing literature on this condition.
The literature review was conducted using PubMed (particularly Medline and the Cochrane database) and reference lists from relevant publications in English, French, and German.
Most studies are small and no conclusive prevalence data are available. Many biological and psychosocial treatments have been advocated, but most studies are little more than anecdotal case reports. It is evident that VDB can have deleterious consequences on others and the patients themselves, although no studies specifically examine the range or the pervasiveness of VDB. Etiopathogenic research on VDB is still in its infancy.
Most aspects surrounding VDB are insufficiently understood. The heterogeneity and multiple contributive factors regarding VDB suggest quite convincingly that a panoply of different interventions tailored to the individual's needs will be required to overcome VDB and the suffering related to it.
老年人的发声干扰行为（VDB）是一种常见情况，尤其是在患有痴呆症的人群中，但难以治疗。在多达40%的养老院居民中可能会出现这种情况。本研究是对关于这种情况的现有文献的综述。
使用PubMed（特别是Medline和Cochrane数据库）以及英文、法文和德文相关出版物的参考文献列表进行文献综述。
大多数研究规模较小，尚无确凿的患病率数据。许多生物和心理社会治疗方法已被提倡，但大多数研究不过是轶事性的病例报告。很明显，VDB会对他人和患者自身产生有害后果，尽管没有研究专门考察VDB的范围或普遍性。关于VDB的病因学研究仍处于起步阶段。
围绕VDB的大多数方面尚未得到充分理解。VDB的异质性和多种促成因素令人信服地表明，需要一系列根据个人需求量身定制的不同干预措施来克服VDB及其相关痛苦。
