Neurolocy Unit Department of Psychiatry, Versilia Hospital, Lido di Camaiore, Italy.
Geriatr Gerontol Int. 2011 Oct;11(4):408-13. doi: 10.1111/j.1447-0594.2011.00730.x. Epub 2011 Aug 15.
To consider the phenomenon of aggressive behavior perpetrated by people with dementia.
We searched electronic databases and key journals using the search terms: aggressive behavior; dementia; behavioral and psychological symptoms.
Aggressive behavior (AB) is probably one of the principal problems in dementia. Aggression is linked to internal factors (depression, psychosis, pain) and external determinants (caregiver burden, social stimulation, quality of caregiver-patient relationship). It has been suggested that challenging behavior in people with dementia reflects their premorbid personality traits.
Over the course of the illness AB occurs in 30 to 50% of patients and causes extreme stress for caregivers. Careful identification of target symptoms and their consequences, non-pharmacological approaches, and use of the least harmful medication for the shortest period of time should be the guiding principle of treatment.
探讨痴呆患者侵犯行为的现象。
我们使用以下检索词在电子数据库和主要期刊中进行检索：侵犯行为；痴呆；行为和心理症状。
侵犯行为（AB）可能是痴呆的主要问题之一。攻击与内部因素（抑郁、精神病、疼痛）和外部决定因素（照顾者负担、社会刺激、照顾者-患者关系质量）有关。有人认为，痴呆患者的挑战性行为反映了他们发病前的个性特征。
在疾病过程中，30%至 50%的患者发生侵犯行为，给照顾者带来极大的压力。仔细识别目标症状及其后果，采用非药物方法，并在最短的时间内使用对患者危害最小的药物，应作为治疗的指导原则。
