Pot A M, van Dyck R, Jonker C, Deeg D J
Department of Psychiatry, Vrije Universiteit, Amsterdam, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 1996 Jun;31(3-4):156-62. doi: 10.1007/BF00785762.
This study describes the extent of verbal and/or physical aggression as reported by caregivers and correlates of each type of aggression against the demented care recipient. The extent of verbal aggression alone was 30.2% and of physical aggression, 10.7%. Verbal and physical aggression were associated with sharing the same household with the care recipient, caring for a male and caring for an elderly person more severely impaired in cognitive functioning and more dependent in Instrumental Activities of Daily Living. Verbal aggression was also associated with proving more care, and physical aggression with caring for a spouse and more psychological complaints of the caregiver. Accordingly, physical aggression does not seem to be a mere extension of verbal aggression, and different intervention strategies may be required for verbally and physically aggressive caregivers.
本研究描述了照护者报告的言语和/或身体攻击行为的程度，以及针对失智照护对象的每种攻击行为的相关因素。仅言语攻击行为的程度为30.2%，身体攻击行为的程度为10.7%。言语和身体攻击行为与与照护对象同住一个家庭、照护男性以及照护认知功能受损更严重且在日常生活工具性活动中更依赖他人的老年人有关。言语攻击行为还与提供更多照护有关，而身体攻击行为与照护配偶以及照护者更多的心理抱怨有关。因此，身体攻击行为似乎并非仅仅是言语攻击行为的延伸，对于有言语和身体攻击行为的照护者可能需要不同的干预策略。
