Cohen-Mansfield J, Werner P
Research Institute, Hebrew Home of Greater Washington, Rockville, MD 20852, USA.
Int J Geriatr Psychiatry. 1997 Nov;12(11):1079-91. doi: 10.1002/(sici)1099-1166(199711)12:11<1079::aid-gps689>3.0.co;2-p.
Verbal and vocal disruptive behaviors (VDB) are important clinical features in dementia because they frequently signal discomfort experienced by an elderly person and because they are disturbing to caregivers, thereby affecting the care of elderly persons manifesting them. This article describes a typology of VDB, the Typology of Vocalizations-TOV. The conceptual framework underlying the development of this typology includes the assumptions that VDB consist of more than one type of behavior and that interventions should be matched to the etiology of the specific type of VDB. The article reports interrater reliability of the typology and validates it against Ryan's classification of verbal and vocal disruptive behaviors. Critical dimensions of the typology are examined and used for its refinement. Finally, use of the TOV for matching individuals to the most effective intervention is demonstrated.
言语和发声干扰行为（VDB）是痴呆症的重要临床特征，因为它们常常表明老年人所经历的不适，并且会干扰护理人员，从而影响对表现出这些行为的老年人的护理。本文描述了一种VDB的分类法，即发声分类法（TOV）。该分类法发展的概念框架包括以下假设：VDB由不止一种行为类型组成，并且干预措施应与特定类型VDB的病因相匹配。本文报告了该分类法的评分者间信度，并对照瑞安对言语和发声干扰行为的分类对其进行了验证。对该分类法的关键维度进行了检查并用于完善它。最后，展示了如何使用TOV将个体与最有效的干预措施相匹配。
