Differences in aggression among people with dementiaSeptember 13, 2017
Physical aggression among people with dementia is not unusual. A study from Lund University in Sweden showed that one-third of patients with the diagnosis Alzheimer's disease or frontotemporal dementia were physically aggressive towards healthcare staff, other patients, relatives, animals and complete strangers. This manifestation of disease must be both understood and addressed in the right way.
"The prevalences are not surprising, but we noted a difference between the two groups in terms of when in the course of the disease aggressive behaviour manifested and how serious the violence was", says psychiatry resident Madeleine Liljegren, doctoral student at Lund University and lead author of the study.
The study is based on a review of brain examinations and patient journals of 281 deceased people who between the years 1967 and 2013 were diagnosed with Alzheimer's or frontotemporal dementia. The researchers have followed the entire duration of the disease for this group, from the patients' first contact with a physician to follow up after death.
"The individuals with frontotemporal dementia displayed physically aggressive behaviour earlier in their disease than people with Alzheimer's. The difference may be due to the fact that the diseases arise in different parts of the brain. For those with frontotemporal dementia, the damage begins in the frontal parts of the brain, which is where among other things our capacity for empathy, impulse control, personality and judgement reside. Alzheimer's is accentuated further back in the brain where our memory is located as well as our ability to orientate ourselves in time and space", says Maria Landqvist Waldö, co-author of the study and one of the supervisors of the project.
The number of patients who displayed physical aggression was greater among those diagnosed with Alzheimer's. However, individuals with frontotemporal dementia were physically aggressive more often - and the violence exhibited by the people suffering from frontotemporal dementia could also be more serious, and this was particularly evident towards complete strangers.
Twenty-one per cent of the physically aggressive patients with frontotemporal dementia were physically aggressive towards strangers, compared with two per cent of the physically aggressive Alzheimer patients.
"There was an unexpectedly large difference between the groups, even though people with frontotemporal dementia generally are younger when they start showing symtoms of the disease than those with Alzheimer's disease. There is also a longer delay between the first symptoms and an established diagnosis, which means they are out and about in the community longer without access to the right help and support", says Madeleine Liljegren, who continues:
"A person with frontotemporal dementia can use physical aggression without any provocation, whereas a person with Alzheimer's generally does this if another person approaches them too fast, for example in a nursing care situation. If you notice socially deviant or criminal behaviour in a person who has previously acted normally, you should be attentive and help the person get examined by a physician, as it could be the first sign of dementia."
Related Dementia Articles:
A research team from the University of Plymouth, University of Southampton and the Alexander Fleming Biomedical Sciences Research Center, Vari, Greece, have studied two structurally-similar proteins in the adult brain and have found that they play distinct roles in the development of dementia.
Ontario's stroke prevention strategy appears to have had an unexpected, beneficial side effect: a reduction also in the incidence of dementia among older seniors.
Rehabilitation is important for people with dementia as it is for people with physical disabilities, according to a leading dementia expert.
At least a quarter of Australian women over 70 will develop dementia according to University of Queensland researchers.
Research carried out by Plymouth University into the experience of dementia in farming and farming families, and its impact on their businesses and home lives, has identified four areas of concern which need to be addressed if dementia in the countryside is to be managed.
Women with dementia have fewer visits to the GP, receive less health monitoring and take more potentially harmful medication than men with dementia, new UCL research reveals.
In a hopeful sign for the health of the nation's brains, the percentage of American seniors with dementia is dropping, a new study finds.
University of Adelaide researchers have developed a new theory for the causes of dementia and other neurodegenerative diseases, involving an out-of-control immune system.
Bleeding within the brain, or intracerebral hemorrhage, was associated with a high risk of developing dementia post stroke, according to research presented at the American Stroke Association's International Stroke Conference 2016.
The University of Exeter Medical School led two studies, each of which moves us a step closer to understanding the onset of dementia, and potentially to paving the way for future therapies.
Related Dementia Reading:
The 36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease, Related Dementias, and Memory Loss
by Nancy L. Mace (Author), Peter V. Rabins (Author)
The most trusted guide for caring for persons with Alzheimer's disease, memory loss, and dementia disorders-now revised and updated with practical and legal advice and compassionate guidance for families and caregivers.
When someone in your family suffers from Alzheimer's disease or other related memory loss diseases, both you and your loved one face immense challenges. For over thirty years, this book has been the trusted bible for families affected by dementia disorders. Now completely revised and updated, this guide features the latest information on the causes of dementia,... View Details
Dancing with Elephants: Mindfulness Training For Those Living With Dementia, Chr (How to Die Smiling Series) (Volume 1)
by Jarem Sawatsky (Author)
Praise for Dancing with Elephants:"If you need some encouragement in living with joy, read this book. It will change your perspective on everything." --Lana Philips
"Sawatsky beautifully models a way to dance in the gale of full catastrophe, to celebrate life, to laugh with it and at himself." --Jon Kabat-Zinn, national bestselling author of Full Catastrophe Living
"...beautiful and inspiring book...full of humor and wisdom about the pain of loss in our life, by someone living with a debilitating disease." --Jean Vanier, national bestselling... View Details
Finding Grace in the Face of Dementia: "Experiencing Dementia--Honoring God"
by John, MD Dunlop (Author)
A diagnosis of dementia in a loved one can be both frightening and frustrating. Only a biblical foundation fuels a Christian response that both honors the patient and glorifies God. Drawing on years of professional experience working with Alzheimer's patients, Dr. John Dunlop wants to transform the way we think about dementia. Rooting his vision of care in the inherent dignity that stems from the fact that all people are made in the image of God, he explains biblical principles, describes the experience of dementia, and answers common questions about the condition. With a plan for how to... View Details
Loving Someone Who Has Dementia: How to Find Hope while Coping with Stress and Grief
by Pauline Boss (Author)
Research-based advice for people who care for someone with dementia
Nearly half of U.S. citizens over the age of 85 are suffering from some kind of dementia and require care. Loving Someone Who Has Dementia is a new kind of caregiving book. It's not about the usual techniques, but about how to manage on-going stress and grief. The book is for caregivers, family members, friends, neighbors as well as educators and professionals—anyone touched by the epidemic of dementia. Dr. Boss helps caregivers find hope in "ambiguous loss"—having a loved one both here and not here,... View Details
Dementia: Dementia Types, Diagnosis, Symptoms, Treatment, Causes, Neurocognitive Disorders, Prognosis, Research, History, Myths, and More! Facts & Information
by Frederick Earlstein (Author)
Dementia is one of the most prevalent syndromes prevalent today, and yet scientific and medical knowledge of dementia and its many different types, causes, and dynamics is arguably still in its beginning stages. Neither does it help that public awareness of dementia is also pretty sparse. For years, people have considered dementia as just a normal part of aging, when it actually isn't. "Dementia Explained" by Frederick Earlstein gathers together many of the current knowledge and information about dementia, its history, types, symptoms, causes, treatment and prognosis into one, easy to... View Details
The Dementia Handbook: How to Provide Dementia Care at Home
by Judy Cornish (Author)
Providing dementia care is profoundly stressful for families and caregivers. People with dementia or Alzheimer’s experience emotional distress, which leads to behavioral complications and the need for institutional care. However, if families and caregivers are able to identify the emotional needs caused by dementia and understand which skills are lost and which remain, they can lower the behavioral complications and their own stress.
As the founder of the Dementia & Alzheimer’s Wellbeing Network® (DAWN), Judy Cornish approaches dementia care with clear and empathetic methods... View Details
Let's Talk Dementia: A Caregiver's Guide
by Carol Howell (Author)
Let’s Talk Dementia! Carol Howell, a Certified Dementia Specialist and caregiver to her mother, helps to educate the reader on the various forms of dementia. She also provides hands-on tips that make life easier for the caregiver and better for the loved one with dementia. The book is scattered with “smiles” that brighten the day. The author reminds the readers of her motto—”Knowledge brings POWER. Power brings HOPE, and HOPE brings SMILES.” You’ve just got to laugh! “Let’s Talk Dementia is an informative and reassuring guide that will help you through what, for many... View Details
When Reasoning No Longer Works: A Practical Guide for Caregivers Dealing with Dementia & Alzheimer's Care
by Angel Smits (Author)
Nearly five million families deal with Alzheimer's Disease and other forms of dementia on a daily basis. They do this with little training, and often only their good intentions guide them. When Reasoning No Longer Works is the training manual these family caregivers have been searching for.Written by a Gerontologist with more than twenty years of experience, this reference gives the reader an easy to understand view of what dementia does to the brain, how it is diagnosed, and most importantly, how to deal with its effects.
Bulleted lists clearly explain:How to avoid a... View Details
Dementia: Living in the Memories of God
by John Swinton (Author)
Dementia is one of the most feared diseases in Western society today. Some have even gone so far as to suggest euthanasia as a solution to the perceived indignity of memory loss and the disorientation that accompanies it.
In this book John Swinton develops a practical theology of dementia for caregivers, people with dementia, ministers, hospital chaplains, and medical practitioners as he explores two primary questions: Who am I when I've forgotten who I am?What does it mean to love God and be loved by God when I have forgotten who God is? Offering compassionate and carefully... View Details
Memory Loss, Alzheimer's Disease, and Dementia: A Practical Guide for Clinicians, 2e
by Andrew E. Budson MD (Author), Paul R. Solomon PhD (Author)
Now presented in full color, this updated edition of Memory Loss, Alzheimer's Disease, and Dementia is designed as a practical guide for clinicians that delivers the latest treatment approaches and research findings for dementia and related illnesses. Drs. Budson and Solomon ― both key leaders in the field ― cover the essentials of physical and cognitive examinations and laboratory and imaging studies, giving you the tools you need to consistently make accurate diagnoses in this rapidly growing area.Access in-depth coverage of clinically useful... View Details