A cross-sectional study to assess the relation between anxiety and physical aggression of dementia patients at the department of geriatric mental health

Kanchan Sahu, Sudha Mishra, Bhupendra Singh
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Abstract

Introduction: An increased in life expectancy for the past few decades has led to increased elderly population and thus dementia as growing health problem. The number of serious complications including behavioral and psychological symptoms in which anxiety and physical aggression is common. Aim and Objective: The aim of the study was to investigate the anxiety and physical aggression and relation between them of dementia patients. Materials and Methods: A quantitative approach and cross-sectional, descriptive design was used for data collection using nonprobability, purposive sampling technique from 55 dementia patients diagnosed by psychiatrist from the outpatient and inpatient departments of Geriatric Mental Health King George's Medical University, Uttar Pradesh, India, using the Hamilton Anxiety Rating Scale and Cohen Mansfield agitation inventory. Results: Among these patients, mostly belong to the age group of 70–79 living in the urban area, married, illiterate and had Alzheimer's type of dementia with duration of illness for more than 2 years and most of them had never been hospitalized for the treatment. Majority of them, 45.5% had mild-to-moderate anxiety, physical aggression was present in 36.38% and most of patients had mild cognitive impairment. A significant positive correlation was found between the anxiety and physical aggression. Most of the patients were on psychotropic medication, and acetylcholinesterase inhibitors were used by almost every patient. Significant association had been found of anxiety with gender, education, marital status, and occupation and of physical aggression a significant association with gender, education, and marital status of dementia patients.Conclusion: The anxiety is significantly positively correlated with physical aggression of dementia patients.
一项评估老年心理健康科痴呆患者焦虑与身体攻击关系的横断面研究
导读:在过去的几十年里,预期寿命的增加导致了老年人口的增加,因此痴呆症成为日益严重的健康问题。严重并发症的数量包括行为和心理症状,其中焦虑和身体攻击是常见的。目的与目的:探讨痴呆患者的焦虑与肢体攻击行为及其相互关系。材料和方法:采用定量方法和横断面描述性设计,采用非概率、有目的抽样技术,收集来自印度北方邦乔治国王医科大学老年精神卫生门诊部和住院部精神科医生诊断的55例痴呆患者的数据,采用汉密尔顿焦虑评定量表和Cohen Mansfield躁动量表。结果:这些患者多为年龄70-79岁,居住在城市地区,已婚,不识字,阿尔茨海默氏型痴呆,病程2年以上,多数未住院治疗。45.5%的患者存在轻至中度焦虑,36.38%的患者存在肢体攻击,大多数患者存在轻度认知障碍。焦虑与肢体攻击存在显著正相关。大多数患者使用精神药物,几乎所有患者都使用乙酰胆碱酯酶抑制剂。焦虑与痴呆患者的性别、受教育程度、婚姻状况和职业有显著相关性,身体攻击与性别、受教育程度和婚姻状况有显著相关性。结论:焦虑与痴呆患者躯体攻击行为存在显著正相关。
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