Assessment of disruptive behavior associated with dementia: The disruptive behavior rating scales

Dan M Mungas, P. Weiler, C. Franzi, R. Henry

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Disruptive behavior associated with dementia is a major clinical problem, but there has been limited methodology for assessing it. This study describes the development of a set of rating scales used to measure four dimensions of disruptive behavior that present frequent problems in patients with dementia: physical aggression, verbal aggression, agitation, and wandering. In addition, a total disruptive behavior scale is derived by averaging scores from these four scales. A sample of 16 patients in a skilled nursing facility was used to test interrater reliability and validity of this instrument. Interrater reliability was quite favorable for all scales. There was clear evidence for convergent validity of all scales except the verbal aggression scale, where a substantial correlation was found with one relevant external measure but not the other. There was also favorable evidence of discriminant validity for all scales except the verbal aggression scale. Psychometric properties of this instrument appear to be promising and indicate that it has potential utility for further research on causes and treatments for disruptive behavior in demented patients.

Original languageEnglish (US)
Pages (from-to)196-202
Number of pages7
JournalJournal of Geriatric Psychiatry and Neurology
Volume2
Issue number4
StatePublished - 1989

Fingerprint

Aggression
Dementia
Skilled Nursing Facilities
Psychometrics
Reproducibility of Results
Behavior Rating Scale
Problem Behavior
Research
Therapeutics

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Neuroscience(all)
  • Neuropsychology and Physiological Psychology

Cite this

Assessment of disruptive behavior associated with dementia : The disruptive behavior rating scales. / Mungas, Dan M; Weiler, P.; Franzi, C.; Henry, R.

In: Journal of Geriatric Psychiatry and Neurology, Vol. 2, No. 4, 1989, p. 196-202.

Research output: Contribution to journalArticle

@article{39931e1e0fd04f3bb755a1cac0f39923,
title = "Assessment of disruptive behavior associated with dementia: The disruptive behavior rating scales",
abstract = "Disruptive behavior associated with dementia is a major clinical problem, but there has been limited methodology for assessing it. This study describes the development of a set of rating scales used to measure four dimensions of disruptive behavior that present frequent problems in patients with dementia: physical aggression, verbal aggression, agitation, and wandering. In addition, a total disruptive behavior scale is derived by averaging scores from these four scales. A sample of 16 patients in a skilled nursing facility was used to test interrater reliability and validity of this instrument. Interrater reliability was quite favorable for all scales. There was clear evidence for convergent validity of all scales except the verbal aggression scale, where a substantial correlation was found with one relevant external measure but not the other. There was also favorable evidence of discriminant validity for all scales except the verbal aggression scale. Psychometric properties of this instrument appear to be promising and indicate that it has potential utility for further research on causes and treatments for disruptive behavior in demented patients.",
author = "Mungas, {Dan M} and P. Weiler and C. Franzi and R. Henry",
year = "1989",
language = "English (US)",
volume = "2",
pages = "196--202",
journal = "Journal of Geriatric Psychiatry and Neurology",
issn = "0891-9887",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - Assessment of disruptive behavior associated with dementia

T2 - The disruptive behavior rating scales

AU - Mungas, Dan M

AU - Weiler, P.

AU - Franzi, C.

AU - Henry, R.

PY - 1989

Y1 - 1989

N2 - Disruptive behavior associated with dementia is a major clinical problem, but there has been limited methodology for assessing it. This study describes the development of a set of rating scales used to measure four dimensions of disruptive behavior that present frequent problems in patients with dementia: physical aggression, verbal aggression, agitation, and wandering. In addition, a total disruptive behavior scale is derived by averaging scores from these four scales. A sample of 16 patients in a skilled nursing facility was used to test interrater reliability and validity of this instrument. Interrater reliability was quite favorable for all scales. There was clear evidence for convergent validity of all scales except the verbal aggression scale, where a substantial correlation was found with one relevant external measure but not the other. There was also favorable evidence of discriminant validity for all scales except the verbal aggression scale. Psychometric properties of this instrument appear to be promising and indicate that it has potential utility for further research on causes and treatments for disruptive behavior in demented patients.

AB - Disruptive behavior associated with dementia is a major clinical problem, but there has been limited methodology for assessing it. This study describes the development of a set of rating scales used to measure four dimensions of disruptive behavior that present frequent problems in patients with dementia: physical aggression, verbal aggression, agitation, and wandering. In addition, a total disruptive behavior scale is derived by averaging scores from these four scales. A sample of 16 patients in a skilled nursing facility was used to test interrater reliability and validity of this instrument. Interrater reliability was quite favorable for all scales. There was clear evidence for convergent validity of all scales except the verbal aggression scale, where a substantial correlation was found with one relevant external measure but not the other. There was also favorable evidence of discriminant validity for all scales except the verbal aggression scale. Psychometric properties of this instrument appear to be promising and indicate that it has potential utility for further research on causes and treatments for disruptive behavior in demented patients.

UR - http://www.scopus.com/inward/record.url?scp=0024952826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024952826&partnerID=8YFLogxK

M3 - Article

C2 - 2635016

AN - SCOPUS:0024952826

VL - 2

SP - 196

EP - 202

JO - Journal of Geriatric Psychiatry and Neurology

JF - Journal of Geriatric Psychiatry and Neurology

SN - 0891-9887

IS - 4

ER -