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Agitation/Behavior-problems in the elderly

 

Cohen-Mansfield, J., & Billig, N. (1986).  Agitated behaviors in the elderly I: A conceptual review.                               Journal of the American Geriatrics Society, 34(10), 711-721.

Cohen-Mansfield, J., Marx, M. S., & Rosenthal, A. S. (1989).  A description of agitation in a                                  nursing home.  Journal of Gerontology: Medical Sciences, 44(3), M77-M84.

Cohen-Mansfield, J. (1989).  Agitation in the elderly.  In N. Billig & P. Rabins (Eds.), Advances                                      in psychosomatic medicine:  Geriatric psychiatry (pp. 101-113). Basel, Switzerland: S. Karger.

Cohen-Mansfield, J. (1991).  The agitated nursing home resident.  In M. Harper (Ed.),                                        Management and Care of the Elderly: Psychosocial Perspectives.  Sage Publications: Newbury                             Park London.

Cohen-Mansfield, J. (1992).  Agitation in the elderly.  Masters in Psychiatry, published for the                                    Upjohn Company by Cliggott Communications: Greenwich, CT.

Cohen-Mansfield, J., Werner, P., Marx, M. S., & Lipson, S. (1993).  Assessment and management                                of behavior problems in the nursing home setting.  In L. Z. Rubenstein & D. Wieland (Eds.),                           Improving Care in the Nursing Home (NH): Comprehensive Reviews of Clinical Research,                               Chapter 11, pp. 275-313.  Sage Publications: Newbury Park, London, New Delhi.

Cohen-Mansfield, J., Werner, P., Watson, V., & Pasis, S. (1995).  Agitation in participants of                                      adult day care centers: The experiences of relatives and staff members.  International                                Psychogeriatrics, 7(3), 447-458.

Cohen-Mansfield, J., Werner, P., Culpepper, J., Wolfson, S., & Bickel,E. Wandering and                                      aggression. (1996).  The Practical Handbook of Clinical Gerontology.  Motoric behavior                                     problems: Wandering & aggression. In L.L. Carstensen, B. A. Edelstein, & L. Dornbrand (Eds.),                            The Practical Handbook of Clinical Gerontology. Chapter 17, pp. 374-397.  Thousand Oaks,                               CA: Sage Publications.

Cohen-Mansfield, J. (1996).  New ways to approach manifestations of Alzheimer's disease and                                 reduce burdens. International Psychogeriatrics, 8, 91-94.

Cohen-Mansfield, J. (1996). Inappropriate Behavior. In T. Radebaugh & Z. Khachaturian (Eds.),                           Alzheimer's Disease: Causes, Diagnosis, Treatment, and Care.  Boca Raton, FL: CRC Press, Inc.

Cohen Mansfield, J. &  Deutsch, L. (1996).  Agitation: Subtypes and their mechanisms. Seminars in                                 Clinical Neuropsychiatry, 1(4), 325-339.

Cohen-Mansfield, J. (2000). “Theoretical Frameworks for Behavioral Problems in Dementia”                                        Alzheimer’s Care Quarterly, 1(4); 8-21

Cohen-Mansfield, J. (in press).  Agitation in the elderly: Definitional and theoretical conceptualizations.                              In D.P. Hay, D. Klein, L. Hay, & G. Grossberg (Eds.): A Practical Guide to the Diagnosis and                        Management of Behavioral Disorders in Dementia.  American Psychiatric Press: New York.

Cohen –Mansfield, J. (2001) Letter to the Editor:  Diagnostic categorization of behavioral and                                    psychological symptoms in dementia. American Journal of Geriatric Psychiatry, 9(2), 180-181.

Cohen-Mansfield, J.  (in press).  Managing agitation in elderly patients with dementia.  Psychiatric                                   Times and Geriatric Times.

 

Predictors and characteristics

  Cohen-Mansfield, J. (1986).  Agitated behaviors in the elderly II: Preliminary results in the                                      cognitively deteriorated.  Journal of the American Geriatrics Society, 34(10), 722-727.

  Cohen-Mansfield, J. (1987).  The relationship between agitated behavior and cognitive decline                                        in nursing home elderly:  Preliminary results. (ERIC Document Reproduction Service                                               No. ED 182 465). 

Cohen-Mansfield, J. (1988).  Agitated behavior and cognitive functioning in nursing home residents:                                  Preliminary results.  Clinical Gerontologist, 7(3/4), 11-22.

Cohen-Mansfield, J., & Marx, M. S. (1988).  The relationship between depression and agitation                                      in nursing home residents.  Comprehensive Gerontology, 2, 141-146.

Cohen-Mansfield, J., & Marx, M. S. (1989).  Do past experiences predict agitation in nursing                                   home residents?  International Journal of Aging and Human Development, 28(4), 285-294.                                     Also abstracted in Abstracts in Social Gerontology, 33(1), 113, March 1990.

Cohen-Mansfield, J., Billig, N., Lipson, S., Rosenthal, A. S. & Pawlson, L. G. (1990).  Medical                                      correlates of agitation in nursing home residents.  Gerontology, 36(3), 150-158. 

Cohen-Mansfield, J., & Marx, M. S. (1990).  The relationship between sleep disturbances and                               agitation in a nursing home.  Journal of Aging and Health, 2(1), 42-57.  Also abstracted in                                  Abstracts in Social Gerontology, 33(1), 114, March 1990.

Marx, M. S., Cohen-Mansfield, J., & Werner, P. (1990).  Agitation and falls in institutionalized                                     elderly persons.  The Journal of Applied Gerontology, 9(1), 106-117.

Cohen-Mansfield, J., Marx, M. S., & Rosenthal, A. S. (1990).  Dementia and agitation in nursing                                home residents:  How are they related?  Psychology and Aging, 5(1), 3-8.

Cohen-Mansfield, J., Marx, M. S., & Werner, P. (1992).  Agitation in elderly persons: An integrative                        report of findings in a nursing home.  International Psychogeriatrics, 4(Suppl.2), 221-240.

Cohen-Mansfield, J., & Marx, M. S. (1992).  The social network of the agitated nursing home                                resident.  Research on Aging, 14(1), 10-123.

Cohen-Mansfield, J., Culpepper, W.J., & Werner, P. (1995).  The relationship between cognitive                              function and agitation in senior day care participants.  International Journal of Geriatric Psychiatry,                           10, 585-595.

Cohen-Mansfield, J., Werner, P., & Freedman, L. (1995).  Sleep and agitation in agitated nursing                                home residents: An observational study.  Sleep, 18(8):674-680.

Cohen-Mansfield, J., Culpepper, W.J., Werner, P., Watson, V., & Pasis, S (1997). Relationship                           between sleep disturbances and agitation in senior day care participants. . Monographs of the                          Research Institute of the Hebrew Home of Greater Washington, 97.  Rockville, MD

Cohen-Mansfield, J. & Werner, P.  (1998).  Longitudinal changes in behavioral problems in old                                     age: A study in an adult day care population.  Journal of Gerontology: Medical Sciences.                                     53A(1), M65-M71.

Cohen-Mansfield, J., Taylor, L., & Werner, P.  (1998)  Delusions and hallucinations in an adult                                        day care population: A longitudinal study.  American Journal of Geriatric Psychiatry, 6(2), 104-121.

Cohen-Mansfield, J., Marx, M.S., Lipson, S., & Werner, P. (1999). Predictors of mortality in                                        nursing home residents. Journal of Clinical Epidemiology, 52(4) 273-280.

Cohen-Mansfield, J., & Werner, P. (1999).  Longitudinal predictors of non-aggressive agitated behaviors in the elderly. International Journal of Geriatric Psychiatry, 14(10), P831-844.

 Cohen-Mansfield, J. (2000). The Relationship Between Type of Inappropriate Behavior, Cognitive                                Level, and Time: Result Based on an Alzheimer’s Disease Cooperative Study. Monographs of the                                  Research Institute of the Hebrew Home of Greater Washington, 134.  Rockville, MD.

 McShane, R.,  Cohen-Mansfield, J & Werner, P (2000). Predictors of aggressive behaviors.                                     Research and Practice in Alzheimer’s Disease.

   

Environmental influences on behavior

Cohen-Mansfield, J., & Rosenthal, A. (1988).  Cohen-Mansfield, J., Werner, P., & Marx, M. S.                              (1992).  The social environment of the agitated nursing home resident.  International Journal of                            Geriatric Psychiatry, 7, 789-798.

  Werner, P., Cohen-Mansfield, J., Braun, J., & Marx, M. S. (1989).  Physical restraints and                                  agitation in nursing home residents.  Journal of the American Geriatrics Society, 37(12), 1122-1126.                           Also published in Restraints and the Frail Elderly Patient: Practical Considerations for Hospitals and                    Nursing Homes, 155-159, June 1990.  Hospital Association of New York State.  Also published in                            the accompanying printed material for the educational video entitled "Developing Alternatives to                           Restraints." Medcom, Inc. Garden Grove, CA, 1992.

Marx, M. S., Werner, P., & Cohen-Mansfield, J. (1989).  Agitation and touch in the nursing home.                         Psychological Reports, 64, 1019-1026.

Cohen-Mansfield, J., Werner, P., & Marx, M. S. (1989).  An observational study of agitation in                                agitated nursing home residents.  International Psychogeriatrics, 1(2), 153-165.

Cohen-Mansfield, J., Watson, V., Meade, W., Gordon, M., Leatherman, J., & Emor, C.  (1989).                              Does sundowning occur in residents of an Alzheimer's unit?  International Journal of Geriatric                      Psychiatry,4, 293-298.

Cohen-Mansfield, J., Marx, M. S., & Werner, P. (1989). Full moon: Does it influence agitated                                behaviors of nursing home residents?  Journal of Clinical Psychology, 45(4), 611-614. Abstracted                               in The Brown University Long-term Care Letter,2(8), April 1990, p.5.

Cohen-Mansfield, J., Werner, P., & Marx, M. S. (1990).  The spatial distribution of agitation in                             agitated nursing home residents.  Environment and Behavior, 22(3), 408-419.

Cohen-Mansfield, J., Marx, M. S., Werner, P., & Freedman, L. (1992).  Temporal patterns of                               agitated nursing home residents.  International Psychogeriatrics, 4(No.2), 197-206.

Cohen-Mansfield, J., Marx, M. S., & Werner, P. (1992).  Observational data on time use and                               behavior problems in the nursing home.  The Journal of Applied Gerontology, 11(1), 111-121.

Cohen-Mansfield, J., Werner, P., & Marx, M.S. (1994).  The impact of infection on agitation:                                         3 case studies in the nursing home.  Journal of Alzheimer's Care and Related Disorders &                              Research, July/August, 30-34.

Cohen-Mansfield, J., & Werner, P. (1995).  Environmental influences on agitation: An integrative                                 summary of an observational study.  The American Journal of Alzheimer's Care and Related                            Disorders & Research, 10(1), 32-39.

Cohen-Mansfield, J., & Werner, P. (1998)  The effects of an enhanced environment on nursing                                     home residents who pace. Gerontologist, 38(2), 199-208.

Pacing

Cohen-Mansfield, J., Werner, P., & Marx, M. S. & Freedman, L. (1991).  Two studies of                                        pacing in the nursing home. Journal of Gerontology: Medical Sciences, 46(3), M77-83.

Cohen-Mansfield, J., Werner, P., Culpepper, W. J., Wolfson, M., & Bickel, E. (1996).                                        Motoric behavior problems: Wandering & aggression. In L. L. Carstensen, B. A. Edelstein, &                                   L. Dornbrand (Eds.),  The Practical Handbook of Clinical Gerontology. Chapter 17, pp. 374-397.                     Thousand Oaks, CA: Sage Publications.

Cohen-Mansfield, J., Culpepper, W.J., Werner, P., Wolfson, M., & Bickel, E. (1997).                                         Assessment of ambulatory behavior in nursing home residents who pace or wander: A comparison                            of four commercially available devices.  Dementia and Geriatric Cognitive Disorders,  8(6), 359-365.                        Also suggested for review in Current Awareness in Biomedicine: Aging, 7(1), Sheffield Press.

Cohen-Mansfield, J., Werner, P., Culpepper, W.J., & Barkley, D. (1997).  Evaluation of an in-service                      training program on dementia and wandering.  Journal of Gerontological Nursing, 23(10), 40-47. 

Cohen-Mansfield, J., & Werner, P. (1997). Effets d’un jardin therapeutique sur les troubles du                    comportement et l’humeur de residents de maisons de retraite presentant une deambulation.                               Maladie D’Alzheimer (1977), 4, 199-201.

Cohen-Mansfield, J., & Werner, P. (1998). Visits to an outdoor garden: Impact on behavior and                                    mood of nursing home residents who pace.  In B.J. Vellas, J. Fitten, G. Frisconi (Eds.):                                   Research and Practice in Alzheimer’s Disease Intervention in Gerontology. Serdi Publishing: Paris,                    France. 

Cohen-Mansfield, J., & Werner, P. (1998)  The effects of an enhanced environment on nursing                                 home residents who pace. Gerontologist, 38(2), 199-208.

Cohen-Mansfield, J. & Werner, P. (1999).  Outdoor wandering parks for persons suffering from                        dementia. A survey of characterization and utilization. Alzheimer’s Disease and Associated                             Disorders - An International Journal. 13(2), 109-117.

   

Verbally disruptive behaviors/screaming

Cohen-Mansfield, J., Werner, P., & Marx, M. S. (1990).  Screaming in nursing home residents.                             Journal of the American Geriatrics Society, 38, 785-792.  Also abstracted in Abstracts in Social                 Gerontology 34(1), 231, March 1991 and Journal of Geriatric Psychiatry and Neurology, 3,                           178-179, July-September 1990.

Cohen-Mansfield, J., & Werner, P. (1994).  Verbally disruptive behavior in elderly persons:                                          A review. In B.J. Vellas, J.L. Albarede, & P.J. Garry (Eds.),  Facts & Research in Gerontology                    (Supplement): Dementia and Cognitive Functioning (pp. 73-82).  New York: Springer Publishing.

Werner, P., Hay, D.P., Cohen-Mansfield, J. (1995).  Management of disruptive vocalizations in the                        nursing home. Nursing Home Medicine,3(9), 217-225.

Cohen-Mansfield, J., Werner, P. (1997). Do resident characteristics predict the effectiveness of                               music for decreasing verbally disruptive behavior? Monograph 115, Research Institute of the Hebrew Home of Greater Washington, Rockville, MD.

Cohen-Mansfield, J., & Werner, P. (1997). Typology of verbally disruptive behaviors in the nursing                        home.  International Journal of Geriatric Psychiatry, 12, 1079-1091.

Cohen-Mansfield, J., & Werner, P. (1997). Management of verbally disruptive behaviors in the                             nursing home.  Journals of Gerontology: Medical Sciences, 52A(6), M369-M377. Also abstracted in Great Ideas for Long-Term Care, 12(11), 3 and Mental Health: A Report of the Surgeon General  (2000), on line www.surgeongeneral.gov/library/mentalhealth/chapter5/sec1.html.

  Cohen-Mansfield, J., Werner, P. (1998).  Determinants of the effectiveness of one-to-one social                          interactions for treating verbally disruptive behaviors.  Journal of Mental Health and Aging.4, 3:323-334.

  Werner, P., Cohen-Mansfield, J., & Newman, J.D. (1999).  Auditory perceptions of vocalizations                     manifested by verbally agitated nursing home residents.  Aging and Mental Health, 3(1) 50-53.

   

Aggression

Marx, M. S., Cohen-Mansfield, J., & Werner, P. (1990).  A profile of the aggressive nursing home                     resident.  Behavior, Health and Aging, 1(1), 65-73.

Cohen-Mansfield, J., Werner, P., Culpepper, W. J., Wolfson, M., & Bickel, E. (1996). Motoric                              behavior problems: Wandering & aggression. In L. L. Carstensen, B. A. Edelstein, &                                                  L. Dornbrand (Eds.),  The Practical Handbook of Clinical Gerontology.Chapter 17, pp.374-397.                        Thousand Oaks, CA: Sage Publications.

Cohen-Mansfield, J., & Werner P. (1998). Predictors of aggressive behaviors: A longitudinal                                      study in senior day care centers. Journal of Gerontology: Psychological Sciences, 53B(5), P300-P310.

 

Intervention

Pharmacological treatment

Billig, N., Cohen-Mansfield, J., & Lipson, S. (1991).  Pharmacological treatment of agitation in                                       a nursing home.  Journal of the American Geriatrics Society, 39(10), 1002-1005.

Cohen-Mansfield, J., Gruber-Baldini, A., Lipson, S., Farley, J., & Woosley, R. (1996).                                       Longitudinal prescribing patterns of psychotropic drugs in nursing home residents.                                             Experimental & Clinical Psychopharmacology, 4(2), 224-233.

Cohen-Mansfield, J., Lipson, S., Werner, P., Billig, N., Taylor L., Woosley, R. (1999).                                                    Withdrawal of Haloperidol, Thioridazine, Lorazepam in the nursing home: A controlled double                                     blind study.  Archives of Internal Medicine, 159:1733-1740. Also abstracted in the Brown                                  University GeroPsych Report October 1999 3(10) 3-4. And in Modern Medicine December 1999,                           67(12) 19. And in Annals of Long-Term Care January 2000 8(1) 86.                  

Cohen-Mansfield, J.  (2000).  The conceptualization of behavioral problems associated with                                              dementia:  Issues related to the development of pharmacological interventions.  Monographs of the                        Research Institute of the Hebrew Home of Greater Washington, 147.

Cohen-Mansfield, J., Garfinkel, D., Lipson, S. (2000) Melatonin for treatment of sundowning                                         in elderly persons with dementia – a preliminary study.  Archives of Gerontology and Geriatrics,                          31(1), 65-76.

Cohen-Mansfield, J., Taylor, L., Woosley, R., Lipson, S., Werner, P. and  Billig, N. (2000).                              Relationship Between Psychotropic Drug Dosage, Plasma Drug Concentration, and Prolactin                              Levels in Nursing Home Residents. Therapeutic Drug Monitoring, 22:688-694.

Nonpharmacological treatment

Cohen-Mansfield, J., & Werner, P. (1998). Visits to an outdoor garden: Impact on behavior                                             and mood of nursing home    residents who pace.  In B.J. Vellas, J. Fitten, G. Frisconi (Eds.):                          Research and Practice in Alzheimer’s Disease  Intervention in Gerontology. Serdi Publishing:                                    Paris, France. 

Cohen-Mansfield, J., & Werner, P. (1998)  The effects of an enhanced environment on nursing                                  home residents who pace. Gerontologist, 38(2), 199-208.

Cohen-Mansfield, J., Werner, P. (1997). Do resident characteristics predict the effectiveness of                                        music for decreasing verbally disruptive behavior? Monograph 115, Research Institute of the                                 Hebrew Home of Greater Washington, Rockville, MD. 419-936.

Cohen-Mansfield, J., & Werner, P. (1997). Management of verbally disruptive behaviors in                                         the nursing home.  Journals of Gerontology: Medical Sciences, 52A(6), M369-M377.

Cohen-Mansfield, J., Werner, P. (1998).  Determinants of the effectiveness of one-to-one social                       interactions for treating verbally disruptive behaviors.  Journal of Mental Health and Aging,                                        4, 3:323-334

Werner, P., Cohen-Mansfield, J., Fisher, J., Segal, G. (2000). Characterization and effectiveness                                     of family-generated videotape for the management of VDB. Journal of Applied Gerontology,                                  19:1 42-57.

Cohen-Mansfield, J. (2000). Approaches to the Management of Disruptive Behaviors. In                                                R. Rubinstein & M.P. Lawton (Eds.): Alzheimer’s Disease and Related Dementias: Strategies                                     in Care and Research. (39-65). Springer Publishing Company: New York.

Cohen-Mansfield, J. (2000). The Use of Patient Characteristics to Determine Non-Pharmacologic                           Interventions. International Psychogeriatrics, 12(suppl1), 373-380.

Cohen-Mansfield, J. (2000) “Nonpharmacological management of behavioral problems in persons                               with dementia:  The TREA model” Alzheimer’s Care Quarterly, 1(4); 22-34

  Cohen-Mansfield, J.  (in press).  Nonpharmacological interventions for agitation.  American                                    Journal of Geriatric Psychiatry.

 

Assessment

Cohen-Mansfield, J., Werner, P., Marx, M. S., & Lipson, S. (1993).  Assessment and                                   management of behavior problems in the nursing home setting.  In L. Z. Rubenstein &                                                D. Wieland (Eds.), Improving Care in the Nursing Home (NH): Comprehensive Reviews of                              Clinical Research, Chapter 11, pp. 275-313.  Sage Publications: Newbury Park, London, New Delhi.

Cohen-Mansfield, J. (1994). Reflections on the assessment of behavior in nursing home residents.                         Alzheimer's Disease & Associated Disorders, 8(1), S217-S222.

Cohen-Mansfield, J. (1995).  The assessment of disruptive behavior/agitation in elderly persons:                            Function, methods, and difficulties. Journal of Geriatric Psychiatry and Neurology, 8, 52-60.

Cohen-Mansfield, J. Assessment of Agitation. (1996). In: Reisberg, B. (ed.), Outcome                                      Methodologies in Pharmacologic Trials in Mild, Moderate, and Severe Alzheimer's Disease.                       International Psychogeriatrics, 8,(2), 233-245.

Cohen-Mansfield, J. (1996).  Conceptualization of Agitation:  Results based on the Cohen-Mansfield                   Agitation Inventory and the Agitation Behavior Mapping Instrument. International Psychogeriatrics, 8(3),                  309-315.

Koss, E., Weiner, M., Ernesto, C., Cohen-Mansfield, J., Ferris, S., Grundman, M., Schafer, K.,                               Sano, M., Thal, L.J., Thomas, R.,  Whitehouse, P.J., and the Alzheimer’s Disease Cooperative                           Study (1997). Assessing patterns of agitation in Alzheimer’s disease patients with  Cohen-Mansfield                  Agitation Inventory. Alzheimer Disease and Associated Disorders - An International Journal.                           11(suppl. 2), S45-S50.

Cohen-Mansfield, J., & Taylor, L. (1998). Assessing and understanding agitated behaviors in older                        adults.  In M. Kaplan & S. Hoffman (Eds.): Behaviors in Dementia:  Best Practices for Successful                       Management.  Health Professions Press, Baltimore.

Cohen-Mansfield, J. (1999).  Measurement of inappropriate behavior associated with dementia.                              Journal of Gerontological Nursing, 25(2): 42-51.

Cohen-Mansfield, J & Martin, L.S. (1999). Assessment of Agitation in older adults  In P. A.                                Lichtenberg (Ed.): Handbook of Clinical Gerontology Assessment (pp. 297-330). John Wiley &                           Sons: New York.

Cohen-Mansfield, J. (2000).  Overview of Behavior Assessment: How to describe behavior.                             Monographs of the Research Institute of the Hebrew Home of Greater Washington, 162. Rockville, MD

 


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Hebrew Home of Greater Washington
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