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The relationship between pre-morbid personality and challenging behaviour in people with dementia: A systematic review

Osborne, Hannah and Simpson, Jane and Stokes, Graham (2010) The relationship between pre-morbid personality and challenging behaviour in people with dementia: A systematic review. Aging and Mental Health, 14 (5). pp. 503-515. ISSN 1364-6915

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Abstract

It has been suggested that challenging behaviour in people with dementia reflects a person's pre-morbid personality traits and a number of studies have explored this hypothesis. However, inconsistencies in outcome between studies suggest a need to review the available evidence systematically. As a result, major bibliographic databases were searched for studies examining the relationship between pre-morbid personality and challenging behaviour in order to conduct a systematic review. We included all English language studies published in referenced journals that assessed pre-morbid personality via a valid comprehensive personality measure, and also explored a relationship with challenging behaviour in people with dementia. A total of 18 studies were identified that covered a wide range of challenging behaviours including ‘wandering’, affective states, aggression, anxiety and delusions/hallucinations. Studies were assessed for their methodological quality and statistical findings. Studies lacked representative samples, were affected by confounding variables and suffered from small sample sizes. However, 72% of the studies reported significant relationships between pre-morbid personality and behaviour. In terms of specific relationships, the strongest evidence was found for a positive relationship between pre-morbid neuroticism and mood, and aggression and overall behavioural acts, thus supporting the inclusion of personality as one factor in the formulation of behaviour (Ballard, C., O’Brien, J., James, I., & Swann, A. (2001). Dementia: Management of Behavioural and Psychological Symptoms. Oxford: Oxford University Press; Kitwood, T. (1993). Person and process in dementia: Editorial. International Journal of Geriatric Psychiatry, 1, 541–545).

Item Type: Article
Journal or Publication Title: Aging and Mental Health
Uncontrolled Keywords: Alzheimer's disease ; behavioural and psychological symptoms ; person-centred care
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Departments: Faculty of Health and Medicine > Health Research
ID Code: 56446
Deposited By: ep_importer_pure
Deposited On: 31 Jul 2012 14:20
Refereed?: Yes
Published?: Published
Last Modified: 31 Jul 2012 14:20
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/56446

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