A new scale for assessing behavioral agitation in dementia

Debjani Sinha; Frank P. Zemlan; Sharon Nelson; David Bienenfeld; Ole Thienhaus; Geetha Ramaswamy; Sharon Hamilton

doi:10.1016/0165-1781(92)90020-4

A new scale for assessing behavioral agitation in dementia

Debjani Sinha, Frank P. Zemlan, Sharon Nelson, David Bienenfeld, Ole Thienhaus, Geetha Ramaswamy, Sharon Hamilton

Psychiatry

Research output: Contribution to journal › Article › peer-review

47 Scopus citations

Abstract

The primary purpose of the present study was to develop a reliable and valid rating instrument for assessing treatment efficacy for behavioral problems in the cognitively impaired elderly. The Behavioral and Emotional Activities Manifested in Dementia (BEAM-D) Scale was developed for the operational assessment of troublesome and disruptive behaviors in dementia. Each behavioral category of the BEAM-D was clinically considered to be a significant deviation from normative behavior for the geriatric dementia patient. The reliability and validity of the BEAM-D was assessed in a group of 45 patients diagnosed with primary degenerative dementia. The mean interrater reliability of BEAM-D items was 0.90. Concurrent validity was established by comparison with currently used rating scales, the Brief Psychiatric Rating Scale (BPRS) and the Sandoz Clinical Assessment-Geriatric (SCAG). Stepwise regression analysis revealed that the items of the BEAM-D had a strong relationship with conceptually similar behavioral dimensions on the BPRS and SCAG.

Original language	English (US)
Pages (from-to)	73-88
Number of pages	16
Journal	Psychiatry research
Volume	41
Issue number	1
DOIs	https://doi.org/10.1016/0165-1781(92)90020-4
State	Published - Jan 1992

Keywords

Primary degenerative dementia
behavioral agitation
reliability
validity

ASJC Scopus subject areas

Psychiatry and Mental health
Biological Psychiatry

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10.1016/0165-1781(92)90020-4

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title = "A new scale for assessing behavioral agitation in dementia",

abstract = "The primary purpose of the present study was to develop a reliable and valid rating instrument for assessing treatment efficacy for behavioral problems in the cognitively impaired elderly. The Behavioral and Emotional Activities Manifested in Dementia (BEAM-D) Scale was developed for the operational assessment of troublesome and disruptive behaviors in dementia. Each behavioral category of the BEAM-D was clinically considered to be a significant deviation from normative behavior for the geriatric dementia patient. The reliability and validity of the BEAM-D was assessed in a group of 45 patients diagnosed with primary degenerative dementia. The mean interrater reliability of BEAM-D items was 0.90. Concurrent validity was established by comparison with currently used rating scales, the Brief Psychiatric Rating Scale (BPRS) and the Sandoz Clinical Assessment-Geriatric (SCAG). Stepwise regression analysis revealed that the items of the BEAM-D had a strong relationship with conceptually similar behavioral dimensions on the BPRS and SCAG.",

keywords = "Primary degenerative dementia, behavioral agitation, reliability, validity",

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AU - Thienhaus, Ole

AU - Ramaswamy, Geetha

AU - Hamilton, Sharon

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N2 - The primary purpose of the present study was to develop a reliable and valid rating instrument for assessing treatment efficacy for behavioral problems in the cognitively impaired elderly. The Behavioral and Emotional Activities Manifested in Dementia (BEAM-D) Scale was developed for the operational assessment of troublesome and disruptive behaviors in dementia. Each behavioral category of the BEAM-D was clinically considered to be a significant deviation from normative behavior for the geriatric dementia patient. The reliability and validity of the BEAM-D was assessed in a group of 45 patients diagnosed with primary degenerative dementia. The mean interrater reliability of BEAM-D items was 0.90. Concurrent validity was established by comparison with currently used rating scales, the Brief Psychiatric Rating Scale (BPRS) and the Sandoz Clinical Assessment-Geriatric (SCAG). Stepwise regression analysis revealed that the items of the BEAM-D had a strong relationship with conceptually similar behavioral dimensions on the BPRS and SCAG.

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KW - behavioral agitation

KW - reliability

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A new scale for assessing behavioral agitation in dementia

Abstract

Keywords

ASJC Scopus subject areas

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