The Mattis Dementia Rating Scale in Nursing Home Octogenarians and Nonagenarians: Effects of Age and Education

1997 ◽  
Vol 10 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Alexandre Bennett ◽  
Jodi Nadler ◽  
Melanie Spigler ◽  
Luba Rafalson ◽  
Susy Abraham ◽  
...  
Keyword(s):  
Nursing Home ◽  
Standardized Tests ◽  
Test Performance ◽  
Rating Scale ◽  
Oldest Old ◽  
Neuropsychological Test ◽  
Nursing Home Residents ◽  
Published Data ◽  
Mattis Dementia Rating Scale ◽  
Dementia Rating Scale

Despite their increasing representation in the population, little is known about the neuropsychological test performance of the oldest old, particularly those who live in residential settings. Limited published data and clinical experience suggest that this group is more likely to perform in the impaired range on standardized tests when cutoffs developed with younger groups are used. We examined the Dementia Rating Scale (DRS) performance of 82 nondemented nursing home residents, aged 80 to 99, with a mean education level of 11 years. Using published norms and cutoffs, a large percentage of this sample performed in the impaired range, particularly on the initiation and conceptualization subtests and on the total score. Education, but not age, was significantly related to performance in this sample. Percentages of patients misclassified were substantial in all groups, but were higher in those with less than 13 years of education. Using a lower total-score cutoff of 110 reduced the percentage of misclassifications markedly. We recommend the development and use of revised cutoff scores for the evaluation of very elderly nursing home residents.

Longitudinal Analysis of the Effects of the Aging Process on Neuropsychological Test Performance in the Healthy Young-Old and Oldest-Old

2000 ◽  
Vol 17 (3) ◽  
pp. 323-337 ◽  
Author(s):  
Susan E. Hickman ◽  
Diane B. Howieson ◽  
Alison Dame ◽  
Gary Sexton ◽  
Jeffrey Kaye
Keyword(s):  
Longitudinal Analysis ◽  
Test Performance ◽  
Aging Process ◽  
Oldest Old ◽  
Neuropsychological Test ◽  
Young Old

Neuroleptic Use and Behavioral Disturbance in Nursing Homes: A 1-Year Study

1995 ◽  
Vol 7 (4) ◽  
pp. 535-545 ◽  
Author(s):  
Lynda C. Burton ◽  
Barry W. Rovner ◽  
Pearl S. German ◽  
Larry J. Brant ◽  
Rebecca D. Clark
Keyword(s):  
Nursing Home ◽  
Problem Behaviors ◽  
Rating Scale ◽  
Nursing Home Residents ◽  
Disruptive Behaviors ◽  
Nursing Assistants ◽  
Behavioral Disturbance ◽  
Nursing Facilities ◽  
Medication Knowledge ◽  
Skilled Nursing

This article discusses a longitudinal study of change in disruptive behaviors among nursing home residents treated with neuroleptics compared with those not treated with neuroleptics. Observations were made of 201 participants on admission to and after 1 year in eight skilled nursing facilities. Nine disruptive behaviors were measured using the Psychogeriatric Dependency Rating Scale with nursing assistants. Neuroleptic use was documented from medication records. Odds ratios are reported for the association of behavior at baseline and use of neuroleptics on nine problem behaviors. For those who received neuroleptics during the year, there was greater change in both developing and resolving disruptive behaviors than for those not receiving neuroleptics. For both groups, restless or pacing behavior and belligerent behavior manifested by refusing instructions changed the most, both in developing and in apparently resolving. Our results show that change in disruptive behaviors occurs among nursing home residents regardless of neuroleptic use, but it occurs more frequently among those who receive neuroleptic medication. Knowledge of which disruptive behaviors are most likely to resolve or develop is important in training nursing home staff to cope with the behaviors as well as in planning interventions that may modify such behaviors.

scholarly journals Comparative sensitivity of the MoCA and Mattis Dementia Rating Scale‐2 in Parkinson's disease

2018 ◽  
Vol 34 (2) ◽  
pp. 285-291 ◽  
Author(s):  
Taylor R. Hendershott ◽  
Delphine Zhu ◽  
Seoni Llanes ◽  
Cyrus P. Zabetian ◽  
Joseph Quinn ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rating Scale ◽  
Comparative Sensitivity ◽  
Mattis Dementia Rating Scale ◽  
Dementia Rating Scale

The agreement of the Mattis Dementia Rating Scale with the Mini-Mental State Examination

2002 ◽  
Vol 17 (7) ◽  
pp. 685-686 ◽  
Author(s):  
W. Freidl ◽  
W.-J. Stronegger ◽  
A. Berghold ◽  
B. Reinhart ◽  
K. Petrovic ◽  
...  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Rating Scale ◽  
Mattis Dementia Rating Scale ◽  
Dementia Rating Scale ◽  
State Examination

scholarly journals Association between environmental stimulation and apathy in nursing home residents with dementia

2019 ◽  
Vol 31 (08) ◽  
pp. 1109-1120 ◽  
Author(s):  
Ying-Ling Jao ◽  
Wen Liu ◽  
Kristine Williams ◽  
Habib Chaudhury ◽  
Jyotsana Parajuli
Keyword(s):  
Nursing Home ◽  
Linear Models ◽  
Rating Scale ◽  
Nursing Home Residents ◽  
Repeated Measure ◽  
Future Research ◽  
Video Observations ◽  
Environmental Stimulation ◽  
Multilevel Linear Models ◽  
Environmental Feedback

ABSTRACTObjectives:Prior research and theories established the link between care environments and apathy. Yet, empirical evidence on how environmental stimulation impacts apathy is lacking. This study examined the association between environmental stimulation and apathy in nursing home residents with dementia.Design:This repeated-measure study analyzed 104 video observations of staff caregiver–resident interactions.Setting:12 nursing homes.Participants:63 unique staff caregiver–resident dyads that involved 42 caregivers and 44 residents with moderate to severe dementia.Measurements:Second-by-second behavioral coding using Noldus Observer software was conducted to assess apathy and environmental stimulation, using the Person-Environment Apathy Rating scale. The environment subscale includes six items: stimulation clarity, stimulation strength, stimulation specificity, interaction involvement, physical accessibility, and environmental feedback. The apathy subscale includes six items: facial expression, eye contact, physical engagement, purposeful activity, verbal tone, and verbal expression. Multilevel linear models were used for analysis.Results:Results showed that apathy was not associated with the overall quality of environmental stimulation but was significantly associated with stimulation specificity (coefficient = −2.23,p= 0.049). However, the association was not significant after controlling for resident characteristics (p= 0.082). In addition, higher levels of environmental feedback were associated with lower apathy levels (coefficient = −2.14,p= 0.001). The association remained significant after controlling for resident characteristics (coefficient = −1.65,p= 0.014).Conclusion:Findings reveal that when environmental stimulation is individually tailored and prompts engagement, residents are less apathetic. This study highlights the effect of environmental stimulation on apathy. Future research should explore interventions that modify environmental stimulation to reduce apathy and improve dementia care.

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