Riassunto
La violenza nei pazienti geriatrici coinvolge molti degli stessi fattori e considerazioni già presi in esame per gli individui più giovani; sebbene con minor frequenza, infatti, gli anziani possono commettere crimini, spaventarsi e reagire su base paranoica, abusare di sostanze ed agire per vendetta. Ogni causa di violenza in un individuo giovane può anche essere una causa di violenza all’interno della popolazione geriatrica; queste situazioni, nelle persone più vecchie, generalmente devono essere trattate con modifiche minori per rispondere a specifiche questioni geriatriche. Una delle differenze rispetto al resto della popolazione è nella minor frequenza di tale violenza poiché gli individui maturano e diventano meno impulsivi. Durante gli interventi clinico-terapeutici devono essere presi in considerazione i cambiamenti fisici e fisiologici concomitanti con l’avanzare dell’età, come un aumento nella fragilità e una riduzione di metabolismo e clearence.
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Bibliografia
Almvik R, Rasmussen K, Woods P (2006) Challenging behavior in the elderly monitoring violent incidents. Int J Geriatr Psychiatry 21:368–374
American Medical Directors Association: Management Tools. n.d. Available at http://www.amda.com/managementtools/index.cfm.
American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th ed, Text revision. American Psychiatric Association, Washington, DC
Aradt S, Turvey CL, Flaum M (2002) Older offenders, substance abuse, and treatment. Am J Geriatr Psychiatry 10:733–739
Aupperle PM, Koumaras B, Chen M et al (2004) Long-term effects of rivastigmine treatment on neuropsychiatric and behavioral disturbances in nursing home residents with moderate to severe Alzheimer’s disease: results of a 52-week open-label study. Curr Med Res Opin 20:1605–1612
Avalon L, Gum AM, Feliciano L et al (2006) Effectiveness of nonpharmacological interventions for the management of neuropsychiatric symptoms in patients with dementia. Arch Intern Med 166:2182–2188
Bogousslavsky J, Cummings JL (2000) Behavior and Mood Disorders in Focal Brain Lesions. Cambridge University Press, New York
Barak Y, Baruch Y, Mazeh D (2007) Cardiac and cerebrovascular morbidity and mortality associated with antipsychotic medications in elderly psychiatric inpatients. Am J Geriatr Psychiatry 15:354–356
Cohen-Mansfield J (2007) Temporal patterns of agitation in dementia. Am J Geriatr Psychiatry 15:395–405
Cummings JL, Schneider E, Tariot PN et al (2006) Behavioral effects of memantine in Alzheimer disease patients receiving donepezil treatment. Neurology 67:57–63
de Jonghe JFM, Kalisvaart KJ, Dijkstra M et al (2007) Early symptoms in the prodromal phase of delirium: a prospective cohort study in elderly patients undergoing hip surgery. Am J Geriatr Psychiatry 15:112–121
Devanand DP (2005) Psychiatric assessment of the older patient. In: Sadock BJ, Sadock VA (eds) Kaplan and Sadock’s Comprehensive Textbook of Psychiatry, 8th ed. Lippincott Williams & Wilkins, Philadelphia, PA, pp 3603–3610
Folstein MF, Folstein SE, McHugh PR (1975) “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198
Gorman DG, Read S, Cummings JL (1993) Cholinergic therapy of behavioral disturbances in Alzheimer’s disease. Neuropsychiatry Neuropsychol Behav Neurol 6:229–234
Karlawich J (2006) Alzheimer’s disease: clinical trials and the logic of clinical purpose. N Engl J Med 355:1604–1605
Katz IR, Streim JE, Datto CJ (2005) Psychiatric aspects of long-term care. In: Sadock BJ, Sadock VA (eds) Kaplan and Sadock’s Comprehensive Textbook of Psychiatry, 8th ed. Lippincott Williams & Wilkins, Philadelphia, PA, pp 3793–3797
Lavretsky H, Nguyen LH (2006) Diagnosis and treatment of neuropsychiatric symptoms in Alzheimer’s disease. Psychiatr Serv 57:617–619
Lewis CF, Fields C, Rainey E (2006) A study of geriatric forensic evaluees: who are the violent elderly? J Am Acad Psychiatry Law 34:324–332
Lyketsos CG, Steele C, Galik E (1999) Physical aggression in dementia patients and its relationship to depression. Am J Psychiatry 156:66–71
Rabins PV, Mace NL, Lucas MJ (1982) The impact of dementia on the family. JAMA 248:333–335
Raivio MM, Laurila JV, Strandberg TE et al (2007) Neither atypical nor conventional antipsychotics increase mortality or hospital admissions among elderly patients with dementia: a two-year prospective study. Am J Geriatr Psychiatry 15:416–424
Read SL (1990) Community resources. In: Cummings JL, Miller BL (eds) Alzheimer’s Disease: Long-Term Management. Marcel Dekker, New York, pp 235–244
Read SL, Miller B, Mena I et al (1995) SPECT in dementia: clinical and pathological correlation. J Am Geriatr Soc 43:1243–1247
Reichman WE, Katz PR (1996) Psychiatric Care in the Nursing Home. Oxford University Press, New York
Rovner BW, German PS, Broadhead J et al (1990) The prevalence and management of dementia and other psychiatric disorders in nursing homes. Int Psychogeriatr 2:13
Royall DR, Mahurin RK, Gray KF (1992) Bedside assessment of executive cognitive impairment: the executive interview. J Am Geriatr Soc 40:1221–1226
Schneider LS, Dagerman KS, Insel P (2005) Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo controlled trials. JAMA 294:1934–1943
Schneider LS, Tariot PN, Dagerman KS et al (2006) Effectiveness of atypical antipsychotic drugs in patients with Alzheimer’s disease. N Engl J Med 355:1525–1538
Silver IL, Herrmann N (2004) Comprehensive psychiatric evaluation. In: Sadovoy J, Jarvik LF, Grossberg GT et al (eds) Comprehensive Textbook of Geriatric Psychiatry, 3rd ed. WW Norton, New York, pp 253–279
Sink KM, Holden KF, Yaffe K (2005) Pharmacological treatment of neuropsychiatric symptoms of dementia: a review of the evidence. JAMA 293:596–608
Strub RL, Black FW (1985) The Mental Status Examination in Neurology. FA Davis, Philadelphia, PA
Strub RL, Black FW (1988) Neurobehavior Disorders: A Clinical Approach. FA Davis, Philadelphia, PA
Szwabo PA, Grossberg GT (1993) Problem Behaviors in Long-Term Care: Recognition, Diagnosis, and Treatment. Springer, New York
U.S. Food and Drug Administration (2005) FDA public health advisory: deaths with antipsychotics in elderly patient s with behavioral disturbances. Available at http://www.fda.gov/cder/drug/advisory/antipsychotics.htm. Accessed June 1, 2007
Yorston GA, Taylor PJ (2006) Commentary: older offenders—no place to go? J Am Acad Psychiatry Law 34:333–337
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Weinstock, R., Read, S., Leong, G.B., Silva, J.A. (2014). Gli anziani. In: Valutazione e gestione della violenza. Springer, Milano. https://doi.org/10.1007/978-88-470-1738-2_19
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