Validated Measures of Agitation in Neurocognitive Disorders: A Systematic Review of 41 Scales and Their Alignment With International Psychogeriatric Association Criteria.
Dylan X Guan, Amir AlSamsam, Arun Chinna-Meyyappan et al.
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In 30 seconds
This systematic review evaluated 41 validated agitation scales in neurocognitive disorder populations, assessing their alignment with the International Psychogeriatric Association (IPA) criteria. The review identified that the Neuropsychiatric Inventory - Nursing Home had the best alignment, while the Cohen-Mansfield Agitation Inventory showed lower efficiency. The study highlights the need for improved alignment of agitation measures with established criteria.
Key findings
- 41 unique agitation scales were identified and evaluated for alignment with IPA criteria.
- The Neuropsychiatric Inventory - Nursing Home demonstrated the greatest alignment with IPA agitation domains.
- Physical aggression was the most commonly assessed agitation domain across the scales.
- Low alignment was often due to failure to capture persistence and distress.
Why it matters
Understanding the alignment of agitation scales with established criteria is crucial for accurate assessment and management of agitation in patients with neurocognitive disorders, ultimately improving patient care and outcomes.