Behavior management approach for agitated behavior in Japanese patients with dementia: A pilot study

Junko Sato, Shutaro Nakaaki, Katsuyoshi Torii, Mizuki Oka, Atsushi Negi, Hiroshi Tatsumi, Jin Narumoto, Toshi A. Furukawa, Masaru Mimura

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: Agitated behaviors are frequently observed in patients with dementia and can cause severe distress to caregivers. However, little evidence of the efficacy of nonpharmacological interventions for agitated behaviors exists for patients with dementia. The present pilot study aimed to evaluate a behavioral management program developed by the Seattle Protocols for patients with agitated behaviors in Japan. Methods: Eighteen patients with dementia (Alzheimer's disease, n = 14; dementia with Lewy bodies, n = 4) participated in an open study testing the effectiveness of a behavioral management program. The intervention consisted of 20 sessions over the course of 3 months. The primary outcomes were severity of agitation in dementia, as measured using the Agitated Behavior in Dementia scale (ABID) and the Cohen-Mansfield Agitation Inventory (CMAI). Results: The behavioral management program resulted in significant reductions in total scores on both the ABID and CMAI. Although both physically agitated and verbally agitated behavior scores on the ABID improved significantly, symptoms of psychosis did not improve after the intervention. Conclusion: The behavioral management technique may be beneficial to distressed caregivers of patients with dementia. In the future, a well designed study to develop the behavioral management program more fully is needed.

Original languageEnglish
Pages (from-to)9-14
Number of pages6
JournalNeuropsychiatric Disease and Treatment
Issue number1
Publication statusPublished - 2012 Dec 20
Externally publishedYes


  • Agitated Behavior in Dementia scale
  • Agitated behavior
  • Alzheimer's disease
  • Behavioral management
  • Dementia with Lewy bodies

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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