Agitation in cognitive disorders: Progress in the International Psychogeriatric Association consensus clinical and research definition

Mary Sano, Jeffrey Cummings, Stefanie Auer, Sverre Bergh, Corinne E. Fischer, Debby Gerritsen, George Grossberg, Zahinoor Ismail, Krista Lanctôt, Maria I. Lapid, Jacobo Mintzer, Rebecca Palm, Paul B. Rosenberg, Michael Splaine, Kate Zhong, Carolyn W. Zhu

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Background: The International Psychogeriatric Association (IPA) published a provisional consensus definition of agitation in cognitive disorders in 2015. As proposed by the original work group, we summarize the use and validation of criteria in order to remove “provisional” from the definition. Methods: This report summarizes information from the academic literature, research resources, clinical guidelines, expert surveys, and patient and family advocates on the experience of use of the IPA definition. The information was reviewed by a working group of topic experts to create a finalized definition. Results: We present a final definition which closely resembles the provisional definition with modifications to address special circumstances. We also summarize the development of tools for diagnosis and assessment of agitation and propose strategies for dissemination and integration into precision diagnosis and agitation interventions. Conclusion: The IPA definition of agitation captures a common and important entity that is recognized by many stakeholders. Dissemination of the definition will permit broader detection and can advance research and best practices for care of patients with agitation.

Original languageEnglish
Pages (from-to)238-250
Number of pages13
JournalInternational Psychogeriatrics
Volume36
Issue number4
DOIs
StatePublished - 7 Apr 2024
Externally publishedYes

Keywords

  • Alzheimer’s disease
  • Behavioral
  • International Psychogeriatric Association
  • Psychological Symptoms of Dementia
  • aggression
  • agitation
  • dementia
  • neuropsychiatric symptoms

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