OBJECTIVES The STAR-VA program in Veterans Health Administration Community Living Centers (CLCs, nursing home settings) trains teams to implement a psychosocial intervention with residents with behavioral symptoms of dementia (BSD). METHODS Across 71 CLCs, 302 residents selected as training cases had target behaviors categorized into one of 5 types: physically aggressive (PA), physically nonaggressive, verbally aggressive, verbally nonaggressive, and behavior deficit (BD). RESULTS Across all groups, there were significant declines in team-rated behavior frequency (36%) and severity (44%), agitation (10%), distress behaviors (42%), depression (17%), and anxiety (20%). The magnitude of changes varied across behavior category. For example, those with a PA target behavior experienced a greater percentage decline in agitation and distress behavior scores, and those with a BD target behavior experienced a greater percentage decline in depressive and anxiety symptoms. CONCLUSIONS STAR-VA, a multicomponent intervention, is generally effective across various types of behavioral symptoms associated with dementia.

中文翻译：

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通过实施 STAR-VA 解决痴呆症的行为症状：结果是否因行为类型而异？


目标 退伍军人健康管理局社区生活中心（CLC、疗养院环境）的 STAR-VA 计划培训团队对患有痴呆症 (BSD) 行为症状的居民实施心理社会干预。方法 在 71 个 CLC 中，被选为培训案例的 302 名居民的目标行为分为 5 种类型之一：身体攻击性 (PA)、身体非攻击性、言语攻击性、言语非攻击性和行为缺陷 (BD)。结果 在所有组中，团队评价行为频率 (36%) 和严重程度 (44%)、激动 (10%)、痛苦行为 (42%)、抑郁 (17%) 和焦虑 (20%) 均显着下降）。不同行为类别的变化幅度各不相同。例如，那些有 PA 目标行为的人，其激动和痛苦行为得分下降的百分比更大，而有 BD 目标行为的人，其抑郁和焦虑症状的下降百分比更大。结论 STAR-VA 是一种多成分干预措施，通常对与痴呆相关的各种类型的行为症状有效。