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A rating scale for aggressive behaviour in the elderly – the RAGE

Published online by Cambridge University Press:  09 July 2009

Vikram Patel  and
R. A. Hope
Vikram Patel*
Affiliation:
Department of Psychiatry, Warneford Hospital, Oxford
R. A. Hope
Affiliation:
Department of Psychiatry, Warneford Hospital, Oxford
*
1 Address for correspondence: Dr R. A. Hope, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX.
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Synopsis

A 21-item rating scale for measuring aggressive behaviour in psychogeriatric in-patients is described. This scale is designed to be completed by ward staff. It should prove valuable in treatment studies and in studies which aim to investigate the correlates of aggressive behaviour. Studies using the scale demonstrate that when used in conjunction with a ward check list the scale has high reliability and validity.

Type
Original Articles
Information
Psychological Medicine , Volume 22 , Issue 1 , February 1992 , pp. 211 - 221
Copyright
Copyright © Cambridge University Press 1992

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References

Referemces

Argyle, N., Jestice, S. & Brook, C. P. B. (1985). Psychogeriatric patients: their supporters' problems. Age & Ageing 14, 355–360.Google Scholar
Barnes, R. & Raskind, M. (1980). Strategies for diagnosing and treating agitation in the aged. Geriatrics 3, 111–119.Google Scholar
Blessed, G. (1985). Measurement in psychogeriatrics. In Recent Advances in Psychogeriatrics, Vol. 1 (ed. Arie, T.), pp. 141–159. Churchill Livingstone: London.Google Scholar
Buss, A. H. (1961). The Psychology of Aggression. John Wiley: New York.CrossRefGoogle Scholar
Buss, A. H. & Durkee, A. (1957). An inventory for assessing different kinds of hostility. Journal of Consulting Psychology 21, 343–349.CrossRefGoogle ScholarPubMed
Clarke, M. G., Williams, A. J. & Jones, P. A. (1981). A psychogeriatric survey of old people's homes. British Medical Journal 283, 1307–1309.Google Scholar
Cohen, J. (1968). Weighted Kappa; nominal scale agreement with provision for scaled disagreement of partial credit. Psychological Bulletin 70, 213–220.Google Scholar
Cohen Mansfield, J. & Billig, N. (1986). Agitated behaviours in the elderly. A conceptual review. Journal of the American Geriatric Society 34, 711–721.CrossRefGoogle ScholarPubMed
Colerick, E. J. & George, L. K. (1986). Predictors of institutionalization among caregivers of patients with Alzheimer's disease. Journal of the American Geriatric Society 34, 493–498.Google Scholar
Cronbach, W., Gleser, G. C., Rajaratnam, N. & Nanda, H. (1972). The Dependability of Behavioural Measures: Theory of Generalizability of Scores and Profiles. John Wiley: New York.Google Scholar
Gauthier, J. & Marshall, W. C. (1977). The determination of optimal exposure to phobic stimuli in flooding therapy. Behaviour Research and Therapy 15, 403–410.CrossRefGoogle ScholarPubMed
Hall, J. N. (1974). Interrater reliability of ward rating scales. British Journal of Psychiatry 125, 248–255.Google Scholar
Hall, J. N. (1980). Ward Rating scales for long stay patients: a review. Psychological Medicine 10, 277–288.Google Scholar
Hollenbeck, A. R. (1978). Problems of reliability in observation research. In Observing Behaviour, Vol. II: Data Collection and Analysis Methods (ed. Sackett, G. P.), pp. 79–98. University Park Press: Baltimore.Google Scholar
Israel, L., Kozaveric, D. & Sartorius, N. (1984). Source Book of Geriatric Assessment (in 2 volumes). S. Karger/World Health Organization: Basle.Google Scholar
Jorm, A. F., Korten, A. E. & Henderson, A. S. (1987). The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatrica Scandinavica 76, 465–479.CrossRefGoogle ScholarPubMed
Kay, S. R. & Bergmann, K. (1980). Epidemiology of mental disorders among the aged in the community. In Handbook of Mental Health and Ageing (ed. Birren, J. E. and Sloane, R. B.), pp. 34–56. Prentice Hall: Englewood Cliffs, NJ.Google Scholar
Kay, S. R., Bergmann, K., Foster, E. M., McKechnie, K. A. & Roth, M. (1970). Mental illness and hospital usage in the elderly: a random sample follow up. Comprehensive Psychiatry 11, 26–35.Google Scholar
Kendrick, D. C. (1987). Psychological assessment. In Dementia (ed. Pitt, B.), pp. 69–84. Churchill Livingstone: London.Google Scholar
Margo, J. L., Robinson, J. R. & Corea, S. (1980). Referrals to a psychiatric service from old people's homes. British Journal of Psychiatry 136, 396–401.CrossRefGoogle ScholarPubMed
Montgomery, S. (1988). Measuring mood. In Psychological Assessment of the Elderly (ed. Wattis, J. P. and Hindmarch, I.), pp. 138–150. Churchill Livingstone: London.Google Scholar
Moyer, K. E. (1976). The Psychobiology of Aggression. Harper and Row: New York.Google Scholar
Nilsson, K., Palmstierna, T. & Wistedt, B. (1988). Aggressive behaviour in hospitalized psychogeriatric patients. Acta Psychiatrica Scandinavica 78, 172–175Google Scholar
Palmstierna, T. & Wistedt, B. (1987). Staff Observation Aggression Scale: presentation and evaluation. Acta Psychiatrica Scandinavica 76, 227–229.CrossRefGoogle ScholarPubMed
Pattie, A. H. & Gilleard, C. J. (1975). A brief psychogeriatric assessment schedule: validation against psychiatric assessment schedules; validation against psychiatric diagnosis and discharge from hospital. British Journal of Psychiatry 127, 489–493.Google Scholar
Rabins, P. V., Mace, N. L. & Lucas, M. J. (1982). The impact of dementia on the family. Journal of the American Medical Association 248, 333–335.Google Scholar
Reisberg, B., Borenstein, J., Franssen, E., Shulman, E., Steinberg, G. & Ferris, S. H. (1986). Remediable behavioural symptomatology in Alzheimer's disease. Hospital Community Psychiatry 37, 1199–1201.Google ScholarPubMed
Rosenblum, L. A. (1978). The creation of a behavioural taxonomy. In Observing Behaviour Volume II: Data Collection and Analysis Methods (ed. Sackett, G. P.), pp. 15–24. University Park Press, Baltimore.Google Scholar
Roth, M. (1985). Some strategies for tackling the problems of senile dementia and related disorders within the next decade. Danish Medical Bulletin 32 (Suppl. 1), 92–111.Google Scholar
Sanford, J. R. A. (1975). Tolerance of debility in elderly dependants by supporters at home: its significance for hospital practice. British Medical Journal 3, 471–473.Google Scholar
Sechrest, L. (1984). Reliability and validity. In Research Methods in Clinical Psychology (ed. Bellack, A. S. and Hersen, M.), pp. 24–54. Pergamon Press: New York.Google Scholar
Silver, J. M. & Yudofsky, S. C. (1987). Aggressive behaviour in patients with neuropsychiatric disorders. Psychiatric Annals 17, 367–370.CrossRefGoogle Scholar
Spitzer, R. L., Cohen, J., Fleiss, J. L. & Endicott, J. (1967). Quantification of agreement in psychiatric diagnosis: a new approach. Archives of General Psychiatry 17, 83–87.CrossRefGoogle ScholarPubMed
Student, D. & Lion, J. R. (1979). Methodological issues in psychopharmacological research of violent individuals. Aggressive Behaviour 5, 180–181.Google Scholar
Ware, C., Hope, R. A. & Fairburn, C. G. (1990). A community-based study of aggressive behaviour in dementia. International Journal of Geriatric Psychiatry 5, 337–342.CrossRefGoogle Scholar
Weissberg, M. (1977). A comparison of direct and vicarious treatments of speech anxiety; desensitization, desensitization with coping imagery and cognitive modification. Behaviour Therapy 8, 606–620.CrossRefGoogle Scholar
Wilcock, G. K., Stevens, J. & Perkins, A. (1987). Trazodone/Tryptophan for aggressive behaviour. Lancet i, 929–930.CrossRefGoogle Scholar
Woods, R. T. (1987). Problems in the elderly: investigation. In The Handbook of Adult Clinical Psychology (ed. Lindsay, S. and Powell, G.), pp. 380–399. Golier: Aldershot.Google Scholar