{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:27:55Z","timestamp":1773268075053,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2003,11,10]],"date-time":"2003-11-10T00:00:00Z","timestamp":1068422400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2003,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Impairment of language skills affects the level of functioning of an individual, interferes with effective communication and can result in development of disruptive behaviour. Social skills and capacity for self care may be compromised. Few studies have evaluated the impact of language problems on symptoms and socialization in people with dementia in care environments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>315 elderly residents with dementia (29% living in nursing homes, 71% in social care facilities) were assessed using standardized psychiatric schedules including the Sheffield Screening Test for Acquired Language Disorders and Neuropsychiatric Inventory. Dementia Care Mapping was undertaken at random in at least 50% of residents in each facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Expressive language impairment was associated with the presence of delusions even when severity of dementia was controlled for (<jats:italic>p<\/jats:italic>=0.02) and showed a tendency of association with depression (<jats:italic>p<\/jats:italic>=0.06). Receptive language difficulties were strongly associated with presence of Aberrant Motor Behaviour, even controlling for severity of dementia (<jats:italic>p<\/jats:italic>=0.04). Decreased participation in social activities was correlated with both expressive (<jats:italic>p<\/jats:italic>=0.048) and receptive aspects of language (<jats:italic>p<\/jats:italic>&lt;0.01) but social withdrawal was only correlated with receptive language difficulties (<jats:italic>p<\/jats:italic>=0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Language disorders are associated with both behavioural and psychological symptoms of dementia even when severity of dementia is controlled for. Patients' needs in communication skills should be addressed earlier to help them maintain social interactions and reduce the impact on behavioural problems and patients' quality of life. Copyright \u00a9 2003 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.1002","type":"journal-article","created":{"date-parts":[[2003,11,12]],"date-time":"2003-11-12T15:01:06Z","timestamp":1068649266000},"page":"1002-1006","source":"Crossref","is-referenced-by-count":76,"title":["Language impairment in dementia: impact on symptoms and care needs in residential homes"],"prefix":"10.1002","volume":"18","author":[{"given":"Dawn","family":"Potkins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pat","family":"Myint","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Bannister","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Tadros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramilgan","family":"Chithramohan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Swann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"O'Brien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Fossey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugenie","family":"George","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clive","family":"Ballard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa","family":"Margallo\u2010Lana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,11,10]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0093-934X(82)90006-2"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.930100607"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.1.72"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/38.3.353"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700057779"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700015889"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.35.3.394"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.12.2308"},{"key":"e_1_2_1_10_1","volume-title":"Dementia: Presentations, Differential Diagnosis, and Nosology","author":"Emery VOB","year":"1994"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.708"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.3.4.371"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002800-199701000-00015"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0093-934X(85)90124-5"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199711)12:11<1074::AID-GPS696>3.0.CO;2-B"},{"key":"e_1_2_1_17_1","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1192\/bjp.140.6.566","article-title":"A new clinical scale for the staging of dementia","volume":"140","author":"Hughes CP","year":"1982","journal-title":"Br J Psychiatry"},{"key":"e_1_2_1_18_1","volume-title":"Evaluating Dementia Care the DCM Method","author":"Kitwood T","year":"1997"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/10044-020"},{"issue":"3","key":"e_1_2_1_20_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1093\/hsw\/13.3.209","article-title":"Community agency support of family caregiving","volume":"13","author":"Linsk NL","year":"1988","journal-title":"Health & Social Work"},{"key":"e_1_2_1_21_1","first-page":"61","article-title":"Functional evaluation: the BARTHEL index","volume":"14","author":"Mahoney PM","year":"1965","journal-title":"Maryland State Med J"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-199812000-00013"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-4943(01)00082-6"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00013614-199812000-00007"},{"key":"e_1_2_1_25_1","first-page":"1043","volume-title":"Manuale di neuropsicolog\u00eda","author":"Luzzatti C","year":"1990"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0093-934X(91)90133-L"},{"key":"e_1_2_1_27_1","first-page":"333","article-title":"The impact of dementia on the family","volume":"248","author":"Rabins PV","year":"1982","journal-title":"J Am Med Society"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610290000266"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb05631.x"},{"key":"e_1_2_1_30_1","volume-title":"Medicine for older people","author":"Royal College of Physicians","year":"1997"},{"key":"e_1_2_1_31_1","volume-title":"Sheffield Screening Test for Acquired Language Disorders","author":"Snyder D","year":"1989"},{"key":"e_1_2_1_32_1","volume-title":"Statistical Package for the Social Services","author":"SPSS\/PCT","year":"1992"},{"key":"e_1_2_1_33_1","unstructured":"SmallJA MontoroJ KemperS.1996.Discourse styles of conflict resolution in a nursing home setting. Poster presented at the Third International Conference on Communication Aging and Health May 16\u201318. Kansas City Missouri."},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-200210000-00009"},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-9417(97)80002-7"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.147.8.1049"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.37.10.1649"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1988.tb04260.x"},{"key":"e_1_2_1_39_1","first-page":"162","article-title":"Predicting aberrant behavior in Alzheimer's disease","volume":"9","author":"Swearer JM","year":"1996","journal-title":"Neuropsychiat Neuropsychol Behav Neurol"},{"key":"e_1_2_1_40_1","first-page":"109","article-title":"Behavior disturbance in dementia of the Alzheimer type","volume":"37","author":"Teri L","year":"1988","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_1_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/33.6.747"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.1002","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.1002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T02:52:32Z","timestamp":1700275952000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.1002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,11]]},"references-count":40,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2003,11]]}},"alternative-id":["10.1002\/gps.1002"],"URL":"https:\/\/doi.org\/10.1002\/gps.1002","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,11]]}}}