The effect of a lollipop on vocally disruptive behavior in a patient with frontotemporal dementia: a case-study

ABSTRACT A problematic and disturbing behavior which can develop in people with dementia, is vocally disruptive behavior (VDB). To date, the study of VDB is underdeveloped and with only a limited knowledge base. Medications commonly used in VDB have limited benefits and specific risks in patients with dementia. This report details the case of a patient with frontotemporal dementia with VDB, which responded very well by providing a lollipop. Subsequently, we pose theory-based hypotheses in order to try to explain the beneficial effect of this intervention. This may contribute to a better understanding of VDB and possible treatment strategies.

[1]  R. Faber,et al.  Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. , 1999, Neurology.

[2]  L. Burgio,et al.  A Controlled Study of Disruptive Vocalizations among Geriatric Residents in Nursing Homes , 1991, Journal of the American Geriatrics Society.

[3]  Nick C Fox,et al.  Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia. , 2011, Brain : a journal of neurology.

[4]  I. Patel,et al.  Screaming, shrieking and muttering: the noise-makers amongst dementia patients. , 2003, Archives of gerontology and geriatrics.

[5]  B L Miller,et al.  Dietary changes, compulsions and sexual behavior in frontotemporal degeneration. , 1995, Dementia.

[6]  Olivier Beauchet,et al.  Changes in gait while backward counting in demented older adults with frontal lobe dysfunction. , 2007, Gait & posture.

[7]  Alexander Libin,et al.  Nonpharmacological treatment of agitation: a controlled trial of systematic individualized intervention. , 2007, The journals of gerontology. Series A, Biological sciences and medical sciences.

[8]  I Litvan,et al.  The FAB: A frontal assessment battery at bedside , 2000, Neurology.

[9]  P. Landreville,et al.  Disruptive vocalizations: A means to communicate in dementia? , 2003, American journal of Alzheimer's disease and other dementias.

[10]  R. Goya-Maldonado,et al.  A supramodal network for response inhibition , 2010, Neuroreport.

[11]  G. Gillis,et al.  Disruptive behavior in elderly nursing home residents: a survey of nursing staff. , 1992, Journal of gerontological nursing.

[12]  K. Hammerschmidt,et al.  Acoustic Properties of Vocally Disruptive Behaviors in the Nursing Home , 2003, Gerontology.

[13]  J. Cohen-Mansfield,et al.  Typology of disruptive vocalizations in older persons suffering from dementia , 1997, International journal of geriatric psychiatry.

[14]  A. von Gunten,et al.  Vocally disruptive behavior in the elderly: a systematic review , 2008, International Psychogeriatrics.

[15]  B. Draper,et al.  Vocally disruptive behaviour in dementia: Development of an evidence based practice guideline , 2005, Aging & mental health.

[16]  J R Hodges,et al.  Changes in appetite, food preference, and eating habits in frontotemporal dementia and Alzheimer’s disease , 2002, Journal of neurology, neurosurgery, and psychiatry.

[17]  M. Freedman,et al.  Frontotemporal lobar degeneration , 1998, Neurology.

[18]  C. Lai Vocally disruptive behaviors in people with cognitive impaitment: Current knowledge and future research directions , 1999 .

[19]  G. Luscombe,et al.  Case-Controlled Study of Nursing Home Residents Referred for Treatment of Vocally Disruptive Behavior , 2000, International Psychogeriatrics.

[20]  L. Clowney,et al.  Activation in ventro-lateral prefrontal cortex during the act of tasting: An fNIRS study , 2009, Neuroscience Letters.