Psychiatric Diagnosis and Uncooperative Behavior in Nursing Homes

Barry W. Rovner, Cynthia D. Steele, Pearl German, Rebecca Clark, Marshall F. Folstein

Research output: Contribution to journalArticlepeer-review


The prevalence of psychiatric disorders and behavioral disturbances in nursing homes is high, but the relationship between the two is unknown. We studied 454 new admissions who were diagnosed by research psychiatrists using DSM-III-R criteria and compared patients who nursing staff designated as cooperative or uncooperative by psychiatric diagnosis and use of restraints and neuroleptics. Uncooperative patients (n = 79; 17.4%) had a variety of psychiatric disorders (total, 87.3%) but particularly had dementia syndromes complicated by delusions, depression, or delirium (44.3%). Uncooperative patients were more frequently restrained and prescribed neuroleptics. Determining the origins of behavior disorders in patients with psychiatric disorders in nursing homes may reduce behavior disturbances. (J Geriatr Psychiatry Neurol 1992;5:102–105).

Original languageEnglish (US)
Pages (from-to)102-105
Number of pages4
JournalJournal of Geriatric Psychiatry and Neurology
Issue number2
StatePublished - Apr 1992

ASJC Scopus subject areas

  • Clinical Neurology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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