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Assaultive behaviour in psychiatrically hospitalized elderly: a response to psychosocial stimulation and changes in pharmacotherapy

2000· article· en· W2026130417 on OpenAlexaff
Marek Wystanski

Bibliographic record

VenueInternational Journal of Geriatric Psychiatry · 2000
Typearticle
Languageen
FieldMedicine
TopicSchizophrenia research and treatment
Canadian institutionsSt. Thomas HospitalWestern University
Fundersnot available
KeywordsPharmacotherapyPsychosocialStimulationPsychologyPsychiatryPsychotherapistMedicineClinical psychologyNeuroscience

Abstract

fetched live from OpenAlex

The objective of this naturalistic, non-experimental study was to observe and evaluate the relationship between psychosocial stimulation and changes in medications, and the emergence of the assaultive behaviour, as well as its 24-h course, in a psychogeriatric ward. The assaultive behaviour in 29 patients (mean age 73.9 years) was rated daily for three consecutive months. Major psychosocial stimuli and the number of medication changes were also recorded. More patients with organic brain syndromes than with non-organic conditions were aggressive. Those with organic syndromes were more likely to become aggressive within any 24 h period and their aggression was less likely to disappear. The rate with which aggression emerged changed following changes in psychotropic medications. The presence of psychosocial stimulation and changes in non-psychotropic medications modified the rate of disappearance of the aggression. In a psychogeriatric inpatient population, both prevalence and incidence of aggression, as well as its response to modifying factors, depends critically on pathogenesis. The emergence and disappearance of aggression are modified by different factors.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.001
Threshold uncertainty score0.003

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.010
GPT teacher head0.349
Teacher spread0.339 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations12
Published2000
Admission routes1
Has abstractyes

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