Evidence map›Paper›PMID 40366088›Full record

ArticleDementia (London, England)2026

Agitation in individuals with Alzheimer's disease: An assessment of behaviors using the cohen-mansfield agitation inventory in community-dwellers and impact on caregiver experience.

George Grossberg, Cynthia Willey, Christy Houle, Jeff Schein, Rebecca Bungay, Martin Cloutier, Marjolaine Gauthier-Loiselle, Deborah Chan, Annie Guerin, Zahinoor Ismail and 1 more

Abstract read
In one paragraph

Article in Dementia (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

George GrossbergSSM Health‒Saint Louis University Hospital & St Mary's Hospital, St Louis, MO, USA.
Cynthia WilleyUniversity of Rhode Island, Kingston, RI, USA.
Christy HouleFormerly Lundbeck LLC, Deerfield, IL, USA.
Jeff ScheinOtsuka Pharmaceutical Development & Commercialization, Inc, Princeton, NJ, USA.
Rebecca BungayAnalysis Group ULC, Toronto, ON, Canada.ORCID 0000-0001-7235-3292
Martin CloutierAnalysis Group, Inc, Montréal, QC, Canada.
Marjolaine Gauthier-LoiselleAnalysis Group, Inc, Montréal, QC, Canada.ORCID 0000-0002-9439-595X
Deborah ChanFormerly Analysis Group, Inc, Montréal, QC, Canada.
Annie GuerinAnalysis Group, Inc, Montréal, QC, Canada.
Zahinoor IsmailHotchkiss Brain Institute and O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-5529-3731
Jyoti AggarwalOtsuka Pharmaceutical Development & Commercialization, Inc, Princeton, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundAgitation is a common neuropsychiatric symptom of Alzheimer's disease; however, limited information exists on how measurable changes in agitated behaviors relate to overall caregiver experience. We sought to describe agitated behaviors measured by the Cohen-Mansfield Agitation Inventory (CMAI) score among individuals with Alzheimer's disease living in US community-based settings and experience of their caregivers.MethodsAn online survey was conducted (08/26/2021-09/24/2021) among adult caregivers who lived with and provided unpaid care for an individual with Alzheimer's disease. The 3-part survey involved (1) informed consent and screening; (2) CMAI assessment (total and sub-scores for four agitation factors); (3) characteristics and outcomes of caregivers and individuals with Alzheimer's disease. Descriptive statistics are reported. Association between the CMAI total score and caregiver burden (measured using the Zarit Burden Interview), mental health (measured using the Patient Health Questionnaire 4-item), and work/activity impairment (measured using the Work Productivity and Activity Impairment: Caregiver scale) was estimated using regression models.ResultsA total of 250 caregivers (mean age: 44.5 years; 55.2% male; 86.4% White) completed the survey. Based on the CMAI, 99.6% of individuals with Alzheimer's disease (mean age: 68.6 years; 55.2% male; 83.2% White) experienced ≥1 agitated behavior in the past 2 weeks. Caregivers reported providing an average of 39.1 hours of care per week for individuals with Alzheimer's disease (additional non-paid and paid care provided by other caregivers was 58.8% and 38.4%, respectively); 60.8% of caregivers had a high caregiving burden, 35.2% experienced moderate-to-severe distress, and 68.2/64.0% had impairment in work/daily activities. Agitation among individuals with Alzheimer's disease was associated with significantly poorer caregiver outcomes.ConclusionsIndividuals with Alzheimer's disease frequently experience several different agitated behaviors. Effective management of agitated behaviors is important and has the potential to improve the overall caregiver experience.

Indexed as

Alzheimer DiseaseCaregiver BurdenCaregiversPsychomotor AgitationAdultAgedFemaleHumansIndependent LivingMaleMiddle AgedPsychiatric Status Rating ScalesSurveys and QuestionnairesActivities of daily livingagitationalzheimer dementiaalzheimer’s diseasecaregiversmental healthproductivitysurveys and questionnaires

Identifiers

PMID40366088
PMCPMC12816400

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.