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The relationship between patient behaviour and environmental quality for the dementing.

BACKGROUND: The quality of long-term hospital care for demented patients has never been studied in relation to the behaviour of the residents, although this relationship has been studied for other patient groups and in other settings. METHOD: Five aspects of environmental quality were assessed using a rating scale package. Seven wards with a range of quality were selected and patient behaviour categorized and recorded using a direct observation method. RESULTS: Comparative analyses revealed that institutional ward practices were associated with abnormal motor activity and inappropriate behaviour. In addition, social/recreational provision was associated with increased social behaviour and less time spent doing nothing, although high levels of provision were also associated with abnormal motor activity and inappropriate behaviour. Inappropriate behaviour also appeared to be related to a lack of provision of reality orientation cues and to better quality of ward condition. Space availability was not associated with any behavioural patterns. CONCLUSIONS: Some aspects of the environment are associated with patterns of behaviour. There is a need for further research both in this setting and in non-hospital settings.

Aged↗

Emotional and behavioural problems in primary school children from nuclear and extended families in Korea.

The changes occurring within Korean society provide an opportunity for studying the influence of family structure on children's emotional and behavioural problems. Children aged 7-13 years from two Korean cities were assessed for emotional and behavioural problems in school by their teachers, using the Children's Behaviour Questionnaire. In Study 1, 326 children from extended families were compared with demographically matched nuclear family children in the same school classes. In Study 2, a further sample of 204 extended family children was compared with pair-matched nuclear family children, in order to replicate the findings. Children from Study 1 were followed up 2.5 years later. Children from extended families had lower behaviour problems scores and the prevalence of serious problems was lower in extended family children. These differences were most marked in relation to externalising behaviour problems and were stable over the studies and time. Grandparents in extended families may increase children's resiliency by providing sources of attachment, affection, and knowledge, as well as having indirect effects through their support of parents. Consistent with recent ideas about the cognitive bases for behaviour problems, it may be that rules for behaviour derived from traditional cultural beliefs and values are internalised by children from extended families and generalise to prevent behaviour problems in school.

Adolescent↗

Socioeconomic status overrides age and gender in determining health-seeking behaviour in rural Bangladesh.

OBJECTIVE: To study the health-seeking behaviour of elderly members (aged > 60 years) of households in rural Bangladesh, to ascertain how their behaviour differs from that of younger people (aged 20-59 years) living in the same household and to explore the determinants of health-seeking behaviour. METHODS: Structured interviews were conducted to elicit information on the health-seeking behaviour of household members aged > 20 years. Respondents were asked about major illnesses occurring within 15 days prior to the interview. The sample consisted of 966 households that had at least one resident who was aged > 60 (32% of 3031 households). FINDINGS: We found no major differences in health-seeking behaviour between elderly people and younger adults. On average about 35% (405/1169) of those who reported having been ill during the previous 15 days in both age groups chose self-care/self-treatment; for both age groups the most commonly consulted type of provider was a paraprofessional such as a village doctor, a medical assistant or a community health worker. A household's poverty status emerged as a major determinant of health-seeking behaviour. The odds ratio (OR) that individuals from poor households would seek treatment from unqualified allopathic practitioners was 0.6 (95% confidence interval (CI) = 0.40-0.78); the odds ratio that individuals from poor households would seek treatment from qualified allopathic practitioners was 0.7 (95% CI = 0.60-0.95). For self-care or self-treatment it was 1.8 (95% CI = 1.43-2.36). Patients' level of education affected whether they avoided self-care/self-treatment and drugstore salespeople (who are usually unlicensed and untrained but who diagnose illnesses and sell medicine) and instead chose a formal allopathic practitioner (OR = 1.5; 95% CI = 1.15-1.96). When a household's poverty status was controlled for, there were no differences in age or gender in terms of health-care expenditure. CONCLUSION: We found that socioeconomic indicators were the single most pervasive determinant of health-seeking behaviour among the study population, overriding age and sex, and in case of health-care expenditure, types of illness as well.

Adult↗

Bright light therapy and melatonin in motor restless behaviour in dementia: a placebo-controlled study.

OBJECTIVE: The purpose of this study was to evaluate the effects of bright light therapy combined with melatonin on motor restless behaviour in dementia. DESIGN: Double-blind, placebo-controlled, cross-over trial consisting of four periods. One week wash-out was followed by a 2-week period of light therapy in combination with placebo or melatonin. The second wash-out period of 1 week was followed by 2 weeks of treatment (cross-over). SETTING: Twenty-four bed medium-stay psychogeriatric ward at a Dutch psychiatric teaching hospital. PATIENTS: Ten patients, who met the criteria for dementia (DSM-IV) and motor restless behaviour (subscale 10 of the GIP), were included. Informed consent was obtained by proxy. INTERVENTION: All subjects were exposed during 2x5 consecutive days for 30 minutes to 10,000 lux bright light and randomly administered 2.5 mg melatonin or placebo at 22.00 h. ASSESSMENTS: Clinical Global Impression (CGI), Dutch version of the geriatric behavioural observation scale (GIP), Social Dysfunction and Aggression Scale (SDAS) were assessed after each wash-out and treatment period. Outcome criteria were CGI, assessing motor restless behaviour, the SDAS, measuring extrovert aggression and the GIP, assessing social, psychomotor and emotional behaviour. RESULTS: Six demented inpatients completed the trial. Positive effects were found for the treatment combined with placebo. Patients were less restless and more co-operative. The condition with melatonin showed no additional positive effects, additionally, patients became more aggressive and showed the same or more disturbed behaviour. CONCLUSIONS: Bright light therapy has a positive effect on motor restless behaviour. Light therapy in combination with melatonin has no positive effects. The results might be explained by a possible overshoot of chronobiological synchronisation or the timing of the melatonin intake.

Aged↗

Behavioural and cognitive interventions with or without other treatments for defaecation disorders in children.

BACKGROUND: Faecal soiling is a common and potentially distressing disorder of childhood. OBJECTIVES: To assess the effects of behavioural and/or cognitive interventions for the management of defaecation disorders in children. SEARCH STRATEGY: The following databases were searched: the Cochrane Incontinence Group Trials Register (March 2001), the Cochrane Controlled Trials Register (Issue 4, 2000), The Enuresis Resource and Information Centre Register of studies of encopresis and soiling, AMED (1985 to April 2000), PsycINFO (1887 to June 2000), Index to Theses - Great Britain and Ireland (October 2000), Dissertation Abstracts (November 2000), EMBASE (January 1998 to October 1999), SIGLE (January 1980 to December 1996), BIOSIS (January 1998 to March 1999), Science Citation Index (January 1998 to March 1999), ISTP (January 1982 to March 1999). Date of the most recent searches: March 2001. Bibliographies of trials retrieved were also searched and colleagues and experts in the field were contacted for information. SELECTION CRITERIA: Randomised and quasi-randomised trials of behavioural and/or cognitive interventions with or without other treatments for the management of defaecation disorders in children. DATA COLLECTION AND ANALYSIS: Two reviewers independently selected studies from the literature. One reviewer assessed the methodological quality of eligible trials and extracted data. Data were combined in a meta-analysis when appropriate. MAIN RESULTS: Sixteen randomised trials with a total of 843 children met the inclusion criteria. Sample sizes were generally small. Interventions varied among trials and few outcomes were shared by trials addressing the same comparisons. The synthesis of data from eight trials showed higher rather than lower rates of persisting problem up to 12 months when biofeedback was added to conventional treatment (OR 1.34 CI 95% 0.92 to 1.94). In two trials significantly more encopretic children receiving behavioural intervention plus laxative therapy improved compared with those receiving behavioural intervention alone at both the 6-month (OR 0.51 CI 95% 0.29 to 0.89) and the 12-month follow-up (OR 0.52 CI 95% 0.30 to 0.93). Similarly in another trial the addition of behaviour modifications to laxative therapy was associated with a marked reduction in children's soiling episodes (OR 0.14 CI 95% 0.04 to 0.51). REVIEWER'S CONCLUSIONS: There is no evidence that biofeedback training adds any benefit to conventional treatment in the management of encopresis and constipation in children. There is some evidence that behavioural intervention plus laxative therapy, rather than behavioural intervention or laxative therapy alone, improves continence in children with primary and secondary encopresis.

Behavior Therapy↗

Monoamines and sexual behaviour in non-human primates.

The experiments described were concerned with elucidating the involvement of monoamines in the sexual behaviour of rhesus monkeys. The measurement of perturbations in the levels and turnover of the acid metabolites of serotonin and dopamine in cisternal cerebrospinal fluid, occurring in response to hormonal manipulations which alter proceptivity and receptivity, has not clarified the ways in which hormones and amines interact. However, the use of psychoactive drugs which alter the activity of monamine neurons in the brain has demonstrated that sexual activity can be profoundly influenced by such procedures. Thus, depletion of serotonin (5-hydroxytryptamine) in the brain using p-chlorophenylalanine reversed the decrease in proceptivity that followed adrenalectomy. Conversely, inhibition of serotonin uptake using chlorimipramine reduced proceptivity and receptivity to very low levels. Both findings point to the apparently important role of serotoninergic neurons in the control of sexual behaviour. Low doses of the dopamine agonist alpha-bromocriptine enhanced the proceptivity of female rhesus monkeys but high doses had no such effect. This behavioural change was not related to the concomitant suppression of serum prolactin and may have been related to presynaptic actions of the drug in a manner postulated to explain similar behavioural effects in rats. The beta-blocker oxprenolol had the interesting property of improving the sexual performance of male rhesus monkeys, a behavioural effect consistent with an anxiolytic action, although endocrine (prolactin, cortisol) measures did not provide support for such a view. Defining the nature of the interaction between hormones and monoamine-containing neurons in the brain in behavioural contexts is shown to depend largely on the application of precise neuroanatomical and neuropharmacological techniques. However, the use of systemic treatment with psychoactive drugs used widely in clinical practice, in carefully controlled, behavioural and and endocrine experiments, is likely to provide invaluable information on where and how to investigate the neural mechanisms involved.

Adrenalectomy↗

Behavioural and emotional disturbance in fragile X syndrome.

A range of behaviours has been postulated as specific manifestations of the Fragile X (fra(X)) syndrome. This study examines a broad range of behaviours in subjects with fra(X) syndrome and in control individuals. It was designed to take account of methodological factors which may account for differing findings in previous studies. Subjects were 48 children, adolescents, and young adults with fra(X) syndrome. They were compared with a large community epidemiological sample (N = 454) of persons with mental retardation (M.R.), matched for age, sex, and IQ. Behavioural problems were studied using the Developmental Behaviour Checklist, an instrument of established reliability and validity in the evaluation of behavioural and emotional disturbance in children and adolescents with mental retardation. Fragile X subjects had more shyness and avoidance of eye contact and less antisocial behaviour. Further methodological issues pertaining to studies of behaviour phenotype in general are discussed.

Adolescent↗

An evaluation of what the mouse knockout experiments are telling us about mammalian behaviour.

The early gene knockout studies with a neurobiological focus were directed at fairly obvious target genes and added very little to our knowledge of behavioural neuroscience. On the contrary, since the behavioural consequences were often predictable, this helped confirm that the technology was working. However, a substantial number of knockouts of genes expressed in the brain have been without obvious behavioural consequences, supporting the concept of genetic canalisation and redundancy. Others have produced a behavioural deficit for which there is no obvious explanation. Many cells of different tissue types have a capacity for memory, and in the brain, cells of the hippocampus are important for spatial learning and memory. Deleting genes that are expressed in the hippocampus has received considerable attention in this behavioural context. Although the initial studies experienced problems of interpretation, considerable advances have since been made. Knockout mice are now subject to tests of different forms of learning, multicellular hippocampal recordings, and restricted gene deletion specific to cells of component regions. This multi-level approach is proving more informative. Nevertheless, there is still a need to recognise that behavioural expression is several steps removed from gene expression, and that the relationship between genes and behaviour can be reciprocal.

Animals↗

Behavioural and psychological syndromes in Alzheimer's disease.

OBJECTIVES: The origins of behavioural and psychological symptoms of dementia are still poorly understood. By focusing on piecemeal behaviours as opposed to more robust syndrome change valid biological correlates may be overlooked. Our understanding of BPSD via the identification of neuropsychiatric syndromes. METHODS: We recruited 435 subjects from old age psychiatry and elderly care memory outpatient clinics fulfilling the criteria for diagnosis of probable Alzheimer's disease. Behavioural and psychological symptoms were assessed using the Neuropsychiatric Inventory. Principal components factor analysis was carried out on the composite scores of the 12 symptom domains to identify behavioural syndromes (factors). Results were confirmed by performing three different rotations: Varimax, Equamax and Quartimax. RESULTS: Four factors were identified (which accounted for 57% of the variance): 'affect' factor-depression/dysphoria, anxiety, irritability/lability and agitation/aggression; 'physical behaviour' factor-apathy, aberrant motor behaviour, sleep disturbance and appetite/eating disturbance; 'psychosis' factor-delusions and hallucinations; 'hypomania' factor-disinhibition and elation/euphoria. These groups were unchanged when different methods of rotation were used. CONCLUSIONS: We report novel observations that agitation/aggression/irritability cluster within a depressive symptom factor and apathy is found within a physical behaviour factor.

Aged↗

Behaviourally mediated sexual selection: characteristics of successful male black grouse

Recent studies of lekking animals suggest that a suite of characters may be favoured by sexual selection. Examples of such traits are high survival, increased androgen levels, territory features and morphological characters including exaggerated morphological ornaments. Here we argue that such selection is often mediated by behavioural differences and we use results from a field study of lekking black grouse, Tetrao tetrixas an example of our argument. In the absence of females, males display a range of stereotyped behaviours including vocalizations, visual displays and fighting. When females attend the lek, the behavioural repertoire of the males becomes more limited. Time budget analyses reveal that in the vast majority of cases, males in the presence of females perform only three types of behaviour: a vocal display called rookooing; a courtship behaviour called circling; and fighting. This suggests that female preference could be based on male courtship and fighting behaviour while females visit individual male territories and that displays not used in the presence of females could be ruled out as important for female preference. Sexual selection in black grouse, however, is a complex interplay between male-male competition and female choice and therefore female preference is not the only determinant of male success. Successful males were more often involved in fights in the absence of females on the lek and defended territories that were larger than expected. Therefore, we hypothesize that differences in male fighting ability result in some males occupying relatively large territories at the centre of the leks. Relatively large territories seem to be needed for successful courtship. Therefore behavioural differences mediate differences in male copulation success both through female preference and male-male competition.

Journal Article↗

Body fat and time of year interact to mediate dispersal behaviour in ground squirrels

Behaviour is often influenced by energy availability. Hibernation presents an energetic challenge to Belding's ground squirrels, Spermophilus beldingi, which depend entirely on stored energy for survival during their 8-9 month dormant period each year. Dispersal from the natal area may also place energetic demands on S. beldingi. In this study, we assessed the relationship between dispersal behaviour, body mass and body fat of juvenile male S. beldingi over 3 consecutive years, one of which had a substantially delayed juvenile active season due to heavy spring snowfall. We evaluated body fat using the non-destructive method of measuring electrical conductivity of the body. When the active season began late, acquisition of body mass and body fat were accelerated, and dispersal behaviour was inhibited. These results suggest that the ontogeny of mass and fat gain in juvenile male S. beldingi is influenced by a seasonal time-keeping mechanism. Energy allocation was hierarchical in S. beldingi, with pre-hibernation fattening taking precedence over dispersal. Physiological signals reflecting body fat content appear to interact with an endogenous timing mechanism in this species to regulate the dispersal behaviour of juvenile males.\C 1998 The Association for the Study of Animal Behaviour Copyright 1998 The Association for the Study of Animal Behaviour Copyright 1998 The Association for the Study of Animal Behaviour.

Journal Article↗

Effects of temperature on anti-predator behaviour in the guppy, Poecilia reticulata.

Warmer environmental temperatures are likely to increase the frequency of predator-prey interactions in ectothermic animals, and therefore might be expected to influence anti-predator behaviour. In a first experiment, groups of recently fed guppies, placed in a novel environment, schooled significantly more closely at 26 degrees than at 22 degreesC. Changes in two of three measures of schooling tendency over time indicated that aggregation increased during the trial periods, probably as a result of increased familiarity within the experimental groups. In a second experiment, pairs of female guppies were tested at 22 degrees and 26 degreesC, with and without predation threat from a confined cichlid. From multifactor analysis of 18 behaviour types, temperature was shown to affect behavioural time budgets profoundly, particularly in the presence of the predator. At the higher temperature, a shift occurred from inactive anti-predator behaviours and minimal foraging activity towards active predator inspection-related behaviours and a much higher level of feeding. Guppies in the warmer water might have been physically able to school more closely as a result of faster swimming ability, or might have used temperature as a cue indicating higher potential predation risk, and aggregated accordingly. The use of temperature as a source of information about the biotic environment is discussed. Copyright 1998 The Association for the Study of Animal Behaviour. Copyright 1998 The Association for the Study of Animal Behaviour.

Journal Article↗

Geographical variation in male courtship behaviour and sexual isolation in wolf spiders of the genus Schizocosa.

We surveyed 12 populations of the wolf spider Schizocosa crassipes (Walckenaer) and S. nr. crassipes in Tennessee, Mississippi, Louisiana and Florida, in the U.S. to determine the extent of variation in male courtship behaviour when observed in standard laboratory conditions. We observed variation in both the frequency of occurrence and the sequence of the four principal male courtship behaviours and, when compared statistically, most of these behaviours differed between populations. Although there was no clinal pattern in the frequency of courtship behaviour, we observed geographically consistent patterns in the sequence in which male courtship behaviours are displayed. We conducted two subsequent studies to determine whether sexual isolation among selected populations existed. In the first study, we performed male-female reciprocal crosses of brush-legged spiders (S. nr. crassipes) between two populations from the Yazoo-Mississippi Delta physiographical region and one population from the Loess Bluff region of Mississippi and measured mating success, number of matings that produced egg sacs, and the number of egg sacs that hatched young. The results of that experiment suggest that sexual isolation occurs among populations in different physiographical regions but not between populations within regions of the state. In a second crossing study, we paired the brush-legged spiders from one of the Mississippi physiographical regions (Yazoo-Mississippi Delta) with Schizocosa ocreata (Hentz) from Ohio. The results of that cross suggest that the Mississippi Delta population is more similar to the northern S. ocreata populations than to S. crassipes. We discuss the results of the crossing experiments in terms of what was revealed about geographical patterns in male courtship behaviour. Copyright 1998 The Association for the Study of Animal Behaviour.

Journal Article↗

Trait compensation and cospecialization in a freshwater snail: size, shape and antipredator behaviour.

We examined relationships between individual differences in antipredator behaviour and prey morphological characters (size, shape) that influence prey vulnerability. Behavioural responses of Physa gyrina to chemical cues associated with predation by crayfish Orconectes rusticus, were assayed in the laboratory for 6 days over a 13-day period. Snails displayed consistent, individually repeatable responses to the predation cues, including hiding (refuge use) and substratum avoidance (crawling to the water surface or out of the water). We assessed shell morphology using morphometric techniques that isolate geometrically independent components of size and shape variation corresponding to aperture width and apertural obstruction. Previous studies indicate that large size, narrow apertures and obstructed apertures reduce morphological vulnerability to the shell-entry predation tactics used by crayfish. In the present study, small, and thus more vulnerable, prey tended to show stronger antipredator behaviour than large prey (i.e. behavioural compensation for morphological vulnerability). In contrast, behavioural and shape-based defences were positively correlated; snails with narrow apertures showed strong antipredator responses. We refer to this 'double defence' against predators as cospecialization. With either compensation or cospecialization, suites of correlated behavioural or morphological traits must be studied in tandem to understand the adaptive value of prey responses to predators. Copyright 1999 The Association for the Study of Animal Behaviour.

Journal Article↗

Behaviour of house mice artificially selected for high levels of voluntary wheel running.

We have developed a novel model to study the correlated evolution of behavioural and morphophysiological traits in response to selection for increased locomotor activity. We used selective breeding to increase levels of voluntary wheel running in four replicate lines of laboratory house mice, Mus domesticus, with four random-bred lines maintained as controls. The experiment presented here tested for correlated behavioural responses in the wheel-cage complex, with wheels either free to rotate or locked (environmental factor). After 13 generations, mice from selected lines ran 2.2 times as many revolutions/day as controls on days 5 and 6 of initial exposure to wheels (10 826 versus 4890 revolutions/day, corresponding to 12.1 and 5.5 km/day, respectively). This increase was caused primarily by mice from selected lines running faster, not more minutes per day. Focal-animal observations confirmed that the increase in revolutions/day involved more actual running (or climbing in locked wheels), not an increase in coasting (or hanging). Not surprisingly, access to free versus locked wheels had several effects on behaviour, including total time spent in wheels, sniffing and biting. However, few behaviours showed statistically significant differences between the selected and control lines. Selection did not increase the total time spent in wheels (either free or locked), the frequency of nonlocomotor activities performed in the wheels, nor the amount of locomotor activity in cages attached to the wheels; as well, selection did not decrease the amount of time spent sleeping. Thus, wheel running is, at the genetic level, a largely independent axis of behaviour. Moreover, the genetic architecture of overall wheel running and its components seem conducive to increasing total distance moved without unduly increasing energy or time-related costs. The selection experiment also offers a new approach to study the proximate mechanisms of wheel-running behaviour itself. For example, frequencies of sniffing and wire biting were reduced in selected females but not males. This result suggests that motivation or function of wheel running may differ between the sexes. Copyright 1999 The Association for the Study of Animal Behaviour.

Journal Article↗

Finescale topographical correlates of behavioural investment in offspring by female grey seals, Halichoerus grypus.

Grey seals breed colonially on substrates ranging from ice to rocky or sandy beaches. Clear differences in seal behaviour patterns exist among such broad classes of breeding habitat. However, finer scale topographical variation is likely to influence individual behaviour with consequences for pupping success. We examined topographical influences on the behaviour of breeding female grey seals by quantifying topography at a subseal size resolution. Using submetre resolution digital terrain models of two sites within a rocky breeding colony, we compared site topography in relation to observed differences in female behaviour at these sites. Females at both sites preferred breeding close to water (standing pools or sea) and frequently commuted between their pups and water. Topographical models indicated that one site was more costly for seals in terms of their locations and movements within the site. This was due to a lack of low-elevation land adjacent to the main access points from the sea and the reduced availability of pools. Females at this site showed reduced pup attendance and an increase in energetically costly behaviours, whilst females at the lower-cost site spent more time interacting with their pups and resting. These topographically induced behavioural differences are likely to affect the quantity and quality of pup provisioning by mothers and influence individual pupping site selection. Less costly sites are likely to be colonized preferentially and by larger, older and more dominant females, potentially generating finescale spatial heterogeneity in female quality within the breeding colony. Copyright 2000 The Association for the Study of Animal Behaviour.

Journal Article↗

Body weight and shape control: examining component behaviours.

Relationship between body weight and the performance of five weight-related behaviours (limiting amount of food and drink at meals, avoid unnecessary fat, taking regular exercise, drinking little or no alcohol, avoiding calories in snacks) is examined in a sample of 165 normal-weight individuals. Each of these behaviours was commonly performed, particularly when trying to control body weight and shape. Avoiding alcohol, while being viewed as the least effective means of controlling weight, is found to be the only behaviour significantly related to lower current body weight. None of the five behaviours significantly correlate with amount lost in last effort to reduce weight. Self-reported intentions and previous performance of each behaviour are significantly predicted by components of the Theory of Planned Behaviour. The results are discussed in relation to implications for body weight and shape control and the prediction of behaviours and goal achievement.

Adolescent↗

Eating behaviour and its variability in 1-year-old children.

As part of a longitudinal study of the development of eating behaviour, the naturally occurring meals of 30 12 month old children were videotaped on four occasions, all in their own homes. Their mealtime behaviour was coded using a scheme developed for the analysis of feeding behaviour over the weaning period, and summarised as counts of coded actions. Thirty of these meals were coded independently by a second observer. With one exception, the reliability of the counts was high (r> 0.9). The median duration of the meals was 17 min (range 1-50) and the median number of times the mother directly gave the child food was 42 (0-172). The median number of food refusals by the child was 11 (0-89), and self feeding actions, 12 (0-101). Counts of eating behaviour for the main and sweet courses during the same meal were only modestly correlated. Between subject variance for different behaviour counts comprised 41% to 54% of the total variance. These results show that 1 year old children are relatively variable in their eating behaviour from meal to meal, so measures taken from a single meal will not reliably summarise children's feeding characteristics. Food refusal is a common feature of eating behaviour in normal children at this age.

Feeding Behavior↗