ORIGINAL ARTICLE e-ISSN: 2349-0659 p-ISSN; 2350-0964
Behavioral Changes and Cognitive Decline among Elderly
Shephali Dixit, U. V. Kiran*, Padmini Pandey
A BSTRACT
An individual’s behavior is impacted by a complex interaction of factors such as cognitive impairment, physical and mental health, past
habits, personality, and environment. The cognitive decline means that your brain does not work as well as it used to. This study aimed to
examine behavioral problems and cognitive decline among the elderly. The research information was gathered using multistage random
sampling from various locations of Lucknow city (U.P). A total of 100 elderly were selected for conducting the present study comprising
elderly belonging to diferent ages and both gender. A general information sheet was developed to collect the general information of the
respondents. A Revised Memory and Behavioral Checklist scale developed by Teri, 1992, was used to assess the behavioral problems among
the elderly. Females were found to have severe cognitive decline and behavioral problems compared to male respondents. Cooperation from
family members and counseling sessions may prove benefcial in improving the overall cognitive health of female respondents.
Keywords: Behavioral changes, Cognitive decline, Counseling, Elderly, Psychological well-being
Asian Pac. J. Health Sci., (2022); DOI: 10.21276/apjhs.2022.9.3.29
©2022 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/
licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
I NTRODUCTION
A person’s physiology and psychology change with age as a
consequence of aging. It is an instinctive situation associated with
the aggregation of several changes resulted in residents’ exposure
to variety of diseases (Singh et al., 2017).
[1]
Behavioral problems,
frequently termed anxiety, as “an inappropriate verbal, vocal,
or motor activity that is not the individual’s needs or confusion
as judged by an outside observer” (Cohen, 2000).
[2]
Attention,
learning, memory, language, visuospatial skills, and executive
functions such as goal-setting, judgment, and decision-making
are all cognitive skills. Congnitive imparement mostly identifed in
elderly population (Sharma et al., 2013).
[3]
Depression, anxiety, insomnia, irritability, psychosis,
wandering, elation, and agitation are symptoms of behavioral
and psychological disorders (Vander et al., 2012).
[4]
An executive
function that is known to decline with age is the cognition
associated with the brain’s prefrontal cortex, which controls
purposeful, goal-directed behavior (Monisha et al., 2020).
[5]
Several
cognitive changes were observed with aging, such as slowing
of intelligence, learning power, and memorizing, impacting
personality, and emotional development (Knight et al., 1999).
[6]
The
study’s main aim is to check the behavioral changes and cognitive
decline in the elderly. The associated aim is to create awareness in
society about the problems of the elderly and the support system
to be created for them to make their lives comfortable.
M ATERIALS AND M ETHODS
Ex post facto research design was used to conduct the study.
The respondents were selected using the purposive random
sampling technique. The sample for the study was elderly people
aged between 65 and 80 years. Subjects were selected excluding
severely sick and disabled or having neurological problems,
mentally retarded, and with any primary sensory defcit. Various
areas from Lucknow were selected to conduct the study. To
achieve the objectives stated above, the following tools were used
for the study.
Detailed socio-demographic data were collected using a
socio-demographic scale that included age, gender, marital
Department of Human Development and Family Studies, School of
Home Sciences, Babasaheb Bhimrao Ambedkar University (A Central
University), Lucknow, Uttar Pradesh, India.
Corresponding Author: Dr. U. V. Kiran, Department of Human
Development and Family Studies, School of Home Sciences, Babasaheb
Bhimrao Ambedkar University (A Central University), Lucknow, Uttar
Pradesh, India. E-mail: druvkiran@gmail.com
How to cite this article: Dixit S, Kiran UV, Pandey P. Behavioral
Changes and Cognitive Decline among Elderly. Asian Pac. J. Health
Sci., 2022;9(3):145-147.
Source of support: Nil
Conficts of interest: None.
Received: 04/02/2022 Revised: 27/02/2022 Accepted: 23/02/2022
status, education, occupation, income, family domicile, and the
respondents’ place and duration of stay.
The Revised Memory and Behavior Problems Checklist
(Teri et al., 1992)
[7]
is a 24-item caregiver-report measure of
observable behavioral problems among the elderly. RMBPC is
recommended as a reliable and valid tool for assessing behavior
problems in dementia patients. Interview schedules were used
for data collection. Based on a pre-tested survey schedule, each
location’s respondents were interviewed. The collected data were
coded, tabulated, and statistically analyzed with the help of SPSS
version 20.0 software. Then, it was analyzed in terms of means,
standard deviation, t-test, and analysis of variance.
R ESULTS AND D ISCUSSION
Table 1 shows the demographic profle of the respondents. It is evident
from the data that the signifcant proportion (42.01%) of the elderly
was under 65–70 years, followed by 70–75 years with (36.0%), while
only 22.0% of the respondents were from the 75 years and above age
group. Another important demographic characteristic is gender. It
is evident from the table that a signifcant proportion of the sample
was found to be males (58%) while only (42%) of the respondents
were females. It is also derived from Table 1 that the majority of the
respondents (60.0%) were married, followed by widowers (22.0%) and
the rest of 18.0% of the elderly women were widows.