Aggression Exhibited by Older Dementia Clients Toward Staff in Japanese Long-Term Care

Ayako Ko, Kinuko Takasaki, Yumi Chiba, Hiroki Fukahori, Ayumi Igarashi, Yukari Takai, Noriko Yamamoto-Mitani

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


This study examined the experiences of staff members from seven Japanese hospitals who had been treated aggressively by older dementia clients. Altogether, 170 questionnaires were analyzed. In the past year, 75.3% and 63.5% of staff members had experienced physical and verbal aggression, respectively. Working numerous night shifts, working shifts other than 3-shifts, and being allotted assignments with clients who had a lower average level of physical capacity were the factors associated with recurrent client aggression. Those staff members who spent adequate time caring for their clients, who gained client consent before providing care, and who tried to build a trusting relationship with their clients were found to have experienced less aggression. Burnout, which is likely to enhance the risk of the staff mistreatment and neglect of older clients, was found to be higher among those who experienced aggression.

Original languageEnglish
Pages (from-to)1-16
Number of pages16
JournalJournal of Elder Abuse and Neglect
Issue number1
Publication statusPublished - 2012 Jan 1
Externally publishedYes


  • Aggression
  • Dementia
  • Long-term care
  • Older adults
  • Staff

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Geriatrics and Gerontology


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