{"id":"https://openalex.org/W1940107102","doi":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","title":"Determinants of aggression, and adaptive and maladaptive behaviour in older people with Down\u2019s syndrome with and without dementia","display_name":"Determinants of aggression, and adaptive and maladaptive behaviour in older people with Down\u2019s syndrome with and without dementia","publication_year":1999,"publication_date":"1999-10-01","ids":{"openalex":"https://openalex.org/W1940107102","doi":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","mag":"1940107102","pmid":"https://pubmed.ncbi.nlm.nih.gov/10546963"},"language":"en","primary_location":{"id":"doi:10.1046/j.1365-2788.1999.043005393.x","doi":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","is_oa":true,"landing_page_url":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1046/j.1365-2788.1999.043005393.x","source":{"id":"https://openalex.org/S67377460","display_name":"Journal of Intellectual Disability Research","issn_l":"0964-2633","issn":["0964-2633","1365-2788"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","erih-plus","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Intellectual Disability Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1046/j.1365-2788.1999.043005393.x","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108473728","display_name":"Mary Cosgrave","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122413","display_name":"St. Patrick's Hospital","ror":"https://ror.org/032e0fv91","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I4210122413"]}],"countries":["IE"],"is_corresponding":true,"raw_author_name":"M. P. Cosgrave","raw_affiliation_strings":["Department of Old Age Psychiatry, St Patrick's Hospital, Dublin, Ireland","Department of Old Age Psychiatry, St Patrick\u2019s and St James\u2019s Hospitals, Dublin, Ireland,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Old Age Psychiatry, St Patrick's Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I4210122413"]},{"raw_affiliation_string":"Department of Old Age Psychiatry, St Patrick\u2019s and St James\u2019s Hospitals, Dublin, Ireland,","institution_ids":["https://openalex.org/I4210122413"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012679046","display_name":"Janette Tyrrell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205274468","display_name":"Trinity College Dublin","ror":"https://ror.org/02tyrky19","country_code":"IE","type":"education","lineage":["https://openalex.org/I205274468"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"J. Tyrrell","raw_affiliation_strings":["Department of Psychiatry, Trinity College, Dublin, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Trinity College, Dublin, Ireland","institution_ids":["https://openalex.org/I205274468"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086989961","display_name":"Mary McCarron","orcid":"https://orcid.org/0000-0002-2531-0422","observed_orcids":["https://orcid.org/0000-0002-2531-0422"]},"institutions":[{"id":"https://openalex.org/I205274468","display_name":"Trinity College Dublin","ror":"https://ror.org/02tyrky19","country_code":"IE","type":"education","lineage":["https://openalex.org/I205274468"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"M. McCarron","raw_affiliation_strings":["Department of Psychiatry, Trinity College, Dublin, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Trinity College, Dublin, Ireland","institution_ids":["https://openalex.org/I205274468"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106497970","display_name":"Michael Gill","orcid":"https://orcid.org/0000-0003-0206-5337","observed_orcids":["https://orcid.org/0000-0003-0206-5337","https://orcid.org/0000-0002-9657-1451"]},"institutions":[{"id":"https://openalex.org/I205274468","display_name":"Trinity College Dublin","ror":"https://ror.org/02tyrky19","country_code":"IE","type":"education","lineage":["https://openalex.org/I205274468"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"M. Gill","raw_affiliation_strings":["Department of Psychiatry, Trinity College, Dublin, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Trinity College, Dublin, Ireland","institution_ids":["https://openalex.org/I205274468"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111882088","display_name":"Brian A. Lawlor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122413","display_name":"St. Patrick's Hospital","ror":"https://ror.org/032e0fv91","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I4210122413"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"B. A. Lawlor","raw_affiliation_strings":["Department of Old Age Psychiatry, St Patrick\u2019s and St James\u2019s Hospitals, Dublin, Ireland,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Old Age Psychiatry, St Patrick\u2019s and St James\u2019s Hospitals, Dublin, Ireland,","institution_ids":["https://openalex.org/I4210122413"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5108473728"],"corresponding_institution_ids":["https://openalex.org/I4210122413"],"apc_list":{"value":3920,"currency":"USD","value_usd":3920},"apc_paid":null,"fwci":0.7674,"has_fulltext":true,"cited_by_count":38,"citation_normalized_percentile":{"value":0.73206602,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"43","issue":"5","first_page":"393","last_page":"399"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11015","display_name":"Down syndrome and intellectual disability research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11015","display_name":"Down syndrome and intellectual disability research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10826","display_name":"Behavioral and Psychological Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/down-syndrome","display_name":"Down syndrome","score":0.8619999885559082},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.9869999885559082},{"id":"https://openalex.org/keywords/aggression","display_name":"aggression","score":0.9679999947547913},{"id":"https://openalex.org/keywords/adaptive-behavior","display_name":"adaptive behavior","score":0.9610000252723694},{"id":"https://openalex.org/keywords/maladaptive-behavior","display_name":"maladaptive behavior","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cognitive-function","display_name":"cognitive function","score":0.8939999938011169},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.640999972820282},{"id":"https://openalex.org/keywords/dual-diagnosis","display_name":"dual diagnosis","score":0.7860000133514404},{"id":"https://openalex.org/keywords/intellectual-disability","display_name":"intellectual disability","score":0.5350000262260437}],"concepts":[{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.9067614674568176},{"id":"https://openalex.org/C2779448149","wikidata":"https://www.wikidata.org/wiki/Q191797","display_name":"Aggression","level":2,"score":0.8637118339538574},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7050201892852783},{"id":"https://openalex.org/C68784500","wikidata":"https://www.wikidata.org/wiki/Q1570691","display_name":"Adaptive behavior","level":2,"score":0.49334803223609924},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.46911054849624634},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.429871529340744},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.414894700050354},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.3912014961242676},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.21833977103233337},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.1119612455368042},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.07836112380027771}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000374","descriptor_name":"Aggression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003704","descriptor_name":"Dementia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D004314","descriptor_name":"Down Syndrome","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007494","descriptor_name":"Ireland","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011569","descriptor_name":"Psychiatric Status Rating Scales","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012917","descriptor_name":"Social Adjustment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012920","descriptor_name":"Social Behavior Disorders","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D012920","descriptor_name":"Social Behavior Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D017677","descriptor_name":"Age Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017678","descriptor_name":"Sex Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1046/j.1365-2788.1999.043005393.x","doi":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","is_oa":true,"landing_page_url":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1046/j.1365-2788.1999.043005393.x","source":{"id":"https://openalex.org/S67377460","display_name":"Journal of Intellectual Disability Research","issn_l":"0964-2633","issn":["0964-2633","1365-2788"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","erih-plus","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Intellectual Disability Research","raw_type":"journal-article"},{"id":"pmid:10546963","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10546963","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of intellectual disability research : JIDR","raw_type":"Comparative Study"}],"best_oa_location":{"id":"doi:10.1046/j.1365-2788.1999.043005393.x","doi":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","is_oa":true,"landing_page_url":"https://doi.org/10.1046/j.1365-2788.1999.043005393.x","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1046/j.1365-2788.1999.043005393.x","source":{"id":"https://openalex.org/S67377460","display_name":"Journal of Intellectual Disability Research","issn_l":"0964-2633","issn":["0964-2633","1365-2788"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","erih-plus","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Intellectual Disability Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1940107102.pdf","grobid_xml":"https://content.openalex.org/works/W1940107102.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W125227749","https://openalex.org/W135170103","https://openalex.org/W1704771326","https://openalex.org/W1978255987","https://openalex.org/W1987059095","https://openalex.org/W1998958799","https://openalex.org/W2025598074","https://openalex.org/W2029257963","https://openalex.org/W2034773819","https://openalex.org/W2041711686","https://openalex.org/W2086107878","https://openalex.org/W2097951881","https://openalex.org/W2120096278","https://openalex.org/W2128842916","https://openalex.org/W2143987649","https://openalex.org/W2144665826"],"related_works":["https://openalex.org/W2114850010","https://openalex.org/W1978255987","https://openalex.org/W117507536","https://openalex.org/W7159654716","https://openalex.org/W4389731760","https://openalex.org/W2039637191","https://openalex.org/W2008155191","https://openalex.org/W7071533301","https://openalex.org/W2156077648","https://openalex.org/W7213359590"],"abstract_inverted_index":{"In":[0],"a":[1,67,130],"cross-sectional":[2,91],"study":[3,121],"of":[4,19,30,35,43,61,78,110,125,141],"aggression,":[5],"and":[6,8,55,88,128,143],"adaptive":[7,44,115],"maladaptive":[9,38],"behaviour":[10,45,116],"in":[11,51,56,84,102,114,118],"128":[12],"subjects":[13,52,85],"with":[14,53,58,86,105,137],"Down's":[15],"syndrome":[16],"(DS),":[17],"29":[18],"whom":[20],"had":[21],"dementia,":[22,54],"the":[23,28,41,70,76,106,119,123,138],"current":[24],"authors":[25],"found":[26],"that":[27],"presence":[29,77],"dementia":[31,87,142],"was":[32,46],"not":[33,82],"predictive":[34],"aggression":[36,99],"or":[37,108],"behaviour.":[39],"However,":[40],"level":[42],"shown":[47,117],"to":[48,95],"be":[49,96],"lower":[50,59],"those":[57],"levels":[60],"cognitive":[62],"functioning,":[63],"as":[64],"measured":[65],"on":[66,90],"rating":[68],"instrument,":[69],"Test":[71],"for":[72,132,135],"Severe":[73],"Impairment.":[74],"Although":[75],"aggressive":[79],"behaviours":[80],"is":[81],"higher":[83],"DS":[89],"review,":[92],"it":[93],"remains":[94],"seen":[97],"whether":[98],"will":[100],"increase":[101],"individual":[103],"cases":[104],"onset":[107],"progression":[109],"dementia.":[111],"The":[112],"decline":[113],"present":[120],"confirms":[122],"findings":[124],"previous":[126],"studies":[127],"indicates":[129],"direction":[131],"service":[133],"development":[134],"persons":[136],"dual":[139],"diagnosis":[140],"DS.":[144]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2016-06-24T00:00:00"}
