What behavioral change is often observed in inmates suffering from Sundowner's Syndrome?

Inmates suffering from Sundowner's Syndrome, which is often associated with forms of dementia or cognitive decline, typically exhibit increased demand and suspicion as the evening approaches. This condition is characterized by a worsening of cognitive function and behavioral disturbances that tend to occur in the late afternoon or evening.

During these hours, individuals may become more agitated, confused, and exhibit signs of paranoia or suspicion. This heightened state of anxiety or hostility can lead to an increase in demands placed on caregivers or staff, as these individuals may struggle to cope with their environment and may feel threatened or insecure. The phenomena relates to the disruption of circadian rhythms and may be compounded by fatigue and the fading light of day contributing to disorientation.

The other options do not accurately capture the specific behavioral changes associated with this syndrome. For instance, decreased need for sleep, improved cooperation during the day, and lower levels of physical activity are typically not indicators of Sundowner's Syndrome in inmates. Rather, a common feature is the escalation of suspicion and demand, particularly in the evening hours.