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American Journal of Geriatric Psychiatry

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https://www.readbyqxmd.com/read/29627191/moving-the-dementia-related-stigma-dial-among-chinese-americans
#1
LETTER
Benjamin K P Woo, Jamie O P Chung
No abstract text is available yet for this article.
March 16, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29627192/why-do-the-very-old-self-harm-a-qualitative-study
#2
Anne P F Wand, Carmelle Peisah, Brian Draper, Henry Brodaty
OBJECTIVES: To examine the perspectives of people aged 80 years or older who self-harmed regarding their reasons for self-harm and its consequences, and their perceptions of care. DESIGN: A qualitative study using in-depth interviews. SETTING: Participants were recruited from two teaching hospitals and associated community services. PARTICIPANTS: People aged 80 years or older who had self-harmed within the previous month...
March 15, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29628321/association-of-hippocampal-substructure-resting-state-functional-connectivity-with-memory-performance-in-older-adults
#3
Stephen F Smagula, Helmet T Karim, Anusha Rangarajan, Fernando Pasquini Santos, Sossena C Wood, Tales Santini, John M Jakicic, Charles F Reynolds, Judy L Cameron, Abbe N Vallejo, Meryl A Butters, Caterina Rosano, Tamer S Ibrahim, Kirk I Erickson, Howard J Aizenstein
OBJECTIVES: Hippocampal hyperactivation marks preclinical dementia pathophysiology, potentially due to differences in the connectivity of specific medial temporal lobe structures. Our aims were to characterize the resting-state functional connectivity of medial temporal lobe sub-structures in older adults, and evaluate whether specific substructural (rather than global) functional connectivity relates to memory function. METHODS: In 15 adults (mean age: 69 years), we evaluated the resting state functional connectivity of medial temporal lobe substructures: dentate/Cornu Ammonis (CA) 4, CA1, CA2/3, subiculum, the molecular layer, entorhinal cortex, and parahippocampus...
March 13, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29628322/vitamin-d-status-and-depressive-symptoms-in-older-adults-a-role-for-physical-functioning
#4
Elisa J de Koning, Liset E M Elstgeest, Hannie C Comijs, Paul Lips, Judith J M Rijnhart, Harm W J van Marwijk, Aartjan T F Beekman, Marjolein Visser, Brenda W J H Penninx, Natasja M van Schoor
OBJECTIVES: Depressive symptoms and low vitamin D status are common in older persons and may be associated, but findings are inconsistent. This study investigated whether 25-hydroxyvitamin D (25(OH)D) concentrations are associated with depressive symptoms in older adults, both cross-sectionally and longitudinally. We also examined whether physical functioning could explain this relationship, to gain a better understanding of the underlying mechanisms. METHODS: Data from two independent prospective cohorts of the Longitudinal Aging Study Amsterdam were used: an older cohort (≥65 years, n = 1282, assessed from 1995-2002) and a younger-old cohort (55-65 years, n = 737, assessed from 2002-2009)...
March 12, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29576229/are-post-acute-patients-with-behavioral-health-disorders-admitted-to-lower-quality-nursing-homes
#5
Helena Temkin-Greener, Lauren Campbell, Xuyea Cai, Michael J Hasselberg, Yue Li
OBJECTIVES: We measured the proportion of new post-acute nursing home admissions with behavioral health diagnoses and examined whether patients with these disorders (schizophrenia/psychosis, bipolar, depression/anxiety, personality disorder, and substance abuse) faced disparities in access to high quality facilities. SETTING/PARTICIPANTS: The analytical sample included 3,729,282 admissions to 15,600 facilities nationwide for 2012-2014. MEASUREMENT: Quality was measured for overall and staffing domains reported by the Centers for Medicare and Medicaid Services in the Five-Star Quality Rating System...
February 28, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29551622/treatment-of-behavior-disturbances-with-ketamine-in-a-patient-diagnosed-with-major-neurocognitive-disorder
#6
Douglas Steenblock
A 77-year-old woman who had been previously diagnosed with a major neurocognitive disorder became highly agitated and aggressive in a long-term care facility. She did not respond to intramuscular (IM) haloperidol plus lorazepam and had to be transported to the local emergency department (ED). In the ambulance, she remained highly agitated and was given 200 mg IM ketamine. Within minutes of receiving this, she de-escalated dramatically with no apparent adverse effects and remained stable for several days. Although ketamine has been used recently in pre-hospital settings and EDs to reduce agitated behavior, there has been little if any investigation of its potential for reducing behavior disturbances in patients who suffer from major neurocognitive disorders...
February 26, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29526545/community-based-acupunch-exercise-program-improves-physical-health-and-quality-of-sleep-in-taiwanese-older-adults
#7
EDITORIAL
Helen Lavretsky, Ryan Abbott
No abstract text is available yet for this article.
February 8, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29609900/prevalence-of-mental-health-disorders-in-geriatric-u-s-military-veterans
#8
EDITORIAL
John T Little
No abstract text is available yet for this article.
February 7, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29523462/cognitively-impaired-physicians-how-do-we-detect-them-how-do-we-assist-them
#9
Anothai Soonsawat, Gen Tanaka, Marcia A Lammando, Iqbal Ahmed, James M Ellison
Our older physicians, an increasing number of those in practice, constitute a valuable human resource in the medical profession. Professional satisfaction, increasing life expectancy, concerns regarding financial security, and reluctance to retire are among the many reasons a physician might choose to extend practice into later adulthood. Despite the benefits of experience and expertise acquired by older physicians, cognitive changes associated with normal or pathological aging have been shown to have a significant negative effect on physician performance...
February 7, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29501413/images-on-aging-picasso-s-the-old-guitarist
#10
EDITORIAL
Charles F Reynolds
No abstract text is available yet for this article.
February 7, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29477831/two-year-course-of-quality-of-life-in-nursing-home-residents-with-dementia
#11
Anne van der Zon, Roland B Wetzels, Hans Bor, Sytse U Zuidema, Raymond T C M Koopmans, Debby L Gerritsen
OBJECTIVE: To assess the course of quality of life (QoL) in nursing home residents with dementia and to study its predictors. METHODS: This longitudinal, multicenter, observational cohort study with a 2-year follow-up looked at 290 residents with dementia, who lived in 14 dementia special care units in nine nursing homes in the Netherlands. QoL was assessed with the Qualidem, providing a total score and QoL profile with nine subscales. Residents were assessed at five assessments: every 6 months during 2 years...
February 2, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29525474/medical-care-tasks-among-spousal-dementia-caregivers-links-to-care-related-sleep-disturbances
#12
Courtney A Polenick, Amanda N Leggett, Donovan T Maust, Helen C Kales
OBJECTIVE: Medical care tasks are commonly provided by spouses caring for persons living with dementia (PLWDs). These tasks reflect complex care demands that may interfere with sleep, yet their implications for caregivers' sleep outcomes are unknown. The authors evaluated the association between caregivers' medical/nursing tasks (keeping track of medications; managing tasks such as ostomy care, intravenous lines, or blood testing; giving shots/injections; and caring for skin wounds/sores) and care-related sleep disturbances...
February 1, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29501412/invited-perspective-on-assessing-the-decision-making-capacity-of-terminally-ill-patients-with-cancer
#13
EDITORIAL
Jennifer B Seaman
No abstract text is available yet for this article.
February 1, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29501411/social-cognition-differentiates-behavioral-variant-frontotemporal-dementia-from-other-neurodegenerative-diseases-and-psychiatric-disorders
#14
Flora Gossink, Sigfried Schouws, Welmoed Krudop, Philip Scheltens, Max Stek, Yolande Pijnenburg, Annemiek Dols
OBJECTIVE: Although deficits in social cognition are established as core features in behavioral variant frontotemporal dementia (bvFTD), it remains unresolved if impaired social cognition distinguishes bvFTD from the broad differential diagnoses in clinical practice. Our aim was to study whether social cognition discriminates bvFTD from other neurodegenerative diseases and psychiatric disorders in patients presenting with late-onset frontal symptoms. Next, we studied the association of social cognition with frontal symptoms and cognitive functioning...
February 1, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29609901/perceived-treatment-status-of-fluctuations-in-parkinson-disease-impacts-suicidality
#15
Jared T Hinkle, Kate Perepezko, Zoltan Mari, Laura Marsh, Gregory M Pontone
OBJECTIVE: On/off motor fluctuations in Parkinson disease (PD) can be associated with extreme mood fluctuations and severe dysphoria. The impact of these affective symptoms may be overlooked in the treatment of motor fluctuations. Our goal was to examine the relationship between motor fluctuations, their treatment status, and suicidality in PD participants. METHODS: We analyzed data from the Methods of Optimal Depression Detection in Parkinson's Disease (MOOD-PD) study of 223 individuals with PD...
January 31, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29433845/self-perceived-health-and-sleep-quality-of-community-older-adults-after-acupunch-exercises
#16
Chih-Yin Hsiao, Kuei-Min Chen, Han-Ya Tsai, Hsin-Ting Huang, Yin-Yin Cheng, Athena Yijung Tsai
OBJECTIVES: To test the long-term effects of the 12-month Healthy Beat Acupunch (HBA) exercise program on the self-perceived health and sleep quality of older adults in community care centers, and to compare the effects of two delivery methods: instructor-led HBA for the first 6 months and DVD-guided HBA for another 6 months. DESIGN: Cluster-randomized controlled trial. SETTING: Eight community care centers. PARTICIPANTS: In total, 232 participants were recruited from eight community care centers, and cluster-randomized to the experimental (4 centers, N = 113) and control (4 centers, N = 119) groups...
January 31, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29428405/from-bereavement-to-grief-to-cognitive-decline-a-call-for-novel-treatment-and-prevention-approaches
#17
EDITORIAL
Eric Bui, Olivia Okereke
No abstract text is available yet for this article.
April 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29398352/advanced-dementia-in-long-term-care-avoiding-the-pitfalls-of-fall-prevention
#18
EDITORIAL
Eran D Metzger, Annie M Racine, Sharon K Inouye
No abstract text is available yet for this article.
April 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29395858/cognitive-reappraisal-intervention-for-suicide-prevention-crisp-for-middle-aged-and-older-adults-hospitalized-for-suicidality
#19
Dimitris N Kiosses, George S Alexopoulos, Greg Hajcak, William Apfeldorf, Paul R Duberstein, David Putrino, James J Gross
Middle-aged and older adults constitute a high suicide-risk group. Among adults aged 50 years old and older, suicide rates increased and suicide deaths almost doubled during the period from 2000 to 2015. Suicide rates are elevated for patients hospitalized for suicidality (i.e., active suicidal ideation or suicide attempt) and the 3 months post-hospitalization is the time of the highest suicide risk. Psychosocial interventions for middle-aged and older adults hospitalized for suicidality are sparse. In this article, we present the main aspects, stages, techniques and a clinical case study of Cognitive Reappraisal Intervention for Suicide Prevention (CRISP), a psychosocial intervention targeting cognitive reappraisal to reduce suicide risk in middle-aged and older adults who have been recently hospitalized for suicidal ideation or a suicide attempt...
April 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29395855/walking-tests-are-they-sensitive-enough-to-detect-cognitive-decline-in-older-adults
#20
EDITORIAL
Sarah T Stahl, Steven M Albert
No abstract text is available yet for this article.
April 2018: American Journal of Geriatric Psychiatry
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