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International Journal of Geriatric Psychiatry

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https://www.readbyqxmd.com/read/28094873/effects-of-adding-whole-body-vibration-to-routine-day-activity-program-on-physical-functioning-in-elderly-with-mild-or-moderate-dementia-a-randomized-controlled-trial
#1
Freddy M H Lam, L R Liao, Timothy C Y Kwok, Marco Y C Pang
OBJECTIVE: To evaluate the effects of whole-body vibration (WBV) added to a routine activity program on lower limb strength, balance, and mobility among community-dwelling individuals with mild or moderate dementia, compared with the routine program alone. METHODS: Fifty-four older adults (40 women; mean (SD) age: 79.8 (6.1) years) with mild or moderate dementia were recruited from two daycare centers. The participants were randomly allocated to undergo a routine day activity program combined with WBV training (WBV at 30 Hz, 2-mm peak-to-peak amplitude) or the routine program only without WBV for 9 weeks (18 sessions)...
January 17, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28093812/factors-predicting-incidence-of-post-operative-delirium-in-older-people-following-hip-fracture-surgery-a-systematic-review-and-meta-analysis
#2
REVIEW
T O Smith, A Cooper, G Peryer, R Griffiths, C Fox, J Cross
OBJECTIVE: Delirium is one of the most common complications following hip fracture surgery in older people. This study identified pre- and peri-operative factors associated with the development of post-operative delirium following hip fracture surgery. METHODS: Published and unpublished literature were searched to identify all evidence reporting variables on patient characteristics, on-admission, intra-operative and post-operative management assessing incident delirium in older people following hip fracture surgery...
January 17, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28092410/big-five-personality-characteristics-are-associated-with-depression-subtypes-and-symptom-dimensions-of-depression-in-older-adults
#3
A M L Koorevaar, J M Hegeman, F Lamers, A D F Dhondt, R C van der Mast, M L Stek, H C Comijs
OBJECTIVE: This study examined the associations of personality characteristics with both subtypes and symptom dimensions of depression in older adults. METHODS: Three hundred and seventy-eight depressed older adults participated in the Netherlands Study of Depression in Older Persons. Personality characteristics were assessed by the NEO-Five Factor Inventory. Subtypes and symptom dimensions of depression were determined using the Composite International Diagnostic Interview and the Inventory of Depressive Symptomatology (IDS)...
January 16, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28071830/awareness-of-functional-ability-in-people-with-early-stage-dementia
#4
Anthony Martyr, Linda Clare
OBJECTIVES: Assessment of functional ability in people with early-stage dementia (PwD) is an important area of study because it forms part of the diagnostic process and may help in monitoring disease progression. Most researchers and clinicians rely on informant ratings rather than observing actual functional performance or employing self-ratings. There has however been little research to verify whether informant ratings of functioning are accurate, and there has been even less research investigating the accuracy of self-ratings of functional ability in PwD...
January 10, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28067961/quality-of-life-in-relation-to-neuropsychiatric-symptoms-in-alzheimer-s-disease-5-year-prospective-alsova-cohort-study
#5
Kristiina Hongisto, Ilona Hallikainen, Tuomas Selander, Soili Törmälehto, Saku Väätäinen, Janne Martikainen, Tarja Välimäki, Sirpa Hartikainen, Jaana Suhonen, Anne M Koivisto
OBJECTIVE: To examine the association between neuropsychiatric symptoms (NPS) with self- and caregiver-rated Quality of Life (QoL) for patients with Alzheimer's disease (AD) during a 5-year follow-up. METHODS: The ALSOVA 5-year follow-up study included, at baseline, 236 patients with either very mild (Clinical Dementia Rating Scale (CDR) 0.5), or mild (CDR 1) AD, together with their caregivers from three Finnish hospital districts. QoL was evaluated using patient self-reported, and caregiver-rated, QoL in AD (QoL-AD) scores...
January 9, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28055139/antidepressant-use-and-risk-of-hip-fractures-among-community-dwelling-persons-with-and-without-alzheimer-s-disease
#6
Sanna Torvinen-Kiiskinen, Anna-Maija Tolppanen, Marjaana Koponen, Antti Tanskanen, Jari Tiihonen, Sirpa Hartikainen, Heidi Taipale
OBJECTIVE: To study whether antidepressant use is associated with an increased risk of hip fracture among community-dwelling persons with and without Alzheimer's disease (AD), and to compare the risk according to duration of use and between antidepressant groups. METHODS: Retrospective cohort study, including 50,491 persons with AD (mean age 80) and 100,982 comparison persons without AD from Finnish register-based MEDALZ cohort. Antidepressant use was compared with nonuse with Cox proportional hazard models...
January 5, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28055136/factors-associated-with-brain-volume-in-major-depression-in-older-adults-without-dementia-results-from-a-large-autopsy-study
#7
Paula Villela Nunes, Claudia Kimie Suemoto, Renata Elaine Paraizo Leite, Renata Eloah de Lucena Ferretti-Rebustini, Carlos Augusto Pasqualucci, Ricardo Nitrini, Jose Marcelo Farfel, Katia Cristina de Oliveira, Lea Tenenholz Grinberg, Nicole Rezende da Costa, Camila Fernandes Nascimento, Faraz Salmasi, Helena Kyunghee Kim, Lionel Trevor Young, Wilson Jacob-Filho, Beny Lafer
OBJECTIVE: We examined brain volume and atrophy in individuals with major depressive disorder (MDD) without dementia that were referred to a large autopsy service. We also examined potential risk factors for brain atrophy, including demographics and clinical variables. METHODS: In this study, 1373 participants (787 male) aged 50 years or older who died from natural causes were included. Participants with no reliable informant, with cognitive impairment or dementia, with a medical history of severe chronic disease, or with prolonged agonal state were excluded...
January 5, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28052429/head-circumference-leg-length-and-its-association-with-dementia-among-older-adult-population-in-singapore
#8
Sherilyn Chang, Hui Lin Ong, Edimansyah Abdin, Janhavi Ajit Vaingankar, Anitha Jeyagurunathan, Saleha Shafie, Rathi Mahendran, Mythily Subramaniam, Siow Ann Chong
BACKGROUND: Head circumference and leg length serve as reliable proxy indicators of early-life environment. Research studies have shown that these anthropometric measurements are associated with cognitive impairment and dementia among older adults. The aim of the present study was to assess the associations between dementia with head circumference and leg length among the older adult population in Singapore. This study also aimed to examine the sociodemographic correlates of these anthropometric measurements...
January 4, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28032354/end-of-life-treatment-decisions-in-nursing-home-residents-dying-with-dementia-in-the-netherlands
#9
Simone A Hendriks, Martin Smalbrugge, Luc Deliens, Raymond T C M Koopmans, Bregje D Onwuteaka-Philipsen, Cees M P M Hertogh, Jenny T van der Steen
OBJECTIVE: The objective was to describe end-of-life treatment decisions for patients dying with dementia in various stages of dementia in long-term care facilities in the Netherlands with elderly care physicians responsible for treatment and care. METHODS: We present data collected in the nationally representative Dutch End of Life in Dementia study (2007-2011). Within 2 weeks after death, 103 physicians completed questionnaires about the last phase of life in 330 residents with dementia who resided in 1 of 34 participating long-term care facilities...
December 29, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28029184/effects-of-stressful-life-events-on-cerebral-white-matter-hyperintensity-progression
#10
Anne D Johnson, Douglas R McQuoid, David C Steffens, Martha E Payne, John L Beyer, Warren D Taylor
OBJECTIVE: Exposure to stressful events is associated with both occurrence of depression and also vascular disease. The objective of this study was to determine whether higher levels of stress exposure was related to measures of pathological brain aging, specifically white matter hyperintensity volumes, in older adults with and without depression. METHODS: The sample included 130 depressed and 110 never-depressed older adults aged 60 years or older enrolled in a longitudinal study at an academic medical center...
December 28, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28004429/the-cost-of-diagnosis-and-early-support-in-patients-with-cognitive-decline
#11
Mark Pennington, Manuel Gomes, Theti Chrysanthaki, Jolijn Hendriks, Raphael Wittenberg, Martin Knapp, Nick Black, Sarah Smith
OBJECTIVE: Recent research indicates considerable heterogeneity in the provision of memory assessment services (MAS). However, little is known on the extent of variation in the costs of the services MAS provide. We investigated the costs of supporting patients with suspected dementia, including assessment and support over the following 6 months. METHODS: Clinic costs were estimated on the basis of an organisational survey reporting staff roll, grade and activities...
December 22, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27981728/physicians-response-to-sexual-dysfunction-presented-by-a-younger-vs-an-older-adult
#12
Ateret Gewirtz-Meydan, Liat Ayalon
AIM: The aim of this study is to determine whether physicians have an age bias regarding sexual dysfunction presented by older vs. younger patients in terms of attributed diagnosis, etiology, proposed treatment and perceived prognosis. METHOD: An on-line survey consisting of one of two, randomly administered, case vignettes, which differed only by the age of the patient (28 or 78). In both cases, the patient was described as suffering from occasional erectile dysfunction with a clear psychosocial indication...
December 16, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27981694/quantifying-the-unmet-needs-of-caregivers-of-people-with-dementia-a-critical-review-of-the-quality-of-measures
#13
REVIEW
Elise Mansfield, Allison W Boyes, Jamie Bryant, Rob Sanson-Fisher
OBJECTIVE: The array of demanding tasks carried out by caregivers of people with dementia have significant negative impacts on their physical, mental and social well-being. Needs assessment allows individuals to indicate the extent to which their needs across different areas have or have not been met, allowing for estimations of the prevalence of needs and the extent to which help is required. This approach is extremely valuable in a clinical context, as it enables identification of the areas with which caregivers report a particular desire for help and allows targeting of support and resources to those who identify high levels of unmet needs...
December 16, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27966781/coexisting-geriatric-anxiety-and-depressive-disorders-may-increase-the-risk-of-ischemic-heart-disease-mortality-a-nationwide-longitudinal-cohort-study
#14
Wei Hung Chang, I Hui Lee, Wei Tseng Chen, Po See Chen, Yen Kuang Yang, Kao Chin Chen
OBJECTIVES: In the elderly, the risk of mortality because of physical illnesses related to anxiety disorders varies with potential confounding influences, including comorbidity with depressive disorders. Our study aimed to explore (i) whether anxiety disorders increase the risk of mortality in the elderly, and (ii) whether the risk of mortality mediated by anxiety and depressive disorders differs between physical illnesses. METHODS: Our longitudinal cohort study included subjects aged over 60 years from the National Health Insurance Research Database...
December 14, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27928840/development-of-assessment-toolkits-for-improving-the-diagnosis-of-the-lewy-body-dementias-feasibility-study-within-the-diamond-lewy-study
#15
Alan J Thomas, John Paul Taylor, Ian McKeith, Claire Bamford, David Burn, Louise Allan, John O'Brien
OBJECTIVE: The Lewy body dementias (LBD, dementia with Lewy bodies and Parkinson's disease dementia) are the second most common cause of neurodegenerative dementia but remain under-recognised, with long delays from initial assessment to diagnosis. Whilst validated instruments have been developed for key symptoms, there is no brief instrument for overall diagnostic assessment suitable for routine practice. We here report the development of such assessment toolkits. METHODS: We developed the LBD assessment toolkits in three stages...
December 8, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27925292/cognitive-impairment-in-parkinson-s-disease-impact-on-quality-of-life-of-carers
#16
R A Lawson, A J Yarnall, F Johnston, G W Duncan, T K Khoo, D Collerton, J P Taylor, D J Burn
BACKGROUND: The quality of life (QoL) of informal caregivers of people with Parkinson's disease (PD) (PwP) can be affected by the caring role. Because of cognitive symptoms and diminished activities of daily living, in addition to the management of motor symptoms, carers of PwP and cognitive impairment may experience increased levels of burden and poorer QoL compared with carers of PwP without cognitive impairment. This study aimed to investigate the impact of cognitive impairment in PD upon QoL of carers...
December 7, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27918121/prevalence-and-severity-of-behavioural-symptoms-in-patients-with-korsakoff-syndrome-and-other-alcohol-related-cognitive-disorders-a-systematic-review
#17
REVIEW
Ineke J Gerridzen, Wiltine G Moerman-van den Brink, Marja F Depla, Els M L Verschuur, Ruth B Veenhuizen, Johannes C van der Wouden, Cees M P M Hertogh, Karlijn J Joling
OBJECTIVE: Experiences from clinical practice suggest that behavioural symptoms in patients with Korsakoff syndrome (KS) are a frequent problem. Knowledge about behavioural symptoms is important in understanding and managing these symptoms. The aim of this study is to review the prevalence and severity of behavioural symptoms in KS. METHODS: Relevant articles were identified by searching Medline (PubMed), PsycINFO, Embase and CINAHL up to 4 June 2014. Two reviewers independently selected the studies, extracted their baseline data and assessed methodological quality using a standardized checklist...
December 5, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27917538/five-short-screening-tests-in-the-detection-of-prevalent-delirium-diagnostic-accuracy-and-performance-in-different-neurocognitive-subgroups
#18
N A O'Regan, K Maughan, N Liddy, J Fitzgerald, D Adamis, D W Molloy, D Meagher, S Timmons
BACKGROUND: Delirium is prevalent and serious, yet remains under-recognised. Systematic screening could improve detection; however, consensus is lacking as to the best approach. Our aim was to assess the diagnostic accuracy of five simple cognitive tests in delirium screening: six-item cognitive impairment test (6-CIT), clock-drawing test, spatial span forwards, months of the year backwards (MOTYB) and intersecting pentagons (IPT). METHODS: A cross-sectional study was conducted...
December 5, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27911019/the-impact-and-measurement-of-social-dysfunction-in-late-life-depression-an-evaluation-of-current-methods-with-a-focus-on-wearable-technology
#19
REVIEW
Sophie Hodgetts, Peter Gallagher, Daniel Stow, I Nicol Ferrier, John T O'Brien
OBJECTIVE: Depression is known to negatively impact social functioning, with patients commonly reporting difficulties maintaining social relationships. Moreover, a large body of evidence suggests poor social functioning is not only present in depression but that social functioning is an important factor in illness course and outcome. In addition, good social relationships can play a protective role against the onset of depressive symptoms, particularly in late-life depression. However, the majority of research in this area has employed self-report measures of social function...
December 2, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27911015/depression-with-inflammation-longitudinal-analysis-of-a-proposed-depressive-subtype-in-community-dwelling-older-adults
#20
Damien Gallagher, Alex Kiss, Krista Lanctot, Nathan Herrmann
OBJECTIVE: It has been proposed that inflammation may be causally related to depression. If this is the case, it may be possible to distinguish an inflammatory depressive subtype according to illness course, pattern of co-morbidity and symptom profile. METHODS: Eight hundred and eleven community dwelling older adults with depression (8 item Center for Epidemiologic Studies scale ≥ 4) from the English Longitudinal study of Ageing (ELSA) were followed for a median of 47 months...
December 2, 2016: International Journal of Geriatric Psychiatry
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