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International Journal of Geriatric Psychiatry

Osvaldo P Almeida, Andrew H Ford, Graeme J Hankey, Bu B Yeap, Jonathan Golledge, Leon Flicker
OBJECTIVE: To determine if hearing loss is associated with increased risk of incident psychosis in later life. METHODS: Longitudinal cohort study of a community-representative sample of 38173 men aged 65-85 years at the start of the follow up period of 18 years. We used the Western Australian Data Linkage System to ascertain the presence of hearing loss and of psychotic disorders according to the International Classification of Diseases (ICD versions 8, 9 and 10)...
November 14, 2018: International Journal of Geriatric Psychiatry
C Vossius, G Selbaek, J Šaltytė Benth, A Wimo, S Bergh
OBJECTIVES: To evaluate the trend in the use of direct care in a cohort of Nursing home (NH) residents and explore its association with resident characteristics and organizational factors. METHODS/DESIGN: A total of 696 NH residents from 47 Norwegian NHs were included at admissions at NH. In 537 residents the use of direct care was assessed every 6 months over a course of three years. A multiple model was estimated to identify demographic, clinical and organizational characteristics associated with the use of direct care time...
November 14, 2018: International Journal of Geriatric Psychiatry
Emma J de Louw, Nadine P G Paans, Caroline Sonnenberg, Hugo Konz, Paul David Meesters, Daniel van Grootheest, Mardien Oudega, Didi Rhebergen, Cora Kerssens, Hannie C Comijs, Max L Stek, Annemiek Dols
OBJECTIVES: To establish the course of metabolic syndrome (MS) rates in older patients with severe mental illness (SMI) after five-year follow-up and evaluate whether MS at baseline is associated with mortality or diabetes at follow-up. METHODS: Patients (>60 years of age) with SMI (N=100) were included at a specialized mental health outpatient clinic. Metabolic parameters were collected from patients' medical files at baseline and after five-year follow-up. RESULTS: Follow-up data were available of 98 patients (98%), nine patients had died...
November 14, 2018: International Journal of Geriatric Psychiatry
Rachel Halpern, Jerry Seare, Junliang Tong, Ann Hartry, Anthony Olaoye, Myrlene Sanon Aigbogun
BACKGROUND: Agitation is a common neuropsychiatric symptom of Alzheimer's disease (AD). Data are scarce regarding agitation prevalence among community-dwelling patients with AD. OBJECTIVE: To estimate agitation prevalence in a sample of US patients with AD/dementia overall and by AD/dementia disease severity, using data from electronic health records (EHR). METHODS: This retrospective database study examined community-dwelling patients with ≥1 EHR record indicating AD/dementia from January 2008 - June 2015 and no evidence of non-AD dementia during the 12-month pre- and post-index periods...
November 14, 2018: International Journal of Geriatric Psychiatry
Nant Thin Thin Hmwe, Graeme Browne, Lyndall Mollart, Viv Allanson, Sally Wai-Chi Chan
OBJECTIVES: This integrative review aimed to synthesize studies that investigated the effects of acupressure on sleep quality, depression, anxiety, and agitation in older people, and to describe the acupressure procedures and techniques applied in the included studies. METHODS: A literature search was conducted using electronic databases including CINAHL, Cochrane Library, EMBASE, and MEDLINE. The inclusion criteria for the review were studies examining the effect of acupressure in older people aged 60 years and above, measured the outcomes for sleep quality, depression, anxiety or agitation, applied body acupressure, and published in English language...
November 14, 2018: International Journal of Geriatric Psychiatry
Ai Iizuka, Hiroyuki Suzuki, Susumu Ogawa, Kimi Estela Kobayashi-Cuya, Momoko Kobayashi, Hiroki Inagaki, Mika Sugiyama, Shuichi Awata, Toru Takebayashi, Yoshinori Fujiwara
OBJECTIVES: The purpose of this study is to clarify the influence of social interaction on the effect of a cognitive intervention program using Go. METHODS: A single-blind, randomized controlled trial using a classical board game "Go" was conducted. A total of 72 community-dwelling older adults, without previous experience playing Go, were randomly assigned to three groups: 1) a face-to-face group (FG) in which members attended 12 Go group lessons held once a week; 2) a non-face-to-face group (NFG) in which members individually underwent the same Go lessons as the FG using a tablet computer; or 3) a health education control group (CG)...
November 14, 2018: International Journal of Geriatric Psychiatry
Davide Bruno, Carey E Gleason, Rebecca L Koscik, Nunzio Pomara, Henrik Zetterberg, Kaj Blennow, Sterling C Johnson
OBJECTIVE: As anti-amyloid therapeutic interventions shift from enrolling patients with Alzheimer's disease (AD) dementia to individuals with pre-clinical disease, the need for sensitive measures that allow for non-invasive, fast, disseminable and cost-effective identification of preclinical status increases in importance. The recency ratio (Rr) is a memory measure that relies on analysis of serial position performance, which has been found to predict cognitive decline and conversion to early mild cognitive impairment (MCI)...
November 14, 2018: International Journal of Geriatric Psychiatry
I-Ling Yeh, Kritika Samsi, Tushna Vandrevala, Jill Manthorpe
OBJECTIVE: The aim of this study was to enhance understanding about homecare workers providing care to people with dementia at end of life by exploring homecare workers' perceptions of challenges and the support they needed and sometimes received. METHODS: Qualitative semi-structured interviews were conducted with 29 homecare workers and 13 homecare managers in England. Framework analysis was used to analyse the data. FINDINGS: Four overarching challenges were identified: working with clients with dementia, including clients' sometimes unpredictable responses, communication difficulties, and mood changes; caring for the dying; conflict with family members; and working alone, which often left homecare workers at risk of exhaustion, fatigue, and a sense of isolation...
November 14, 2018: International Journal of Geriatric Psychiatry
Sébastien Grenier, Frédérique Desjardins, Béatrice Raymond, Marie-Christine Payette, Marie-Ève Rioux, Philippe Landreville, Patrick Gosselin, Marie-Josée Richer, Bruno Gunther, Mélanie Fournel, Helen-Maria Vasiliadis
OBJECTIVES: To estimate the 6-month prevalence of Generalized Anxiety Disorder (GAD) in primary care patients aged 70 years and over and to describe their clinical profile, including types of worries. METHODS/DESIGN: Participants (N=1193) came from the ESA-services study conducted in Quebec, Canada. An in-person structured interview was used to identify GAD and other anxiety/depressive disorders as well as to identify types of worries. Three groups were created (i...
November 12, 2018: International Journal of Geriatric Psychiatry
Tim Fleiner, Marleen Gersie, Sayantan Ghosh, Sabato Mellone, Wiebren Zijlstra, Peter Haeussermann
INTRODUCTION: To objectively quantify patients' physical activity and analyze the relationships between physical activity levels, psychopathology and sedative medication in acute hospital dementia care. MATERIALS AND METHODS: In this cross-sectional study we assessed the patients' physical activity based on data collection by hybrid motion sensors attached on their lower back. Daily doses of antipsychotics have been converted to olanzapine-equivalents and daily benzodiazepine medication is reported as diazepam-equivalents...
November 7, 2018: International Journal of Geriatric Psychiatry
Brittany O'Brien, Srijana Shrestha, Melinda A Stanley, Kenneth I Pargament, Jeremy Cummings, Mark E Kunik, Terri L Fletcher, Jose Cortes, David Ramsey, Amber B Amspoker
OBJECTIVES: The study replicated and extended previous findings by investigating relationships between positive and negative religious coping and psychological distress in minority older adults. METHODS: Older adults were evaluated during screening and baseline procedures of a psychotherapy clinical trial for late-life worry and anxiety. Participants were age 50 years or older and recruited from low-income and predominantly minority neighborhoods. Participants screening positive for worry (PSWQ-A ≥ 23) with no significant cognitive impairment (Six-Item Screener for cognitive impairment ≤2) completed a diagnostic interview and baseline assessments...
October 30, 2018: International Journal of Geriatric Psychiatry
Niina Karttunen, Heidi Taipale, Aleksi Hamina, Antti Tanskanen, Jari Tiihonen, Anna-Maija Tolppanen, Sirpa Hartikainen
OBJECTIVE: To determine the prevalence of concomitant use of benzodiazepines and opioids among community-dwelling older people with or without Alzheimer's disease (AD). An additional aim was to describe the factors associated with prolonged concomitant use, and the most commonly used combinations of these drugs. METHODS: This study utilized data from the register-based Medication Use and Alzheimer's disease (MEDALZ) study, including all community-dwelling residents of Finland who received a clinically verified AD diagnosis between 2005 and 2011 (n=70,718) and their matched comparison persons without AD...
October 29, 2018: International Journal of Geriatric Psychiatry
Beate Wild, Wolfgang Herzog, Dieter Schellberg, Friederike Böhlen, Hermann Brenner, Kai-Uwe Saum, Imad Maatouk
OBJECTIVE: The aim of this randomized controlled trial (RCT) was to assess the efficacy of a short intervention targeting psychosomatic care in older adults with complex health care needs. METHODS: Participants were recruited in the frame of the 11-year follow-up of a large population-based study by means of the INTERMED interview. The INTERMED-interview is an integrative assessment method to identify bio-psycho-social health care needs. Persons with high health care needs (interview score ≥ 17) were invited to take part...
October 29, 2018: International Journal of Geriatric Psychiatry
Min Wang, Huimin Sun, Junjian Zhang, Juan Ruan
OBJECTIVE: To explore the abuse risk and related important determinants among older people with dementia in central China. METHODS: In this cross-sectional descriptive study, a sample of 158 family caregivers of older people with dementia was conveniently recruited from the Clinical Medicine Research Center of Dementia and Cognitive Impairment in Hubei Province, China. A social-demographic questionnaire, the Simplified Coping Style Questionnaire (SCSQ), the Social Support Rating Scale (SSRS), the Caregiver Burden Inventory (CBI) and the Caregiver Abuse Screen (CASE) were used for data collection...
October 29, 2018: International Journal of Geriatric Psychiatry
Alexandre Breton, Daniel Casey, Nikitas A Arnaoutoglou
INTRODUCTION: Mild cognitive impairment (MCI) is regarded as a prodrome to dementia. Various cognitive tests can help with diagnosis; meta-analysis of diagnostic accuracy studies would assist clinicians in choosing optimal tests. METHODS: We searched online databases for 'mild cognitive impairment' and 'diagnosis' or 'screening' from 01/01/1999 to 01/07/2017. Articles assessing the diagnostic accuracy of a cognitive test compared to standard diagnostic criteria were extracted...
October 29, 2018: International Journal of Geriatric Psychiatry
Shohei Okamoto
AIM: In Japan, with the largest percentage of population aged 65 years or over, a dementia strategy is needed not only from a medical perspective, but also from a social policy viewpoint. This study aimed to verify the association between socioeconomic factors and cognitive decline among Japanese elderly people. METHODS: Cognitive decline was assessed over a 15-year follow-up period using memory tests or through identifying missing/proxy responses to survey questions due to cognitive dysfunction...
October 29, 2018: International Journal of Geriatric Psychiatry
Panagiota Kontari, Kimberley J Smith
OBJECTIVES: Depression and cardiometabolic abnormalities are independently associated with a high risk of dementia. This study aimed to examine the association of comorbid depressive symptoms and cardiometabolic abnormalities with risk of dementia. METHODS: The sample comprised 4859 participants aged 50 or older without baseline dementia who took part in the English Longitudinal Study of Ageing (Waves 2-7). Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression tool...
October 29, 2018: International Journal of Geriatric Psychiatry
Tau Ming Liew, Bee Choo Tai, Philip Yap, Gerald Choon-Huat Koh
BACKGROUND: Caregivers of persons with dementia (PWD) can experience loss and grief long before the death of the person. While such phenomenon of pre-death grief (PDG) has been increasingly described, we are uncertain how it can be distinct from the well-studied construct of caregiver burden. OBJECTIVE: To determine whether there are differences in the risk factors of PDG and caregiver burden to aid in our understanding of the relationship between the two constructs...
October 28, 2018: International Journal of Geriatric Psychiatry
Thitiporn Supasitthumrong, Nathan Herrmann, Chavit Tunvirachaisakul, Kenneth Shulman
OBJECTIVE: The popular clock drawing test (CDT) is easy to administer, acceptable to patients and has excellent psychometric properties. Although it has been used primarily as a cognitive screening test, many studies have attempted to establish the CDT's ability to localize specific brain lesions or pathology. This systematic review aimed to summarize the evidence on the neuroanatomical correlates of the CDT. METHODS: Using PRISMA guidelines, the authors systematically reviewed the evidence on neuroanatomical correlates of clock drawing by a systematic search in 6 databases (Pubmed, CINHL, PsychINFO, HealthStar, Embase, and Web of Science) until January 2018...
October 28, 2018: International Journal of Geriatric Psychiatry
Susanne Roehr, Steffi G Riedel-Heller, Hanna Kaduszkiewicz, Michael Wagner, Angela Fuchs, Carolin van der Leeden, Birgitt Wiese, Jochen Werle, Horst Bickel, Hans-Helmut König, Steffen Wolfsgruber, Michael Pentzek, Dagmar Weeg, Silke Mamone, Siegfried Weyerer, Christian Brettschneider, Wolfgang Maier, Martin Scherer, Frank Jessen, Tobias Luck
OBJECTIVE: Subjective cognitive decline (SCD), the earliest symptom in preclinical Alzheimer's disease (AD), is insufficient to identify individuals at risk for AD dementia. Therefore, we aimed to investigate whether function in instrumental activities of daily living (IADL) contribute to identification above and beyond SCD. METHODS: We analysed data of cognitively unimpaired participants of the prospective German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe) and its extension, the Study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large sample of oldest-old primary care patients (AgeQualiDe), collected over 10...
October 24, 2018: International Journal of Geriatric Psychiatry
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