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International Journal of Geriatric Psychiatry

Shimeng Xin, Dechun Luan, Xue Wang, Fang Wang, Yang Liu, Qian Gao
OBJECTIVES: Some researchers have focused on the relationship between vitamin D and cognition, but the conclusions are inconsistent. We estimated cumulative UV exposure could be used to represent the individual's long-term vitamin D status and investigated its association with global cognitive function in elderly Chinese. METHODS: A total of 641 participants aged 60 years and over were recruited in a rural area of Shenyang, China. All were interviewed to obtain data regarding sociodemographic characteristics and time spent outdoors...
May 22, 2018: International Journal of Geriatric Psychiatry
Robert Sigström, Margda Waern, Pia Gudmundsson, Ingmar Skoog, Svante Östling
OBJECTIVE: Depression may be understood as a spectrum of more or less symptomatic states. Little is known about the long-term course of these states in older populations. We examined the prevalence and course of depressive states of different severity in a Swedish population sample of older people followed over 9 years. METHODS: A population-based sample of 70-year olds without dementia (N = 563, response rate 71.1%) underwent a psychiatric examination; 450 survivors without dementia were reexamined at ages 75 and/or 79 years...
May 21, 2018: International Journal of Geriatric Psychiatry
Yasuyuki Okumura, Nobuo Sakata
No abstract text is available yet for this article.
May 20, 2018: International Journal of Geriatric Psychiatry
Sarah Cullum, Katherine Mullin, Irene Zeng, Susan Yates, Vahid Payman, Mark Fisher, Gary Cheung
OBJECTIVE: Ethnicity may affect presentation to clinical services in people with dementia; however, no studies have examined this in Māori or Pacific peoples in New Zealand (NZ). Our objective was to examine the routinely collected clinical data from a memory assessment service in South Auckland to examine the presentation of dementia in the major NZ ethnic groups. METHODS: A total of 360 patients presenting to a memory service with a new diagnosis of dementia were included in this study...
May 15, 2018: International Journal of Geriatric Psychiatry
Alexandre de Mendonça, Helena Felgueiras, Ana Verdelho, Sara Câmara, Cláudia Grilo, João Maroco, Antonina Pereira, Manuela Guerreiro
OBJECTIVE: Patients with amnestic Mild Cognitive Impairment (aMCI), usually considered an early stage of Alzheimer's disease, have deficits not only in retrospective memory (RM), that is, recalling of past events, words or people, but also on prospective memory (PM), the cognitive ability of remembering to execute delayed intentions in the future. This study investigated whether patients with aMCI refer more PM complaints as compared with RM complaints, and whether this might depend upon short-term vs long-term items or time-based vs event-based tasks...
May 15, 2018: International Journal of Geriatric Psychiatry
Miriam L Haaksma, Amaia Calderón-Larrañaga, Marcel G M Olde Rikkert, René J F Melis, Jeannie-Marie S Leoutsakos
OBJECTIVE: We sought to replicate a previously published prediction model for progression, developed in the Cache County Dementia Progression Study, using a clinical cohort from the National Alzheimer's Coordinating Center. METHODS: We included 1120 incident Alzheimer disease (AD) cases with at least one assessment after diagnosis, originating from 31 AD centres from the United States. Trajectories of the Mini-Mental State Examination (MMSE) and Clinical Dementia Rating sum of boxes (CDR-sb) were modelled jointly over time using parallel-process growth mixture models in order to identify latent classes of trajectories...
May 15, 2018: International Journal of Geriatric Psychiatry
Moïse Roche, Naaheed Mukadam, Simon Adelman, Gill Livingston
OBJECTIVE: We evaluated the feasibility and acceptability of a tailored evidence-based intervention, consisting of a leaflet and a letter, to encourage timely help-seeking for dementia in Black elders. METHODS: Participating GP surgeries were randomised to send either the intervention or a control leaflet about ageing well to Black patients aged ≥50 years old without known dementia. We interviewed patients 2 weeks later about the intervention's acceptability using closed and open-ended questions, and they completed a Theory-of-Planned-behaviour questionnaire about what they would do if they developed memory problems, which they also completed 4 months later...
May 9, 2018: International Journal of Geriatric Psychiatry
Boye Fang, Elsie Yan, Ko Ling Chan, Partick Ip
OBJECTIVES: Elder abuse poses a major public health threat considering the ongoing rapid aging of the global population. This study investigates the association between elder abuse by family caregivers and medical outcomes among older Chinese patients with cognitive and physical impairments in the People's Republic of China. METHODS: Using cross-sectional design, 1002 older patients (aged 55 y and older) and their family caregivers were recruited from 3 grade A hospitals in Guangdong Province...
May 4, 2018: International Journal of Geriatric Psychiatry
Pei-Ju Liao, Tzu-Yu Lin, Ming-Kuo Ting, Tsung-I Peng, Wen-Ko Chiou, Li-Hsuan Chen, Kuang-Hung Hsu
OBJECTIVE: Few studies have investigated the relationship between specific body measures and dementia. METHODS: Three-dimensional anthropometric body surface scanning data containing 38 body measures were collected from 6831 participants from the health examination department of a medical center in Taiwan during 2000 to 2008, and 236 dementia cases were identified during the 10-year follow-up. A multiple Cox regression analysis was performed. RESULTS: Specific body measures, namely chest width (hazard ratio [HR] = 0...
May 4, 2018: International Journal of Geriatric Psychiatry
Myrthe C Bruin, Hannie C Comijs, Rob M Kok, Roos C Van der Mast, Julia F Van den Berg
OBJECTIVES: To investigate whether lifestyle indicators including physical exercise, sleep duration, alcohol use, body mass index, smoking status, and a composite lifestyle index are associated with the depression course in older adults. METHODS: Data of 283 older adults were used from the Netherlands Study of Depression in Older Persons. Depressive disorders at baseline were assessed with the Composite International Diagnostic Interview. The depression course at 2-year follow-up was assessed with the Inventory of Depressive Symptoms (IDS, score 0-84) every 6 months; physical exercise with the International Physical Activity Questionnaire; alcohol use with the Alcohol Use Disorders Identification Test; body mass index by anthropometry; and sleep duration and smoking status by interview questions...
April 24, 2018: International Journal of Geriatric Psychiatry
A Cantarella, E Borella, S Faggian, A Navuzzi, R De Beni
OBJECTIVES: Among the psychosocial interventions intended to reduce the behavioral and psychological symptoms of dementia (BPSD), doll therapy (DT) is increasingly used in clinical practice. Few studies on DT have been based on empirical data obtained with an adequate procedure; however, none have assessed its efficacy using an active control group, and the scales used to assess changes in BPSD are usually unreliable. The aim of the present study was to measure the impact of DT on people with severe dementia with a reliable, commonly used scale for assessing their BPSD, and the related distress in formal caregivers...
April 19, 2018: International Journal of Geriatric Psychiatry
Helen F K Chiu, Bao-Liang Zhong, Tony Leung, S W Li, Paulina Chow, Joshua Tsoh, Connie Yan, Yu-Tao Xiang, Mike Wong
OBJECTIVES: To develop and examine the validity of a new brief cognitive test with less educational bias for screening cognitive impairment. METHODS: A new cognitive test, Hong Kong Brief Cognitive Test (HKBC), was developed based on review of the literature, as well as the views of an expert panel. Three groups of subjects aged 65 or above were recruited after written consent: normal older people recruited in elderly centres, people with mild NCD (neurocognitive disorder), and people with major NCD...
April 11, 2018: International Journal of Geriatric Psychiatry
Ellen Elisa De Roeck, Sarah Dury, Nico De Witte, Liesbeth De Donder, Maria Bjerke, Peter Paul De Deyn, Sebastiaan Engelborghs, Eva Dierckx
OBJECTIVES: Cognitive frailty is characterized by the presence of cognitive impairment in exclusion of dementia. In line with other frailty domains, cognitive frailty is associated with negative outcomes. The Comprehensive Frailty Assessment Instrument (CFAI) measures 4 domains of frailty, namely physical, psychological, social, and environmental frailty. The absence of cognitive frailty is a limitation. METHOD: An expert panel selected 6 questions from the Informant Questionnaire on Cognitive Decline that were, together with the CFAI and the Montreal cognitive assessment administered to 355 older community dwelling adults (mean age = 77)...
April 10, 2018: International Journal of Geriatric Psychiatry
Z Wang, W Qin, C B Wei, Y Tang, L N Zhao, H M Jin, Y Li, Q Wang, X Q Luan, J C He, J Jia
OBJECTIVE: To give a new insight into the mechanism of ApoE dysregulation and microRNA-1908 in Alzheimer's disease (AD). METHODS: Plasma ApoE levels were measured in 20 AD patients and 20 healthy controls. THP-1 was maintained in RPMI1640 with 10% fetal bovine serum. Quantitative real-time polymerase chain reaction was performed to detect 13-microRNA and ApoE mRNA in cultured cell lines. Enzyme-linked immunosorbent assay was used to measure human ApoE in the plasma or culture medium of cell lines and also used to quantify the human Aβ42 in the culture medium of cell lines...
April 10, 2018: International Journal of Geriatric Psychiatry
Meijuan Xiao, Qiongzhang Wang, Wenwei Ren, Zheng Zhang, Xujie Wu, Zhen Wang, Liang Feng, Siyan Chen, Jincai He
OBJECTIVE: It is unknown whether prediabetes is a predictor of poststroke depression (PSD). We aimed to explore the relationship between prediabetes and PSD in Chinese patients with acute ischemic stroke. METHODS: This is a prospective cohort study, and a total of 358 patients with acute ischemic stroke were recruited and enrolled. Patients were divided into 3 groups: normal glucose group (NGT, n = 96), prediabetes group (preDM, n = 134, impaired fasting glucose (IFG), and/or impaired glucose tolerance (IGT) and/or HbA1c (A1c) 5...
March 30, 2018: International Journal of Geriatric Psychiatry
Magdalene Yeok Leng Lim, Jenny Hooi Yin Loo
OBJECTIVES: To determine if there is an association between hearing loss and poorer cognitive scores on Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) and to determine if poor hearing acuity affects scoring on the cognitive screening tests of MMSE and MoCA. METHODS: One hundred fourteen elderly patients (Singapore residents) aged between 55 and 86 years were sampled. Participants completed a brief history questionnaire, pure tone audiometry, and 2 cognitive screening tests-the MMSE and MoCA...
March 25, 2018: International Journal of Geriatric Psychiatry
Ellen J Svendsboe, Ingelin Testad, Toril Terum, Assmus Jörg, Anne Corbett, Dag Aarsland, Arvid Rongve
OBJECTIVE: To study the level of carer reported distress in mild dementia, over a 3-year period. METHODS: This study is part of the Norwegian DemVest-study and utilises data from carers of people with mild dementia (n = 223). Those diagnosed with dementia with Lewy bodies (DLB, n = 63) and Alzheimer's disease (AD, n = 97) were included together with other dementia types (n = 63). The Relatives' Stress Scale was used to assess the level of reported distress in carers...
March 25, 2018: International Journal of Geriatric Psychiatry
Lindsay W Victoria, Faith M Gunning, Jennifer N Bress, Danielle Jackson, George S Alexopoulos
OBJECTIVES: This study examined the association between reward processing, as measured by performance on the probabilistic reversal learning (PRL) task and avoidance/rumination in depressed older adults treated with Engage, a psychotherapy that uses "reward exposure" to increase behavioral activation. METHODS: Thirty older adults with major depression received 9 weeks of Engage treatment. At baseline and treatment end, the 24-item Hamilton Depression Rating Scale (HAM-D) was used to assess depression severity and the Behavioral Activation for Depression Scale (BADS) to assess behavioral activation and avoidance/rumination...
March 24, 2018: International Journal of Geriatric Psychiatry
Yi Zhou, Andrea Slachevasky, Esteban Calvo
OBJECTIVE: This study aims to address gaps in health conditions and unmet needs in daily activities between people with dementia (PWD) and without dementia in a developing country and to identify the variables associated with unmet needs among PWD to guide practitioners and policymakers in dealing with an increased burden of dementia. METHODS: Nationally representative data on 4655 Chileans age 60 and over were used to compare health conditions and unmet needs in daily life activities between individuals with (N = 455, 9...
March 23, 2018: International Journal of Geriatric Psychiatry
Chunfang Wang, Yuanyuan Chen, Changcheng Sun, Ying Zhang, Dong Ming, Jingang Du
BACKGROUND: We aimed to explore the electrophysiological changes in poststroke subjects with depressed mood. METHODS: Resting-state electroencephalogram (EEG) signals of 16 electrodes in 35 poststroke depressed, 24 poststroke nondepressed, and 35 age-matched healthy control subjects were analyzed by means of spectral power analysis, a quantitative EEG measurement of different frequency bands. The relationship among depressed mood, functional status, lesion side, and poststroke time was assessed by using variance and Spearman correlation analysis...
March 13, 2018: International Journal of Geriatric Psychiatry
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