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Journal of Geriatric Psychiatry and Neurology

Maria Grazia Maggio, Maria Cristina De Cola, Desirèe Latella, Giuseppa Maresca, Chiara Finocchiaro, Gianluca La Rosa, Vincenzo Cimino, Chiara Sorbera, Placido Bramanti, Rosaria De Luca, Rocco Salvatore Calabrò
BACKGROUND: The purpose of this study is to evaluate the effects of a virtual reality training with BTS Nirvana (BTS-N) system in the cognitive and behavioral recovery in patients with Parkinson disease (PD). The BTS-N is a semi-immersive therapy system used for motor and cognitive rehabilitation of patients with neurological diseases, by creating virtual scenarios with which the patient may interact. METHODS: We enrolled 20 patients with PD undergoing neurorehabilitation...
October 25, 2018: Journal of Geriatric Psychiatry and Neurology
Restria Fauziana, Rajeswari Sambasivam, Janhavi Ajit Vaingankar, Edimansyah Abdin, Hui Lin Ong, Min-En Tan, Siow Ann Chong, Mythily Subramaniam
BACKGROUND: Satisfaction with life is recognized to be a factor in alleviating burden in stressful caregiving duties. However, the mechanism underlying this relationship is indistinct. Positive aspects of caregiving (PAC) may help to regulate caregiving burden among caregivers of older adults. The study aims to examine whether positive caregiving characteristics mediate the effect between satisfaction with life and burden of care. METHODS: Participants were 285 caregivers of older adults (aged 60 and above) in Singapore and were recruited in a cross-sectional, self-report study (mean [M] = 47...
September 27, 2018: Journal of Geriatric Psychiatry and Neurology
Sabina Vatter, Kathryn R McDonald, Emma Stanmore, Linda Clare, Iracema Leroi
BACKGROUND AND OBJECTIVE: Providing care to people with Parkinson-related dementia (PwPRD) may result in significant stress, strain, and burden for life partners. A common measurement of life partner burden is the Zarit Burden Interview (ZBI), which considers "burden" as a unitary concept; however, burden is highly complex and most likely comprises several dimensions. This study aimed to explore the factor structure of the ZBI in life partners of PwPRD and to examine the relationships among the emerging factors and the demographic and clinical features...
September 24, 2018: Journal of Geriatric Psychiatry and Neurology
Devaki B Kotian, Maria Mathews, Shradha S Parsekar, Suma Nair, V S Binu, Sonu Hangma Subba
OBJECTIVE: To explore the factors associated with social isolation among older people using the data from Building Knowledge Base on Population Ageing in India (BKPAI) survey. METHODS: Multiple logistic regression and classification and regression tree (CART) analysis were used to identify the factors associated with social isolation using data from BKPAI survey. An individual was regarded as socially isolated if the response was "never" to all 4 activities in the last 12 months: (1) attending public meeting, (2) attending any group/club/organizational meeting, (3) attending any religious program, and (4) visiting friends or relatives...
September 2018: Journal of Geriatric Psychiatry and Neurology
Zhong Jie Kua, Nancy A Pachana, Gerard J Byrne, John D O'Sullivan, Rodney Marsh, Elizabeth Torbey, Peter A Silburn, George D Mellick, Nadeeka N W Dissanayaka
Depression and anxiety are prevalent in Parkinson disease (PD) yet underrecognized in clinical practice. Caregiver reports are frequently utilized to aid in the assessment of neuropsychiatric symptoms but little is known about caregivers' ability to recognize them in patients with PD. This study sought to examine the accuracy of caregiver reports. Eighty patient-caregiver dyads were involved. Accuracy of caregiver recognition was assessed by examining the level of agreement between caregiver ratings on the Neuropsychiatric Inventory and patients' diagnosis of depression and anxiety on the Mini-International Neuropsychiatric Interview (MINI)-Plus...
September 2018: Journal of Geriatric Psychiatry and Neurology
Lydia Stone, Jessica Heward, Stella-Maria Paddick, Catherine L Dotchin, Richard W Walker, Cecilia Collingwood, Jessica Thornton, Vanessa Yarwood, Judith McCartney, Charlotte Irwin, Sarah Mkenda, John Kissima, Bernadette Swai, William K Gray
BACKGROUND: Task shifting has been suggested as one way to help manage the increasing burden of dementia in sub-Saharan Africa (SSA). However, brief, easy-to-use and valid screening tools are needed to support this approach. Our team has developed an 11-item questionnaire to assess instrumental activities of daily living (IADLs) in SSA, the Identification and Intervention for Dementia in Elderly Africans (IDEA)-IADL questionnaire. We aimed to externally validate the questionnaire and develop a shorter, more efficient version...
September 2018: Journal of Geriatric Psychiatry and Neurology
Raymond Y Lo, Shu-Ching Chen, Ya-Ling Yang, Yi-Hsuan Wang, Hsin-Dean Chen, Jer-Chuan Li, Du-An Wu
We aim to test whether the association between glucose control and cognitive function still holds true in elderly patients with diabetes mellitus (DM) and Alzheimer disease (AD) under health-care case management. We enrolled 100 patients with DM (mean age: 74.6 years; male: 49%) and 102 patients with AD (mean age: 77.9 years; male: 41.2%) consecutively from the Diabetes Shared Care Program and the memory clinic. These patients were followed up every 3 months with scheduled examinations. Most patients with AD were at early stage and DM was a common comorbidity (n = 42)...
September 2018: Journal of Geriatric Psychiatry and Neurology
Oleg A Levada, Alexandra S Troyan, Nataliya V Cherednichenko
BACKGROUND: Diagnosis of subcortical vascular neurocognitive disorders' (ScVNCDs) is currently based on neuropsychological and neuroimaging approaches; nevertheless, clinical features, apart from cognitive impairments (CI), may provide additional information about ScVNCD phenotypes. We aimed to determine whether CI and neuropsychiatric symptoms (NPS) form such clinical phenotypes in the mild and early stage of major ScVNCD. METHODS: Our sample included 88 cognitively normal elderly individuals, 100 patients with mild ScVNCD, and 60 patients with early major ScVNCD...
September 2018: Journal of Geriatric Psychiatry and Neurology
Annette Hand, Lloyd L Oates, William K Gray, Richard W Walker
BACKGROUND: In the United Kingdom, people with Parkinson disease (PD) and atypical parkinsonism will require more support with their care needs as the condition progresses. There are few data on the nature of care input required and the amount of informal and formal care needed by people with PD to enable them to remain within their own home. METHOD: All people with moderate to advanced stage (Hoehn and Yahr III-V) idiopathic PD and atypical parkinsonism under the care of the Northumbria Healthcare NHS Foundation Trust PD service and living in their own home were invited to take part in The Northumbria Care Needs Project, a 10-year prospective longitudinal study...
September 2018: Journal of Geriatric Psychiatry and Neurology
Elias Ghossoub, Rita Khoury
OBJECTIVES: First to explore the prevalence of criminal behavior committed by the non-institutionalized geriatric American population. Second to determine the correlates of criminal behavior among this population. METHODS: We used data of the non-institutionalized adults aged ≥65 years in the National Survey on Drug Use and Health from 2008 through 2014. We compared socio-demographic and mental health profiles of arrestees to non-arrestees and lawbreakers to non-lawbreakers and then determined the correlates of being arrested and breaking the law through regression analyses...
July 2018: Journal of Geriatric Psychiatry and Neurology
Takahisa Tsukada, Izumi Sato, Norihiro Matsuoka, Takumi Imai, Yuko Doi, Masaru Arai, Yosuke Fujii, Toshiyuki Matsunaga, Koji Kawakami
BACKGROUND: Antipsychotics are commonly used for managing behavioral and psychological symptoms of dementia among elderly patients with dementia receiving antidementia drugs (ADDs). However, the use of antipsychotics among these patients has not been investigated since 3 ADDs were approved in 2011 in Japan. METHOD: We conducted a descriptive study using pharmacy prescription data and identified patients aged ≥65 years who were newly prescribed donepezil, memantine, rivastigmine, and galantamine between January 1, 2012, and September 30, 2014...
July 2018: Journal of Geriatric Psychiatry and Neurology
Katrina Kalantar, Sara C LaHue, Joseph L DeRisi, Hannah A Sample, Caitlin A Contag, Scott A Josephson, Michael R Wilson, Vanja C Douglas
OBJECTIVE: To identify differences in gene expression between patients with in-hospital delirium from a known etiology (urinary tract infection [UTI]) and patients with delirium from an unknown etiology, as well as from nondelirious patients. METHODS: Thirty patients with delirium (8 with UTI) and 21 nondelirious patients (11 with UTI) were included in this prospective case-control study. Transcriptomic profiles from messenger RNA sequencing of peripheral blood were analyzed for gene expression and disease-specific pathway enrichment patterns, correcting for systemic inflammatory response syndrome...
July 2018: Journal of Geriatric Psychiatry and Neurology
Peijun Chen, Peter D Guarino, Maurice W Dysken, Muralidhar Pallaki, Sanjay Asthana, Maria D Llorente, Susan Love, Julia E Vertrees, Gerard D Schellenberg, Mary Sano
OBJECTIVES: To assess the prevalence of neuropsychiatric symptoms (NPS) in mild-to-moderate Alzheimer disease (AD) and their association with caregiver burden. METHODS: Secondary analyses of baseline data from the Trial of Vitamin E and Memantine in Alzheimer's Disease (TEAM-AD) (N=613). Neuropsychiatric Inventory were used to measure severity of NPS and caregiver activity survey to measure caregiver burden. RESULTS: A total of 87% of patients displayed at least 1 NPS; 70% displayed clinically meaningful NPS...
July 2018: Journal of Geriatric Psychiatry and Neurology
Abdullah Agit, Cafer Balci, Burcu Balam Yavuz, Eylem Cankurtaran, Mehmet Emin Kuyumcu, Meltem Halil, Servet Arıogul, Mustafa Cankurtaran
BACKGROUND: Pain is one of the most frequent symptoms in older adults. It severely impairs quality of life, increases delirium risk, and may lead to progression of dementia. Assessment of pain performed by taking anamnesis from the patient is not reliable in patients with dementia due to cooperation and communication problems. The aim of this study was to assess pain and its consequences in patients with dementia. METHODS: Seventy-five nursing home residents with dementia were enrolled...
July 2018: Journal of Geriatric Psychiatry and Neurology
Roseanne D Dobkin, Alejandro Interian, John Logan Durland, Michael A Gara, Matthew A Menza
High rates of depression are observed in Parkinson's disease, and limited access to care complicates management. The purpose of this pilot project was to evaluate the feasibility and impact of a personalized cognitive-behavioral telemedicine program for depression in Parkinson's disease (dPD). Thirty-four individuals with dPD and their carepartners participated in this pilot study. A 10-module self-help workbook, tailored to the unique needs of the dPD population, was created to be used as either a stand-alone intervention, with minimal therapist support, or a supplement to formal telephone-administered cognitive-behavioral therapy sessions...
July 2018: Journal of Geriatric Psychiatry and Neurology
Francisca S Rodriguez, Alexander Pabst, Tobias Luck, Hans-Helmut König, Matthias C Angermeyer, A Veronica Witte, Arno Villringer, Steffi G Riedel-Heller
Lack of social support has shown to be a major risk factor for poor health, mortality, and dementia. We analyzed what factors drive the likelihood of having restricted social networks and to what extent those factors then influence the risk of developing dementia. Our results from the Leipzig Longitudinal Study of the Aged (LEILA75+) indicate that older age (odds ratio [OR]: 1.04) and living with other people (OR: 2.12) was associated with a greater likelihood of having a restricted social network. A better cognitive status (OR: 0...
July 2018: Journal of Geriatric Psychiatry and Neurology
Elja van der Wolf, Susan A H van Hooren, Wim Waterink, Lilian Lechner
BACKGROUND: The gerontopsychiatric population consists of nursing home residents with combined psychiatric and physical disabilities. A validated measure to assess well-being among this population is currently not available. This article is a first step toward the development of a well-being instrument for the gerontopsychiatric population. METHODS: Potential measurement items were gathered and selected with the help of both gerontopsychiatric residents and care professionals...
May 2018: Journal of Geriatric Psychiatry and Neurology
Elizabeth Y Wang, Craig Meyer, Glenn D Graham, Mary A Whooley
BACKGROUND: Uncertainty surrounds which screening test to use in older patients with poststroke depression, in whom symptoms of depression are more complex and often occur in conjunction with other comorbidities. We evaluated screening tests for depression among a cohort of older ambulatory individuals with comorbid ischemic heart disease and prior stroke. METHODS: We administered 4 depression screening instruments to 148 participants with ischemic heart disease and self-reported stroke from The Heart and Soul Study...
May 2018: Journal of Geriatric Psychiatry and Neurology
Silvio Peluso, Anna De Rosa, Natascia De Lucia, Antonella Antenora, Maddalena Illario, Marcello Esposito, Giuseppe De Michele
Animal-assisted therapy (AAT) includes a set of nonpharmacological interventions aimed at improving human health through the use of trained or untrained animals. In recent decades, AAT has been trialed for different neurological and psychiatric disorders. In patients with dementia, interaction with animals seems to have a positive influence on aggressiveness and anxiety and to ameliorate quality of life and relationship skills. In psychiatric patients, AAT seems to increase motivation and self-esteem, improve prosocial conduct, and decrease behavioral problems...
May 2018: Journal of Geriatric Psychiatry and Neurology
Sarah Pillemer, George D Papandonatos, Cara Crook, Brian R Ott, Geoffrey Tremont
OBJECTIVE: This study aimed to compare the sensitivity and specificity of a modified version of the Minnesota Cognitive Acuity Screen (MCAS-m), by adding learning and recognition memory components, to the original version MCAS to distinguish amnestic mild cognitive impairment (aMCI) from healthy controls (HCs). METHODS/DESIGN: A total of 30 individuals with aMCI and 30 HCs underwent neuropsychological testing, neurologic examination, laboratory, and brain imaging tests...
May 2018: Journal of Geriatric Psychiatry and Neurology
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