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International Psychogeriatrics

R Tahmasebi, S Zehetmayer, G Pusswald, G Kovacs, E Stögmann, J Lehrner
ABSTRACTObjective:Recent studies have tried to find a reliable way of predicting the development of Alzheimer´s Disease (AD) among patients with mild cognitive impairment (MCI), often focusing on olfactory dysfunction or semantic memory. Our study aimed to validate these findings while also comparing the predictive accuracy of olfactory and semantic assessments for this purpose. METHOD: Six hundred fifty patients (median age 68, 58% females) including controls, SCD (subjective cognitive decline), non-amnestic MCI (naMCI), amnestic MCI (aMCI), and AD patients were tested for olfactory dysfunction by means of odor identification testing and semantic memory...
September 21, 2018: International Psychogeriatrics
Gill Livingston, Julie A Barber, Kirsi M Kinnunen, Lucy Webster, Simon D Kyle, Claudia Cooper, Colin A Espie, Brendan Hallam, Rossana Horsley, James Pickett, Penny Rapaport
ABSTRACTBackground:40% of people with dementia have disturbed sleep but there are currently no known effective treatments. Studies of sleep hygiene and light therapy have not been powered to indicate feasibility and acceptability and have shown 40-50% retention. We tested the feasibility and acceptability of a six-session manualized evidence-based non-pharmacological therapy; Dementia RElAted Manual for Sleep; STrAtegies for RelaTives (DREAMS-START) for sleep disturbance in people with dementia. METHODS: We conducted a parallel, two-armed, single-blind randomized trial and randomized 2:1 to intervention: Treatment as Usual...
September 17, 2018: International Psychogeriatrics
Dominik Wolf, Carolin Rhein, Katharina Geschke, Andreas Fellgiebel
ABSTRACTObjectives:Dementia and cognitive impairment are associated with higher rates of complications and mortality during hospitalization in older patients. Moreover, length of hospital stay and costs are increased. In this prospective cohort study, we investigated the frequency of hospitalizations caused by ambulatory care-sensitive conditions (ACSCs), for which proactive ambulatory care might prevent the need for a hospital stay, in older patients with and without cognitive impairments. DESIGN: Prospective cohort study...
September 17, 2018: International Psychogeriatrics
Enayet K Chowdhury, Michael Berk, Mark R Nelson, Lindon M H Wing, Christopher M Reid
ABSTRACTBackground:Both elevated blood pressure and/or depression increase the risk of cardiovascular disease and mortality. This study in treated elderly hypertensive patients explored the incidence of depression, its association (pre-existing and incident) with mortality and predictors of incident depression. METHODS: Data from 6,083 hypertensive patients aged ≥65 years enrolled in the Second Australian National Blood Pressure study were used. Participants were followed for a median of 10...
August 13, 2018: International Psychogeriatrics
Clarissa M Giebel, Emma Flanagan, Caroline Sutcliffe
ABSTRACTObjectives:Finance management skills deteriorate early on in dementia, and can influence the ability to maintain control over personal affairs. The aim of this study was to assess the contributions of different types of cognition and motor functioning to finance management. DESIGN: Cross-sectional analysis using secondary data. SETTING: Community living. PARTICIPANTS: Baseline data from the Uniform Data Set from the National Alzheimer's Coordinating Centers were obtained and extracted up until December 2016...
August 13, 2018: International Psychogeriatrics
Annaliese Blair, Katrina Anderson, Catherine Bateman
ABSTRACTObjectives:Evaluate the clinical outcomes for patients with dementia, delirium, or at risk for delirium supported by the person-centered volunteer program in rural acute hospitals. DESIGN: A non-randomized, controlled trial. PARTICIPANTS: Older adults admitted to seven acute hospitals in rural Australia. Intervention (n = 270) patients were >65 years with a diagnosis of dementia or delirium or had risk factors for delirium and received volunteer services...
August 13, 2018: International Psychogeriatrics
Ivan Aprahamian, Claudia Kimie Suemoto, Sumika Mori Lin, Alaise Silva Santos de Siqueira, Marina Maria Biella, Brian Alvarez Ribeiro de Melo, Wilson Jacob-Filho
ABSTRACTObjectives:The aim of the present study was to evaluate the association between depression and SSRI monotherapy and frailty both baseline and prospectively in older adults. DESIGN: Prospective cohort study, 12-month follow-up. SETTING: Geriatric outpatient clinic in São Paulo, Brazil. PARTICIPANTS: A total of 811 elderly adults aged 60 or older. MEASUREMENTS: Depression was diagnosed as follows: (1) a diagnosis of major depression disorder (MDD) according to DSM-5; or (2) an incomplete diagnosis of MDD, referred to as minor or subsyndromic depression, plus Geriatric Depression Scale 15-itens ≥ 6 points, and social or functional impairment secondary to depressive symptoms and observed by relatives...
August 13, 2018: International Psychogeriatrics
Shiri Shinan-Altman, Aviya Riabzev, Liat Ayalon
ABSTRACTObjective:With the aging of the population, the demand for long-term services is increasing accordingly and the recruitment of paid caregivers to older adults has become a critical issue. Hence, there is a great need to train people in the care of older adults. This study examined motivations to participate in a new program, which aims to train young people (ages 19-25) to become paid caregivers for older adults. METHODS: The study is based on focus groups with program participants (N = 33) and on phone interviews with former participants (N = 8) and face-to-face interviews with staff members (N = 14)...
August 13, 2018: International Psychogeriatrics
Helen C Kales, Constantine G Lyketsos, Erin M Miller, Clive Ballard
ABSTRACTObjectives:Behavioral and psychological symptoms of dementia (BPSD) are nearly universal in dementia, a condition occurring in more than 40 million people worldwide. BPSD present a considerable treatment challenge for prescribers and healthcare professionals. Our purpose was to prioritize existing and emerging treatments for BPSD in Alzheimer's disease (AD) overall, as well as specifically for agitation and psychosis. DESIGN: International Delphi consensus process. Two rounds of feedback were conducted, followed by an in-person meeting to ratify the outcome of the electronic process...
August 2, 2018: International Psychogeriatrics
Letty Oudewortel, Karlijn J Joling, Cees M P M Hertogh, Viona J M Wijnen, Anne A M van der Brug, Willem A van Gool
ABSTRACTObjectives:Bedside tests of attention and organized thinking were performed in patients with cognitive impairment or dementia but without delirium, to provide estimates of false positive rates for detecting delirium superimposed on dementia (DSD). DESIGN AND SETTING: This cross-sectional study was conducted in outpatients and institutionalized patients without delirium representing a wide spectrum of severity of cognitive impairments. PARTICIPANTS: Patients with dementia or a cognitive disorder according to DSM IV criteria, after exclusion of (suspected) delirium according to DSM IV criteria...
July 23, 2018: International Psychogeriatrics
Sora Yasri, Viroj Wiwanitkit
We read the article on "'I can't do this alone': a study on foreign domestic workers providing long-term care for frail seniors at home" with a great interest (Tam et al., 2017). Tam et al. (2017) noted that "[i]mproving FDWs' access to training courses in eldercare, providing them with more emotional support, engaging employers to create healthy caregiving spaces at home, and improving access to senior care services can be helpful." This finding is very interesting. In fact, FDW service is common in several countries and approved for usefulness (Østbye et al...
July 23, 2018: International Psychogeriatrics
Ryota Sakurai, Masashi Yasunaga, Mariko Nishi, Taro Fukaya, Masami Hasebe, Yoh Murayama, Takashi Koike, Hiroko Matsunaga, Kumiko Nonaka, Hiroyuki Suzuki, Masashige Saito, Erika Kobayashi, Yoshinori Fujiwara
ABSTRACTBackground:Social isolation and homebound statuses are possible risk factors for increased mortality among older adults. However, no study has addressed the impact of accumulation of these two factors on mortality. The aim of this study was to examine whether such accumulation increased the risk of all-cause mortality. METHODS: The analyzed sample was drawn from a mail survey of 1,023 older adults without instrumental activities of daily living disability. Participants were classified into four groups according to the frequency of both face-to-face and non-face-to-face interactions with others (social isolation and non-social isolation) and the frequency of going outdoors (homebound and non-homebound)...
July 19, 2018: International Psychogeriatrics
Martina Pigliautile, Francesca Chiesi, Franca Stablum, Sonia Rossetti, Caterina Primi, Dora Chiloiro, Stefano Federici, Patrizia Mecocci
ABSTRACTObjectives:Addenbrooke's Cognitive Examination III (ACE-III) is a brief cognitive screening tool to assess five cognitive domains: attention/orientation, verbal fluency, memory, language, and visuospatial abilities. This study aimed to provide normative data (for total score and subscale scores) of the Italian version of ACE-III for gender, age, and education. METHODS: A total of 574 healthy Italian participants (mean age 68.70 ± 9.65; mean education 9.15 ± 4.04) were recruited from the community and included in the study...
July 19, 2018: International Psychogeriatrics
Ryan Van Patten, Karysa Britton, Geoffrey Tremont
ABSTRACTObjectives:To show enhanced psychometric properties and clinical utility of the modified Mini-Mental State Examination (3MS) compared to the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI). DESIGN: Psychometric and clinical comparison of the 3MS and MMSE. SETTING: Neuropsychological clinic in the northeastern USA. PARTICIPANTS: Older adults referred for cognitive concerns, 87 of whom were cognitively intact (CI) and 206 of whom were diagnosed with MCI...
July 19, 2018: International Psychogeriatrics
Jamie Cirbus, Alasdair M J MacLullich, Christopher Noel, E Wesley Ely, Rameela Chandrasekhar, Jin H Han
ABSTRACTBackground:Delirium is heterogeneous and can vary by etiology. OBJECTIVES: We sought to determine how delirium subtyped by etiology affected six-month function and cognition. DESIGN: Prospective cohort study. SETTING: Tertiary care, academic medical center. PARTICIPANTS: A total of 228 hospitalized patients > 65 years old were admitted from the emergency department (ED). MEASUREMENTS: The modified Brief Confusion Assessment Method was used to determine delirium in the ED...
July 19, 2018: International Psychogeriatrics
Meredith Gresham, Megan Heffernan, Henry Brodaty
ABSTRACTBackground:Caring for persons with dementia is stressful for family caregivers. Caregiver training programs and respite care can reduce this stress and help maintain persons with dementia living longer in the community. We evaluated a program that combines caregiver training with a residential respite stay. METHODS: In total, 90 dyads of persons with dementia and their caregivers, in groups of 3-6 dyads, volunteered to participate in a five-day residential training program and were followed-up 6 and 12 months later...
July 18, 2018: International Psychogeriatrics
Sabela C Mallo, Zahinoor Ismail, Arturo X Pereiro, David Facal, Cristina Lojo-Seoane, María Campos-Magdaleno, Onésimo Juncos-Rabadán
ABSTRACTObjectives:To estimate the prevalence of Mild Behavioral Impairment (MBI) in people with Subjective Cognitive Decline (SCD), and validate the Mild Behavioral Impairment Checklist (MBI-C) with respect to score distribution, sensitivity, specificity, and utility for MBI diagnosis, as well as correlation with other neuropsychological tests. DESIGN: Correlational study with a convenience sampling. Descriptive, logistic regression, ROC curve, and bivariate correlations analyses were performed...
July 18, 2018: International Psychogeriatrics
Iris Hendriks, Franka J M Meiland, Debby L Gerritsen, Rose-Marie Dröes
ABSTRACTBackground:Previous research shows that museum programs can be beneficial for the quality of life of people with dementia. This study evaluated the implementation of "Unforgettable," an interactive museum program for people with dementia and their caregivers in the Netherlands, and investigated the impact of the program's implementation on the museums as an organization and on the attitudes toward dementia of the museum staff. METHOD: Semi-structured interviews were held with 23 stakeholders to identify facilitators and barriers to the implementation of the Unforgettable program in 12 Dutch museums...
July 18, 2018: International Psychogeriatrics
T Rune Nielsen, Kurt Segers, Valérie Vanderaspoilden, Peter Bekkhus-Wetterberg, Guro Hanevold Bjørkløf, Ulrike Beinhoff, Lennart Minthon, Anna Pissiota, Magda Tsolaki, Mara Gkioka, Gunhild Waldemar
ABSTRACTBackground:With increasing cultural diversity and growing elderly immigrant populations in Western European countries, the availability of brief cognitive screening instruments adequate for assessment of dementia in people from diverse backgrounds becomes increasingly important. The aim of the present study was to investigate diagnostic accuracy of the Rowland Universal Dementia Assessment Scale (RUDAS) in a multicultural sample and to calculate normative data as a basis for demographic adjustment of RUDAS scores...
July 18, 2018: International Psychogeriatrics
Howard Litwin, Avital Shaul
ABSTRACTBackground:To examine the contribution of vigorous physical activity to subsequent cognitive functioning, taking into account the effect of social network. METHODS: The sample included respondents aged 65 years and older who participated in both the fourth and sixth waves of Survey of Health, Ageing and Retirement in Europe (n = 17,104). Cognitive functioning in Wave 6, measured as the average of standardized scores for recall, fluency, and numeracy, was regressed on the extent of vigorous physical activity, social network size, and several confounders in Wave 4 (including the corresponding cognition score at baseline)...
July 18, 2018: International Psychogeriatrics
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