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International Psychogeriatrics

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https://www.readbyqxmd.com/read/29145921/change-in-fear-of-falling-in-parkinson-s-disease-a-two-year-prospective-cohort-study
#1
Tatjana Gazibara, Darija Kisic Tepavcevic, Marina Svetel, Aleksandra Tomic, Iva Stankovic, Vladimir S Kostic, Tatjana Pekmezovic
BACKGROUND: Fear of falling in Parkinson's disease (PD) has been suggested as predictor of future falling. The purpose of this study was to compare fear of falling score after two years of follow-up with those observed at baseline and to assess factors associated with change in fear of falling over time. METHODS: A total of 120 consecutive persons with PD were recruited and followed for two years. Fear of falling was assessed by using the 10-item Falls Efficacy Scale (FES)...
November 17, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29145919/potentially-inappropriate-prescription-of-antidepressants-in-old-people-characteristics-associated-factors-and-impact-on-mortality
#2
Anne Hiance-Delahaye, Florence Muller de Schongor, Laurent Lechowski, Laurent Teillet, Jean-Jacques Arvieu, Jean-Marie Robine, Joël Ankri, Marie Herr
BACKGROUND: The increasing use of antidepressants (ADs) has raised concerns about their inappropriate use in old people. OBJECTIVE: To examine the prevalence of potentially inappropriate prescribing (PIP) of ADs, their associated factors, and their impact on mortality in a sample of old people in France. METHODS: The analysis used data from the SIPAF study, a cross-sectional study consisting of 2,350 people aged ≥ 70 years. Trained nurses interviewed participants at home between 2008 and 2010...
November 17, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29145914/development-and-initial-validation-of-the-retrospective-indigenous-childhood-enrichment-scale-rice
#3
Cecilia Minogue, Kim Delbaere, Kylie Radford, Tony Broe, Wendy Sue Forder, Suncica Lah
BACKGROUND: Years of education is the most commonly used proxy measure of cognitive reserve. Other forms of cognitive stimulation in childhood may provide similar protection against cognitive decline, particularly in Indigenous groups, where education may have been lacking in quality or quantity. The Retrospective Indigenous Childhood Enrichment (RICE) scale was developed to measure non-school-based activities and environmental stimulation during childhood that are likely to have enhanced cognitive reserve...
November 17, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29145912/facilitators-and-barriers-to-adaptive-implementation-of-the-meeting-centers-support-program-mcsp-in-three-european-countries-the-process-evaluation-within-the-meetingdem-study
#4
L D Van Mierlo, R Chattat, S Evans, D Brooker, F L Saibene, G Gamberini, E Farina, C Scorolli, D Szcześniak, K M Urbańska, J Rymaszewska, R M Dröes, F J M Meiland
BACKGROUND: In the MEETINGDEM project, the Meeting Centers Support Program (MCSP) was adaptively implemented and evaluated in three European countries: Italy, Poland, and the United Kingdom. The aim of this study was to investigate overall and country-specific facilitators and barriers to the implementation of MCSP in these European countries. METHODS: A qualitative multiple case study design was used. Based on the theoretical model of adaptive implementation, a checklist was composed of potential facilitators and barriers to the implementation of MCSP...
November 17, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29143722/relationship-between-the-number-of-behavioral-symptoms-in-dementia-and-caregiver-distress-what-is-the-tipping-point
#5
Paul B Arthur, Laura N Gitlin, John A Kairalla, William C Mann
BACKGROUND: Behavioral and psychological symptoms of dementia (BPSD) are a primary manifestation of brain dysfunction in dementia and a great challenge in caregiving. While BPSD are historically associated with caregiver distress, it is unclear whether there is an identifiable point where BPSD number is associated with heightened caregiver distress. The purpose of this study was to determine if such a tipping point exists to assist clinicians in identifying caregiver compromise. METHODS: Analyses were performed with three datasets totaling 569 community-dwelling persons with dementia and their caregivers...
November 16, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29143702/association-between-altered-neurochemical-metabolites-and-apathy-in-patients-with-alzheimer-s-disease
#6
Yi-Chun Yeh, Chun-Wei Li, Yu-Ting Kuo, Mei-Feng Huang, Tai-Ling Liu, Twei-Shiun Jaw, Yi-Hsin Yang, Kuang-Che Kuo, Cheng-Sheng Chen
BACKGROUND: Apathy is a condition characterized by a lack of motivation that manifests in emotional, behavioral, and cognitive domains. Although previous studies have indicated that apathy is associated with frontal lesions, few studies have focused on the different subdomains of apathy, and no in vivo human biochemical data have been obtained to examine the neurochemical changes related to apathy in patients with Alzheimer's disease (AD). Thus, we investigated the frontal neurochemical alterations related to apathy among patients with AD using proton magnetic resonance spectroscopy (1H MRS)...
November 16, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29143695/an-overview-of-systematic-reviews-of-pharmacological-and-non-pharmacological-interventions-for-the-treatment-of-behavioral-and-psychological-symptoms-of-dementia
#7
Suzanne M Dyer, Stephanie L Harrison, Kate Laver, Craig Whitehead, Maria Crotty
BACKGROUND: This systematic overview reports findings from systematic reviews of randomized controlled trials of pharmacological and non-pharmacological interventions for behavioural and psychological symptoms of dementia (BPSD). METHODS: The Cochrane Database of Systematic Reviews, DARE, Medline, EMBASE, and PsycINFO were searched to September 2015. RESULTS: Fifteen systematic reviews of eighteen different interventions were included. A significant improvement in BPSD was seen with: functional analysis-based interventions (GRADE quality of evidence moderate; standardized mean difference (SMD) -0...
November 16, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29122058/physical-restraint-to-patients-with-dementia-in-acute-physical-care-settings-effect-of-the-financial-incentive-to-acute-care-hospitals
#8
Miharu Nakanishi, Yasuyuki Okumura, Asao Ogawa
BACKGROUND: In April 2016, the Japanese government introduced an additional benefit for dementia care in acute care hospitals (dementia care benefit) into the universal benefit schedule of public healthcare insurance program. The benefit includes a financial disincentive to use physical restraint. The present study investigated the association between the dementia care benefit and the use of physical restraint among inpatients with dementia in general acute care settings. METHODS: A national cross-sectional study design was used...
November 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29122049/predictive-factors-associated-with-psychological-distress-of-caregivers-of-people-with-dementia-in-japan-a-cross-sectional-study
#9
Ryo Shikimoto, Mitsuhiro Sado, Akira Ninomiya, Kimio Yoshimura, Baku Ikeda, Toshiaki Baba, Masaru Mimura
BACKGROUND: Caregivers of people with dementia are likely to have psychological distress that sometimes results in mental health problems, such as depression. The objective of this study was to examine some predictive factors that are thought to be associated with psychological distress of caregivers of people with dementia in Japan. METHODS: Design: A cross-sectional study. SAMPLE: As part of a study to estimate the cost of dementia in Japan, 1,437 people with dementia-caregiver dyads were enrolled in the current informal care time study...
November 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29122047/antipsychotic-polypharmacy-in-older-australians
#10
Lisa M Kalisch Ellett, Nicole L Pratt, Mhairi Kerr, Elizabeth E Roughead
BACKGROUND: Antipsychotics are commonly used, and the rate of use is highest, among those aged 65 years or over, where the risk of adverse events is also high. Up to 20% of younger adults use more than one antipsychotic concurrently; however there are few studies on the prevalence of antipsychotic polypharmacy in older people. We aimed to analyze antipsychotic use in elderly Australians, focusing on the prevalence of antipsychotic polypharmacy and the use of medicines to manage adverse events associated with antipsychotics...
November 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29117880/use-of-benzodiazepines-and-cognitive-performance-in-primary-care-patients-with-first-cognitive-complaints
#11
G Grande, I Tramacere, D L Vetrano, S Pomati, C Mariani, G Filippini
The aim of the present study is to investigate the impact of benzodiazepine use on cognitive performance in primary care patients with first cognitive complaints. The association between the exposition to benzodiazepines (short and long half-life) and cognitive performance, evaluated through the Mini Mental State Examination (MMSE), was tested through analysis of the covariance and logistic regression models. Within the 4,249 participants (mean age 77.0 ± 8.2, 66.4% women), 732 (17%) were on benzodiazepines...
November 9, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29115201/reliability-concurrent-validity-and-cultural-adaptation-of-the-geriatric-depression-scale-and-the-geriatric-anxiety-inventory-for-detecting-depression-and-anxiety-symptoms-among-older-chinese-immigrants-an-australian-study
#12
Briony Dow, Xiaoping Lin, Nancy A Pachana, Christina Bryant, Dina LoGiudice, Anita M Y Goh, Betty Haralambous
BACKGROUND: Older Chinese people are one of the largest and fastest growing immigrant groups in Western countries. The Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) are screening tools that have been specifically designed for older people. This study explored their validity, concurrent reliability, and cultural appropriateness for detecting depression and anxiety symptoms among older Chinese immigrants living in Melbourne, Australia. METHODS: A total of 87 Chinese people were recruited from Chinese senior groups...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113616/correlates-of-physical-activity-among-community-dwelling-individuals-aged-65-years-or-older-with-anxiety-in-six-low-and-middle-income-countries
#13
Davy Vancampfort, Brendon Stubbs, Mats Hallgren, Nicola Veronese, James Mugisha, Michel Probst, Ai Koyanagi
BACKGROUND: Given the important health benefits of physical activity (PA) and the higher risk for physical inactivity in people with anxiety, and the high prevalence of anxiety and low PA among the elderly, there is a need for research to investigate what factors influence PA participation among anxious older individuals. We investigated PA correlates among community-dwelling adults aged ≥ 65 years with anxiety symptoms in six low- and middle-income countries. METHODS: Cross-sectional data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113615/falls-self-efficacy-and-falls-incidence-in-community-dwelling-older-people-the-mediating-role-of-coping
#14
Christine C Loft, Fergal W Jones, Ian I Kneebone
BACKGROUND: A cognitive behavioral model predicts that coping responses mediate the relationship between falls related psychological concerns and falls incidence, in community-dwelling older people. If empirical support could be found for this pathway then interventions could be developed to reduce falls risk by targeting coping strategies. Therefore, this study aimed to begin the process of testing whether coping responses mediate the association between falls self-efficacy (a principal element of falls related psychological concerns) and falls incidence, in community-dwelling older people...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113614/validation-of-family-conflict-scales-for-family-caregivers-of-persons-with-dementia-in-long-term-care-facilities-and-exploration-of-family-conflicts-and-support
#15
Chie Fukui, Mariko Sakka, Rachel Marry Amiya, Iori Sato, Kiyoko Kamibeppu
BACKGROUND: The aim of the study was to develop a family conflict scale for family caregivers of persons with dementia in long-term care facilities and to explore the relationship between family conflicts and family support. METHODS: The scale was developed through forward- and back-translations, interviews with 12 staff members in long-term care facilities, and cognitive interviews with 12 family caregivers who met operational definitions in this study. The test was conducted with 334 family caregivers and a retest was conducted with 318 family caregivers who had indicated willingness to participate further...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113612/socioeconomic-inequalities-in-resilience-and-vulnerability-among-older-adults-a-population-based-birth-cohort-analysis
#16
T D Cosco, R Cooper, D Kuh, M Stafford
BACKGROUND: Aging is associated with declines in physical capability; however, some individuals demonstrate high well-being despite this decline, i.e. they are "resilient." We examined socioeconomic position (SEP) and resilience and the influence of potentially modifiable behavioral resources, i.e. social support and leisure time physical activity (LTPA), on these relationships. METHODS: Data came from the Medical Research Council National Survey of Health and Development, a nationally-representative birth cohort study...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113610/the-impact-of-a-visual-arts-program-on-quality-of-life-communication-and-well-being-of-people-living-with-dementia-a-mixed-methods-longitudinal-investigation
#17
Gill Windle, Karlijn J Joling, Teri Howson-Griffiths, Bob Woods, Catrin Hedd Jones, Peter M van de Ven, Andrew Newman, Clive Parkinson
BACKGROUND: Research reviews highlight methodological limitations and gaps in the evidence base for the arts in dementia care. In response, we developed a 12-week visual art program and evaluated the impact on people living with dementia through a mixed-methods longitudinal investigation. METHODS: One hundred and twenty-five people living with mild to severe dementia were recruited across three research settings in England and Wales (residential care homes, a county hospital, and community venues)...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113605/rapid-review-of-cognitive-screening-instruments-in-mci-proposal-for-a-process-based-approach-modification-of-overlapping-tasks-in-select-widely-used-instruments
#18
Unai Díaz-Orueta, Alberto Blanco-Campal, Teresa Burke
BACKGROUND: A detailed neuropsychological assessment plays an important role in the diagnostic process of Mild Cognitive Impairment (MCI). However, available brief cognitive screening tests for this clinical population are administered and interpreted based mainly, or exclusively, on total achievement scores. This score-based approach can lead to erroneous clinical interpretations unless we also pay attention to the test taking behavior or to the type of errors committed during test performance...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113604/tau-accumulation-in-two-patients-with-frontotemporal-lobe-degeneration-showing-different-types-of-aphasia-using-18f-thk-5351-positron-emission-tomography-a-case-report
#19
Masahiko Takaya, Kazunari Ishii, Chisa Hosokawa, Kazumasa Saigoh, Osamu Shirakawa
Tau deposits in Alzheimer's disease and corticobasal syndrome have been reported using 18F-THK-5351 positron emission tomography (PET). To our knowledge, our study is the first to demonstrate tau deposits in patients with frontotemporal lobe degeneration (FTLD), using 18F-THK-5351 PET. This case report presents two patients, both of whom showed positive Tau deposition using 18F-THK-5351 PET. One patient was diagnosed with semantic variant primary progressive aphasia (PPA) and the other diagnosed with logopenic variant PPA...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29108532/the-east-dem-study-a-pilot-cluster-randomized-controlled-trial
#20
Naaheed Mukadam, Claudia Cooper, Gill Livingston
We recruited eight general practice (GP) practices for a pilot cluster randomized controlled trial (RCT) of a digital versatile disc/leaflet encouraging South Asian people to seek timely help for memory problems. Primary outcomes were feasibility (proportion of patients expressing interest, consenting) and acceptability. Seventy-eight of one hundred and two (76%) potential participants consented; 76/78 (97%) were followed-up. Thirty-seven of forty-one (90%) receiving the intervention rated this acceptable. Only 17/41 (41%) accessed it; they appeared then to be more likely to seek timely help...
November 7, 2017: International Psychogeriatrics
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