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International Psychogeriatrics

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https://www.readbyqxmd.com/read/28724467/differential-associations-between-sensory-loss-and-neuropsychiatric-symptoms-in-adults-with-and-without-a-neurocognitive-disorder
#1
Kim M Kiely, Moyra E Mortby, Kaarin J Anstey
BACKGROUND: To investigate the differential associations between sensory loss and neuropsychiatric symptoms among older adults with and without diagnosed neurocognitive disorder. METHODS: The sample comprised 1,393 adults (52.3% men) aged between 72 and 79 years from a community-based cohort study. There were 213 cases of mild and 64 cases of major neurocognitive disorders. The main outcome was number of informant reported symptoms on the Neuropsychiatric Inventory (NPI)...
July 20, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28720165/bdnf-val66met-in-preclinical-alzheimer-s-disease-is-associated-with-short-term-changes-in-episodic-memory-and-hippocampal-volume-but-not-serum-mbdnf
#2
Yen Ying Lim, Stephanie Rainey-Smith, Yoon Lim, Simon M Laws, Veer Gupta, Tenielle Porter, Pierrick Bourgeat, David Ames, Christopher Fowler, Olivier Salvado, Victor L Villemagne, Christopher C Rowe, Colin L Masters, Xin Fu Zhou, Ralph N Martins, Paul Maruff
BACKGROUND: The brain-derived neurotrophic factor (BDNF) Val66Met polymorphism Met allele exacerbates amyloid (Aβ) related decline in episodic memory (EM) and hippocampal volume (HV) over 36-54 months in preclinical Alzheimer's disease (AD). However, the extent to which Aβ+ and BDNF Val66Met is related to circulating markers of BDNF (e.g. serum) is unknown. We aimed to determine the effect of Aβ and the BDNF Val66Met polymorphism on levels of serum mBDNF, EM, and HV at baseline and over 18-months...
July 19, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28720164/the-detection-diagnosis-and-impact-of-cognitive-impairment-among-inpatients-aged-65-years-and-over-in-an-irish-general-hospital-a-prospective-observational-study
#3
Clodagh Power, Richard Duffy, Helena Bates, Mike Healy, Petrina Gleeson, Brian A Lawlor, Elaine Greene
BACKGROUND: The diagnosis of dementia remains inadequate, even within clinical settings. Data on rates and degree of impairment among inpatients are vital for service planning and the provision of appropriate patient care as Ireland's population ages. METHODS: Every patient aged 65 years and over admitted over a two-week period was invited to participate. Those who met inclusion criteria were screened for delirium then underwent cognitive screening. Demographic, functional, and outcome data were obtained from medical records, participants, and family...
July 19, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28720158/costs-and-quality-of-life-in-community-dwelling-patients-with-alzheimer-s-disease-in-spain-results-from-the-geras-ii-observational-study
#4
Javier Olazarán, Luis Agüera-Ortiz, Josep María Argimón, Catherine Reed, Antonio Ciudad, Paula Andrade, Tatiana Dilla
BACKGROUND: Country-specific data on resource use and costs associated with Alzheimer's disease (AD) help inform governments about the increasing need for medical and financial support as the disease increases in prevalence. METHODS: GERAS II, a prospective observational study, assessed resource use, costs, and health-related quality of life (HRQoL) among patients with AD and their caregivers in Spain. Community-dwelling patients aged ≥55 years with probable AD, and their primary caregivers, were recruited by study investigators during routine clinical practice and assessed as having mild, moderate, or moderately severe/severe (MS/S) AD dementia based on patient Mini-Mental State Examination scores...
July 19, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28716162/changing-our-thinking-about-changing-their-thinking-in-older-adulthood
#5
Viviana M Wuthrich
It is well-established that as people age, deterioration in cognitive abilities including processing speed, memory, and cognitive flexibility occurs, although vast individual differences occur in the rate and consequences of this decline (Christensen, 2001). Anxiety and depression in late life are also associated with specific cognitive deficits in memory and executive functioning that may impact on new learning (Yochim et al., 2013). Therefore, it is possible that cognitive changes make it more difficult for older adults to learn how to change their thinking particularly in the context of psychological therapy...
July 18, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28714428/are-newly-added-and-lost-confidants-in-later-life-related-to-subsequent-mental-health
#6
Ella Schwartz, Howard Litwin
BACKGROUND: This study examined internal changes in the personal social networks of older people and the relationship between these changes and mental health over time. It focused on two key aspects: emotional closeness and contact frequency with lost and newly added confidants. METHODS: The study was based on data from the fourth (2011) and sixth (2015) waves of the Survey of Health, Ageing and Retirement in Europe (SHARE). The study sample consisted of respondents aged 65 years and older who participated in both waves (n = 14,101)...
July 17, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28703093/cognitive-performance-norms-from-the-korean-genome-and-epidemiology-study-koges
#7
Hyun Kim, Rhoda Au, Robert J Thomas, Chang-Ho Yun, Seung Ku Lee, Changsu Han, Chol Shin
BACKGROUND: While normative data on neuropsychological performance provide baseline metrics for the assessment and diagnosis of mild cognitive impairment and dementia, a lack of comparative normative data in non-Caucasian populations makes it difficult to conduct similar evaluations and studies in individuals from diverse backgrounds. The current paper aims to provide normative data on a range of cognitive measures in a Korean general population sample and investigate various demographic and health variables associated with cognitive performance in this representative population...
July 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28703091/do-suicide-characteristics-differ-by-age-in-older-people
#8
Gary Cheung, Sally Merry, Frederick Sundram
BACKGROUND: Suicide rates increase with age in the population aged over 65 years. The aims of this study were to (i) report the characteristics of older people who died by suicide; and (ii) investigate whether these characteristics differ in three age bands: 65-74 years, 75-84 years, and 85+ years. METHODS: Using information from national coroner records, relevant socio-demographic and clinical factors in all suicides (age ≥ 65 years; n = 225) from July 2007 to December 2012 in New Zealand were analyzed and compared in the three age bands...
July 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28701242/feeling-useful-and-engaged-in-daily-life-exploring-the-experiences-of-people-with-young-onset-dementia
#9
Deliane van Vliet, Anke Persoon, Christian Bakker, Raymond T C M Koopmans, Marjolein E de Vugt, Annemiek Bielderman, Debby L Gerritsen
BACKGROUND: To explore the aspects of daily life that give people with young-onset dementia (YOD) a sense of usefulness. METHODS: Eighteen people with YOD and 21 informal caregivers participated in this qualitative study. Participants were recruited from specialized day-care centers for people with YOD in the Netherlands. Four focus groups were conducted with people with YOD, and four with informal caregivers. Focus groups were audio-recorded, transcribed, and analyzed using inductive content analysis...
July 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28701239/the-role-of-primary-care-in-identification-and-ongoing-management-of-dementia-a-time-of-transition
#10
Constance Dimity Pond
In this edition of International Psychogeriatrics, Pertrazzuoli et al. (2017) address attitudes to dementia by primary care physicians (PCPs) across a range of European countries. The article focusses on diagnosis, screening instruments and drug treatment, and finds a wide range of approaches to the PCPs' role in referral for diagnosis and medication prescription. The findings include that PCPs who are allowed to prescribe dementia drugs, engage in higher levels of diagnostic work up, despite all the barriers to identification ably summarized in the paper...
July 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28701238/cognitive-stimulation-therapy-in-dementia-care-exploring-the-views-and-experiences-of-service-providers-on-the-barriers-and-facilitators-to-implementation-in-practice-using-normalization-process-theory
#11
Claire Dickinson, Grant Gibson, Zoe Gotts, Lynne Stobbart, Louise Robinson
BACKGROUND: Cognitive stimulation therapy (CST) is an evidence-based, cost-effective psychosocial intervention for people with dementia but is currently not a standard part of post-diagnostic care. This qualitative study explored the views and experiences of dementia care providers on the barriers and facilitators to its implementation in usual care. METHOD: Thirty four semi-structured interviews (24 participants) were conducted across four dementia care sites in the North of England; ten were follow-up interviews...
July 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28691649/screening-tools-for-the-identification-of-dementia-for-adults-with-age-related-acquired-hearing-or-vision-impairment-a-scoping-review
#12
Annie Pye, Anna Pavlina Charalambous, Iracema Leroi, Chrysoulla Thodi, Piers Dawes
BACKGROUND: Cognitive screening tests frequently rely on items being correctly heard or seen. We aimed to identify, describe, and evaluate the adaptation, validity, and availability of cognitive screening and assessment tools for dementia which have been developed or adapted for adults with acquired hearing and/or vision impairment. METHOD: Electronic databases were searched using subject terms "hearing disorders" OR "vision disorders" AND "cognitive assessment," supplemented by exploring reference lists of included papers and via consultation with health professionals to identify additional literature...
July 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28689508/social-inappropriateness-in-neurodegenerative-disorders
#13
Philippe Desmarais, Krista L Lanctôt, Mario Masellis, Sandra E Black, Nathan Herrmann
BACKGROUND: New onset of mood and behavioral changes in middle-aged patients are frequently the first manifestations of an unrecognized neurocognitive disorder. Impairment of social cognition, the cognitive ability to process social information coming from others, such as emotions, to attribute mental states to others, and to respond appropriately to them, is often at the origin of behavioral manifestations in neurodegenerative disorders. METHODS: This paper reviews the current literature on social cognition impairment in neurocognitive disorders, particularly in prodromal stages of behavioral-variant frontotemporal dementia (bvFTD), Alzheimer's disease (AD), idiopathic Parkinson's disease (IPD), and Lewy body dementia (LBD)...
July 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28689501/the-association-between-educational-parameters-and-a-cognitive-screening-measure-in-older-blacks
#14
Alyssa A Gamaldo, Angie L Sardina, Richard T Corona, Kurtis Willingham, Rafael V Migoyo, Ross A Andel
BACKGROUND: To expand on prior literature by examining how various education parameters (performance-based reading literacy, years of education, and self-rated quality of education) relate to a cognitive screening measure's total and subscale scores of specific cognitive abilities. METHODS: Black adults (age range: 55-86) were administered self-rated items years of education and quality of education, and a measure of performance-based reading literacy. The Mini-Mental State Examination (MMSE) was used to screen for overall cognitive functioning as well as performance on specific cognitive abilities...
July 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28689500/night-time-activity-forecast-by-season-and-weather-in-a-longitudinal-design-natural-light-effects-on-three-years-rest-activity-cycles-in-nursing-home-residents-with-dementia
#15
Amely Wahnschaffe, Claudia Nowozin, Andreas Rath, Theresa Floessner, Stefan Appelhoff, Mirjam Münch, Dieter Kunz
Backround: Night-time agitation is a frequent symptom of dementia. It often causes nursing home admission and has been linked to circadian rhythm disturbances. A positive influence of light interventions on night-time agitation was shown in several studies. The aim of our study was to investigate whether there is a long-term association between regional weather data (as indicator for daylight availability) and 24-hour variations of motor activity. METHODS: Motor activity of 20 elderly nursing home residents living with dementia was analyzed using recordings of continuously worn wrist activity monitors over a three-year period...
July 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28660847/attended-with-and-head-turning-sign-can-be-clinical-markers-of-cognitive-impairment-in-older-adults
#16
Pinar Soysal, Cansu Usarel, Gul Ispirli, Ahmet Turan Isik
BACKGROUND: Comprehensive neurocognitive assessment may not be performed in clinical practice, as it takes too much time and requires special training. Development of easily applicable, time-saving, and cost effective screening methods has allowed identifying the individuals that require further evaluation. The aim of present study was to assess the diagnostic value of the Attended With (AW) and Head-Turning Sign (HTS) for screening cognitive impairment (CI). METHODS: Comprehensive geriatric assessment was performed in 529 elderly outpatients, and the presence or absence of AW and HTS was investigated in them all...
June 29, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28660845/caregivers-attitude-toward-disclosure-of-alzheimer-s-disease-diagnosis-in-urban-china
#17
Yang Zou, Ning Song, Yong-Bo Hu, Ying Gao, Yue-Qi Zhang, Qian-Hua Zhao, Qi-Hao Guo, Xia Li, Guan-Jun Li, Shi-Fu Xiao, Sheng-di Chen, Ru-Jing Ren, Gang Wang
BACKGROUND: Disclosing the diagnosis of Alzheimer's disease (AD) to a patient is controversial. There is significant stigma associated with a diagnosis of AD or dementia in China, but the attitude of the society toward disclosure of such a diagnosis had not been formally evaluated prior to our study. Therefore, we aimed to evaluate the attitude toward disclosing an AD diagnosis to patients in China with cognitive impairment from their caregivers, and the factors that may affect their attitude...
June 29, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28660844/socioeconomic-emotional-and-physical-execution-variables-as-predictors-of-cognitive-performance-in-a-spanish-sample-of-middle-aged-and-older-community-dwelling-participants
#18
Mari Feli González, David Facal, Onésimo Juncos-Rabadán, Javier Yanguas
BACKGROUND: Cognitive performance is not easily predicted, since different variables play an important role in the manifestation of age-related declines. The objective of this study is to analyze the predictors of cognitive performance in a Spanish sample over 50 years from a multidimensional perspective, including socioeconomic, affective, and physical variables. Some of them are well-known predictors of cognition and others are emergent variables in the study of cognition. METHODS: The total sample, drawn from the "Longitudinal Study Aging in Spain (ELES)" project, consisted of 832 individuals without signs of cognitive impairment...
June 29, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28660843/rapidly-progressive-fronto-temporal-dementia-ftd-associated-with-frontotemporal-lobar-degeneration-ftld-in-the-presence-of-fused-in-sarcoma-fus-protein-a-rare-sporadic-and-aggressive-form-of-ftd
#19
Nicholas I Bradfield, Catriona McLean, John Drago, David G Darby, David Ames
Fronto-temporal dementia (FTD) associated with Fused in Sarcoma (FUS) protein accumulation is an uncommon cause of FTD with a distinct syndrome of young age onset behavioral variant FTD, without a family history of FTD and caudate atrophy. We present a sporadic case of a 61-year-old patient with mixed features of both behavioral variant FTD with later semantic language dissolution associated with pathologically proven FUS. He was older than usual for FUS pathology, his course was rapidly progressive, and he had atypical language features...
June 29, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28651659/a-facilitated-approach-to-family-case-conferencing-for-people-with-advanced-dementia-living-in-nursing-homes-perceptions-of-palliative-care-planning-coordinators-and-other-health-professionals-in-the-ideal-study
#20
Tim Luckett, Lynnette Chenoweth, Jane Phillips, Deborah Brooks, Janet Cook, Geoffrey Mitchell, Dimity Pond, Patricia M Davidson, Elizabeth Beattie, Georgina Luscombe, Stephen Goodall, Thomas Fischer, Meera Agar
BACKGROUND: Palliative care for nursing home residents with advanced dementia is often sub-optimal due to poor communication and limited care planning. In a cluster randomized controlled trial, registered nurses (RNs) from 10 nursing homes were trained and funded to work as Palliative Care Planning Coordinators (PCPCs) to organize family case conferences and mentor staff. This qualitative sub-study aimed to explore PCPC and health professional perceptions of the benefits of facilitated case conferencing and identify factors influencing implementation...
June 27, 2017: International Psychogeriatrics
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