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International Psychogeriatrics

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https://www.readbyqxmd.com/read/29789032/neuropsychological-correlates-of-instrumental-activities-of-daily-living-in-neurocognitive-disorders-a-possible-role-for-executive-dysfunction-and-mood-changes
#1
Martina Amanzio, Sara Palermo, Milena Zucca, Rosalba Rosato, Elisa Rubino, Daniela Leotta, Massimo Bartoli, Innocenzo Rainero
ABSTRACTSince baseline executive dysfunction predicts worsening Instrumental Activities of Daily Living (i-ADL) over time and progression to Alzheimer's Disease (AD), we aimed to analyze the role of neuropsychological variables to outline which factors can contribute to functional impairment. Specific attention to executive functions (EFs) has been given.A total of 144 subjects complaining of different cognitive deficits - ranging from "MCI likely due to AD" to "mild AD patients" - underwent an overall neuropsychological assessment...
May 23, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29747721/longitudinal-changes-in-quality-of-life-among-elderly-people-with-and-without-dementia
#2
A E Ydstebø, S Bergh, G Selbæk, J Šaltytė Benth, K Brønnick, C Vossius
ABSTRACTObjective:To study longitudinal changes in the quality of life (QoL) in persons with and without dementia, and explore the factors associated with baseline QoL and changes of QoL over the follow-up period. DESIGN: Prospective longitudinal study. SETTING: Data were collected from 17 municipalities in Norway in the period from January 2009 to August 2012. A total of 412 persons were included, 254 (61.7 %) persons without dementia and 158 (38.3 %) with dementia at baseline...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29747719/determinants-of-medication-adherence-in-older-people-with-dementia-from-the-caregivers-perspective
#3
Najwan El-Saifi, Wendy Moyle, Cindy Jones, Clair Alston-Knox
ABSTRACTBackground:Adherence to treatment is a primary determinant of treatment success. Caregiver support can influence medication adherence in people with cognitive impairment. This study sought to characterize medication adherence in older people with dementia from the caregivers' perspective, and to identify influencing factors. METHODS: Caregivers caring for a person with dementia and living in the community were eligible to complete the survey. Bayesian profile regression was applied to identify determinants of medication adherence measured using the Adherence to Refills and Medication Scale...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29747712/remote-delivery-of-psychological-interventions-for-parkinson-s-disease
#4
Caitlin Swalwell, Nancy A Pachana, Nadeeka N Dissanayaka
ABSTRACTObjective:Over two-thirds of Parkinson's disease (PD) patients experience comorbid neuropsychiatric symptoms, which adversely impact their quality of life and often require intervention. There is a preference for non-pharmacological, psychological approaches in addressing these symptoms. Given mobility limitations, travel burden, and cost, accessibility to psychological treatment can be problematic in this population. There has been a recent shift toward delivering care via telehealth in PD. Accordingly, this review aimed to examine remotely delivered psychological interventions for PD patients...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29747709/polimedication-applicability-of-a-computer-tool-to-reduce-polypharmacy-in-nursing-homes
#5
Tomás M García-Caballero, Juan Lojo, Carlos Menéndez, Roberto Fernández-Álvarez, Raimundo Mateos, Alejandro Garcia-Caballero
ABSTRACTBackground:The risks of polypharmacy can be far greater than the benefits, especially in the elderly. Comorbidity makes polypharmacy very prevalent in this population; thus, increasing the occurrence of adverse effects. To solve this problem, the most common strategy is to use lists of potentially inappropriate medications. However, this strategy is time consuming. METHODS: In order to minimize the expenditure of time, our group devised a pilot computer tool (Polimedication) that automatically processes lists of medication providing the corresponding Screening Tool of Older Persons' potentially inappropriate Prescriptions alerts and facilitating standardized reports...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29747702/exploring-dementia-management-attitudes-in-primary-care-a-key-informant-survey-to-primary-care-physicians-in-25-european-countries-corrigendum
#6
Hakan Yaman
No abstract text is available yet for this article.
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29720293/using-structural-equation-modeling-to-detect-response-shift-in-quality-of-life-in-patients-with-alzheimer-s-disease
#7
Xuxia Wang, Xiaomeng Xu, Hongjuan Han, Runlian He, Liye Zhou, Ruifeng Liang, Hongmei Yu
ABSTRACTBackground:Our study aims to detect different types of response shifts (RS) and true changes of quality of life (QOL) measurement in patients with Alzheimer's disease (AD) using structural equation modeling (SEM) in domain level. METHODS: Patients with AD aged over 60 years old were collected from the Department of Neurology and Geriatrics in Taiyuan Central Hospital, China. The 12-item Short Form (SF-12) Health Survey was measured in 238 patients with AD prior to hospitalization and one month following discharge...
May 3, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29720290/effectiveness-of-a-home-based-missing-incident-prevention-program-for-community-dwelling-elderly-patients-with-dementia
#8
Wing Man Lau, Tak Yeung Chan, Sze Lok Szeto
ABSTRACTBackground:Getting lost is a recognized complication in patients with dementia. Preventive measures are lacking. This study aims to investigate the effectiveness of a home-based missing incident prevention program (HMIPP) in reducing missing incidents, time of searching, and caregivers' stress. METHODS: The design was a pre- and post-intervention study. Patients were recruited from a hospital-based Geriatric Memory Clinic. Inclusion criteria were as follows: aged 60 years or above, established dementia, and Modified Functional Ambulation Categories score VI or VII...
May 3, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29720286/impact-of-brief-education-on-healthy-seniors-attitudes-and-healthcare-choices-about-alzheimer-s-disease-and-associated-symptoms
#9
Robyn E Waxman, Barbara J Russell, Oscar C T Iu, Benoit H Mulsant
ABSTRACTObjective:The primary objective of this study was to determine whether a brief education session about Alzheimer's disease (AD) stages and associated behavioral and psychological symptoms of dementia (BPSD) changes healthy seniors' treatment choices. A secondary objective was to determine whether pharmacotherapy to reduce BPSD would be preferred over other potentially more restrictive interventions. METHODS: Participants (n = 32; 8 men; aged > 64years; no self-reported dementia diagnosis) were assigned to one of ten group sessions during which they received information about AD and BPSD...
May 3, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29720281/latent-class-analysis-of-the-multivariate-delirium-index-in-long-term-care-settings
#10
Antonio Ciampi, Chun Bai, Alina Dyachenko, Jane McCusker, Martin G Cole, Eric Belzile
ABSTRACTBackground:A few studies examine the time evolution of delirium in long-term care (LTC) settings. In this work, we analyze the multivariate Delirium Index (DI) time evolution in LTC settings. METHODS: The multivariate DI was measured weekly for six months in seven LTC facilities, located in Montreal and Quebec City. Data were analyzed using a hidden Markov chain/latent class model (HMC/LC). RESULTS: The analysis sample included 276 LTC residents. Four ordered latent classes were identified: fairly healthy (low "disorientation" and "memory impairment," negligible other DI symptoms), moderately ill (low "inattention" and "disorientation," medium "memory impairment"), clearly sick (low "disorganized thinking" and "altered level of consciousness," medium "inattention," "disorientation," "memory impairment" and "hypoactivity"), and very sick (low "hypoactivity," medium "altered level of consciousness," high "inattention," "disorganized thinking," "disorientation" and "memory impairment")...
May 3, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667572/neurobiological-findings-associated-with-high-cognitive-performance-in-older-adults-a-systematic-review
#11
Wyllians Vendramini Borelli, Lucas Porcello Schilling, Graciane Radaelli, Luciana Borges Ferreira, Leonardo Pisani, Mirna Wetters Portuguez, Jaderson Costa da Costa
ABSTRACTObjectives:to perform a comprehensive literature review of studies on older adults with exceptional cognitive performance. DESIGN: We performed a systematic review using two major databases (MEDLINE and Web of Science) from January 2002 to November 2017. RESULTS: Quantitative analysis included nine of 4,457 studies and revealed that high-performing older adults have global preservation of the cortex, especially the anterior cingulate region, and hippocampal volumes larger than normal agers...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667571/is-it-all-bleak-a-systematic-review-of-factors-contributing-to-relationship-change-in-dementia
#12
Erin R Conway, Brittany Watson, Gemma Tatangelo, Marita McCabe
ABSTRACTBackground:The care of community-dwelling people with dementia often occurs in the context of pre-existing family relationships. The presence of dementia can result in changes to the quality of those relationships. The purpose of this systematic review is to identify factors that enhance or challenge the quality of spousal or offspring relationships in the context of dementia. METHODS: Both qualitative and quantitative studies were included in a systematic review of the literature...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667568/is-there-an-optimal-time-to-move-to-a-care-home-for-a-person-with-dementia-a-systematic-review-of-the-literature
#13
Laura Cole, Kritika Samsi, Jill Manthorpe
ABSTRACTBackground:There is limited evidence regarding how the decision evolves about whether and when it is best for a person with dementia to move to a care home. The factors leading to the timing of the decision remain particularly unclear. This systematic review of existing literature aims to gain an understanding of the decision-making timing and process to distinguish the drivers of these decisions, and to identify if there is an "optimal" or best time (if any) for a person with dementia to move to a care home...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667567/cardiovascular-health-and-cognitive-function-among-mexican-older-adults-cross-sectional-results-from-the-who-study-on-global-ageing-and-adult-health
#14
Jaime Perales, Ladson Hinton, Jeffrey Burns, Eric D Vidoni
ABSTRACTObjectives:To assess the association between cardiovascular health and cognitive function among Mexican older adults. DESIGN: Nationally representative cross-sectional survey. SETTING: Households in Mexico. PARTICIPANTS: Individuals aged 50 years and older (n = 1,492) from the Mexico-SAGE project Wave 1. MEASUREMENTS: A continuous and a categorical index of cardiovascular health was calculated based on exercise, smoking, body mass index, and blood pressure ranging from 0 to 4...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667565/longitudinal-associations-between-different-dementia-diagnoses-and-medication-use-jointly-accounting-for-dropout
#15
George O Agogo, Christine M Ramsey, Danijela Gnjidic, Daniela C Moga, Heather Allore
ABSTRACTBackground:Longitudinal studies of older adults are characterized by high dropout rates, multimorbid conditions, and multiple medication use, especially proximal to death. We studied the association between multiple medication use and incident dementia diagnoses including Alzheimer's disease (AD), vascular dementia (VD), and Lewy-body dementia (LBD), simultaneously accounting for dropout. METHODS: Using the National Alzheimer's Coordinating Center data with three years of follow-up, a set of covariate-adjusted models that ignore dropout was fit to complete-case data, and to the whole-cohort data...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667564/the-recency-ratio-as-predictor-of-early-mci
#16
Davide Bruno, Rebecca L Koscik, John L Woodard, Nunzio Pomara, Sterling C Johnson
ABSTRACTObjectives:Individuals with Alzheimer's disease (AD) present poor immediate primacy recall accompanied by intact or exaggerated recency, which then tends to decline after a delay. Bruno et al. (Journal of Clinical and Experimental Neuropsychology, Vol. 38, 2016, pp. 967-973) have shown that higher ratio scores between immediate and delayed recency (i.e. the recency ratio; Rr) are associated with cognitive decline in high-functioning older individuals. We tested whether Rr predicted conversion to early mild cognitive impairment (early MCI) from a cognitively healthy baseline...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29665875/global-cerebrovascular-burden-and-long-term-clinical-outcomes-in-asian-elderly-across-the-spectrum-of-cognitive-impairment
#17
Xin Xu, Yiong Huak Chan, Qun Lin Chan, Bibek Gyanwali, Saima Hilal, Boon Yeow Tan, Mohammad Kamran Ikram, Narayanaswamy Venketasubramanian, Christopher Li-Hsian Chen
ABSTRACTBackground/Aim:To investigate the predictive ability of the previously established global cerebrovascular disease (CeVD) burden scale on long-term clinical outcomes in a longitudinal study of Asian elderly participants across the spectrum of cognitive impairment. METHODS: A case-control study was conducted over a 2-year period involving participants with no cognitive impairment, cognitive impairment-no dementia (CIND), and Alzheimer's disease (AD). Annually, cognitive function was assessed with a comprehensive neuropsychological battery and the clinical dementia rating (CDR) scale was used to stage disease severity...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29616602/correlates-of-nursing-care-burden-among-institutionalized-patients-with-dementia
#18
Meng Sun, Brian J Mainland, Tisha J Ornstein, Gwen Li Sin, Nathan Herrmann
ABSTRACTBackground:The stress associated with care of patients with dementia has led to high nursing staff turnover. This study aims to explore patient factors that are related to nursing burden. METHODS: The present study examined nursing care burden related to 55 institutionalized dementia patients using the Modified Nursing Care Assessment Scale (M-NCAS). Cognition was assessed with the Severe Impairment Battery (SIB), activities of daily living (ADLs) were measured with the Alzheimer's Disease Functional Assessment of Change Scale (ADFACS), aggression was measured with the Aggressive Behavior Scale (ABS), and the Charlson Comorbidity Index (CCI) was used to assess medical comorbidity...
April 4, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29615145/challenge-levels-of-everyday-technologies-as-perceived-over-five-years-by-older-adults-with-mild-cognitive-impairment
#19
Annicka Hedman, Anders Kottorp, Ove Almkvist, Louise Nygård
ABSTRACTBackground:In clinical practice, efficient and valid functional markers are needed to detect subtle cognitive and functional decline in mild cognitive impairment (MCI). This prospective study explored whether changes in perceived challenge of certain everyday technologies (ETs) can be used to detect signs of functional change in MCI. METHODS: Baseline and five-year data from 37 older adults (mean age 67.5 years) with MCI regarding their perceived ability to use ET were used to generate Rasch-based ET item measures reflecting the relative challenge of 46 ETs...
April 4, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29606176/attended-with-and-head-turning-sign-can-be-clinical-markers-of-cognitive-impairment-in-older-adults
#20
J C Williamson, A J Larner
We read the paper by Soysal et al. (2017) with interest as we have experience of both the Attended With (AW) and the Head-Turning Sign (HTS) in a neurology-led cognitive disorders clinic.
April 2, 2018: International Psychogeriatrics
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