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Geriatric Behavioral Health

Nicholas K Schiltz, David F Warner, Jiayang Sun, Paul M Bakaki, Avi Dor, Charles W Given, Kurt C Stange, Siran M Koroukian
BACKGROUND: Multimorbidity affects the majority of elderly adults and is associated with higher health costs and utilization, but how specific patterns of morbidity influence resource use is less understood. OBJECTIVE: The objective was to identify specific combinations of chronic conditions, functional limitations, and geriatric syndromes associated with direct medical costs and inpatient utilization. DESIGN: Retrospective cohort study using the Health and Retirement Study (2008-2010) linked to Medicare claims...
October 6, 2016: Medical Care
X Jégouzo, M Desbordes, S Delègue, G Le Vacon, M Patrick, S Mouchabac
OBJECTIVES: Behavioral and psychological symptoms have a high prevalence in dementia. They include mood disorders, psychotic disorders and behavioral disorders such as aggression or screaming. Despite a number of side effects and an increased mortality, antipsychotic drugs are widely prescribed for treatment of this disorder. In France, this increased risk of mortality led in 2009 to the adoption of guidelines concerning all antipsychotics. The guidelines propose a sensible use of antipsychotics after the establishment of non-pharmacological measures...
October 12, 2016: L'Encéphale
Elisenda Martori, Raúl Ayuso-Montero, Eva Willaert, Miguel Viñas, Maria Peraire, Jordi Martinez-Gomis
PURPOSE: Colonization by Candida is related to wearing a denture. How denture type, status, and maintenance play a role in determining Candida colonization remains unknown. This work evaluated removable denture status in an elderly population and explored the association between denture-related factors and oral Candida colonization as determined by systemic and local factors. MATERIALS AND METHODS: Socio-demographic, general health, and behavioral data and oral factors were registered by means of a questionnaire...
October 6, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
B Josea Kramer, Beth Creekmur, Judith L Howe, Scott Trudeau, Joseph R Douglas, Kimberly Garner, Connie Bales, Carol Callaway-Lane, Steven Barczi
The Veterans Affairs Geriatric Scholars Program (GSP) is a continuing professional development program to integrate geriatrics into the clinical practices of primary care providers and select associated health professions that support primary care teams. GSP uses a blended program educational format, and the minimal requirements are to attend an intensive course in geriatrics, participate in an interactive workshop on quality improvement (QI), and initiate a local QI project to demonstrate application of new knowledge to benefit older veterans...
November 2016: Journal of the American Geriatrics Society
Michael J Annear, Junko Otani, Jing Li
AIM: Dementia prevalence is accelerating internationally commensurate with population aging. Super-aging countries, including Japan, will experience growing prevalence of this life-limiting condition in the coming decades as a result of falling fertility and mortality. The authors developed and verified a Japanese translation of the Dementia Knowledge Assessment Scale (DKAS-J) to address the paucity of reliable and valid Japanese-language measures, and to elucidate current understanding...
September 29, 2016: Geriatrics & Gerontology International
Marisa Brown, Diane Jacobstein, Irene Seyoung Yoon, Bruno Anthony, Kim Bullock
It is well documented that adults with intellectual disability (ID) experience higher rates of a series of health conditions compared to their peers without disability. These health conditions include cardiovascular disease, obesity, diabetes, gastrointestinal disorders, and psychiatric and behavioral disorders. With life expectancy approximating the general population, adults with ID are also now experiencing health conditions related to aging, further increasing their risk for diminished function and well-being...
October 2016: Intellectual and Developmental Disabilities
Felipe Alfonso Sandoval Garrido, Nanako Tamiya, Peter Lloyd-Sherlock, Haruko Noguchi
BACKGROUND: Depressive symptoms are a leading cause of disability and emotional suffering, particularly in old age. However, evidence on depression and old age in developing countries remains largely ignored. The aim of this study was to examine the relation between health behavior and social conditions with depression among dependent community-dwelling older persons in the Republic of Chile. METHODS: This is a cross-sectional and inferential study, using nationally representative secondary data...
September 20, 2016: International Psychogeriatrics
Yukako Tani, Takeo Fujiwara, Naoki Kondo, Hisashi Noma, Yuri Sasaki, Katsunori Kondo
OBJECTIVE: Previous investigations on the impact of childhood socioeconomic status (SES) on depression have focused on middle-aged adults in Western countries. It is unknown whether childhood SES has a long-latency effect on the onset of depression among older adults. DESIGN: Prospective cohort study. SETTING: Data were from the Japan Gerontological Evaluation Study. PARTICIPANTS: We analyzed 10,458 individuals aged 65 years and older without depression (Geriatric Depression Scale <5) at baseline in 2010...
September 2016: American Journal of Geriatric Psychiatry
Rachel D Maree, Zachary A Marcum, Ester Saghafi, Debra K Weiner, Jordan F Karp
OBJECTIVE: The authors assessed the prevalence of opioid and benzodiazepine prescription drug misuse in older adults, the risk factors associated with misuse, and age-appropriate interventions. METHODS: Following PRISMA guidelines, a literature search of PubMed, PsycINFO, and EMBASE for peer-reviewed journal articles in English through April 2014 with updates through November 2015 was conducted for reports on misuse of prescription benzodiazepines and opioids in older adults...
November 2016: American Journal of Geriatric Psychiatry
Marielle Bolano, Cyrus Ahalt, Christine Ritchie, Irena Stijacic-Cenzer, Brie Williams
Distressing symptoms are associated with poor function, acute care use, and mortality in older adults. The number of older jail inmates is increasing rapidly, prompting calls to develop systems of care to meet their healthcare needs, yet little is known about multidimensional symptom burden in this population. This cross-sectional study describes the prevalence and factors associated with distressing symptoms and the overlap between different forms of symptom distress in 125 older jail inmates in an urban county jail...
November 2016: Journal of the American Geriatrics Society
Yuki Ohara, Naomi Yoshida, Hisashi Kawai, Shuichi Obuchi, Hideyo Yoshida, Shiro Mataki, Hirohiko Hirano, Yutaka Watanabe
AIM: Self-efficacy is considered to be an important factor influencing behavior change; however, there are no existing tools to measure self-efficacy in the context of oral health among older adults. The purpose of the present study was to develop the Geriatric Self-Efficacy Scale for Oral Health (GSEOH) for use with older adults, and to evaluate its reliability and validity. METHODS: The self-administered questionnaire was completed by 646 Japanese older people...
August 17, 2016: Geriatrics & Gerontology International
Sonal Mathur, Mahendra Prakash Sharma, Srikala Bharath
Depression is the most common mental illness in the elderly, and cost-effective treatments are required. Therefore, this study is aimed at evaluating the effectiveness of a mindfulness-based cognitive therapy (MBCT) on depressive symptoms, mindfulness skills, acceptance, and quality of life across four domains in patients with late-onset depression. A single case design with pre- and post-assessment was adopted. Five patients meeting the specified inclusion and exclusion criteria were recruited for the study and assessed on the behavioral analysis pro forma, geriatric depression scale, Hamilton depression rating scale, Kentucky inventory of mindfulness skills, Acceptance and Action Questionnaire II, The World Health Organization quality of life Assessment Brief version (WHOQO-L-BREF)...
July 2016: International Journal of Yoga
Wenjun Cao, Chongzheng Guo, Weiwei Ping, Zhijun Tan, Ying Guo, Jianzhong Zheng
The goal of the study was to assess the quality of life (QOL) and depression and provide further insights into the relationship between QOL and depression among community-dwelling elderly Chinese people. Baseline data were collected from 1168 older adults (aged ≥ 60) in a large, prospective cohort study on measurement and evaluation of health-promoting and health-protecting behaviors intervention on chronic disease in different community-dwelling age groups. QOL was assessed using the 26-item, World Health Organization Quality of Life, brief version (WHOQOL-BREF) and depression was assessed using the 30-item Geriatric Depression Scale (GDS)...
2016: International Journal of Environmental Research and Public Health
Rosaria De Luca, Alessia Bramanti, Maria Cristina De Cola, Simona Leonardi, Michele Torrisi, Bianca Aragona, Antonino Trifiletti, Maria Danilo Ferrara, Piero Amante, Carmela Casella, Placido Bramanti, Rocco Salvatore Calabrò
Dementia is an increasing challenge for health care and social system in developed countries. Interventions with a cognitive focus, also using assistive technology, are leading to promising results in improving cognitive and behavior symptoms in individuals with dementia. Aim of our study was to evaluate the combined effects of the standard cognitive training in addition to web-based rehabilitation in dementia people living in a nursing home. We have studied twenty dementia people (10 females and 10 males) with a mild to moderate cognitive decline (MMSE 25 ± 3...
October 2016: Neurological Sciences
Teresa Silveira Lopes, Rosa Marina Lopes Brás Martins Afonso, Óscar Manuel Ribeiro
Working with past memories through reminiscence interventions has been practiced for several decades with successful outcomes on mental health in older adults. Few studies however have focused on autobiographical memory recall in older individuals with cognitive impairment. This study aims to analyze the impact of an individual reminiscence program in a group of older persons with cognitive decline living in nursing homes on the dimensions of cognition, autobiographical memory, mood, behavior and anxiety. A two-group pre-test and post-test design with single blinded assessment was conducted...
September 2016: Archives of Gerontology and Geriatrics
Li-Fan Liu, Pei-Fang Su
AIM: The present study aimed to identify the health profiles of older adults by using latent class analysis to investigate health heterogeneity and to determine what factors predicted healthy aging among an oldest-old sample cohort that was followed up for 14 years in Taiwan. METHODS: Data were drawn from five waves (carried out in 1993, 1996, 1999, 2003 and 2007) of the Taiwan Longitudinal Study on Aging to examine the changes in health heterogeneity in a nationally representative oldest-old cohort of Taiwanese...
May 31, 2016: Geriatrics & Gerontology International
Gary J Kennedy, Jack Castro, Mason Chang, Jaimini Chauhan-James, Manuel Fishman
The mental health needs of older primary care patients are now widely recognized if not widely addressed. The range of behavioral health approaches including co-locating psychiatrists and integrating mental health professionals as care managers into primary care sites is extensive and growing. Nonetheless the primary care provider remains the first line of defense against mental disorders, most commonly depression and anxiety that accompany and exacerbate common physical conditions. The excess, potentially avoidable disability that results from comorbidity makes it imperative that early recognition and evidence based intervention occur...
July 2016: Current Psychiatry Reports
Tao Jun, Zhong Yuan
Abstract. Malnutrition is one of the most prevalent problems in older people, but there is little information about the nutritional status of the older women in China. Therefore, this study was conducted to investigate the nutritional status and clinically correlated factors for malnutrition in older Han women in China. In total, 2,556 hospital- and community-based Han women aged 60 years or older were recruited between May 2007 and December 2014. All women completed comprehensive geriatric assessment, and the Mini Nutritional Assessment Short Form (MNA-SF) was used to assess the nutritional status...
January 2016: Southeast Asian Journal of Tropical Medicine and Public Health
Malcolm D John, Meredith Greene, Nancy A Hessol, Roland Zepf, Amanda Hutton Parrott, Cameron Foreman, James Bourgeois, Monica Gandhi, C Bradley Hare
OBJECTIVES: To perform geriatric assessments in older HIV-infected adults in San Francisco and examine the association with age and the Veterans Aging Cohort Study (VACS) index scores. METHODS: A cross-sectional study was conducted from 2012 to 2014 among HIV-infected patients ≥50 years at 2 San Francisco-based HIV clinics. We evaluated 4 health domains: (1) physical health and function (activities of daily living), instrumental activities of daily living (IADL), falls, gait speed, (2) social support (physical and perceived support, loneliness), (3) mental health (depression, anxiety, posttraumatic stress disorder) and cognition, and (4) behavioral and general health (antiretroviral adherence and quality of life)...
August 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Kristen Ellis, Georgina Rubal-Peace, Victoria Chang, Eva Liang, Nicolas Wong, Stephanie Campbell
Antimicrobial resistance is a growing public health concern. Antimicrobial stewardship and multi-disciplinary intervention can prevent inappropriate antimicrobial use and improve patient care. Special populations, especially older adults and patients with mental health disorders, can be particularly in need of such intervention. The purpose of this project was to assess the impact of pharmacist intervention on appropriateness of antimicrobial prescribing on a geriatric psychiatric unit (GPU). Patients ≥18 years old prescribed oral antibiotics during GPU admission were included...
2016: Antibiotics
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