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Depression in Geriatrics

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https://www.readbyqxmd.com/read/28214764/recurrent-falls-and-its-risk-factors-among-older-men-living-in-the-veterans-retirement-communities-a-cross-sectional-study
#1
Cheng-Hao Hung, Chih-Jen Wang, Ting-Ching Tang, Liang-Yu Chen, Li-Ning Peng, Fei-Yuan Hsiao, Liang-Kung Chen
AIM: To evaluate the prevalence of recurrent falls and their risk factors among older men living in the Veterans Homes in Taiwan. METHODS: This cross-sectional study enrolled 871 residents and all participants received the comprehensive geriatric assessment, including Barthel Index, Mini-Mental Status Examination (MMSE), Geriatric Depression Scale-5 questions (GDS-5), Mini-Nutrition Assessment Short Form (MNA-SF), the status of urinary incontinence, stool incontinence, polypharmacy, past history of falls, multimorbidity, and medication history...
February 4, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28214239/feasibility-and-factor-structure-of-the-frail-scale-in-older-adults
#2
Ivan Aprahamian, Sumika Mori Lin, Claudia Kimie Suemoto, Daniel Apolinario, Natália Oiring de Castro Cezar, Serpui Marie Elmadjian, Wilson Jacob Filho, Mônica Sanches Yassuda
OBJECTIVES: The aim of the present study was to (1) evaluate a geriatric outpatient sample with the FRAIL scale; (2) investigate the psychometric properties of the scale; and (3) characterize different associations of the subdimensions of the scale with demographic and clinical data. DESIGN: Cross-sectional observational study. SETTING: Geriatric outpatient center a university-based hospital in São Paulo, Brazil. PARTICIPANTS: A total of 811 men and women aged 60 years or older evaluated between March 2015 and September 2015...
February 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28209592/comparison-of-diagnostic-performance-of-two-question-screen-and-15-depression-screening-instruments-for-older-adults-systematic-review-and-meta-analysis
#3
REVIEW
Kelvin K F Tsoi, Joyce Y C Chan, Hoyee W Hirai, Samuel Y S Wong
BackgroundScreening for depression in older adults is recommended.AimsTo evaluate the diagnostic accuracy of the Two-Question Screen for older adults and compare it with other screening instruments for depression.MethodWe undertook a literature search for studies assessing the diagnostic performance of depression screening instruments in older adults. Combined diagnostic accuracy including sensitivity and specificity were the primary outcomes. Potential risks of bias and the quality of studies were also assessed...
February 16, 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28194846/depression-and-medication-adherence-among-older-korean-patients-with-hypertension-mediating-role-of-self-efficacy
#4
Youn-Jung Son, Mi Hwa Won
Many studies have reported the negative effects of depression on adherence to antihypertensive medication. However, little is known about the mechanism underlying this relationship in elderly patients with hypertension. The aim of this cross-sectional study is to examine the mediating role of self-efficacy in the relationship between depression and medication adherence among older patients with hypertension. The data were collected from October to December 2014. A total of 255 older patients with hypertension were assessed using the Geriatric Depression Scale, the Self-efficacy for Appropriate Medication Use Scale, and the Morisky Medication Adherence Scale...
February 13, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28186638/psychotherapy-utilization-and-retention-in-a-national-sample-of-veterans-with-ptsd
#5
Jennifer M Doran, Robert H Pietrzak, Rani Hoff, Ilan Harpaz-Rotem
OBJECTIVE: This study examines the demographic, diagnostic, and military variables associated with psychotherapy utilization and retention in a national Veteran sample. METHOD: A large administrative VA dataset (142,620 Veterans) was utilized. Logistic regression was used to determine predictors of psychotherapy utilization and retention. RESULTS: Female gender was associat ed with increased psychotherapy utilization and retention. Geriatric age was associated with less retention in individual psychotherapy...
February 10, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28181713/prospective-relationship-between-objectively-measured-light-physical-activity-and-depressive-symptoms-in-later-life
#6
Po-Wen Ku, Andrew Steptoe, Yung Liao, Wen-Jung Sun, Li-Jung Chen
BACKGROUND: The use of self-report measures of physical activity is a serious methodological weakness in many studies of physical activity and depressive symptoms. It is still equivocal whether light physical activity protects older adults from depressive symptoms. OBJECTIVE: This study aimed to explore whether objectively measured light physical activity, independent of sedentary and moderate-to-vigorous activity, is associated with a reduced risk of subsequent depressive symptoms in older adults...
February 9, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28181457/cognitive-and-affective-functions-associated-with-insomnia-a-population-based-study
#7
Nozomi Hishikawa, Yusuke Fukui, Kota Sato, Yasuyuki Ohta, Toru Yamashita, Koji Abe
OBJECTIVES: The number of patients with insomnia is rapidly increasing as society ages. The influence of insomnia on cognitive, affective, and activities of daily living (ADL) functions has not been fully studied. METHODS: Participants were 142 residents of a local super-aged community who underwent health check-ups provided by the local government. Participants completed cognitive, affective and ADL function tests including the MMSE. We divided participants into two subgroups based on Athens Insomnia Scale (AIS) scores (AIS ≤3 and AIS ≥4) and compared cognitive, affective, and ADL functions by sex and age...
February 9, 2017: Neurological Research
https://www.readbyqxmd.com/read/28181205/alcohol-and-other-drug-use-in-older-adults-results-from-a-community-needs-assessment
#8
Emily Loscalzo, Robert C Sterling, Stephen P Weinstein, Brooke Salzman
BACKGROUND: With the "Baby Boomer" generation reaching older adulthood, substance abuse treatment providers find themselves needing to address the unique needs of this population. Heavy drinking in adults ages 65 and over is strongly correlated with depression, anxiety, decreased social support, and poor health. However, while alcohol misuse has been shown to be predictive of a lower quality of life in older adults, the generalizability of these findings to urban dwelling, lower socioeconomic status individuals remains unclear...
February 8, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28173690/the-impact-of-the-financial-crisis-on-lifestyle-health-determinants-among-older-adults-living-in-the-mediterranean-region-the-multinational-medis-study-2005-2015
#9
Alexandra Foscolou, Stefanos Tyrovolas, George Soulis, Anargiros Mariolis, Suzanne Piscopo, Giuseppe Valacchi, Foteini Anastasiou, Christos Lionis, Akis Zeimbekis, Josep-Antoni Tur, Vassiliki Bountziouka, Dimitra Tyrovola, Efthimios Gotsis, George Metallinos, Antonia-Leda Matalas, Evangelos Polychronopoulos, Labros Sidossis, Demosthenes B Panagiotakos
Objectives: By the end of the 2000s, the economic situation in many European countries started to deteriorate, generating financial uncertainty, social insecurity and worse health status. The aim of the present study was to investigate how the recent financial crisis has affected the lifestyle health determinants and behaviours of older adults living in the Mediterranean islands. Methods: From 2005 to 2015, a population-based, multi-stage convenience sampling method was used to voluntarily enrol 2749 older adults (50% men) from 20 Mediterranean islands and the rural area of the Mani peninsula...
January 2017: Journal of Preventive Medicine and Public Health, Yebang Ŭihakhoe Chi
https://www.readbyqxmd.com/read/28169107/development-of-an-instrument-for-community-level-health-related-social-capital-among-japanese-older-people-the-jages-project
#10
Masashige Saito, Naoki Kondo, Jun Aida, Ichiro Kawachi, Shihoko Koyama, Toshiyuki Ojima, Katsunori Kondo
BACKGROUND: We developed and validated an instrument to measure community-level social capital based on data derived from older community dwellers in Japan. METHODS: We used cross-sectional data from the Japan Gerontological Evaluation Study, a nationwide survey involving 123,760 functionally independent older people nested within 702 communities (i.e., school districts). We conducted exploratory and confirmatory factor analyses on survey items to determine the items in a multi-dimensional scale to measure community social capital...
February 3, 2017: Journal of Epidemiology
https://www.readbyqxmd.com/read/28165614/oral-health-and-incident-depressive-symptoms-jages-project-longitudinal-study-in-older-japanese
#11
Tatsuo Yamamoto, Jun Aida, Katsunori Kondo, Shinya Fuchida, Yukako Tani, Masashige Saito, Yuri Sasaki
OBJECTIVES: To determine whether oral health status predicts depressive symptoms in older Japanese people. DESIGN: Longitudinal study. SETTING: Twenty-four municipalities in Japan. PARTICIPANTS: Community-dwelling individuals aged 65 years and older who responded to mail surveys performed by the Japan Gerontological Evaluation Study in 2010 and 2013 (N = 14,279). MEASUREMENTS: Depressive symptoms were assessed using the Geriatric Depression Scale (GDS)...
February 6, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28162115/severe-obesity-increases-the-prevalence-but-not-the-incidence-of-depressive-symptoms-in-the-elderly-population-based-cohort-in-southern-brazil
#12
Vanessa Fernanda Goes, Elisabeth Wazlawik, Eleonora D'Orsi, David Alejandro González-Chica
BACKGROUND: The relation between body weight status and depressive symptoms in the elderly differs according to age and country of origin. The goal of this study was to analyze the cross-sectional and longitudinal relationship between body mass index (BMI), waist circumference (WC) and depressive symptoms in the elderly. METHODS: A population-based cohort study of 1,702 elderly individuals (70.6+8.0 years) in Southern Brazil evaluated in 2009/10 and 2013/14 was accessed...
February 6, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28162112/hoarding-in-the-elderly-a-critical-review-of-the-recent-literature
#13
David M Roane, Alyssa Landers, Jackson Sherratt, Gillian S Wilson
BACKGROUND: Hoarding is now a stand-alone diagnosis in DSM-5. The objective of this review is to critically evaluate the most recent literature on hoarding disorder (HD) in ageing patients. METHODS: A literature search was conducted using PubMed and PsychINFO to identify papers from 2000 to 2015 that examined HD and hoarding symptoms in late-life participants. RESULTS: Thirteen studies met inclusion criteria. Selected studies had significant methodological limitations with regard to participant sampling, diagnostic criteria, and methods for identifying co-morbid conditions...
February 6, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28159060/gender-differences-in-the-incidence-of-and-risk-factors-for-hip-fracture-a-16-year-longitudinal-study-in-a-southern-european-population
#14
Elena Lobo, Guillermo Marcos, Javier Santabárbara, Helena Salvador-Rosés, Luis Lobo-Escolar, Concepción De la Cámara, Alberto Aso, Antonio Lobo-Escolar
OBJECTIVES: To analyze independently in men and women the incidence rate of and risk factors for hip fracture in a southern European population. Illiteracy, dementia, clinically significant depression and disability were factors to receive special emphasis. STUDY DESIGN: A community sample of 4803 individuals aged over 55 years was assessed in a two-phase case-finding study in Zaragoza, Spain, and was followed up for 16 years. Medical history and psychiatric history were collected with standardized instruments, including the History and Aetiology Schedule, the Geriatric Mental State (GMS) scale, and a Risk Factors Questionnaire...
March 2017: Maturitas
https://www.readbyqxmd.com/read/28159059/the-association-between-anorexia-of-aging-and-physical-frailty-results-from-the-national-center-for-geriatrics-and-gerontology-s-study-of-geriatric-syndromes
#15
Kota Tsutsumimoto, Takehiko Doi, Hyuma Makizako, Ryo Hotta, Sho Nakakubo, Keitaro Makino, Takao Suzuki, Hiroyuki Shimada
OBJECTIVES: The present study examined the association between anorexia of aging and physical frailty among older people. STUDY DESIGN: An observational, cross-sectional cohort design was used with a sample of 4417 elderly Japanese citizens living in a community setting. MAIN OUTCOME MEASURES: Frailty was operationalized as the following frailty components: slowness, weakness, exhaustion, low level of physical activity, and weight loss. Participants were grouped as non-frail, pre-frail, and frail, and categorized as anorexic or not using questionnaire cutoff scores...
March 2017: Maturitas
https://www.readbyqxmd.com/read/28156630/emotional-disclosure-in-home-hospice-cancer-care-implications-for-spouse-caregiver-bereavement
#16
Lee Ellington, Margaret Clayton, Michael Caserta, Dale Lund, Kathi Mooney
: 54 Background: Evidence shows the benefit of positive and negative emotional disclosure for family caregivers (CG), but little is known about the impact of emotional disclosure at end of life. We assessed the effect of CG and hospice nurse disclosure during home visits on CG anxiety and depression in bereavement. METHODS: As part of a larger study, nurse visits to 95 spouse CGs of cancer home hospice patients were audio recorded. An adapted Roter Interaction Analysis System was used to identify emotional disclosure: CG and nurse positive emotion (humor, gratitude), CG distress, and nurse emotional response (reassurance, validation)...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28156583/developing-a-supportive-oncology-program-in-a-cancer-institute-needs-assessment
#17
Tara Liberman, James D'Olimpio, Maria Carney
: 141 Background: Cancer patients experience significant symptom and psychosocial burden (Temel JS, et. al. N Engl J Med. 2010 Aug 19; 363(8):733-42. Early palliative care for patients with metastatic non-small-cell lung cancer.). Integration of supportive oncology programs within cancer centers has developed since the findings of Temel and Jackson. Addressing a growing need to manage patients comprehensively, the Northwell Health Divisions of Geriatric and Palliative Medicine and Hematology and Oncology partnered to initiate a community-based supportive oncology program...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152174/depression-case-finding-in-individuals-with-dementia-a-systematic-review-and-meta-analysis
#18
Zahra S Goodarzi, Bria S Mele, Derek J Roberts, Jayna Holroyd-Leduc
OBJECTIVES: To compare the diagnostic accuracy of depression case finding tools with a criterion standard in the outpatient setting among adults with dementia. DESIGN: Systematic review and meta-analysis. SETTING: Studies of older outpatients with dementia. PARTICIPANTS: Elderly outpatients (clinic and long-term care) with dementia (N = 3,035). MEASUREMENTS: Prevalence of major depression and diagnostic accuracy measures including sensitivity, specificity, and likelihood ratios...
February 2, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28147451/impact-of-the-alexander-technique-on-well-being-a-randomised-controlled-trial-involving-older-adults-with-visual-impairment
#19
Michael Gleeson, Catherine Sherrington, Serigne Lo, Robin Auld, Lisa Keay
BACKGROUND: Older adults with visual loss have high rates of depression, restricted participation and reduced quality of life. We sought to measure the impact of lessons in the Alexander technique on vision-related emotional and social well-being, as secondary outcomes to a study on improving physical functioning in this population. METHODS: This is a single-blind randomised controlled trial. One hundred and twenty community-dwelling adults aged 50 to 90 years with visual impairments were randomised to either 12 Alexander lessons over 12 weeks and usual care or usual care...
February 1, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28146160/depression-among-the-elderly-a-population-based-study-in-southern-brazil
#20
Inês Gullich, Suele Manjourani Silva Duro, Juraci Almeida Cesar
This study assessed the prevalence of depression and associated factors among Brazilian elderly in Arroio Trinta, Southern Brazil. During home visits, a questionnaire was administered to all people aged 60 or older living in the municipality in 2013. The Geriatric Depression Scale Short Form (GDS-15) was used. The χ 2 test was performed to compare proportions and Poisson regression with robust adjustment of variance in the multivariate analysis. The effect measure applied was the prevalence ratio. The prevalence of depression among 552 (out of 568) elderly studied was 20...
October 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
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