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geriatric psychiatry

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https://www.readbyqxmd.com/read/28533149/prevalence-and-characteristics-of-catatonia-on-admission-to-an-acute-geriatric-psychiatry-ward
#1
Jorge Cuevas-Esteban, Maria Iglesias-González, Maria Rubio-Valera, Jordi Serra-Mestres, Antoni Serrano, Luisa Baladon
BACKGROUND: This study aims to describe the prevalence of catatonia in a population of older acute psychiatric inpatients according to different diagnostic criteria. Secondary objectives are: to compare the catatonic symptom profile, prevalence, and severity, in respect to the underlying aetiology, and to evaluate the association between catatonic and somatic comorbidity. METHODS: The study included 106 patients admitted to an acute geriatric psychiatry ward. Catatonia was assessed using the Bush Francis Catatonia Rating Scale (BFCRS)...
May 19, 2017: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/28488297/frailty-in-older-adults-with-amnestic-mild-cognitive-impairment-as-a-result-of-alzheimer-s-disease-a-comparison-of-two-models-of-frailty-characterization
#2
Natália O C Cezar, Rafael Izbicki, Diego Cardoso, Jouce G Almeida, Leandro Valiengo, Marina V Z Camargo, Orestes V Forlenza, Monica S Yassuda, Ivan Aprahamian
AIM: To verify the prevalence and presence of frailty markers, and their relationship to cognitive function among older adults with amnestic mild cognitive impairment (aMCI). METHODS: This was an observational study with transversal analyses. Older adults with aMCI as a result of Alzheimer's disease (n = 40) were compared with healthy controls (n = 26) at the Psychogeriatric Outpatient Unit, Institute and Department of Psychiatry, Faculty of Medicine of the University of São Paulo...
May 10, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28474775/subcortical-hyperintensities-in-the-cholinergic-system-are-associated-with-improvements-in-executive-function-in-older-adults-with-coronary-artery-disease-undergoing-cardiac-rehabilitation
#3
Calvin Santiago, Nathan Herrmann, Walter Swardfager, Mahwesh Saleem, Paul I Oh, Sandra E Black, Janelle Bradley, Krista L Lanctôt
OBJECTIVE: Coronary artery disease (CAD) is frequently accompanied by white matter hyperintensities and executive dysfunction. Because acetylcholine is important in executive function, these symptoms may be exacerbated by subcortical hyperintensities (SH) located in cholinergic (CH) tracts. This study investigated the effects of SH on cognitive changes in CAD patients undergoing a 48-week cardiac rehabilitation program. METHODS: Fifty patients (age 66.5 ± 7.1 years, 84% male) underwent the National Institute of Neurological Disorders and Stroke - Canadian Stroke Network neurocognitive battery at baseline and 48 weeks...
May 5, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28467006/initiating-activities-of-daily-living-contributes-to-well-being-in-people-with-dementia-and-their-carers
#4
Clarissa M Giebel, Caroline Sutcliffe
OBJECTIVE: Problems with everyday functioning are linked to reduced well-being in people with dementia (PwD) and their carers. However, previous research has almost solely investigated the performance of everyday activities, and global functioning without analysing individual activities. This study explored how deficits in initiating and performing individual activities were associated with carer burden and poorer quality of life of carers and PwD. METHODS: Carers of people with mild dementia were recruited via 10 National Health Service Trusts, as well as through attending six carer support groups...
May 3, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28425185/the-influence-of-hippocampal-atrophy-on-the-cognitive-phenotype-of-dementia-with-lewy-bodies
#5
Greg J Elder, Karen Mactier, Sean J Colloby, Rosie Watson, Andrew M Blamire, John T O'Brien, John-Paul Taylor
OBJECTIVE: The level of hippocampal atrophy in dementia with Lewy bodies (DLB) is typically less than that observed in Alzheimer's disease (AD). However, it is not known how the cognitive phenotype of DLB is influenced by hippocampal atrophy or the atrophy of adjacent medial temporal lobe structures. METHODS: Dementia with Lewy bodies (n = 65), AD (n = 76) and control (n = 63) participants underwent 3T magnetic resonance imaging and cognitive Cambridge Cognitive Examination and Mini-Mental State Examination (CAMCOG and MMSE) assessments...
April 20, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28406368/prn-medication-administration-in-a-geriatric-psychiatric-hospital-chart-review-and-nursing-perspective
#6
Lori Harper, John R Reddon, Courtney J Hunt, Heather Royan
OBJECTIVE: To improve patient care/outcome, an evaluation was conducted of nursing procedures and protocols for pro re nata (PRN) medications. METHODS: A 14-day chart review was conducted for 27 patients with mood and thought disorders (MTD) and for 24 patients with organic disorders (OD) at a geriatric psychiatric hospital, and a questionnaire was completed by 20 nurses. RESULTS: 377 PRNs were administered to patients in the MTD and OD units (240 and 137, respectively)...
March 24, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/28400963/psychiatry-and-the-geriatric-syndromes-creating-constructive-interfaces
#7
EDITORIAL
Simon Thacker, Mike Skelton, Rowan Harwood
Integrating mental and physical healthcare is difficult to achieve because of professional and organisational barriers. Psychiatrists recognise the problems resulting from fragmentation of services and want continuity of care for patients, but commissioning and service structures perpetuate these problems. One way forward may be to follow the syndromic model employed by geriatricians as a means of avoiding over-emphasis on diagnosis above the pragmatics of implementing multi-component, coordinated care. Commissioners need to be made aware of the overlap and complementarity of skills possessed by old age psychiatry and geriatric medicine to create joint services for people vulnerable to dementia and delirium...
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28392063/geriatric-psychiatry-is-there-a-future
#8
EDITORIAL
Jimmy N Avari, Barnett S Meyers
No abstract text is available yet for this article.
May 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28390442/a-first-step-toward-integrating-schema-theory-in-geriatric-psychiatry-a-delphi-study
#9
M J H Legra, F R J Verhey, S P J van Alphen
BACKGROUND: Schematherapy (ST) is an effective therapy for personality disorders (PD's) in adults, however, empirical research into ST in older adults is limited. The manifestation of schemas over the life course is unclear. Besides, long-term patterns of schemas in old age and whether schemas change during the aging process remain unknown. METHODS: We performed a Delphi study involving a group meeting of nine experts in the field of ST in older adults. RESULTS: Full consensus was achieved that schemas vary later in life, and that this is due to biopsychosocial factors...
April 9, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28387208/validation-of-an-instrument-to-assess-the-mental-capacity-to-sign-an-enduring-power-of-attorney
#10
R Sf Ko, V Wc Lui, K C Lai, C Cy Chiu, L Cw Lam
OBJECTIVE: To describe the validation of an instrument to assess the mental capacity of an individual to sign an enduring power of attorney. METHODS: An instrument named Capacity Assessment to Sign an Enduring Power of Attorney (CASEPA) was developed following a literature review, focus group discussions, expert reviews, and pilot testing. Chinese persons aged ≥ 60 years who had a range of cognitive abilities were recruited from elderly care centres in Hong Kong to explore its psychometric properties...
March 2017: East Asian Archives of Psychiatry: Official Journal of the Hong Kong College of Psychiatrists
https://www.readbyqxmd.com/read/28382870/late-versus-early-onset-depression-in-elderly-patients-vascular-risk-and-cognitive-impairment
#11
Abdelhamid H Hashem, Maged Al-Adrousy Gomaa, Mohamed Nasr Elden Sadek, Ola Osama Khalaf
BACKGROUND: Three-quarters of patients with major depressive disorder have late-onset depression. Late-onset depression is more often associated with cognitive impairment than early-onset depression and evidences showed a relationship between vascular factors and late-life depression. OBJECTIVES: To compare cognitive functions between late-onset (≥60 years) and early-onset (<60 years) depression in elderly patients and to highlight the effect of vascular risk factors in elderly patients with late and early onset depression...
April 4, 2017: Current Aging Science
https://www.readbyqxmd.com/read/28379646/the-occurrence-and-persistence-of-thoughts-of-suicide-self-harm-and-death-in-family-caregivers-of-people-with-dementia-a-longitudinal-data-analysis-over-2%C3%A2-years
#12
Karlijn J Joling, Siobhan T O'Dwyer, Cees M P M Hertogh, Hein P J van Hout
OBJECTIVE: Family caregivers of people with dementia often report high levels of stress and depression, but little is known about those who contemplate suicide or self-harm. This study explores thoughts of suicide, self-harm and death in dementia caregivers and investigates the characteristics that distinguish them from those without such thoughts. METHODS: Data were collected every 3 months, for 24 months, from 192 family caregivers of people with dementia living in the Netherlands...
April 5, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28378264/the-american-association-for-geriatric-psychiatry-s-scholars-program-a-model-program-for-recruitment-into-psychiatric-subspecialties
#13
Kirsten M Wilkins, Brent Forester, Michelle Conroy, Paul D S Kirwin
No abstract text is available yet for this article.
April 4, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28360781/evaluation-of-the-relationship-between-major-depressive-disorder-and-bereavement-symptoms-in-elderly-patients-who-present-either-to-psychiatry-or-family-medicine
#14
İbrahim Taymur, Kadir Özdel, Cenk Aypak, Veli Duyan, Özlem Türedi, Buket Belkız Güngör, Yavuz Selvi
INTRODUCTION: We aimed to determine the level of bereavement and depression symptoms among elderly patients who experience the loss of a significant other and the relationship between depressive symptoms and bereavement symptoms. METHODS: The study sample consisted of elderly adults who lost a significant other at least 6 months prior to the submission time. Participants were recruited from patients who presented to either the psychiatry or family medicine outpatient unit of a Training and Research Hospital...
June 2016: Noro Psikiyatri Arsivi
https://www.readbyqxmd.com/read/28306138/john-a-hartford-foundation-centers-of-excellence-program-history-impact-and-legacy
#15
David B Reuben, Daniel B Kaplan, Odette van der Willik, Nora O Brien-Suric
The John A. Hartford Foundation (JAHF) created the Centers of Excellence in Geriatric Medicine and Geriatric Psychiatry in 1988 with the goal of establishing academic training environments to increase geriatrics-trained faculty. The initiative identified medical schools with the necessary components for training academic geriatricians. JAHF grants provided the resources to create a cadre of physicians whose research, teaching and practice leads to substantial contributions in geriatrics. Results from two evaluations show that the program has successfully increased geriatrics-prepared faculty who have achieved promotion and institutional retention, success in winning competitive research grants, and positions of leadership...
March 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28255854/six-things-all-medical-students-need-to-know-about-geriatric-psychiatry-and-how-to-teach-them
#16
Kirsten M Wilkins, Mary C Blazek, William B Brooks, Susan W Lehmann, Dennis Popeo, Deborah Wagenaar
No abstract text is available yet for this article.
March 2, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28237826/treatment-considerations-for-depression-research-in-older-married-couples-a-dyadic-case-study
#17
Sarah T Stahl, Juleen Rodakowski, Ariel G Gildengers, Charles F Reynolds, Jennifer Q Morse, Kevin Rico, Meryl A Butters
OBJECTIVE: Critical gaps remain in understanding optimal approaches to intervening with older couples. The focus of this report is to describe the pros and cons of incorporating spousal dyads into depression-prevention research. METHODS: In an intervention development study, the authors administered problem-solving therapy (PST) dyadically to participants with mild cognitive impairment (MCI) and their caregivers. Dyads worked with the same interventionist in the same therapy session...
April 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28217838/the-experiences-of-people-with-dementia-and-their-carers-participating-in-individual-cognitive-stimulation-therapy
#18
Phuong Leung, Lauren Yates, Vasiliki Orgeta, Fara Hamidi, Martin Orrell
BACKGROUND: The carer-delivered individual cognitive stimulation therapy (iCST) was developed to improve cognition and quality of life of people with dementia. This study aims to explore people with dementia and family carers' concepts of mental stimulation and experiences of participating in the iCST intervention. METHODS: A sub-sample of 23 dyads of people with dementia and their family carers who completed the iCST intervention took part in semi-structured in-depth interviews...
February 20, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28214074/subspecialty-training-and-certification-in-geriatric-psychiatry-a-25-year-overview
#19
Dorthea Juul, Christopher C Colenda, Jeffrey M Lyness, Laura B Dunn, Rita Hargrave, Larry R Faulkner
The Institute of Medicine estimated that by 2030, from 10.1 to 14.4 million Americans aged 65 years or older will have mental health or substance use disorders. This article reviews the history and current status of training, certification, and practice in geriatric psychiatry against the backdrop of this "silver tsunami." The American Board of Psychiatry and Neurology (ABPN) administered the first subspecialty examination in geriatric psychiatry in 1991, and through 2015 3,329 certificates were awarded. The Accreditation Council for Graduate Medical Education approved the training requirements in 1993...
January 9, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28194812/detection-and-management-of-hyperactive-and-hypoactive-delirium-in-older-patients-during-hospitalization-a-retrospective-cohort-study-evaluating-daily-practice
#20
Eveline L van Velthuijsen, Sandra M G Zwakhalen, Wubbo J Mulder, Frans R J Verhey, Gertrudis I J M Kempen
OBJECTIVES: The objectives of the study are to study daily hospital practice regarding detection and management and to study hyperactive and hypoactive delirium of older patients during their hospitalization. METHODS: A retrospective cohort study evaluating care as usual for older hospitalized patients with delirium at Maastricht University Medical Center+, a university hospital in the Netherlands, was performed. Inclusion criteria were older hospitalized patients (65+ years), diagnosed with delirium between 1 January and 31 December 2014...
February 14, 2017: International Journal of Geriatric Psychiatry
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