MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Am J Geriatr Psychiatry' source. Sat, 10 Oct 2009 19:27:30 +0100 http://www.medworm.com/index.php?rid=1988644&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F1050%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988644 Wed, 26 Nov 2008 05:00:00 +0100 1988644 http://www.medworm.com/index.php?rid=1988643&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F1036%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988643 Wed, 26 Nov 2008 05:00:00 +0100 1988643 http://www.medworm.com/index.php?rid=1988642&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F1029%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988642 Wed, 26 Nov 2008 05:00:00 +0100 1988642 http://www.medworm.com/index.php?rid=1988641&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F1020%3Frss%3D1 Conclusions: Both lifetime and 1-year prevalence of mental disorders were less common in older than in younger persons; however, among elderly adults late onset disorders were not uncommon. Additional studies of the prevalence rates of disorders among older individuals in Latin America are needed for public health planning. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988641 Wed, 26 Nov 2008 05:00:00 +0100 1988641 http://www.medworm.com/index.php?rid=1988640&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F1010%3Frss%3D1 Conclusions: Older adults’ positive attitudes and treatment beliefs are unlikely barriers to their use of mental health services. This finding, which is consistent with recent positive views of aging, suggests that enabling resources and need factors are more likely explanations for older adults’ low rates of mental health service use. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988640 Wed, 26 Nov 2008 05:00:00 +0100 1988640 http://www.medworm.com/index.php?rid=1988639&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F999%3Frss%3D1 Conclusions: These results suggest that daily celecoxib use may improve cognitive performance and increase regional brain metabolism in people with age-associated memory decline. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988639 Wed, 26 Nov 2008 05:00:00 +0100 1988639 http://www.medworm.com/index.php?rid=1988638&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F989%3Frss%3D1 Conclusions: Diabetes is related to increased brain atrophy and poor motor function in 60–64 year olds, independent of depression, vascular risk factors, and small vessel disease of the brain. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988638 Wed, 26 Nov 2008 05:00:00 +0100 1988638 http://www.medworm.com/index.php?rid=1988637&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F981%3Frss%3D1 Conclusion: FMD is, in many instances, a long-term rather than transient problem. Possible reasons include the persistence of burden factors and the failure to evade the "stress spiral" of mutual reinforcement of distress and cognitive dysfunction. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988637 Wed, 26 Nov 2008 05:00:00 +0100 1988637 http://www.medworm.com/index.php?rid=1988636&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F974%3Frss%3D1 Conclusions: Diminished abilities for emotion discrimination are already present in patients with MCI and further decreased with AD progression. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988636 Wed, 26 Nov 2008 05:00:00 +0100 1988636 http://www.medworm.com/index.php?rid=1988635&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F966%3Frss%3D1 Conclusions: Remission rates were consistent with those reported in younger samples. Our findings suggest that symptomatic remission is an attainable goal and that treatments focused on those variables associated with remission may augment outcomes in older persons with schizophrenia. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988635 Wed, 26 Nov 2008 05:00:00 +0100 1988635 http://www.medworm.com/index.php?rid=1988634&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F957%3Frss%3D1 Conclusions: This is the first study to investigate the relationship between religious participation and serious mental disorders among a national sample of older African Americans. The inverse relationship between religious service attendance and mood disorders is discussed. Implications for mental health treatment underscore the importance of assessing religious orientations to render more culturally sensitive care. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988634 Wed, 26 Nov 2008 05:00:00 +0100 1988634 http://www.medworm.com/index.php?rid=1988633&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F948%3Frss%3D1 Conclusions: These findings reveal that a significant proportion of African American older adults with mental health disorders do not receive professional help. Future research on system, provider, and patient factors is needed to clarify and explain underutilization of mental health services. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988633 Wed, 26 Nov 2008 05:00:00 +0100 1988633 http://www.medworm.com/index.php?rid=1988632&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2F945%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988632 Wed, 26 Nov 2008 05:00:00 +0100 1988632 http://www.medworm.com/index.php?rid=1988631&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F12%2FA7%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1988631 Wed, 26 Nov 2008 05:00:00 +0100 1988631 http://www.medworm.com/index.php?rid=1923384&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F934%3Frss%3D1 Conclusion: Several aspects of religiosity reduced the odds of being a tobacco user. Not having a religion and the experience of a religious change increased the risk of alcohol misuse. However, the domain orienting-motivating force increased the odds, and participating in social religious activities had reduced the risk of a depressive state. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923384 Fri, 31 Oct 2008 04:00:00 +0100 1923384 http://www.medworm.com/index.php?rid=1923383&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F922%3Frss%3D1 Conclusion: This data shows recovery is achievable in the elderly though more than one medication is often needed regardless of age. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923383 Fri, 31 Oct 2008 04:00:00 +0100 1923383 http://www.medworm.com/index.php?rid=1923382&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F914%3Frss%3D1 Conclusion: Main findings suggest that the accuracy of the GDS-15 was not influenced by severity of clinical or functional factors, or sociodemographics. This has broad implications suggesting that the very old, ill, and diverse populations can be appropriately screened for depression using the GDS-15. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923382 Fri, 31 Oct 2008 04:00:00 +0100 1923382 http://www.medworm.com/index.php?rid=1923381&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F905%3Frss%3D1 Conclusion: Older men act more decisively on their suicidal intent than older women and this difference is more pronounced with increasing age. These findings might partially explain the sex differences in suicide deaths worldwide. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923381 Fri, 31 Oct 2008 04:00:00 +0100 1923381 http://www.medworm.com/index.php?rid=1923380&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F893%3Frss%3D1 Conclusion: Effective counseling and support interventions can reduce symptoms of depression in caregivers when patients are taking donepezil. Harmonized multinational psychosocial interventions are feasible. Combined drug and supportive care approaches to the management of people with AD should be a priority. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923380 Fri, 31 Oct 2008 04:00:00 +0100 1923380 http://www.medworm.com/index.php?rid=1923379&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F883%3Frss%3D1 Conclusions: In this population-based study of individuals with incident AD, use of statins and beta-blockers was associated with delay of functional decline. Further studies are needed to confirm these results and to determine whether treatment with these medications may help delay AD progression. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923379 Fri, 31 Oct 2008 04:00:00 +0100 1923379 http://www.medworm.com/index.php?rid=1923378&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F874%3Frss%3D1 Conclusion: Combined "classic" cardiovascular risk factors are not associated with impaired self-rated health or mental well-being in elderly men, but are predictive of functional disability. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923378 Fri, 31 Oct 2008 04:00:00 +0100 1923378 http://www.medworm.com/index.php?rid=1923377&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F867%3Frss%3D1 Conclusions: These findings, for the first time, have provided some evidence that both major and minor poststroke depression may lead to decreased HRV. Future research in larger groups of patients should determine whether other measures of HRV more specific to sympathetic-parasympathetic tone are decreased in patients with poststroke depression. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923377 Fri, 31 Oct 2008 04:00:00 +0100 1923377 http://www.medworm.com/index.php?rid=1923376&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F861%3Frss%3D1 Conclusions: Our findings suggest that age has differential influence on vagal function in individuals with and without depression, a difference with implications for cardiovascular disease risk in depression. Prospective studies of cardiac vagal activity in depressed patients with or without preexisting cardiac disease in different age groups are needed to replicate and extend these findings. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923376 Fri, 31 Oct 2008 04:00:00 +0100 1923376 http://www.medworm.com/index.php?rid=1923375&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F11%2F857%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1923375 Fri, 31 Oct 2008 04:00:00 +0100 1923375 http://www.medworm.com/index.php?rid=1840160&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F853%3Frss%3D1 Conclusions: PTSD rates are lower in older age cohorts, although reasons for this are unclear. With 10% reporting reexperiencing symptoms associated with past events, however, greater awareness of treatments that target traumatic memories may be beneficial. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840160 Tue, 30 Sep 2008 04:00:00 +0100 1840160 http://www.medworm.com/index.php?rid=1840159&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F844%3Frss%3D1 Conclusion: Depression is a significant risk factor for all-cause mortality in old age, yet the risk conveyed by depression does not hold in very old age. Possible underlying mechanisms in the very old are discussed. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840159 Tue, 30 Sep 2008 04:00:00 +0100 1840159 http://www.medworm.com/index.php?rid=1840158&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F834%3Frss%3D1 Conclusions: Depressive symptoms are highly prevalent among elderly MCI subjects and, in cognitively normal elderly individuals, are associated with an increased risk of developing MCI. The association is stronger for the MCI subtype without memory impairment. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840158 Tue, 30 Sep 2008 04:00:00 +0100 1840158 http://www.medworm.com/index.php?rid=1840157&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F826%3Frss%3D1 Conclusion: Our study suggests that older persons with serious mental illness have a stronger desire for involvement in decision-making than younger consumers. Additionally, role preference for involvement in decision-making varies across different clinical decisions and for psychopharmacological versus psychosocial interventions. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840157 Tue, 30 Sep 2008 04:00:00 +0100 1840157 http://www.medworm.com/index.php?rid=1840156&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F819%3Frss%3D1 Conclusion: All these findings suggest the possibility that the presence of ApoE 4 affects cognitive function only when the brain reserve is low. In other words, these findings support the structural "brain reserve hypothesis," and the effects are more pronounced in genetically predisposed individuals. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840156 Tue, 30 Sep 2008 04:00:00 +0100 1840156 http://www.medworm.com/index.php?rid=1840155&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F813%3Frss%3D1 Conclusions: The results showed a good convergent, concurrent, and discriminant validity of the GADSS when used for elderly with GAD. The authors conclude that GADSS is a valid measure of GAD symptom severity in older adults. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840155 Tue, 30 Sep 2008 04:00:00 +0100 1840155 http://www.medworm.com/index.php?rid=1840154&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F804%3Frss%3D1 Conclusion: Diverse psychotropic medication classes are used to treat veterans diagnosed with PTSD in VA with declining use among older veterans. Medication utilization is greater in mental health clinics but declined more steeply with age, perhaps reflecting the greater sensitivity of specialists to the risks of elderly veterans. Older veterans diagnosed with PTSD appear to receive conservative, cautious treatment although observed patterns of care may reflect some degree of undertreatment. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840154 Tue, 30 Sep 2008 04:00:00 +0100 1840154 http://www.medworm.com/index.php?rid=1840153&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F790%3Frss%3D1 This article critically reviews evidence of more prevalent anxiety in cognitively impaired older adults, elevated anxiety related to poorer cognitive performance, and more severe anxiety symptoms predicting future cognitive decline. It considers pathophysiologic mediators and moderators, and the influence of comorbid depression or medical illness in anxiety. Identified directions for future research includes use of in-depth anxiety assessment comparing normal and mild cognitively impaired older adults and use of challenging neuropsychological tests to determine if specific cognitive domains suffer in anxious older adults. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840153 Tue, 30 Sep 2008 04:00:00 +0100 1840153 http://www.medworm.com/index.php?rid=1840152&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F10%2F787%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1840152 Tue, 30 Sep 2008 04:00:00 +0100 1840152 http://www.medworm.com/index.php?rid=1741618&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F786%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741618 Fri, 29 Aug 2008 04:00:00 +0100 1741618 http://www.medworm.com/index.php?rid=1741617&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F781%3Frss%3D1 Conclusions: In oldest old nondemented noncarriers of the APOE4 allele, high cholesterol is associated with better memory function. Further examination of the role of APOE genotype on the association between cholesterol and cognitive performance, especially in the oldest old is warranted. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741617 Fri, 29 Aug 2008 04:00:00 +0100 1741617 http://www.medworm.com/index.php?rid=1741616&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F777%3Frss%3D1 Conclusions: Participation restriction and depressive symptoms are related in individuals with schizophrenia; however, the direction of their relationship is unclear and requires further investigation. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741616 Fri, 29 Aug 2008 04:00:00 +0100 1741616 http://www.medworm.com/index.php?rid=1741615&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F770%3Frss%3D1 Conclusions: Lack of interest, a mild behavioral sign, could be an indicator of potential decline in MCI patients and underlines the importance of checking the cognitive status of these patients. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741615 Fri, 29 Aug 2008 04:00:00 +0100 1741615 http://www.medworm.com/index.php?rid=1741614&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F760%3Frss%3D1 Conclusions: These results suggest that alexithymia in older age may be a result of structural changes in the right rostral ACC. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741614 Fri, 29 Aug 2008 04:00:00 +0100 1741614 http://www.medworm.com/index.php?rid=1741613&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F752%3Frss%3D1 Conclusion: The current results suggest that better pretreatment cognitive function, particularly in verbal memory, is associated with a greater treatment response in late-life depression. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741613 Fri, 29 Aug 2008 04:00:00 +0100 1741613 http://www.medworm.com/index.php?rid=1741612&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F742%3Frss%3D1 Conclusion: A diagnosis of major or minor depression at hospital admission is an independent risk factor for poorer cognitive function during the subsequent 12 months in older medical patients. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741612 Fri, 29 Aug 2008 04:00:00 +0100 1741612 http://www.medworm.com/index.php?rid=1741611&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F736%3Frss%3D1 Conclusions: Clinicians working with at-risk older adults are encouraged to explore their patients’ RFL. These cross-sectional findings point to the need for prospective research examining the associations among different RFL, hopelessness, and suicide ideation in depressed older adults. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741611 Fri, 29 Aug 2008 04:00:00 +0100 1741611 http://www.medworm.com/index.php?rid=1741610&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F727%3Frss%3D1 Conclusion: Diverse patterns of risk factors for suicide have to be evaluated in older adults. Physicians must be aware that the concomitant presence of depressive symptoms and several life events (especially loss and loneliness in women and physical illness in men) should be considered warning signs for suicidal behavior. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741610 Fri, 29 Aug 2008 04:00:00 +0100 1741610 http://www.medworm.com/index.php?rid=1741609&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F718%3Frss%3D1 Conclusion: Although bipolar disorder may severely alter an individual’s planned life trajectory, accomplishment of life goals can at least partially offset the sense of loss that is often seen in bipolar illness. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741609 Fri, 29 Aug 2008 04:00:00 +0100 1741609 http://www.medworm.com/index.php?rid=1741608&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F706%3Frss%3D1 In 2011 the oldest baby boomers will turn age 65. Although healthcare researchers have started to examine the future preparedness of the healthcare system for the elderly, psychiatric emergency services (PES) have been widely overlooked. Research is needed to address PES need and demand by older patients, assess the consequences of this need or demand, and establish recommendations to guide PES planning and practice. The authors examined journal articles, review articles, textbooks, and electronic databases related to these topics. The authors outline the current PES environment in terms of facilities, characteristics, and visits, and discuss current geriatric patient PES use. Factors expected to impact future use are examined, including sociodemographic characteristics, psychiatric illnes... Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741608 Fri, 29 Aug 2008 04:00:00 +0100 1741608 http://www.medworm.com/index.php?rid=1741607&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F9%2F703%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1741607 Fri, 29 Aug 2008 04:00:00 +0100 1741607 http://www.medworm.com/index.php?rid=1670610&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F697%3Frss%3D1 Conclusions: Objective measures of total daily physical activity were associated with a broad range of cognitive abilities in older persons. These findings support the link between physical activity and cognition in the elderly. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670610 Thu, 31 Jul 2008 04:00:00 +0100 1670610 http://www.medworm.com/index.php?rid=1670609&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F693%3Frss%3D1 Conclusion: The ACED is a reliable and valid measure to assess decision-making capacity. It may serve as an important addition to current methods used to assess everyday decision-making. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670609 Thu, 31 Jul 2008 04:00:00 +0100 1670609 http://www.medworm.com/index.php?rid=1670608&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F686%3Frss%3D1 Conclusions: Benzodiazepine exposure in the elderly increases the risk of hip fractures. This is true even with modest dosage, short-acting agents and short-term exposures. Clinicians should prescribe benzodiazepines judiciously with the elderly to minimize drug-related hip fractures. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670608 Thu, 31 Jul 2008 04:00:00 +0100 1670608 http://www.medworm.com/index.php?rid=1670607&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F674%3Frss%3D1 Conclusion: This research highlights the complexity that patients with psychiatric and cognitive disorders face when choosing a Medicare PDP. Policymakers and clinicians should be aware of the tradeoffs that beneficiaries with psychiatric disorders face when making PDP plan choices. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670607 Thu, 31 Jul 2008 04:00:00 +0100 1670607 http://www.medworm.com/index.php?rid=1670606&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F664%3Frss%3D1 Conclusions: Family members of NH residents with advanced dementia experience predeath grief symptoms, particularly separation distress. Predeath grief symptoms are associated with, but distinct from, those of depression. Several factors identified HCPs at higher risk for predeath grief and who may benefit from early interventions to reduce suffering. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670606 Thu, 31 Jul 2008 04:00:00 +0100 1670606 http://www.medworm.com/index.php?rid=1670605&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F660%3Frss%3D1 Conclusions: Negative symptoms were associated with functioning. The relationship between negative symptoms and medication errors seem to weaken in subjects with quicker processing speed. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670605 Thu, 31 Jul 2008 04:00:00 +0100 1670605 http://www.medworm.com/index.php?rid=1670604&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F650%3Frss%3D1 Conclusions: Patients with MCI are not fully aware of deficits in their financial abilities. Both cognitive impairment and depression impact MCI patients' self-reported functioning. In addition, MCI informants misestimate patients' financial abilities. This raises concerns about the widespread use of informant report as the gold standard against which to evaluate patient self-report of functioning. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670604 Thu, 31 Jul 2008 04:00:00 +0100 1670604 http://www.medworm.com/index.php?rid=1670603&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F643%3Frss%3D1 Conclusions: Although a majority of persons with and at risk for the sustained and progressive decisional incapacity of AD are formally planning for the future, a substantial minority are not. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670603 Thu, 31 Jul 2008 04:00:00 +0100 1670603 http://www.medworm.com/index.php?rid=1670602&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F633%3Frss%3D1 Conclusions: Although mild to moderate atrophy is expected in late-life, prefrontal atrophy may represent changes to neuroanatomic substrates that qualitatively modulate self-perceptions of energy and general health for both depressed and nondepressed persons. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670602 Thu, 31 Jul 2008 04:00:00 +0100 1670602 http://www.medworm.com/index.php?rid=1670601&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F621%3Frss%3D1 The objective of this literature review was to evaluate the evidence pertaining to the impact of medication reviews and/or educational interventions on psychotropic drug use in long-term care facilities. A computerized search was conducted using MEDLINE, Cochrane Central Register of Control Trials, CINAHL, EMBASE, International Pharmaceutical Abstracts and PsycINFO, from January 1980 to April 2007. Controlled studies or randomized controlled studies were included for review. The authors identified 26 studies evaluating the impact of medication reviews and/or educational interventions on psychotropic drug use in long-term care facilities. Eleven studies met the inclusion criteria for this review and the data from six of these studies were included in a meta-analysis. The pooled odds ratio (... Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670601 Thu, 31 Jul 2008 04:00:00 +0100 1670601 http://www.medworm.com/index.php?rid=1670600&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F8%2F617%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1670600 Thu, 31 Jul 2008 04:00:00 +0100 1670600 http://www.medworm.com/index.php?rid=1555957&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F615%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555957 Mon, 30 Jun 2008 04:00:00 +0100 1555957 http://www.medworm.com/index.php?rid=1555956&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F614-a%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555956 Mon, 30 Jun 2008 04:00:00 +0100 1555956 http://www.medworm.com/index.php?rid=1555955&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F614%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555955 Mon, 30 Jun 2008 04:00:00 +0100 1555955 http://www.medworm.com/index.php?rid=1555954&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F613%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555954 Mon, 30 Jun 2008 04:00:00 +0100 1555954 http://www.medworm.com/index.php?rid=1555953&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F612%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555953 Mon, 30 Jun 2008 04:00:00 +0100 1555953 http://www.medworm.com/index.php?rid=1555952&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F603%3Frss%3D1 Conclusions: Two-thirds of MCI-multidomains, but only half of MCI-amnestic progress to AD. The standard MCI criteria failed to identify those people with global cognitive deficits who have, however, a high risk of progressing to AD. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555952 Mon, 30 Jun 2008 04:00:00 +0100 1555952 http://www.medworm.com/index.php?rid=1555951&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F594%3Frss%3D1 Conclusion: Neuropsychiatric subgroups were able to differentially predict caregiver burden. The findings appear to lend further support to the validity of classifying neuropsychiatric symptoms in AD patients using cluster analysis. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555951 Mon, 30 Jun 2008 04:00:00 +0100 1555951 http://www.medworm.com/index.php?rid=1555950&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F584%3Frss%3D1 Conclusion: Our results suggested biphasic effects of age on antipsychotic dose prescribed in patients with schizophrenia spectrum disorders. The natural history of schizophrenia and physiological aging may contribute to this inverted U-shaped relationship. In addition, our results may add another evidence of distinction among EOS, LOS, and VLOS from a clinical psychopharmacological perspective. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555950 Mon, 30 Jun 2008 04:00:00 +0100 1555950 http://www.medworm.com/index.php?rid=1555949&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F575%3Frss%3D1 Conclusions: Incident delirium occurred in 23% of patients after cardiac surgery and incident delirium symptoms, in 57%. The strongest predictor of both incident delirium and delirium symptoms was a history of cerebrovascular disease. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555949 Mon, 30 Jun 2008 04:00:00 +0100 1555949 http://www.medworm.com/index.php?rid=1555948&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F568%3Frss%3D1 Conclusion: Among mild to moderate AD patients, enrolled in an actual clinical trial, these results suggest evidence based guidelines for using the MacCAT-CR understanding subscale to help guide judgments about whether a patient has the capacity to consent. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555948 Mon, 30 Jun 2008 04:00:00 +0100 1555948 http://www.medworm.com/index.php?rid=1555947&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F558%3Frss%3D1 Conclusions: Antidepressants are more effective than placebo in elderly depressed subjects although effects are modest and vary. Identification of the characteristics of responders and nonresponders will be crucial to improving treatment outcomes. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555947 Mon, 30 Jun 2008 04:00:00 +0100 1555947 http://www.medworm.com/index.php?rid=1555946&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F551%3Frss%3D1 Conclusions: Apathy in AD is associated with a blunted subjective response to d-amph, which may be indicative of dysfunction in the BRS. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555946 Mon, 30 Jun 2008 04:00:00 +0100 1555946 http://www.medworm.com/index.php?rid=1555945&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F537%3Frss%3D1 Conclusions: In nursing home residents with AD and psychosis, aripiprazole did not confer specific benefits for the treatment of psychotic symptoms; but psychological and behavioral symptoms, including agitation, anxiety, and depression, were improved with aripiprazole, with a low risk of AEs. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555945 Mon, 30 Jun 2008 04:00:00 +0100 1555945 http://www.medworm.com/index.php?rid=1555944&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F528%3Frss%3D1 Conclusion: Neuropsychiatric symptoms are ubiquitous in nursing home patients with dementia. Overall the symptoms are chronically present, whereas individual symptoms often show an intermittent course. Long-term use of psychotropic medication is extensive. Uncertainty about treatment effects emphasizes the need for further treatment trials. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555944 Mon, 30 Jun 2008 04:00:00 +0100 1555944 http://www.medworm.com/index.php?rid=1555943&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F7%2F523%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1555943 Mon, 30 Jun 2008 04:00:00 +0100 1555943 http://www.medworm.com/index.php?rid=1479608&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F519%3Frss%3D1 Conclusion: The MS was associated with increased risk of cognitive decline in Chinese older adults. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479608 Fri, 30 May 2008 04:00:00 +0100 1479608 http://www.medworm.com/index.php?rid=1479607&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F513%3Frss%3D1 Conclusion: The CZBI is feasible for measuring feelings of burden of caregivers for Taiwanese patients with dementia. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479607 Fri, 30 May 2008 04:00:00 +0100 1479607 http://www.medworm.com/index.php?rid=1479606&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F506%3Frss%3D1 Conclusion: These findings extend the observation that elderly bipolar manic patients have deficits in executive functioning compared with NC samples and provide evidence that the executive deficits demonstrated by bipolar manic elders can be more severe than those in unipolar depressed elders. As executive functions require frontostriatal integrity, these observations support investigation of specific frontostriatal network abnormalities in late-life bipolar disorder. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479606 Fri, 30 May 2008 04:00:00 +0100 1479606 http://www.medworm.com/index.php?rid=1479605&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F498%3Frss%3D1 Conclusions: This study supports the judicious use of combined continuation/maintenance ECT and antidepressant treatment in elderly patients with psychotic unipolar depression who are ECT remitters. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479605 Fri, 30 May 2008 04:00:00 +0100 1479605 http://www.medworm.com/index.php?rid=1479604&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F488%3Frss%3D1 Conclusions: In the next decade, the growing and aging substance abusing population will require clinicians trained in both geriatrics and substance abuse. Health and mental health professionals have the opportunity to address the specialized needs of this population and prepare for the shifting service needs these older patients will require. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479604 Fri, 30 May 2008 04:00:00 +0100 1479604 http://www.medworm.com/index.php?rid=1479603&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F478%3Frss%3D1 Conclusion: LOS and VLOSLP are rare. Abnormal psychomotor activity can properly differentiate VLOSLP and LOS. The nosological model proposed by the International Late-Onset Schizophrenia Group is at least partially supported by the present data. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479603 Fri, 30 May 2008 04:00:00 +0100 1479603 http://www.medworm.com/index.php?rid=1479602&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F469%3Frss%3D1 Conclusions: The NIMH-dAD criteria identify a greater proportion of AD patients as depressed than several other established tools. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479602 Fri, 30 May 2008 04:00:00 +0100 1479602 http://www.medworm.com/index.php?rid=1479601&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F460%3Frss%3D1 Conclusion: The data collected to date support the feasibility of translating from epidemiology to RCT design and implementation of empirical depression prevention research in later life. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479601 Fri, 30 May 2008 04:00:00 +0100 1479601 http://www.medworm.com/index.php?rid=1479600&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F454%3Frss%3D1 Conclusion: PST prevented depressive disorders and loss of valued activities as a short-term treatment but these benefits were not maintained over time. To sustain PST’s effect, an intervention that uses a problem-solving framework to enhance rehabilitative skills may be necessary. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479600 Fri, 30 May 2008 04:00:00 +0100 1479600 http://www.medworm.com/index.php?rid=1479599&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F444%3Frss%3D1 Conclusion: Targeting prevention on the selected high-risk groups is likely to become a cost-effective endeavor, because optimal health gains can be generated efficiently in groups small enough to be logistically manageable. The burden of illness associated with depression, particularly depression, in aging populations underscores the public health significance of such an approach. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479599 Fri, 30 May 2008 04:00:00 +0100 1479599 http://www.medworm.com/index.php?rid=1479598&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F435%3Frss%3D1 This systematic review proposed to explore the feasibility and effectiveness of brief interventions to prevent depression in older subjects. Computer databases were searched for potentially relevant articles published up until August, 2007. The bibliographies of relevant articles were searched for additional references and all the retrieved articles were screened to meet the following five inclusion criteria: original research, subjects mean age 40 years or more, controlled trial of a brief (<12 weeks) intervention to prevent depression, determination of depression status 6 months or more after enrolment, and use of an acceptable definition of depression. To examine feasibility, study enrolment, completion, and compliance rates were tabulated. To examine effectiveness, differences in de... Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479598 Fri, 30 May 2008 04:00:00 +0100 1479598 http://www.medworm.com/index.php?rid=1479597&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2F433%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479597 Fri, 30 May 2008 04:00:00 +0100 1479597 http://www.medworm.com/index.php?rid=1479596&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F6%2FA7%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1479596 Fri, 30 May 2008 04:00:00 +0100 1479596 http://www.medworm.com/index.php?rid=1409190&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F425%3Frss%3D1 Conclusion: Depressive symptoms represent a serious and distinct threat to independent functioning in older adults. Whether experienced alone, or in combination with chronic diseases, depressive symptoms shorten ALE substantially. Timely diagnosis and treatment of depressive symptoms in older adults may delay the onset of disability and improve the quality of life. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409190 Wed, 30 Apr 2008 04:00:00 +0100 1409190 http://www.medworm.com/index.php?rid=1409189&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F416%3Frss%3D1 Conclusion: These results suggest that slower speed of task performance is an important component and perhaps an early marker of functional change in MCI that would not be detected using traditional measurements of daily function. Future research should address the question of whether performance-based functional measures, as well as simple queries regarding whether functional activities take longer than usual to complete, may improve the prediction of future cognitive decline and disease progression among those individuals in whom MCI represents impending dementia. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409189 Wed, 30 Apr 2008 04:00:00 +0100 1409189 http://www.medworm.com/index.php?rid=1409188&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F406%3Frss%3D1 Conclusion: The "real-world" outcomes of patients with more severe depressive symptoms are strikingly poor. Given the diverse outcomes of those with subsyndromal to mild forms of minor depression, clinicians might focus treatments on those at highest risk of poor outcome, i.e., those with greater depressive symptoms and medical burden and lower psychiatric functioning and social support. Preventive interventions research might focus on developing treatments to mitigate potentially modifiable risks such as deficits in social support. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409188 Wed, 30 Apr 2008 04:00:00 +0100 1409188 http://www.medworm.com/index.php?rid=1409187&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F399%3Frss%3D1 Conclusions: Our results suggest that out of the five domains of personality traits, conscientiousness, extraversion, and openness are reliable predictors of all-cause mortality among community-dwelling elderly. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409187 Wed, 30 Apr 2008 04:00:00 +0100 1409187 http://www.medworm.com/index.php?rid=1409186&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F389%3Frss%3D1 Conclusions: Emotion recognition progresses from a deficit in low-intensity fearful facial recognition in a-MCI phase to a deficit in all intensities and emotions in mild AD. This could be an effect of the progressive degeneration of brain structures modulating emotional processing. An early detection of emotional impairment in MCI phases of dementia may have clinical implications. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409186 Wed, 30 Apr 2008 04:00:00 +0100 1409186 http://www.medworm.com/index.php?rid=1409185&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F384%3Frss%3D1 Conclusions: McKhann et al. criteria for probable and possible AD are valid for AD but do not exclude additional Lewy body pathology. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409185 Wed, 30 Apr 2008 04:00:00 +0100 1409185 http://www.medworm.com/index.php?rid=1409184&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F375%3Frss%3D1 Conclusion: Traditional measures assessing global ADLs may not be sensitive to early functional changes related to MCI; however, error-based measures may capture the subtle evolving functional decline associated with MCI. Among MCI participants, early functional difficulties are associated with verbal learning performance, possibly secondary to the hallmark cognitive impairment associated with this cohort. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409184 Wed, 30 Apr 2008 04:00:00 +0100 1409184 http://www.medworm.com/index.php?rid=1409183&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F366%3Frss%3D1 Conclusion: Cognitive-discrepancy analysis isolating a component executive function ability not only seems to be a useful tool for identifying individuals at risk for cognitive deficits, but also shows promise in predicting individuals who may show subtle cognitive decline over time. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409183 Wed, 30 Apr 2008 04:00:00 +0100 1409183 http://www.medworm.com/index.php?rid=1409182&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F355%3Frss%3D1 Conclusions: A considerable proportion of the terminal-decline effect is accounted for by the impact of preclinical dementia. However, for tasks that are relatively resistant to age-related change, such effects might be detected independently of preclinical dementia. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409182 Wed, 30 Apr 2008 04:00:00 +0100 1409182 http://www.medworm.com/index.php?rid=1409181&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F343%3Frss%3D1 The relationships between total serum cholesterol (TC) and dementia and between TC and cognitive decline were investigated in a systematic review of 18 prospective studies. Follow-ups ranged from 3 to 29 years, and included a total of 14,331 participants evaluated for Alzheimer disease (AD), 9,458 participants evaluated for Vascular dementia (VaD), 1,893 participants evaluated for cognitive decline, and 4,793 participants evaluated for cognitive impairment. Compatible results were pooled using meta-analysis. Consistent associations between high midlife TC and increased risk of AD, and high midlife TC and increased risk of any dementia were found. There was no evidence supporting an association between late-life TC and AD, or between late-life TC and any dementia. No study reported a signif... Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409181 Wed, 30 Apr 2008 04:00:00 +0100 1409181 http://www.medworm.com/index.php?rid=1409180&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2F339%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409180 Wed, 30 Apr 2008 04:00:00 +0100 1409180 http://www.medworm.com/index.php?rid=1409179&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F5%2FA9%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1409179 Wed, 30 Apr 2008 04:00:00 +0100 1409179 http://www.medworm.com/index.php?rid=1337660&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F336%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337660 Mon, 31 Mar 2008 04:00:00 +0100 1337660 http://www.medworm.com/index.php?rid=1337659&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F331%3Frss%3D1 Conclusion: RRS-4 is a brief and easy-to-use observer scale that improves depression identification in elderly medical inpatients. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337659 Mon, 31 Mar 2008 04:00:00 +0100 1337659 http://www.medworm.com/index.php?rid=1337658&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F318%3Frss%3D1 Conclusion: Depressive symptoms are associated with poor cognitive functioning and cognitive decline, particularly with advancing age. The widespread impact of average depressive symptoms on cognition suggests that clinicians should consider the chronicity of depressive symptoms when evaluating cognitive functioning in older adults. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337658 Mon, 31 Mar 2008 04:00:00 +0100 1337658 http://www.medworm.com/index.php?rid=1337657&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F310%3Frss%3D1 Conclusions: Caregivers with higher mastery had less NE reactivity to the stressor task. Mastery may exert a protective influence that mitigates the physiological effects of acute stress, and may be an important target for psychosocial interventions in order to reduce sympathetic arousal and cardiovascular stress among dementia caregivers. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337657 Mon, 31 Mar 2008 04:00:00 +0100 1337657 http://www.medworm.com/index.php?rid=1337656&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F300%3Frss%3D1 Conclusions: Older patients with comorbid major depression and dysthymia have a less favorable trajectory of recovery compared with those with major depression alone. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337656 Mon, 31 Mar 2008 04:00:00 +0100 1337656 http://www.medworm.com/index.php?rid=1337655&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F293%3Frss%3D1 Conclusion: Findings depict wandering and PNA as overlapping, but nonequivalent phenomena. Evidence supporting construct validity of wandering was more robust than that for PNA. Results have implications for accuracy in scientific and clinical detection and labeling of wandering and agitation. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337655 Mon, 31 Mar 2008 04:00:00 +0100 1337655 http://www.medworm.com/index.php?rid=1337654&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F283%3Frss%3D1 Conclusion: Reduction of MTL activity to repeated stimuli, which become highly familiarized to healthy OC, was impaired in AD. This abnormal increased MTL activation was related to disrupted parietal deactivation and to poor recognition memory performance. These preliminary results suggest that the typical episodic memory impairment seen in mild AD may manifest as a failure of normal repetition suppression and loss of "beneficial" deactivation in the MTL-parietal memory networks. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337654 Mon, 31 Mar 2008 04:00:00 +0100 1337654 http://www.medworm.com/index.php?rid=1337653&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F272%3Frss%3D1 Conclusions: These preliminary results suggest that brain activation patterns are sensitive to cholinergic modulation in postmenopausal women and that differential effects may be observed following nicotinic versus muscarinic blockade. This approach offers a potentially valuable method for modeling age-related changes in brain function, and the findings may have implications for cholinergic contributions to normal and pathologic aging. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337653 Mon, 31 Mar 2008 04:00:00 +0100 1337653 http://www.medworm.com/index.php?rid=1337652&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F263%3Frss%3D1 Conclusions: The BDNF Met66 allele is associated with greater white matter hyperintensity volumes in older individuals. Further work is needed to determine how this may be associated with other clinically relevant findings in late-life depression. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337652 Mon, 31 Mar 2008 04:00:00 +0100 1337652 http://www.medworm.com/index.php?rid=1337651&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F255%3Frss%3D1 Conclusion: These findings suggest that geriatric depression may be characterized by reduced myelin integrity in specific aspects of frontostriatal and limbic networks, and complement diffusion tensor studies of geriatric depression that indicate decreased organization of white matter fibers in specific frontal and temporal regions. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337651 Mon, 31 Mar 2008 04:00:00 +0100 1337651 http://www.medworm.com/index.php?rid=1337650&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2F251%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337650 Mon, 31 Mar 2008 04:00:00 +0100 1337650 http://www.medworm.com/index.php?rid=1337649&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F4%2FA9%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1337649 Mon, 31 Mar 2008 04:00:00 +0100 1337649 http://www.medworm.com/index.php?rid=1269288&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F248%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269288 Fri, 29 Feb 2008 05:00:00 +0100 1269288 http://www.medworm.com/index.php?rid=1269287&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F240%3Frss%3D1 Conclusions: Patients and their study partners who were enrolled in a clinical trial supported proxy consent both for themselves and as a matter of policy. Our findings suggest that policies that require substituted judgments may not accord with the views of the people currently participating in AD clinical trials. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269287 Fri, 29 Feb 2008 05:00:00 +0100 1269287 http://www.medworm.com/index.php?rid=1269286&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F229%3Frss%3D1 Conclusions: Tailoring activities to the capabilities of dementia patients and training families in activity use resulted in clinically relevant benefits for patients and caregivers. Treatment minimized trigger behaviors for nursing home placement and reduced objective caregiver burden. Noteworthy is that depressed caregivers effectively engaged in and benefited from the intervention. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269286 Fri, 29 Feb 2008 05:00:00 +0100 1269286 http://www.medworm.com/index.php?rid=1269285&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F220%3Frss%3D1 Conclusions: Dementia, determined during hospitalization, was associated with an elevated risk of suicide for older adults. Preventive measures should focus on suicidal ideation after initial diagnosis but also acknowledge that suicides can occur well after a dementia diagnosis has been established. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269285 Fri, 29 Feb 2008 05:00:00 +0100 1269285 http://www.medworm.com/index.php?rid=1269284&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F209%3Frss%3D1 Conclusions: Financial capacity is already substantially impaired in patients with mild AD at baseline and undergoes rapid additional decline over one year. Relative to the comparison group, overall financial capacity performance in the AD group declined 10%, from approximately 80% of the comparison group performance at baseline to 70% at follow up. Financial skills showed differential rates of decline on both simple and complex tasks. Of clinical and public policy interest was the declining judgment of patients with mild AD regarding simple fraud schemes. The study supports the importance of prompt financial supervision and planning for patients newly diagnosed with AD. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269284 Fri, 29 Feb 2008 05:00:00 +0100 1269284 http://www.medworm.com/index.php?rid=1269283&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F201%3Frss%3D1 Conclusion: Although comorbidity between physical health conditions and depression, and between dementias and depression, are well documented among older adults, these results suggest that comorbid depression and anxiety are also prevalent in later life. The significant impact of comorbidity on function and well-being underlines the need to screen for comorbid disorders in this population. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269283 Fri, 29 Feb 2008 05:00:00 +0100 1269283 http://www.medworm.com/index.php?rid=1269282&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F194%3Frss%3D1 Conclusion: Although overall medical burden appears comparable in elderly patients with bipolar and those with major depressive disorder, patients with bipolar disorder have higher BMI and greater burden of endocrine/metabolic and respiratory disease. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269282 Fri, 29 Feb 2008 05:00:00 +0100 1269282 http://www.medworm.com/index.php?rid=1269281&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F186%3Frss%3D1 Conclusions: Feelings of anxiety and symptoms of depression are common in persons with severe fear of falling and fear-related activity avoidance. Professional care providers should be alert to underlying anxiety disorders and depression in this category of older persons in the interests of providing optimum treatment. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269281 Fri, 29 Feb 2008 05:00:00 +0100 1269281 http://www.medworm.com/index.php?rid=1269280&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F3%2F181%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1269280 Fri, 29 Feb 2008 05:00:00 +0100 1269280 http://www.medworm.com/index.php?rid=1192398&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F179%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192398 Thu, 31 Jan 2008 05:00:00 +0100 1192398 http://www.medworm.com/index.php?rid=1192397&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F175%3Frss%3D1 Conclusion: The seven identified risk factors may guide efforts to prevent major depression in older medical inpatients. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192397 Thu, 31 Jan 2008 05:00:00 +0100 1192397 http://www.medworm.com/index.php?rid=1192396&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F168%3Frss%3D1 Conclusion: In AD, the presence of depression comorbidity corresponds to increases in AD-related neuropathologic changes beyond age, gender, level of education, and cognitive status, suggesting an interaction between depression and the neuropathologic processes in AD (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192396 Thu, 31 Jan 2008 05:00:00 +0100 1192396 http://www.medworm.com/index.php?rid=1192395&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F156%3Frss%3D1 Conclusions: Chronic pain increases the likelihood of mental health service use among older adults. Chronic pain may facilitate the presentation of distress in medical settings for these adults. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192395 Thu, 31 Jan 2008 05:00:00 +0100 1192395 http://www.medworm.com/index.php?rid=1192394&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F145%3Frss%3D1 Conclusions: Early intervention to reduce caregiving behavioral burden and enhance family support and promote healthier behaviors of bereaved AD caregivers may decrease the risk of syndromal or syndromal-becoming-threshold level depression after loss. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192394 Thu, 31 Jan 2008 05:00:00 +0100 1192394 http://www.medworm.com/index.php?rid=1192393&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F136%3Frss%3D1 Conclusion: The frontal cluster of NPSs was more strongly associated with functional disability than the mood cluster. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192393 Thu, 31 Jan 2008 05:00:00 +0100 1192393 http://www.medworm.com/index.php?rid=1192392&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F125%3Frss%3D1 Conclusion: These results indicate a diminished activation of the dorsolateral prefrontal cortex in patients with Alzheimer disease. Future research has to show whether this decreased activation pattern might be a suitable predictor for the effectiveness of treatment in dementias. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192392 Thu, 31 Jan 2008 05:00:00 +0100 1192392 http://www.medworm.com/index.php?rid=1192391&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F116%3Frss%3D1 Conclusion: The 4 allele in healthy elderly was associated with increased subjective mental slowing after trihexyphenidyl anticholinergic challenge. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192391 Thu, 31 Jan 2008 05:00:00 +0100 1192391 http://www.medworm.com/index.php?rid=1192390&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F109%3Frss%3D1 Conclusions: Poor performance on tests of executive function, attention, and memory is associated with suicidal behavior in late-life depression. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192390 Thu, 31 Jan 2008 05:00:00 +0100 1192390 http://www.medworm.com/index.php?rid=1192389&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F102%3Frss%3D1 Conclusion: Executive impairments identifiable relatively early in the clinical course of dementia are predictive of disturbed behavior and associated caregiver distress at long-term follow-up, which supports the view that executive dysfunction is important in the etiology of these problems. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192389 Thu, 31 Jan 2008 05:00:00 +0100 1192389 http://www.medworm.com/index.php?rid=1192388&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2F99%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192388 Thu, 31 Jan 2008 05:00:00 +0100 1192388 http://www.medworm.com/index.php?rid=1192387&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F2%2FA11%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1192387 Thu, 31 Jan 2008 05:00:00 +0100 1192387 http://www.medworm.com/index.php?rid=1120241&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F92%3Frss%3D1 Conclusions: Smoking is associated with decreased gray matter density in brain regions previously associated with incipient AD. Longitudinal investigations are required to clarify whether these changes are progressive in nature. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120241 Fri, 28 Dec 2007 05:00:00 +0100 1120241 http://www.medworm.com/index.php?rid=1120240&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F83%3Frss%3D1 Conclusions: The relatively small proportion of participants who could provide informed consent highlights the importance of assessing decisional capacity for research in a high-risk population and identifying an appropriate surrogate decision maker to provide proxy consent if needed. Consensus on how to define assent is lacking, and specific measures of assent capabilities are needed to better characterize the assent capacity continuum. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120240 Fri, 28 Dec 2007 05:00:00 +0100 1120240 http://www.medworm.com/index.php?rid=1120239&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F74%3Frss%3D1 Conclusions: Sleep quality and daytime alertness in late life may be more important aspects of successful aging than previously appreciated. Good sleep may be a marker of good functioning across a variety of domains in old age. Our observations suggest the need to study interventions which protect sleep quality in older adults to determine if doing so fosters continued successful aging. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120239 Fri, 28 Dec 2007 05:00:00 +0100 1120239 http://www.medworm.com/index.php?rid=1120238&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F65%3Frss%3D1 Conclusion: Antidepressant response rates are higher in comparator trials as compared to placebo-controlled trials. These findings have important implications for combined medication and psychotherapy trials that use placebo-controlled medication conditions because the response rates from these conditions are likely to be lower than those from unblinded conditions. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120238 Fri, 28 Dec 2007 05:00:00 +0100 1120238 http://www.medworm.com/index.php?rid=1120237&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F58%3Frss%3D1 Conclusion: The self-reported age at onset of the first MDE being after age 55 was not related to clinical outcomes for participants 55 to 75 years of age. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120237 Fri, 28 Dec 2007 05:00:00 +0100 1120237 http://www.medworm.com/index.php?rid=1120236&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F44%3Frss%3D1 Conclusions: Zolpidem extended release 6.25 mg improved both sleep maintenance and sleep induction in elderly primary insomnia patients during three weeks of administration. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120236 Fri, 28 Dec 2007 05:00:00 +0100 1120236 http://www.medworm.com/index.php?rid=1120235&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F31%3Frss%3D1 Conclusion: Paliperidone ER (3–12 mg/day) treatment over a 30-week period was generally well-tolerated and may improve symptom severity in elderly patients with schizophrenia. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120235 Fri, 28 Dec 2007 05:00:00 +0100 1120235 http://www.medworm.com/index.php?rid=1120234&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F21%3Frss%3D1 Conclusion: In older patients with resistant depression and poor response to standard treatments, risperidone augmentation resulted in symptom resolution in a substantial number of patients and a nonsignificant delay in time to relapse. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120234 Fri, 28 Dec 2007 05:00:00 +0100 1120234 http://www.medworm.com/index.php?rid=1120233&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F14%3Frss%3D1 Conclusions: Escitalopram treatment was not significantly different from placebo treatment on the primary efficacy measure, change from baseline to week 12 in MADRS. In patients aged 60 years or older with major depression, acute escitalopram treatment appeared to be well tolerated. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120233 Fri, 28 Dec 2007 05:00:00 +0100 1120233 http://www.medworm.com/index.php?rid=1120232&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F5%3Frss%3D1 Conclusions: Although there was an increase in SSRI/SNRI use in older participants with anxiety disorders over the course of study, at nine years of follow-up, only 35% of participants were utilizing SSRI/SNRI medication, while more than one-half of the same participants were continuing to use BZs. To the authors’ knowledge, there are no randomized clinical trials that have addressed comparative efficacy and safety of BZs and SSRIs/SNRIs in this population. However, there is documented evidence of adverse effects of chronic BZ use and the risk of developing dependency in older populations. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120232 Fri, 28 Dec 2007 05:00:00 +0100 1120232 http://www.medworm.com/index.php?rid=1120231&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F16%2F1%2F1%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1120231 Fri, 28 Dec 2007 05:00:00 +0100 1120231 http://www.medworm.com/index.php?rid=1069705&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1083%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069705 Tue, 04 Dec 2007 05:00:00 +0100 1069705 http://www.medworm.com/index.php?rid=1069704&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1068%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069704 Tue, 04 Dec 2007 05:00:00 +0100 1069704 http://www.medworm.com/index.php?rid=1069703&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1061%3Frss%3D1 (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069703 Tue, 04 Dec 2007 05:00:00 +0100 1069703 http://www.medworm.com/index.php?rid=1069702&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1057%3Frss%3D1 Conclusion: These preliminary findings suggest that asymptomatic SCE may be an interceding factor in the development of late-life depression, consistent with the vascular depression hypothesis. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069702 Tue, 04 Dec 2007 05:00:00 +0100 1069702 http://www.medworm.com/index.php?rid=1069701&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1046%3Frss%3D1 Conclusion: Given that mental illness is independently associated with the likelihood of admission, it is critical that providers develop the skills and resources necessary to meet the psychiatric needs of home care recipients. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069701 Tue, 04 Dec 2007 05:00:00 +0100 1069701 http://www.medworm.com/index.php?rid=1069700&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1034%3Frss%3D1 Conclusion: Prevalence of dementia varied widely depending on diagnostic classification system used. For DSM–III–R, DSM–IV, ICD-10, and "historical" criteria, the definitions of personality changes and combinations of memory impairment lead to differing prevalence rates, whereas the definitions of other intellectual functions have little impact. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069700 Tue, 04 Dec 2007 05:00:00 +0100 1069700 http://www.medworm.com/index.php?rid=1069699&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1024%3Frss%3D1 Conclusion: SI is not uncommon in depressed older adults being treated in primary care. The likelihood that depressed older adults will report SI is strongly determined by the course of their depression symptoms. Providers should monitor SI throughout the course of depression treatment. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069699 Tue, 04 Dec 2007 05:00:00 +0100 1069699 http://www.medworm.com/index.php?rid=1069698&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1015%3Frss%3D1 Conclusion: Our data confirmed earlier reports that older persons with schizophrenia have lower self-reported quality of life than their age-matched peers. Our findings suggest that the factors impacting on QOL are potentially ameliorable and therefore provide an opportunity to enhance the well-being of this population. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069698 Tue, 04 Dec 2007 05:00:00 +0100 1069698 http://www.medworm.com/index.php?rid=1069697&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F1005%3Frss%3D1 Conclusions: SSD in middle aged and older patients with schizophrenia is an important clinical dimension that appears to be associated with substantial morbidity and distress. The findings suggest that is important for clinicians to look for and assess subsyndromal depressive symptoms in patients with chronic schizophrenia. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069697 Tue, 04 Dec 2007 05:00:00 +0100 1069697 http://www.medworm.com/index.php?rid=1069696&cid=s_28394_18_f&fid=28394&url=http%3A%2F%2Fajgponline.org%2Fcgi%2Fcontent%2Fshort%2F15%2F12%2F999%3Frss%3D1 Conclusion: The authors found a high prevalence of psychotic symptoms, paranoid ideation, and schizophrenia in the very old. Most of the symptoms were elucidated by information from key informants, illustrating the importance of including relatives in the evaluation of elderly persons. (Source: Am J Geriatr Psychiatry) Am J Geriatr Psychiatry journals http://www.medworm.com/rss/comments.php?id=1069696 Tue, 04 Dec 2007 05:00:00 +0100 1069696