International Journal of Geriatric PsychiatryThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Health and well-being in care staff and their relations to organizational and psychosocial factors, care staff and resident factors in nursing homesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study is to investigate the association of psychosocial factors and patient factors with stress in care staff in nursing homes.In this cross-sectional survey, 197 care staff from 13 dementia wards from four nursing homes in the Stavanger region, Norway, participated. Stress in care staff was measured by Perceived Stress Scale, Hopkins Symptom Check List, and subjective health complaints. Agitation in patients was measured with the Cohen-Mansfield Agitation Inventory. Work-related psychosocial factors were measured by General Nordic Questionnaire for Psychosocial and Social Factors at Work (QPSNordic). Data ...
Source: International Journal of Geriatric Psychiatry - October 27, 2009 Category: Geriatrics Authors: I. Testad, A. Mikkelsen, C. Ballard, D. Aarsland Source Type: journals

Identifying functional impairment with scores from the repeatable battery for the assessment of neuropsychological status (RBANS)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To examine the link between RBANS scores and functional impairment. Functional status was evaluated through informant report using the clinical dementia rating (CDR) scale.Archival data were reviewed from records of 99 patients in a memory disorder clinic (MDC) research database. Consensus-based diagnoses were Alzheimer's disease (AD; n = 48), mild cognitive impairment (MCI; n = 48), AD with vascular components; (n = 2) and dementia due to psychiatric conditions (n = 1).The RBANS language index score was significantly related to CDR domain scores of community affairs (p < .01), home and hobbies (p < .01), personal care (p ...
Source: International Journal of Geriatric Psychiatry - October 27, 2009 Category: Geriatrics Authors: Valerie L. Hobson, James R. Hall, Joy D. Humphreys-Clark, Gregory W. Schrimsher, Sid E. O'Bryant Source Type: journals

Apathy is a prominent neuropsychiatric feature of radiological white-matter changes in patients with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective was to study the relationships between WMCs on MRI/CT and neuropsychiatric symptoms and vascular factors in patients with cognitive impairment.One hundred and seventy-six patients with Alzheimer's disease, vascular dementia, mixed dementia, and mild cognitive impairment were included. All patients underwent a standardized examination including medical history, clinical examinations, laboratory tests and brain imaging (CT or MRI). The identification and severity degree of WMCs was assessed blindly to clinical findings, using a semi-quantitative scale. For statistical analyses, patients were grouped based on ab...
Source: International Journal of Geriatric Psychiatry - October 22, 2009 Category: Geriatrics Authors: M. Jonsson, Å. Edman, K. Lind, S. Rolstad, M. Sjögren, A. Wallin Source Type: journals

Depression and parkinsonism in older Europeans: results from the EURODEP concerted actionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The prevalence rate of depression among patients with Parkinson's disease (PD) has been estimated at 25%, although prevalence figures range between 7-76%. Relatively few studies on PD and depression are based on random samples in the general population. Some depressive symptoms can also be understood as symptoms of parkinsonism, and the current study aims to describe which 'overlap' symptoms can be identified in a community sample.Data are employed from the EURODEP collaboration. Nine study centres, from eight western European countries, provided data on depression (most GMS-AGECAT), depressive symptoms (EURO-D items and a...
Source: International Journal of Geriatric Psychiatry - October 21, 2009 Category: Geriatrics Authors: Arjan W. Braam, Aartjan T. F. Beekman, Michael E. Dewey, Philippe A. E. G. Delespaul, Manfred Fichter, Antonio Lobo, Hallgrímur Magnússon, Karine Pérès, Friedel M. Reischies, Marc Roelands, Pedro Saz, Robert A. Schoevers, Ingmar Skoog, John R. M. Cope Source Type: journals

A witness seminar: the development of old age psychiatry in Britain, 1960-1989. Themes, lessons and highlightsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To create a record of the development of old age psychiatry in Britain, as seen through the eyes of some of the people who participated in building it, from the earliest days until it was officially recognised as a specialty by the Department of Health in 1989.Group reminiscences and discussions in the format of a witness seminar which was audio-recorded and transcribed. Witnesses also provided written biographical information.The annotated full record created at the seminar is available on line. This paper reflecting themes, lessons and highlights has been derived from it.Early old age psychiatrists often encountered oppo...
Source: International Journal of Geriatric Psychiatry - October 12, 2009 Category: Geriatrics Authors: Claire Hilton, Tom Arie, Malcolm Nicolson Source Type: journals

A brief metacognition questionnaire for the elderly: comparison with cognitive performance and informant ratings the Cache County StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To examine the utility of a brief, metacognition questionnaire by examining its association with objective cognitive testing and informant ratings. We hypothesized that the association between self-ratings of change and both outcomes would be greater among individuals without dementia than among those with dementia.Participants were 535 persons without dementia and 152 with dementia from the Cache County Memory Study who had completed a metacognition questionnaire, two administrations of the Modified Mini-Mental State Exam (3 MS) and who had data on the Informant Questionnaire of Cognitive Decline in the Elderly (IQCODE). ...
Source: International Journal of Geriatric Psychiatry - October 11, 2009 Category: Geriatrics Authors: Trevor Buckley, Maria C. Norton, M. Scott Deberard, Kathleen A. Welsh-Bohmer, JoAnn T. Tschanz Source Type: journals

Differentiating the frontal variant of Alzheimer's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Individuals with a clinical diagnosis of Alzheimer's disease (AD) may have prominent features of executive dysfunction and language impairment as well as behavioral abnormalities early in the disease ('high frontality'). When this occurs differentiation from frontotemporal dementia (FTD) is difficult. It is hypothesized that AD patients with high frontality may have clinical and pathological features that distinguish them from less frontal AD patients.In a well-characterized cohort of people with cognitive impairment, we used the Frontal Behavioral Inventory (FBI) in an attempt to identify AD patients with prominent fronta...
Source: International Journal of Geriatric Psychiatry - October 11, 2009 Category: Geriatrics Authors: Michael Woodward, Claudia Jacova, Sandra E Black, Andrew Kertesz, Ian R. Mackenzie, Howard Feldman, the ACCORD investigator group Source Type: journals

Nursing home structure and association with agitation and use of psychotropic drugs in nursing home residents in three countries: Norway, Austria and EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Understanding the underlying mechanisms and risk factors leading to agitation is crucial to reduce the severity of agitation and increase quality of life. International comparative studies offer special advantages in elucidating environmental risk factors by providing a wider diversity of environmental exposures such as nursing home structures, health care systems and genetic diversity.Baseline data for three different intervention studies in Austria (n = 38), England (n = 302) and Norway (n = 163) were combined posthoc. Patients were grouped according to their dementia severity using the global deterioration scale (GDS), ...
Source: International Journal of Geriatric Psychiatry - October 11, 2009 Category: Geriatrics Authors: I. Testad, S. Auer, M. Mittelman, C. Ballard, J. Fossey, Y. Donabauer, D. Aarsland Source Type: journals

Neurological signs and late-life depressive symptoms in a community population: the ESPRIT studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Depression in the elderly is common and often resistant to treatment. It has been suggested that late-life depression may be related to underlying neurobiological changes. However, these observations are derived from diverse clinical samples and as yet have not been confirmed in a more representative population study. Our aim was to investigate associations between neurological signs as markers of underlying brain dysfunction and caseness for depression in an elderly community sample, controlling for physical health and comorbid/past neurological disorders.A cross-sectional analysis of 2102 older people without dementia fr...
Source: International Journal of Geriatric Psychiatry - October 11, 2009 Category: Geriatrics Authors: Mishael Soremekun, Robert Stewart, Florence Portet, Sylvaine Artero, Marie-Laure Ancelin, Karen Ritchie Source Type: journals

Executive functioning in Alzheimer's disease and vascular dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study demonstrates sizeable executive functioning and working memory impairments in patients with mild-moderate AD and VaD but no significant differences between the disease groups. Copyright © 2009 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 5, 2009 Category: Geriatrics Authors: B. McGuinness, S. L. Barrett, D. Craig, J. Lawson, A. P. Passmore Source Type: journals

Diabetes incidence associated with depression and antidepressants in the Melbourne Longitudinal Studies on Healthy Ageing (MELSHA)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Diabetes may be associated with depression and antidepressant medication (ADM) use, but published findings remain equivocal. The authors' aimed to determine the risk of diabetes incidence associated with baseline depression exposures (symptoms and/or ADM use).A prospective cohort study was conducted in a regionally representative sample of non-institutionalised older Australian people (N = 1000, aged 65 + year), who were followed up biennially between 1994 and 2004 (attrition was [ap]24%). Analyses excluded participants for prevalent diabetes at baseline, determined by self-report or specific medications. Diabetes incidenc...
Source: International Journal of Geriatric Psychiatry - October 4, 2009 Category: Geriatrics Authors: Evan Atlantis, Colette Browning, Jane Sims, Hal Kendig Source Type: journals

Depression, cognitive reserve and memory performance in older adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this research study was to examine the relationship between education and leisure, as markers of cognitive reserve, depressive symptoms and memory performance in a sample of cognitively normal Irish older adults.A cross-sectional survey style design was employed to gather data. A sample of 121 older adults in the Cork area was recruited through publicly advertising for volunteers. Only those volunteers who obtained a score of greater than 23 on the MMSE, and were not taking antidepressant or anxiolytic medications, were included. Data from 99 participants were included in the analysis.Controlling for age and...
Source: International Journal of Geriatric Psychiatry - October 4, 2009 Category: Geriatrics Authors: Mike Murphy, Eleanor O'Leary Source Type: journals

Effect of the adapted virtual reality cognitive training program among Chinese older adults with chronic schizophrenia: a pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To examine the effect of the adapted virtual reality cognitive training program in older adults with chronic schizophrenia.Older adults with chronic schizophrenia were recruited from a long-stay care setting and were randomly assigned into intervention (n = 12) and control group (n = 15). The intervention group received 10-session of VR program that consisted of 2 VR activities using IREX. The control group attended the usual programs in the setting.After the 10-session intervention, older adults with chronic schizophrenia preformed significantly better than control in overall cognitive function (p .000), and in two cognit...
Source: International Journal of Geriatric Psychiatry - October 4, 2009 Category: Geriatrics Authors: Christopher L. F. Chan, Elena K. Y. Ngai, Paul K. H. Leung, Stephen Wong Source Type: journals

Cognitive and daily functioning in older adults with vegetative symptoms of depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In primary care 50-95% of patients with depression present with vegetative symptoms (VS). Based on the extant literature, older adults showing VS (but no dysphoria) may show functional impairment but this hypothesis has not been empirically tested. The goal of this study was to examine neurocognitive and daily functioning of elderly patients showing exclusively VS in comparison with patients presenting with VS and dysphoria.Seven hundred and eighty-seven primary care patients received measures of neurocognition and daily functioning. Neurocognition was measured with the repeatable battery for the assessment of neuropsychol...
Source: International Journal of Geriatric Psychiatry - October 4, 2009 Category: Geriatrics Authors: Sergio Paradiso, Kevin Duff, Jatin G. Vaidya, Angela Hoth, James W. Mold Source Type: journals

Depression in Dutch homes for the elderly: under-diagnosis in demented residents?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although community-based studies reported an increased incidence of depression among demented persons compared with non-demented persons, it is not clear whether this relationship also exists among institutionalised elderly persons. The aim of this study was to compare the prevalence of diagnosed depressive disorders and mood symptoms between demented and non-demented residents living in Dutch homes for the elderly.Cross-sectional analysis in 16 homes for the elderly of routine outcome measurements by trained nurse assistants using the Resident Assessment Instrument (RAI) between January 2007 and April 2008. Nurse assistan...
Source: International Journal of Geriatric Psychiatry - October 4, 2009 Category: Geriatrics Authors: Menke Baller, Marijke Boorsma, Dinnus HM Frijters, Harm WJ van Marwijk, Giel Nijpels, Hein PJ van Hout Source Type: journals

Current awareness in geriatric psychiatryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In order to keep subscribers up-to-date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Reviews; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitt...
Source: International Journal of Geriatric Psychiatry - September 17, 2009 Category: Geriatrics Authors: John Wiley & Sons, Ltd. Source Type: journals

Assessing the validity of deriving clinical dementia rating (CDR) global scores from independently-obtained functional rating scale (FRS) scores in vascular dementia with and without Alzheimer's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No Abstract. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - September 17, 2009 Category: Geriatrics Authors: Krista L. Lanctôt, Ging-Yuek R. Hsiung, Howard H. Feldman, Shababa T. Masoud, Lauren Sham, Nathan Herrmann Source Type: journals

Prevalence and correlates of alcoholism in community-dwelling elderly living in São Paulo, BrazilEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To assess the prevalence of alcoholism in elderly living in the city of São Paulo (Brazil) and investigate associated risk factors.A total of 1,563 individuals aged 60 years or older, of both genders of three districts of different socioeconomic classes (high, medium and low) in the city of São Paulo (Brazil) were interviewed. The CAGE screening test for alcoholism was applied and a structured interview was used to assess associated sociodemographic and clinical factors. The tests Mini Mental State Examination, Fuld Object Memory Evaluation, The Informant Questionnaire on Cognitive Decline in the Elderly and Bayer-Activi...
Source: International Journal of Geriatric Psychiatry - September 17, 2009 Category: Geriatrics Authors: Edson Shiguemi Hirata, Eduardo Yoshio Nakano, Jony Arrais Pinto Junior, Júlio Litvoc, Cássio M. C. Bottino Source Type: journals

Subjective life satisfaction and mental disorders among older adults in UAE in general populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Life satisfaction is widely considered to be a central aspect of human welfare. Many have identified happiness with it, and some maintain that well-being consists largely or wholly in being satisfied with one's life. Empirical research on well-being relies heavily on life satisfaction studies.The aim of this study was to examine the relationships of psychiatric disorders and physical disorders on life satisfaction among Arab older adults in general population.Face-to-face interviews with Geriatric Mental State Interview (GMS-A3) were conducted with a nationwide sample of 2000 household in 2001. Total samples of 610 elders ...
Source: International Journal of Geriatric Psychiatry - September 15, 2009 Category: Geriatrics Authors: Rafia Ghubach, Omar El-Rufaie, Taoufik Zoubeidi, Sufyan Sabri, Saeed Yousif, Hamdy F. Moselhy Source Type: journals

The effect of alcohol and tobacco consumption, and apolipoprotein E genotype, on the age of onset in Alzheimer's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the association between a history of heavy alcohol use and smoking, presence of the apolipoprotein-E epsilon 4 allele (APOE [epsiv]4), and age of disease onset in a community dwelling sample of 685 Alzheimer's disease (AD) patients spanning three ethnic groups.Cross-sectional study of AD patients evaluated at a University-affiliated outpatient memory disorders clinic.A clinic-based cohort of white non-Hispanic (WNH; n = 397), white Hispanic (WH; n = 264), and African-American (AA; n = 24) patients diagnosed with possible or probable AD according to NINCDS-ADRDA diagnostic criteria.The age of onset of AD...
Source: International Journal of Geriatric Psychiatry - September 14, 2009 Category: Geriatrics Authors: Dylan G. Harwood, Ari Kalechstein, Warren W. Barker, Silvia Strauman, Peter St. George-Hyslop, Casandra Iglesias, David Loewenstein, Ranjan Duara Source Type: journals

Duloxetine and care management treatment of older adults with comorbid major depressive disorder and chronic low back pain: results of an open-label pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In older adults, major depressive disorder (MDD) and chronic low back pain (CLBP) are common and mutually exacerbating. We predicted that duloxetine pharmacotherapy and Depression and Pain Care Management (DPCM) would result in (1) significant improvement in MDD and CLBP and (2) significant improvements in health-related quality of life, anxiety, disability, self-efficacy, and sleep quality.Twelve week open-label study using duloxetine up to 120 mg/day + DPCM.Outpatient late-life depression research clinic.Thirty community-dwelling adults >60 years old.Montgomery Asberg Depression Rating Scale (MADRS) and McGill Pain Quest...
Source: International Journal of Geriatric Psychiatry - September 13, 2009 Category: Geriatrics Authors: Jordan F. Karp, Debra K. Weiner, Mary A. Dew, Amy Begley, Mark D. Miller, Charles F. Reynolds III Source Type: journals

Willingness-to-pay for reductions in care need: estimating the value of informal care in Alzheimer's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To estimate the value of informal care in Alzheimer's disease using contingent valuation.A questionnaire was administered to 517 primary carers in four countries (UK, Spain, Sweden, and US). Dichotomous choice and bidding game methods were used to elicit their willingness to pay for a reduction in care burden by 1 h per day, or a total elimination of care needs. Further, the relationship between carer willingness to pay and carer and patient characteristics including disease severity and income was examined.Carers spend on average about 7-9 h per day on giving care to their patient, of which 4-5 h constituted basic and ins...
Source: International Journal of Geriatric Psychiatry - September 13, 2009 Category: Geriatrics Authors: Anders Gustavsson, Linus Jönsson, Rupert McShane, Mercè Boada, Anders Wimo, Arthur S. Zbrozek Source Type: journals

Carotid- intima media thickness is independently associated with cognitive decline. The INVADE studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was based on the data of the participants of the INVADE (Intervention project on cerebrovascular diseases and dementia in the district of Ebersberg, Bavaria) project. Vascular risk factors, Geriatric depression scale (GDS) and "6 Item Cognitive Impairment Test" (6CIT) were evaluated at baseline and after 2 years. The relationship between C-IMT and cognitive impairment was analysed using multivariate logistic regression.Complete baseline data were available in 3386 subjects (mean age 67.7 [95% confidence interval (CI): 67.5, 68.0] years, 41% male). During follow-up, 174 subjects developed a new cognitive impairme...
Source: International Journal of Geriatric Psychiatry - September 13, 2009 Category: Geriatrics Authors: K. Sander, H. Bickel, H. Förstl, T. Etgen, C. Briesenick, H. Poppert, D. Sander Source Type: journals

Association between altered systemic inflammatory interleukin-1[beta] and natural killer cell activity and subsequently agitation in patients with alzheimer diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alzheimer's disease (AD) is a neurodegenerative disorder that is the most common cause of dementia in the elderly and is frequently accompanied by emotional disorder, including agitation. Although evidence of neuroendocrine immune and inflammatory functions during emotional changes has been accumulated, the pathogenic mechanisms in the development of agitation accompanied by AD remain to be elucidated.To clarify the involvement of neuroendocrine and immune and inflammatory systems in agitation in AD, we examined agitation levels, circadian rhythms of behavior, cortisol, interleukin-1[beta] (IL-1[beta]), and natural killer ...
Source: International Journal of Geriatric Psychiatry - September 2, 2009 Category: Geriatrics Authors: M. Higuchi, K. Hatta, T. Honma, Y. H. Hitomi, Y. Kambayashi, Y. Hibino, I. Matsuzaki, S. Sasahara, H. Nakamura Source Type: journals

A prospective study of cognitive tests to predict performance on a standardised road test in people with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Previous work by Lincoln and colleagues produced a cognitive test battery for predicting safety to drive in people with dementia. The aim was to check the accuracy of this battery and assess whether it could be improved by shortening it, including additional cognitive tests, and a measure of previous driving.Participants with dementia, who were driving, were recruited. They were assessed on cognitive tests including measures of concentration, executive function, visuospatial perception, verbal recognition memory, and speed of information processing. Patients were then assessed on the Nottingham Neurological Driving Assessm...
Source: International Journal of Geriatric Psychiatry - August 28, 2009 Category: Geriatrics Authors: Nadina B. Lincoln, Jenny L. Taylor, Kristina Vella, Walter P. Bouman, Kathryn A. Radford Source Type: journals

'Do you think you suffer from depression?' Reevaluating the use of a single item question for the screening of depression in older primary care patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The majority of older adults seek depression treatment in primary care. Despite impressive efforts to integrate depression treatment into primary care, depression often remains undetected. The overall goal of the present study was to compare a single item screening for depression to existing depression screening tools.A cross sectional sample of 153 older primary care patients. Participants completed several depression-screening measures (e.g. a single depression screen, Patient Health Questionnaire-9, Major Depression Inventory, Visual Analogue Scale). Measures were evaluated against a depression diagnosis made by the Str...
Source: International Journal of Geriatric Psychiatry - August 27, 2009 Category: Geriatrics Authors: Liat Ayalon, Margalit Goldfracht, Per Bech Source Type: journals

The factor structure of a Chinese Geriatric Depression Scale-SF: use with alone elderly Chinese in Shanghai, ChinaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to examine the factor structure of a Chinese version of the 15-item Geriatric Depression Scale (GDS) with a sample of community dwelling elderly Chinese living alone in Shanghai, China.Data were obtained between August and October 2008 through face-to-face interviews, using a structured survey questionnaire, from a random sample of 228 Chinese who were 60 years and older and living alone in one of the aging communities in Shanghai, China. Depressive symptoms were measured by a 15-item Chinese version Geriatric Depression Scale. Both exploratory factor analysis and confirmatory factor analysis were conducte...
Source: International Journal of Geriatric Psychiatry - August 27, 2009 Category: Geriatrics Authors: Daniel Lai, Hongmei Tong, Qun Zeng, Wenyan Xu Source Type: journals

Mood, side of motor symptom onset and pain complaints in Parkinson's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients with Parkinson's disease (PD) present with a variety of non-motor symptoms including sensory complaints and mood disturbances. In the current pilot study, we aimed to explore pain complaints and the association between mood and pain in PD. We hypothesized that pain ratings would be elevated in patients with PD relative to controls. As PD is lateralized at onset and studies have found lateralization of some non-motor symptoms in PD, we also hypothesized that PD patients would exhibit differing pain profiles depending on side of onset of the disease.Twenty-three PD patients (11 right-onset (RPD), 12 left-onset (LPD)...
Source: International Journal of Geriatric Psychiatry - August 25, 2009 Category: Geriatrics Authors: Patrick McNamara, Karina Stavitsky, Erica Harris, Orsolya Szent-Imrey, Raymon Durso Source Type: journals

The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This longitudinal study of patients with diabetes examined the relationship between changes in depressive symptoms and changes in diabetes self-care behaviors over 5 years.A total of 2759 patients with diabetes enrolled in a large HMO were followed over a 5-year period. Patients filled out a baseline mail survey and participated in a telephone interview 5 years later. Depression was measured with the Patient Health Questionnaire (PHQ-9) and diabetes self-care was measured with the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Baseline and longitudinal evidence of diabetes and medical disease severity and ...
Source: International Journal of Geriatric Psychiatry - August 25, 2009 Category: Geriatrics Authors: Wayne J. Katon, Joan E. Russo, Susan R. Heckbert, Elizabeth H.B. Lin, Paul Ciechanowski, Evette Ludman, Bessie Young, Michael Von Korff Source Type: journals

Treatment of subsyndromal depressive symptoms in middle-aged and older adults with schizophrenia: effect on functioningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Subsyndromal symptoms of depression (SSD) in patients with schizophrenia are common and clinically important. SSRI's appear to be helpful in alleviating depressive symptoms in patients with schizophrenia who have SSD in patients age 40 and greater. It is not known whether SSRI's help improve functioning in this population. We hypothesized that treating this population with the SSRI citalopram would lead to improvements in social, mental and physical functioning as well as improvements in medication management and quality of life.Participants were 198 adults [ges] 40 years old with schizophrenia or schizoaffective disorder ...
Source: International Journal of Geriatric Psychiatry - August 25, 2009 Category: Geriatrics Authors: John Kasckow, Nicole Lanouette, Thomas Patterson, Ian Fellows, Shahrokh Golshan, Ellen Solorzano, Sidney Zisook Source Type: journals

The Stroud/ADI dementia quality framework: a cross-national population-level framework for assessing the quality of life impacts of services and policies for people with dementia and their family carersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To generate an internationally applicable framework for the systematic assessment of the quality of life impacts of services and policies for people with dementia and their family carers.A qualitative analysis of text.Open groups at six consecutive Alzheimer's Disease International (ADI) Conferences (1999-2005) lasting between 1.5 and 2 h. Data were: presenters' texts, transcribed points made during discussion and written contributions.Three hundred and twelve contributors of text.From 2246 chunks of text, eight interacting domains relating to quality of life emerged: Public Attitudes and Understanding; Government and Soci...
Source: International Journal of Geriatric Psychiatry - August 20, 2009 Category: Geriatrics Authors: Sube Banerjee, Rosalind Willis, Nori Graham, Barry J. Gurland Source Type: journals

Evaluating cognition in an elderly cohort via telephone assessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the feasibility, and its comparability to in-person assessment, of a telephone administered battery of established neuropsychological measures of cognitive functioning in healthy, elderly women.Fifty-four women (age = 79 ± 7.7; education = 15.4 ± 3.3) who were in self-reported good health were recruited from senior centers and other community sources. A two-way cross-over design was used in which participants were randomly assigned to receive either (1) in-person neuropsychological assessment followed by telephone assessment and (2) telephone assessment followed by in-person assessment, separated by approxima...
Source: International Journal of Geriatric Psychiatry - August 19, 2009 Category: Geriatrics Authors: Effie M. Mitsis, Diane Jacobs, Xiaodong Luo, Howard Andrews, Karen Andrews, Mary Sano Source Type: journals

The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized agedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To examine the effects of reminiscence therapy on psychological well-being, depression, and loneliness among institutionalized elderly people.In an experimental study design, 92 institutionalized elderly people aged 65 years and over were recruited and randomly assigned to two groups. Those participants in the experimental group received reminiscence therapy eight times during 2 months to examine the effects of this therapy on their psychological well-being.After providing the reminiscence therapy to the elderly in the experimental group, a significant positive short-term effect (3 months follow-up) on depression, psycholo...
Source: International Journal of Geriatric Psychiatry - August 19, 2009 Category: Geriatrics Authors: Kai-Jo Chiang, Hsin Chu, Hsiu-Ju Chang, Min-Huey Chung, Chung-Hua Chen, Hung-Yi Chiou, Kuei-Ru Chou Source Type: journals

Gender differences in the relationship between depression and cardiac autonomic function among community elderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The mechanism underlying the differential effect of depression on morbidity and mortality in men and women remains unknown. This survey was designed to examine gender effects on the relationship between depressive symptoms and cardiac autonomic function among community dwelling elderly.Six hundred and six randomly selected community-dwelling elderly men and women [ge] 65 years of age were enrolled. Depressive symptoms were assessed with the Hospital Anxiety and Depression Scale. Cardiac autonomic function was evaluated by measuring heart rate variability (HRV) parameters. Frequency-domain indices of HRV were obtained.Among...
Source: International Journal of Geriatric Psychiatry - August 19, 2009 Category: Geriatrics Authors: Hsi-Chung Chen, Cheryl C. H. Yang, Terry B. J. Kuo, Tung-Ping Su, Pesus Chou Source Type: journals

General health status and vascular disorders as correlates of late-life depressive symptoms in a national survey sampleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To investigate the associations between vascular disease, vascular risk factors and depressive symptoms in a national survey sample, the extent to which these associations are accounted for by general health status and the extent to which the association between depressive symptoms and worse general health is accounted for by level of vascular risk.Data were analysed from the Health Survey for England 2005: a nationally representative cross-sectional population survey comprising 4269 adults aged [ge] 65 living in private households. Data collected included depressive symptoms (10-item Geriatric Depression Scale), self-repo...
Source: International Journal of Geriatric Psychiatry - August 18, 2009 Category: Geriatrics Authors: Robert Stewart, Vasant Hirani Source Type: journals

Construction of a 18F-FDG PET normative database of Japanese healthy elderly subjects and its application to demented and mild cognitive impairment patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To construct a 18F-FDG PET normative database of Japanese healthy elderly subjects and to apply it to demented and mild cognitive impairment (MCI) patients.Seventy-seven Japanese normal volunteers from 41 to 84 years of age (36 males and 41 females) who underwent clinical, neuropsychological, and MRI examinations were selected. In these subjects, 18F-FDG PET/CT scans were performed, 18F-FDG PET images were analyzed using the 3D-SSP program, and a normative database for cerebral glucose metabolism was constructed. Then, 18F-FDG PET images from 14 demented and MCI patients were evaluated based on the normative database.The 7...
Source: International Journal of Geriatric Psychiatry - August 18, 2009 Category: Geriatrics Authors: Eizo Iseki, Norio Murayama, Ryoko Yamamoto, Hiroshige Fujishiro, Masaru Suzuki, Masato Kawano, Shuya Miki, Kiyoshi Sato Source Type: journals

End of life care for community dwelling older people with dementia: an integrated reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To review the evidence for end-of-life care for community dwelling older people with dementia (including those resident in care homes).An integrated review synthesised the qualitative and quantitative evidence on end-of-life care for community dwelling older people with dementia. English language studies that focused on prognostic indicators for end-of-life care, assessment, support/relief, respite and educational interventions for community dwelling older people with dementia were included. A user representative group informed decisions on the breadth of literature used. Each study selected was screened independently by t...
Source: International Journal of Geriatric Psychiatry - August 16, 2009 Category: Geriatrics Authors: Claire Goodman, Catherine Evans, Jane Wilcock, Katherine Froggatt, Vari Drennan, Elizabeth Sampson, Martin Blanchard, Maggie Bissett, Steve Iliffe Source Type: journals

The cost of diagnosing dementia in a community settingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to evaluate the cost of establishing a dementia diagnosis.This is a prospective, time- and resource utilization study for the identification of the total cost associated with diagnosing dementia (from start of the diagnostic process to time for established or rejected dementia diagnosis) both at the specialist and primary care level.Dementia evaluation in primary care took between 2 weeks and 2 months before reaching diagnosis. The average cost for all patients evaluated at the primary care level was 477 Euro ([euro]), whereas evaluations done on a specialist level reached a cost of 1115 [euro]. Thus, the c...
Source: International Journal of Geriatric Psychiatry - August 13, 2009 Category: Geriatrics Authors: Erik Jedenius, Anders Wimo, Jan Strömqvist, Linus Jönsson, Niels Andreasen Source Type: journals

Working memory in early Alzheimer's disease: a neuropsychological reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reports of the extent of working memory (WM) impairment in early Alzheimer's disease (AD) have been inconsistent. Using the model of WM proposed by Baddeley, neuropsychological evidence for the impairment of WM in early AD is evaluated.Literature searches were performed using Medline, PsycINFO and Embase databases. Individual papers were then examined for additional references not revealed by computerised searches.Phonological loop function is intact at the preclinical and early stages of AD, becoming more impaired as the disease progresses. In mild AD, there is impairment on tasks assessing visuospatial sketchpad (VSS) fu...
Source: International Journal of Geriatric Psychiatry - August 11, 2009 Category: Geriatrics Authors: J. D. Huntley, R. J. Howard Source Type: journals

Safety and tolerability of rivastigmine capsule with memantine in patients with probable Alzheimer's disease: a 26-week, open-label, prospective trial (Study ENA713B US32)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rivastigmine, a dual cholinesterase inhibitor (ChEI), is widely approved for the symptomatic treatment of both mild-to-moderate Alzheimer's disease (AD) and Parkinson's disease dementia. Orally administered ChEIs may be associated with gastrointestinal (GI) side effects and add-on therapy with memantine, an N-methyl-d-aspartate receptor antagonist, approved for moderate-to-severe AD, may ameliorate such side effects. This was a 26-week, prospective, multicenter, single-arm, open-label pilot study to assess the safety and tolerability of rivastigmine capsules plus memantine in patients with moderate AD.The primary objective...
Source: International Journal of Geriatric Psychiatry - August 10, 2009 Category: Geriatrics Authors: Jason T. Olin, Vinod Bhatnagar, Patricio Reyes, Barbara Koumaras, Xiangyi Meng, Stephen Brannan Source Type: journals

Determinants of antipsychotic medication use among older people living in aged care homes in AustraliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To investigate determinants of antipsychotic medication use among older people living in aged care homes in Australia.Retrospective study of a random sample of de-identified medication reports using cross-sectional data gathered between 1 January 2008 and 30 June 2008 in Australia.The mean (SD) age of the residents was 84.0 (9.0) years. Seventy-five per cent were females.Resident demographics, clinical characteristics, medical diagnoses and prescribed medication were systematically recorded. Logistic regression (LR) models were used to determine predictors for any antipsychotic, atypical and conventional antipsychotic use....
Source: International Journal of Geriatric Psychiatry - August 9, 2009 Category: Geriatrics Authors: Prasad S. Nishtala, Andrew J. McLachlan, J. Simon Bell, Timothy F. Chen Source Type: journals

Getting lost in the community: a phone survey on the community-dwelling demented people in Hong KongEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Research from Western countries reported that the incidence rate of dementia patients getting lost in the community ranged from 30 to 60%. It had imposed significant burden on the caregivers. In the current study, we investigated the situation on the incidents of getting lost in a densely populated as well as homogenous community environment.Two hundred and fifty one caregivers of older adults with demented people who had either used dementia day care service or participated in a community survey were interviewed on the telephone. Respondents were asked on older adult's experience of getting lost in the community and their...
Source: International Journal of Geriatric Psychiatry - August 3, 2009 Category: Geriatrics Authors: Timothy C. Y. Kwok, Kenneth S. L. Yuen, Florence K. Y. Ho, W. M. Chan Source Type: journals

Cerebrospinal fluid total tau as a marker of Alzheimer's disease intensityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this longitudinal study was to test the hypothesis that CSF biomarkers in AD patients also may be forward-looking measures that are associated not only with the degree and profile of cognitive impairment but also with changes in cognition over time.Here, we assessed the association of CSF A[beta]42, T-tau and P-tau with neuropsychological scores of disease severity, as well as the rate of disease progression, in 142 patients with Alzheimer's disease. All patients were part of a 3-year prospective longitudinal treatment study.A more rapid progress in MMSE score reduction was seen in AD patients with T-tau levels ...
Source: International Journal of Geriatric Psychiatry - August 2, 2009 Category: Geriatrics Authors: Kajsa Sämgård, Henrik Zetterberg, Kaj Blennow, Oskar Hansson, Lennart Minthon, Elisabet Londos Source Type: journals

Antipsychotics and risk of cerebrovascular events in treatment of behavioural and psychological symptoms of dementia in Hong Kong: a hospital-based, retrospective, cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study showed that there was no statistical difference in risk of cerebrovascular events in treatment of BPSD with typical and atypical antipsychotics compared with non-user group. Nonetheless, given the side effects of antipsychotics, prescription of antipsychotics should be reserved for severe and distressing symptoms with careful consideration. Copyright © 2009 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - August 2, 2009 Category: Geriatrics Authors: Man-chak Chan, Catherine Shiu-yin Chong, Anna Ying-king Wu, Kai-choi Wong, Eva Lai-wah Dunn, Orlando Wai-nang Tang, Wah-fat Chan Source Type: journals

Everyday functioning in mild cognitive impairment and its relationship with executive cognitionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Elderly persons with mild cognitive impairment (MCI) are at increased risk of dementia and functional impairments. The present study investigated the contribution of three domains of executive cognition to everyday functioning among persons with MCI.124 MCI patients and 68 cognitively normal elderly participants were administered a cognitive screening battery. These tests were used to divide patients into four subgroups (amnestic single domain, amnestic multiple domain, non-amnestic single domain, and non-amnestic multiple domain). Subjects were then administered 18 executive function tests that assess planning/problem-sol...
Source: International Journal of Geriatric Psychiatry - August 2, 2009 Category: Geriatrics Authors: Eleni Aretouli, Jason Brandt Source Type: journals

Economic evaluation of cholinesterase inhibitor therapy for dementia: comparison of Alzheimer's disease and Dementia with Lewy bodiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To assess the cost effectiveness of cholinesterase inhibitor (ChEI) treatment in patients with Alzheimer's disease (AD) and Dementia with Lewy bodies (DLB).We used 4-month open label follow-up data from routine memory clinic patients. There were 852 patients with AD and 112 with DLB. We applied three predictive models to estimate clinical and economic outcomes at five years, comparing AD and DLB patients with hypothetical untreated controls.The mean improvement in MMSE in 852 AD patients was 0.57 (SD 3.4) at 4 months, and in the subgroup with baseline MMSE of 10-20 (moderate) was 1.6 (SD 3.7). Overall, the 112 DLB patients...
Source: International Journal of Geriatric Psychiatry - July 28, 2009 Category: Geriatrics Authors: Anders Gustavsson, Rohan Van Der Putt, Linus Jönsson, Rupert McShane Source Type: journals

Detection of Lewy body disease in patients with late-onset depression, anxiety and psychotic disorder with myocardial meta-iodobenzylguanidine scintigraphyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lewy body disease (LBD) is comprised of a spectrum of diseases that includes Parkinson's disease (PD), PD dementia (PDD) and dementia with LBD (DLBD), an array of dementia, and motor symptoms. Low uptake of myocardial meta-iodobenzylguanidine (MIBG) validates diagnosis of LBD. Psychiatric symptoms sometimes precede atypical Parkinsonian syndromes in LBD. Of 34 patients with low MIBG uptake, late-onset depressive, anxiety, or psychotic symptoms were analyzed in term of clinical profiles.Thirty-four patients were classed into three groups according to three main symptoms, 11 patients with visual hallucination (VH), 13 with d...
Source: International Journal of Geriatric Psychiatry - July 27, 2009 Category: Geriatrics Authors: Katsuji Kobayashi, Hisashi Sumiya, Hiroyuki Nakano, Noriko Akiyama, Katsumi Urata, Yoshifumi Koshino Source Type: journals

An investigation of associations between alcohol use disorder and polymorphisms on ALDH2, BDNF, 5-HTTLPR, and MTHFR genes in older Korean menEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to investigate the association of alcohol use disorder (AUD) with four candidate genes in older Korean men: aldehyde dehydrogenase 2 (ALDH2, 1/2), brain-derived neurotrophic factor (BDNF, val66met), serotonin transporter gene linked polymorphic region (5-HTTLPR, s/l), and methylenetetrahydrofolate reductase (MTHFR, c.677C > T).A community sample of 300 men aged 65 or over were categorized into 68 subjects with AUD and 232 controls according to clinical examinations and DSM-IV criteria. Genotype distributions and allele frequencies were compared.Men with AUD had significantly higher ALDH2*1 and BDNF met all...
Source: International Journal of Geriatric Psychiatry - July 27, 2009 Category: Geriatrics Authors: Sangmoon Shin, Robert Stewart, Cleusa P Ferri, Jae-Min Kim, Il-Seon Shin, Sung-Wan Kim, Su-Jin Yang, Jin-Sang Yoon Source Type: journals

Racial and ethnic disparities in post-stroke depression detectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study assessed the racial/ethnic disparities in PSD detection in a national cohort of Department of Veterans Affairs (VA) acute stroke patients.The study included VA patients who: received inpatient care for acute stroke within 2001; survived >60 days post-index hospitalization; had an index stay (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - July 27, 2009 Category: Geriatrics Authors: Huanguang Jia, Neale R. Chumbler, Xinping Wang, Ho-Chih Chuang, Teresa M. Damush, Randi Cameon, Linda S. Williams Source Type: journals

The long-term efficacy and tolerability of donepezil in patients with vascular dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To determine the long-term tolerability and efficacy of donepezil in patients with vascular dementia (VaD).International, multicentre, open-label, 30-week extension study of two 24-week, randomised, double-blind, placebo-controlled studies. Participants were ambulatory adults (59% female; mean age, 74.7 ± 0.3) with a diagnosis of possible or probable VaD and without a diagnosis of Alzheimer's disease, who were medically stable and had completed one of two double-blind studies. All patients received donepezil 5 mg/day for the first 6 weeks, then 10 mg/day (clinician approval required). Assessments were performed at week 6 ...
Source: International Journal of Geriatric Psychiatry - July 21, 2009 Category: Geriatrics Authors: David Wilkinson, Gustavo Róman, Stephen Salloway, Jane Hecker, Karyn Boundy, Dinesh Kumar, Holly Posner, Rachel Schindler Source Type: journals