Evidenced-based review and evaluation of clinical significance: Non-pharmacological and pharmacological treatment of insomnia in the elderly
Insomnia in the elderly presents a challenge to practitioners across medical fields. It is defined in the DSM-5 as dissatisfaction with sleep quantity or quality, and one or more of the following symptoms: difficulty initiating or maintaining sleep, or early-morning awakening with inability to return to sleep, insomnia disorder is chronic (occurs at least three nights per week), persistent (present for at least three months), and associated with daytime dysfunction.1 The prevalence in adults 65 and older is 42%, and is higher in those with poor health. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 27, 2020 Category: Geriatrics Authors: Joseph M. Flaxer, Arianna Heyer, Dimitry Francois Tags: Clinical Review Article Source Type: research

Next-generation RNA-Sequencing of serum small extracellular vesicles discovers potential diagnostic biomarkers for dementia with Lewy bodies
Dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia1 that causes earlier mortality,2 earlier nursing home admissions, higher costs3 and more caregivers ’ burden than Alzheimer's disease (AD). DLB4 and AD are diagnosed by their clinical diagnostic criteria. Currently, the three available indicative diagnostic biomarkers4 for DLB are not routinely used in clinical settings,5 and there is no reliable biological fluid based biomarker for aiding DLB d iagnosis. Failure to diagnose DLB accurately and treating visual hallucinations and challenging behaviors, more frequent in DLB than in AD, ...
Source: The American Journal of Geriatric Psychiatry - October 27, 2020 Category: Geriatrics Authors: Anto P. Rajkumar, Abdul Hye, Johannes Lange, Yazmin Rashid Manesh, Clive Ballard, Tormod Fladby, Dag Aarsland Tags: Regular research article Source Type: research

Improvements in Functional Disability After Psychotherapy for Depression Are Associated With Reduced Suicide Ideation Among Older Adults.
Authors: Lutz J, Mackin RS, Otero MC, Morin R, Bickford D, Tosun D, Satre DD, Gould CE, Nelson JC, Beaudreau SA Abstract OBJECTIVE: To evaluate the association between changes in functional disability and suicide ideation among older adults following psychotherapy for depression. METHODS: Sixty-five participants (65-91 years old, 72% White, and 66% female) with depression completed 12 sessions of problem solving therapy (PST) and completed measures of disability (WHO Disability Assessment Schedule 2.0) and suicide ideation (Geriatric Suicide Ideation Scale [GSIS]) at baseline and post-treatment. RESULTS: Hi...
Source: The American Journal of Geriatric Psychiatry - October 25, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Stroke Risk Among Elderly Users of Haloperidol and Typical Antipsychotics Versus Atypical Antipsychotics: A Real-World Study From a US Health Insurance Claims Database.
CONCLUSION: Stroke risk in elderly new users of haloperidol was elevated compared to new users of atypical antipsychotics and was elevated for typical antipsychotics using the adapted PS strategy. PMID: 33097389 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 25, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Editorial Board
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 24, 2020 Category: Geriatrics Source Type: research

Information for Subscribers
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 24, 2020 Category: Geriatrics Source Type: research

Table of Contents
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 24, 2020 Category: Geriatrics Source Type: research

In This Issue
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 24, 2020 Category: Geriatrics Source Type: research

The COVID-19 Pandemic as a Traumatic Stressor: Mental Health Responses of Older Adults with Chronic PTSD
After an index trauma, individuals with Posttraumatic Stress Disorder (PTSD) are thought to be vulnerable to increased symptomatology following additional traumatic and stressful events. Compared to controls, older adult Holocaust survivors subjected to additional trauma experienced increased intrusive thoughts and hyperarousal symptoms related to the reactivation of traumatic memories1. Traumatized refugees with pre-existing PTSD have been shown to experience an increase in symptoms and comorbid psychiatric disorders following an additional traumatic experience2. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 22, 2020 Category: Geriatrics Authors: Bret R Rutherford, C. Jean Choi, Marika Chrisanthopolous, Chloe Salzman, Carlen Zhu, Carolina Montes-Garcia, Ying Liu, Patrick J. Brown, Rachel Yehuda, Janine Flory, Yuval Neria, Steven P. Roose Source Type: research

Incremental Health Care Expenditures of the Spouses of Older Adults With Alzheimer's Diseases and Related Dementias (ADRD).
CONCLUSION: Results suggested that the higher health care expenditures in older adults with ADRD spouses can be attributed to the higher rate of comorbidities, rate of functional limitations, and mean age in this group. The increased use of home health and decreased use of outpatient in this population suggests the importance of tailoring preventative health care and social services to meet the needs of this group. PMID: 33071189 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The psychological impact of COVID-19 pandemic and lockdown on caregivers of people with dementia
In late 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was detected as the causative agent of COVID-19, a respiratory disease that was first noticed in China and quickly spread out in Europe and in at least 216 countries, areas or territories throughout the world1.Several studies revealed that premorbid conditions and/or older age were risk factors for COVID-19 mortality, and the pandemic was called the “geriatric emergency of 2020”2. Among older people, people with dementia (pwD) may be at higher risk of fatal outcomes due to COVID-19 outbreak, because of the vulnerability due to their ...
Source: The American Journal of Geriatric Psychiatry - October 21, 2020 Category: Geriatrics Authors: Manuela Altieri, Gabriella Santangelo Tags: Regular Research Article Source Type: research

Are Medical Care Expenses Higher for Spouses who Provide Dementia Care?
Is spousal care for someone with dementia associated with increased health care expenditures? Compared to spouses not providing such care, how much more expensive is dementia care and what types of medical care drive increased costs? Given the challenges of dementia care, including neglect of preventive care, increased risk of common mental illnesses, poor sleep, and isolation, we might expect to see increased medical care costs. In fact, a number of claims-based studies have shown these effects. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 20, 2020 Category: Geriatrics Authors: Steven M. Albert Tags: Editorial Source Type: research

Important Correlates of Purpose in Life Identified Through a Machine Learning Approach.
CONCLUSION: Our findings identify potentially important modifiable factors as targets for intervention strategies to enhance PiL. PMID: 33046355 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 15, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Increasing Social Connectedness for Underserved Older Adults Living with Depression: A Pre-Post Evaluation of PEARLS
Social isolation and loneliness have emerged as significant health concerns for older adults, increasing their risk of early death, cognitive decline, poor health and well-being,1 and costs of health care.2 While often conflated, these are distinct health concerns: Social isolation is an objective measure of social ties and activities, while loneliness is a subjective assessment of the disconnect between perceived and ideal social connections.3-4 The overarching term “social connectedness” is now used to encompass the “structural, functional, and qualitative aspects of social relationships,” includi...
Source: The American Journal of Geriatric Psychiatry - October 15, 2020 Category: Geriatrics Authors: Lesley Steinman, Amanda Parrish, Caitlin Mayotte, Perla Bravo, Eva Torres, Mariana Markova, Margaret Boddie, Sue Lachmeyer, Carol Nohelia Montoya, Libby Parker, Edrei Conton-Pelaez, Edrei Conton-Pelaez, Mark Snowden Source Type: research

The Leveraging Exercise to Age in Place (LEAP) Study: Engaging older adults in community-based exercise classes to impact loneliness and social isolation.
Social isolation and loneliness are associated with significant morbidity and mortality in older adults. Holt-Lundstadt et al.1 have equated the mortality risk of social isolation to smoking 15 cigarettes daily. Studies report lonely individuals have greater risk of functional decline2 and death3, 4. Demographics changes in the United States have led to a 10% increase in those living alone5 and one third of adults over the age of 45 reported feeling lonely.6 Amongst community-dwelling older adults ( ≥65 years) in the United States, 24% self-reported social isolation, with 4% reporting severe social isolation. (Source: T...
Source: The American Journal of Geriatric Psychiatry - October 15, 2020 Category: Geriatrics Authors: Allison Moser Mays, Sungjin Kim, Katrina Rosales, Tam Au, Sonja Rosen Tags: Regular Research Article Source Type: research

Association of hearing loss with neuropsychiatric symptoms in older adults with cognitive impairment
Neuropsychiatric symptoms (NPS) such as depression, agitation, and apathy are associated with dementia, and are highly prevalent in community settings, with estimates ranging from 61-97%.1 –3 Many studies have found that NPS are associated with multiple poor health outcomes in persons with dementia (PWD), including institutionalization, prolonged hospitalizations, higher care burden, morbidity, and mortality.4,5 NPS are also common among individuals with mild cognitive impairment (M CI), with prevalence estimates ranging 35-85%, and have been associated with worse cognitive performance and functional disability. (Sou...
Source: The American Journal of Geriatric Psychiatry - October 13, 2020 Category: Geriatrics Authors: Alexander S Kim, Emmanuel E. Garcia Morales, Halima Amjad, Valerie T Cotter, Frank R Lin, Constantine G Lyketsos, Milap A Nowrangi, Sara K Mamo, Nicholas S Reed, Sevil Yasar, Esther S Oh, Carrie L Nieman Source Type: research

Increasing Participation in a Substance Misuse Programs: Lessons Learned for Implementing Telehealth Solutions During the COVID-19 Pandemic.
With the advent of the COVID-19 pandemic, the relevance of Cimarolli and colleagues ’ article1, which focuses on participation in a substance misuse intervention for older adults, is well timed. Efforts to develop interventions for older adults with a substance use disorder, along with rigorous evaluations of their efficacy, are scarce in the gerontological literature. For exampl e, in previous research with colleagues, we examined the leading gerontological and substance abuse journals over a seven-year period which revealed that less than one percent of articles published in these journals focused on older adults w...
Source: The American Journal of Geriatric Psychiatry - October 13, 2020 Category: Geriatrics Authors: Daniel Rosen Tags: Editorial Source Type: research

A Caregiver Must Be Healthy to Be Able to Care
The impact of Alzheimer's Diseases and Related Dementias (ADRD) among older adults and their families has been well-documented.1,2 Perhaps the group that is most affected are the spouses of older adults with ADRD, who often act as primary caregivers, living in chronic stress that can lead to a higher risk for adverse physical and mental health outcomes.1 One relevant issue of concern among spouses of older adults with ADRD is self-care – the activities and strategies used to cope with the stresses of caregiving and maintain their health in order to continue performing their role as caregivers. (Source: The American J...
Source: The American Journal of Geriatric Psychiatry - October 13, 2020 Category: Geriatrics Authors: Evelyn S. Iriarte, Daniel E. Jimenez Tags: Editorial Source Type: research

Treatment of Traumatic Stress in Older Adults: Advances to Celebrate and a Request for More and Better.
Authors: Cook JM PMID: 33039265 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 12, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Prediction of Loneliness in Older Adults Using Natural Language Processing: Exploring Sex Differences in Speech.
CONCLUSIONS: AI (e.g., NLP and machine learning approaches) can provide unique insights into how linguistic features of transcribed speech data may reflect loneliness. Eventually linguistic features could be used to assess loneliness of individuals, despite limitations of commercially developed natural language understanding programs. PMID: 33039266 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 12, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Preliminary Evidence That Cortical Amyloid Burden Predicts Poor Response to Antidepressant Medication Treatment in Cognitively Intact Individuals With Late-Life Depression.
CONCLUSIONS: In this preliminary study, amyloid status predicted poor antidepressant response to sequential antidepressant treatment. Alternative treatment approaches may be needed for amyloid-positive depressed elders. PMID: 33032927 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 11, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017.
CONCLUSION: Given the increased proportion of residents with SMI in AL, research is needed into the mental health and social care needs of this population. Analysis is needed to uncover reasons for variations among states. PMID: 33032928 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 11, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Older Physicians' Reporting of Psychological Distress, Alcohol Use, Burnout and Workplace Stressors.
CONCLUSION: The better psychological health of older physicians highlights the need to consider physician health according to age and career stage. Apart from the decline in work stressors, in particular work-life conflict, there may be a survivor effect such that physicians who practice into older age have developed greater resilience and professional maturation. PMID: 33023799 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 9, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Association of Subjective Cognitive Decline With Postoperative Complications Could Herald Dementia Risk.
Authors: Rosenberg PB, Oh ES PMID: 33020004 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 8, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Improvements in functional disability after psychotherapy for depression are associated with reduced suicide ideation among older adults
Suicide is a significant public health priority for older adults, who exhibit the highest suicide rates around the world.1 In this population, functional disability has been identified as a significant factor associated with greater risk and severity of suicide ideation.2 Older adults are most likely to experience functional disability (difficulties carrying out life activities), with about one-third of those age 65 and older, and more than two-thirds of those age 85 and older, experiencing disability. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 5, 2020 Category: Geriatrics Authors: Julie Lutz, R. Scott Mackin, Marcela C. Otero, Ruth Morin, David Bickford, Duygu Tosun, Derek D. Satre, Christine E. Gould, J. Craig Nelson, Sherry A. Beaudreau Tags: Brief Report Source Type: research

Increase in number of depression symptoms over time is related to worse cognitive outcomes in older adults with type 2 diabetes
Depression, especially in old age, has been consistently associated with increased dementia incidence1,2, though it is still unclear whether depression is a risk or causal factor for dementia or merely a presenting symptom3. The evidence on the relationship of depression, and specifically its subtle presentations, with clinical entities that precede dementia, namely cognitive decline and mild cognitive impairment (MCI), is less consistent, with the majority of evidence indicating that depression and depression symptoms predict incident MCI4,5 and faster cognitive decline6. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 5, 2020 Category: Geriatrics Authors: Ramit Ravona-Springer, Anthony Heymann, Hung-Mo Lin, Xiaoyu Liu, Yuval Berman, Jonathan Schwartz, Laili Soleimani, Mary Sano, Michal Schnaider Beeri Tags: Regular Research Article Source Type: research

Ethical issues in the management of patients with behavioral and psychological symptoms of dementia during COVID-19 containment: examples from institutions in France
The global pandemic of coronavirus disease 2019 (COVID-19) has prompted many countries to initiate containment measures intended to stem viral transmission. Although these measures are clearly legitimate from an epidemiological point of view, their application leads to significant organizational challenges for institutions caring for the most vulnerable people1, such as those with disruptive behavioral and psychological symptoms of dementia (BPSD). (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 5, 2020 Category: Geriatrics Authors: Jacques-Alexis Nkodo, Vincent Camus, Bertrand Foug ère Tags: Letter to the Editor Source Type: research

Family Communication in Long-Term Care During a Pandemic: Lessons for Enhancing Emotional Experiences.
CONCLUSION: These findings highlight the importance of synchronous, familiar methods of communication like the phone and email between families and LTC residents to maintain their emotional well-being when in-person visits are restricted. PMID: 33004262 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - October 3, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Modifying Behavioral Activation to Reduce Social Isolation and Loneliness Among Older Adults.
CONCLUSIONS: Our preliminary research suggests that Behavioral Activation modified to address social connectedness in homebound older adults improves both social isolation and loneliness. This intervention has potential for scalability in programs that already serve homebound older adults. Further research is needed to solidify the clinical evidence base, replicate training and supervision procedures, and demonstrate the sustainability of Brief Behavioral Activation for Improving Social Connectedness for homebound and other older adults. PMID: 32980253 [PubMed - as supplied by publisher] (Source: The American Journal o...
Source: The American Journal of Geriatric Psychiatry - September 30, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Incremental Health Care Expenditures of the Spouses of Older Adults with Alzheimer's Diseases and Related Dementias (ADRD)
Alzheimer's disease and related dementias (ADRD) affect over 5 million adults in the US.1 The majority of individuals with ADRD live at home with spouses and their spouses often live in a state of chronic stress.2 Spouses of community-dwelling persons with ADRD often act as primary caregivers, providing a range of supports from medication administration to assisting with activities of daily living.1,3 They are also challenged by changes in the quality of the relationship with their partner and often changes in their own self-identity. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 28, 2020 Category: Geriatrics Authors: Jun Chu, Ivy Benjenk, Jie Chen Tags: Regular Research Article Source Type: research

Stroke Risk Among Elderly Users of Haloperidol and Typical Antipsychotics Versus Atypical Antipsychotics: A Real-World Study From a US Health Insurance Claims Database
Antipsychotics are approved and prescribed to treat various conditions such as schizophrenia, mania, major depressive disorder, agitation, delusional disorder, psychosis, and Tourette's syndrome.1 The haloperidol prescribing information2 in the United States (US) does not warn about the risk of stroke but has a black box warning for an increased risk of death among elderly patients with dementia-related psychosis treated with antipsychotic drugs. Nonetheless, antipsychotics are used for indications such as neuropsychiatric symptoms of dementia, in the presence or absence of psychosis; such use is not approved by the Food a...
Source: The American Journal of Geriatric Psychiatry - September 26, 2020 Category: Geriatrics Authors: Daniel Fife, Clair Blacketer, R. Karl Knight, James Weaver Tags: Regular Research Article Source Type: research

Risk of Mortality in Elderly Coronavirus Disease 2019 Patients With Mental Health Disorders: A Nationwide Retrospective Study in South Korea
The recent outbreak of coronavirus disease 2019 (COVID-19) was declared a global pandemic by the World Health Organization.1 As of September 13, 2020, a total of 28,637,952 cases of laboratory-confirmed COVID-19 have been reported worldwide, of which 917,417 patients have died.2 According to emerging data, COVID-19 is particularly dangerous for elderly individuals,3 who account for the majority of deaths.4 Mental health disorders could potentially worsen the outcomes. Although there is a significant prevalence of mental health disorders in elderly individuals, especially dementia, no studies have investigated the associati...
Source: The American Journal of Geriatric Psychiatry - September 25, 2020 Category: Geriatrics Authors: Dong Yun Lee, Jaehyeong Cho, Seng Chan You, Rae Woong Park, Chung Soo Kim, Eun Young Lee, Howard Aizenstein, Carmen Andreescu, Helmet Karim, Chang Hyung Hong, Hyun Woong Rho, Bumhee Park, Sang Joon Son Tags: Special Issue Article Source Type: research

Risk of mortality in elderly COVID-19 patients with mental health disorders: a nationwide retrospective study in South Korea
The recent outbreak of coronavirus disease 2019 (COVID-19) was declared a global pandemic by the World Health Organization (WHO).1 As of September 13, 2020, a total of 28,637,952 cases of laboratory-confirmed COVID-19 have been reported worldwide, of which 917,417 patients have died.2 According to emerging data, COVID-19 is particularly dangerous for elderly individuals,3 who account for the majority of deaths.4 Mental health disorders could potentially worsen the outcomes. Although there is a significant prevalence of mental health disorders in elderly individuals, especially dementia, no studies have investigated the ass...
Source: The American Journal of Geriatric Psychiatry - September 25, 2020 Category: Geriatrics Authors: Dong Yun Lee, Jaehyeong Cho, Seng Chan You, Rae Woong Park, Chung Soo Kim, Eun Young Lee, Howard Aizenstein, Carmen Andreescu, Karim Helmet, Chang Hyung Hong, Hyun Woong Rho, Bumhee Park, Sang Joon Son Tags: Special Issue Article Source Type: research

Stroke Risk among Elderly Users of Haloperidol and Typical Antipsychotics vs. Atypical Antipsychotics: A Real-World Study from a US Health Insurance Claims Database
Antipsychotics are approved and prescribed to treat various conditions such as schizophrenia, mania, major depressive disorder, agitation, delusional disorder, psychosis, and Tourette's syndrome1. The haloperidol prescribing information2 in the United States (US) does not warn about the risk of stroke but has a black box warning for an increased risk of death among elderly patients with dementia-related psychosis treated with antipsychotic drugs. Nonetheless, antipsychotics are used for indications such as neuropsychiatric symptoms of dementia, in the presence or absence of psychosis; such use is not approved by the Food a...
Source: The American Journal of Geriatric Psychiatry - September 25, 2020 Category: Geriatrics Authors: Daniel Fife, Clair Blacketer, R. Karl Knight, James Weaver Source Type: research

Important correlates of purpose in life identified through a machine learning approach
Purpose in life (PiL) is a trait-like tendency to derive meaning from life experiences and to possess a sense of direction and intentionality in life1. PiL has been shown to be an important building block for psychological resilience and eudaimonic well-being2,3, as well as a protective factor for mental and physical health and for healthy aging. For instance, greater PiL predicts lower incidence of sleep disturbances4, better physical functioning5, lower risk for depression6, lower incidence for stroke7, lower risk for cardiovascular disease8, and greater longevity9. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 25, 2020 Category: Geriatrics Authors: Zhen Mei, Adriana Lori, Selina M. Vattathil, Patricia A. Boyle, Bekh Bradley, Peng Jin, David A. Bennett, Thomas S. Wingo, Aliza P. Wingo Tags: Regular Research Article Source Type: research

Preliminary evidence that cortical amyloid burden predicts poor response to antidepressant medication treatment in cognitively intact individuals with late-life depression
Amyloid beta (A β) accumulation may predispose some older adults to develop depressive episodes.1 In cognitively intact older adults, greater Aβ burden is cross-sectionally and longitudinally associated with greater depressive symptoms.2,3 In turn, cortical amyloid and depressive symptoms may interact to influenc e cognitive decline.4,5 Late-life depression (LLD) in the absence of dementia is associated with a higher plasma Aβ40:Aβ42 ratio,6 similar to what is seen in Alzheimer's disease (AD) and also an increased risk for cognitive decline and developing AD. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 25, 2020 Category: Geriatrics Authors: Warren D Taylor, Brian D Boyd, Damian Elson, Patricia Andrews, Kimberly Albert, Jennifer Vega, Paul A Newhouse, Neil D. Woodward, Hakmook Kang, Sepideh Shokouhi Tags: Regular Research Article Source Type: research

Treatment of Traumatic Stress in Older Adults: Advances to Celebrate And a Request for More and Better
While the majority of older adult trauma survivors do not develop posttraumatic stress disorder (PTSD), a significant minority do, and some may have sub-threshold PTSD 1 or other trauma-related disorders, including depression and anxiety. 2 Unless treated, older trauma survivors seem to experience a relatively stable course of PTSD across the lifespan, with some waxing and waning of symptoms. Older adults with PTSD are at risk of not receiving timely and appropriate mental health treatment, indicating targeted outreach could be helpful in increasing service use and improving care. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 24, 2020 Category: Geriatrics Authors: Joan M. Cook Tags: Invited Perspective Source Type: research

Criteria for Psychosis in Major and Mild Neurocognitive Disorders: International Psychogeriatric Association (IPA) Consensus Clinical and Research Definition.
Authors: Cummings J, Pinto LC, Cruz M, Fischer CE, Gerritsen DL, Grossberg GT, Hwang TJ, Ismail Z, Jeste DV, Koopmans R, Lanctot KL, Mateos R, Peschin S, Sampaio C, Tsuang D, Wang H, Zhong K, Bain LJ, Sano M Abstract Psychosis is common among individuals with neurocognitive disorders, is difficult to manage, and causes considerable burden and stress to patients and caregivers. Developing effective treatments is a substantial unmet medical need but research has been slowed by the need for updated consensus diagnostic criteria. To address this need, the International Psychogeriatrics Association initiated a process t...
Source: The American Journal of Geriatric Psychiatry - September 23, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Commentary: “Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017”
Serious Mental Illness (SMI) among older adults, especially those living in long term care (LTC) settings is a topic that has not received sustained attention in the research literature. I commend authors Hua et al. for their study “Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017”. This work, a detailed examination of the prevalence rates of those with SMI, has yielded estimations of over 10% prevalence in Assisted Living (ALs) and close to 20% in nursing homes (NHs). (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Geriatrics Authors: Victor Molinari Tags: Invited Perspective Source Type: research

Intermittent Theta Burst Stimulation Using the H1-Coil for Treatment of Late-Life Depression With Comorbid Mild Cognitive Impairment.
Authors: Hodzic-Santor BH, Meltzer JA, Verhoeff NPLG, Blumberger DM, Mah L PMID: 32950361 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Commentary on "At Swami's Rock".
Commentary on "At Swami's Rock". Am J Geriatr Psychiatry. 2020 Aug 25;: Authors: Coulter DL PMID: 32950362 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Response to Van Orden's Commentary on "COVID-19 Related Loneliness and Psychiatric Symptoms Among Older Adults: The Buffering Role of Subjective Age".
Response to Van Orden's Commentary on "COVID-19 Related Loneliness and Psychiatric Symptoms Among Older Adults: The Buffering Role of Subjective Age". Am J Geriatr Psychiatry. 2020 Aug 26;: Authors: Hoffman YSG, Shrira A, Bodner E, Palgi Y PMID: 32950363 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Advancing the Science of Person-Centered Care: Commentary on Kales et al Paper.
Authors: Kolanowski A PMID: 32950364 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Insight into Potential Mechanisms Linking Loneliness and Cognitive Decline: Commentary on "Health Factors as Potential Mediator the Longitudinal Effect of Loneliness on General Cognitive Ability".
Insight into Potential Mechanisms Linking Loneliness and Cognitive Decline: Commentary on "Health Factors as Potential Mediator the Longitudinal Effect of Loneliness on General Cognitive Ability". Am J Geriatr Psychiatry. 2020 Aug 28;: Authors: Kidambi N, Lee EE PMID: 32950365 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Moving Evidence-Informed Assessment and Management of Behavioral and Psychological Symptoms of Dementia into the Real World: Training Family and Staff Caregivers in the DICE Approach.
CONCLUSIONS: The number of people with dementia and their family caregivers is large and growing every day with the aging of the population. Living well with dementia is the goal. Current care systems are inadequate and lead to multiple poor outcomes. Innovative solutions like the DICE Approach with delivery methods including a manual and interactive training can put the key components of good dementia care at the fingertips of the people who need it most. PMID: 32950366 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 22, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Social Disconnection in Late Life Mental Illness - Commentary From the National Institute of Mental Health.
Authors: Necka EA, Rowland LM, Evans JD PMID: 32948438 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 20, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Loneliness Versus Wisdom Amid Two Concurrent Pandemics of Loneliness.
Authors: Jeste DV, Lee EE PMID: 32948439 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 20, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Assessing Preventative Effect of Ramelteon on Postoperative Delirium in Older Patients: Methodology Is Important.
Authors: Xue ZJ, Cheng Y, Xue FS, Hou HJ PMID: 32933817 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 18, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Getting by With a Little Help From Our Peers.
Authors: Sirey JA, Kozlov E PMID: 32933818 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 18, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Health, Resilience, and Successful Aging in the Older US Veterans.
Authors: Lavretsky H PMID: 32933819 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - September 18, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research