COVID-19 Related Loneliness and Psychiatric Symptoms among Older Adults: The Buffering Role of Subjective Age
In response to the Coronavirus disease 2019  (COVID-19) pandemic, a global policy of social distancing was initiated. Although circumstances necessitate such extreme measures, this social isolation places individuals at risk for adverse health effects (1). Older adults at greater risk for COVID-19 health complications will likely remain in s trict self-isolation longer than other age groups; therefore, the effects of isolation and ensuing loneliness may be especially severe for them (2). (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 27, 2020 Category: Geriatrics Authors: Amit Shrira, Yaakov Hoffman, Ehud Bodner, Yuval Palgi Tags: Brief Report Source Type: research

COVID-19: clinical challenges in Dutch Geriatric Psychiatry
The COVID-19 pandemic has changed everyday life tremendously in a short period of time. The threat of contamination is especially frightening for older persons, as chronological age is a major risk factor for a severe course and mortality1. Social distancing and self-isolation have been imposed by the authorities to contain or delay the spread of the SARS-CoV-2 virus (COVID-19) and to prevent a shortage of hospital intensive care beds. These measures may have a disproportionately large impact on the older age group since personal assistance on (I)ADL has to be minimized and the prohibition of family and other social contac...
Source: The American Journal of Geriatric Psychiatry - May 27, 2020 Category: Geriatrics Authors: P. Naarding, R.C. Oude Voshaar, R.M. Marijnissen Tags: Special Issue Article Source Type: research

Measuring apathy in Alzheimer's disease in the Apathy in Dementia Methylphenidate Trial 2 (ADMET 2): a comparison of instruments
Alzheimer's disease (AD) has an estimated prevalence of 50 million persons worldwide1 and an incidence of 10 million cases per year1-3, making it the most common form of dementia. While neuropsychiatric symptoms (NPS) are common in AD, apathy is particularly frequent, affecting up to 70% of patients4. Apathy has been broadly defined as a loss of interest in daily activities and diminished goal directed behavior in the absence of depression and other mood changes5 –7 . This NPS is associated with greater functional impairment, greater caregiver burden, increased risk of institutionalization, poorer quality of life, an...
Source: The American Journal of Geriatric Psychiatry - May 27, 2020 Category: Geriatrics Authors: Krista L. Lanct ôt, Roberta W. Scherer, Abby Li, Danielle Vieira, Hamadou Coulibaly, Paul B. Rosenberg, Nathan Herrmann, Alan J Lerner, Prasad R Padala, Olga Brawman-Mintzer, Chris H. van Dyck, Anton P. Porsteinsson, Suzanne Craft, Allan Levey, William J Tags: Regular Research Article Source Type: research

Disparities in the Luxury of Distance for COVID-19 Care.
Authors: Wilkins JM, Nowak LM, Forester BP PMID: 32444322 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 25, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

"Remote Monitoring of Intranasal Ketamine Self-Administration as Maintenance Therapy in Treatment-Resistant Depression (TRD): A Novel Strategy for Vulnerable and At-Risk Populations to COVID-19?"
"Remote Monitoring of Intranasal Ketamine Self-Administration as Maintenance Therapy in Treatment-Resistant Depression (TRD): A Novel Strategy for Vulnerable and At-Risk Populations to COVID-19?" Am J Geriatr Psychiatry. 2020 May 05;: Authors: Longpré-Poirier C, Desbeaumes Jodoin V, Miron JP, Lespérance P PMID: 32446640 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 25, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

A Geriatric Psychiatry Virtual Rotation during Covid-19.
Authors: Collier S PMID: 32425467 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Promoting Technology and Virtual Visits to Improve Older Adult Mental Health in the Face of COVID-19.
Authors: Gould CE, Hantke NC PMID: 32425468 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Telehealth Reimbursement Allows Access to Mental Health Care During COVID-19.
Authors: Lepkowsky CM PMID: 32425469 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Altered Mental Status as a Novel Initial Clinical Presentation for COVID-19 Infection in the Elderly.
We present four cases of elderly patients who developed altered mental status as their presenting symptom without associated fever or respiratory symptoms. PMID: 32425470 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Qigong for the Prevention, Treatment, and Rehabilitation of COVID-19 Infection in Older Adults.
Authors: Feng F, Tuchman S, Denninger JW, Fricchione GL, Yeung A Abstract The elderly are at high risk of contracting respiratory infectious diseases, including COVID-19 infection. The recent pandemic has the potential to cause significant physical and mental damage in older adults. Similarly to other mind-body exercises in Traditional Chinese medicine, Qigong features regulation of breath rhythm and pattern, body movement and posture, and meditation. Given these traits, Qigong has the potential to play a role in the prevention, treatment, and rehabilitation of respiratory infections, such as COVID-19. Potential me...
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Electroconvulsive therapy for geriatric depression in the COVID-19 era: reflection on the ethics.
Authors: Burhan AM, Safi A, Blair M, O'Reilly R PMID: 32425472 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Strategies to Promote Social Connections Among Older Adults During 'Social Distancing' Restrictions.
Authors: Van Orden KA, Bower E, Lutz J, Silva C, Gallegos AM, Podgorski CA, Santos EJ, Conwell Y Abstract Older age and medical comorbidity are factors associated with more severe illness and risk of death due to COVID-19 infection. Social distancing is an important public health strategy for controlling the spread of the virus and minimizing its impact on the older adult population. It comes at a cost, however. Loneliness is associated with myriad adverse health outcomes, one of which is impaired immune functioning, which adds even greater risk for corona virus infection, complications and death. Older adults, the...
Source: The American Journal of Geriatric Psychiatry - May 21, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Geriatric mental health and COVID-19: An eye-opener to the situation of the Arab countries in the Middle East and North Africa Region.
Authors: Hayek SE, Cheaito MA, Nofal M, Abdelrahman D, Adra A, Shamli SA, AlHarthi M, AlNuaimi N, Aroui C, Bensid L, Emberish AM, Larnaout A, Radwan A, Slaih M, Sinawi HA Abstract While the detrimental ramifications of the COVID-19 outbreak on the mental wellbeing of the general public continue to unravel, older adults seem to be at high risk. As the geriatric population continues to grow in the Middle East and North Africa (MENA) region, it is essential to explore the influence of this outbreak on geriatric mental health, a topic often neglected. In this review, we depict the status of geriatric psychiatry in the ...
Source: The American Journal of Geriatric Psychiatry - May 21, 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 - May 20, 2020 Category: Geriatrics Source Type: research

Information for Subscribers
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 20, 2020 Category: Geriatrics Source Type: research

Table of Contents
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 20, 2020 Category: Geriatrics Source Type: research

In This Issue
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 20, 2020 Category: Geriatrics Source Type: research

Commentary on Treatment Adequacy and Adherence as Predictors of Depression Response in Primary Care
This study was a secondary analysis of a study previously published.1 The original study was a randomized trial in which depressed older adults received either usual care from a primary care physician(N=116) or usual care plus the TIP intervention (Treatment Initiation and Participation Program)(N=115). (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 19, 2020 Category: Geriatrics Authors: J. Craig Nelson Tags: Invited Perspective Source Type: research

Clinical Trials and Tribulations in the COVID-19 Era
As of May 2020, there are 275 ongoing interventional trials for Alzheimer's Disease (AD) in the United States which are recruiting, active and no longer recruiting, or not yet recruiting subjects for enrollment (1). There have been no new drugs approved for this disease since 2003, and to date there is still no approved disease modifying drug aiding the over five million people diagnosed with AD and their caregivers in the United States (2). These stark figures warrant dedicated attention and resources. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 19, 2020 Category: Geriatrics Authors: Marc Scott Weinberg, Regan E. Patrick, Nadine A. Schwab, Praise Owoyemi, Rose May, Alison J. McManus, Jessica Gerber, David G. Harper, Steven E. Arnold, Brent Forester Source Type: research

An Emerging Paradigm for Psychiatric Practice in Integrated Care Amidst a Crisis.
Authors: Saxena PP PMID: 32414628 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Upgrade.
Authors: Shepherd JB PMID: 32414629 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Addressing Skilled Nursing Facilities' COVID-19 Psychosocial Needs Via Staff Training and a Process Group Intervention.
Authors: DeCaporale-Ryan L, Goodman J, Simning A, Press-Ellingham L, Williams L, Hasselberg M PMID: 32417025 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Combinatorial pharmacogenomic testing improves outcomes for older adults with depression
Geriatric depression, which affects approximately 5% of older adults (age ≥65 years) in the United States (1, 2), places substantial burdens on function, quality of life, and healthcare resources. In 2017, 2.2% of U.S. men and 3.5% of women age 65 years or older had experienced a major depressive episode in the past year, according to the U.S. Substance Abuse and Mental Health Services Administration (3). Although major depressive disorder (MDD) episodes are less prevalent in older adults than in younger age groups (1), up to 15% of community-dwelling people in this age category experience clinically significant depress...
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Geriatrics Authors: Brent P. Forester, Sagar V. Parikh, Sara Weisenbach, Olusola Ajilore, Ipsit Vahia, Anthony J. Rothschild, Michael E. Thase, Boadie W. Dunlop, Charles DeBattista, Charles R. Conway, Richard C. Shelton, Matthew Macaluso, James Li, Paul Traxler, Jennifer Log Tags: Regular Research Article Source Type: research

Elder Abuse in the time of COVID-19 – Increased Risks for Older Adults and Their Caregivers
Since the first case of the novel coronavirus SARS-CoV-2 causing the COVID-19 illness was diagnosed in the US on January 20, 2020,1 a steady stream of new policy measures have been enacted to protect the public from this growing pandemic. At the forefront of these efforts have been measures to limit interpersonal contact to prevent transmission of the virus. Social distancing, school closures and the shuttering of non-essential businesses have already led to significant personal, social and economic hardship. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Geriatrics Authors: Lena K. Makaroun, Rachel L. Bachrach, Ann-Marie Rosland Tags: Invited Perspective Source Type: research

Late-Life Brain Health Architecture: Leveraging Convergence Science Principles
Your journal's recent publication purposed that “a convergence science (aka transdisciplinary science) approach is needed to develop novel clinical solutions in late-life brain health”1. We agree and wish to highlight the role of architecture. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Geriatrics Authors: Fiona E. Walsh, Greg S. Walsh, Harris A. Eyre, Walter D. Dawson Tags: Letter to the Editor Source Type: research

Strategies to Promote Social Connections Among Older Adults During ‘Social Distancing’ Restrictions
Social connections are essential for health and well-being at all ages and may be especially important for promoting health in later life. Whereas declines in physical, sensory, and cognitive function are common with advancing age, social functioning remains malleable and responsive to intervention throughout life. Lifespan developmental theories of socioemotional development suggest that relationship satisfaction and social well-being increase in later life1 and are strengths that can be capitalized upon to promote mental health and well-being. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Geriatrics Authors: Kimberly A. Van Orden, Emily Bower, Julie Lutz, Caroline Silva, Autumn M. Gallegos, Carol A. Podgorski, Elizabeth J. Santos, Yeates Conwell Tags: Special Issue Article Source Type: research

Geriatric mental health and COVID-19: An eye-opener to the situation of the Arab countries in the Middle East and North Africa Region
COVID-19 constitutes a new major global health challenge. The socioeconomic and health care impacts of this pandemic are unprecedented, with worldwide economic loss, travel restrictions, closure of business activities, social distancing, isolation and quarantine, fear of shortage of basic needs, and rapid spread of mental health problems 1-3. The unpredictable nature of COVID-19 and its associated individual, societal, and global repercussions not only threaten one's physical health but also affects their mental health. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Geriatrics Authors: Samer El Hayek, Mohamad Ali Cheaito, Marwa Nofal, Doaa Abdelrahman, Ali Adra, Siham Al Shamli, Mansour AlHarthi, Nawaf AlNuaimi, Chaimaa Aroui, Lynda Bensid, Alkhansa Mahdi Emberish, Amine Larnaout, Ahmed Radwan, Mohammad Slaih, Hamed Al Sinawi Tags: Clinical Review Article Source Type: research

Annual Prevalence of Use of Potentially Inappropriate Medications for Treatment of Affective Disorders in Parkinson's Disease
Affective disorders, in particular depression and anxiety, are common non-motor disorders in Parkinson's disease (PD). The burden of depression and anxiety has been studied in several clinical and research setting studies, and the reported prevalence ranges from 3% to 89% for depression1 and 7% to 55% for anxiety.2 Additionally, patients commonly present with both disorders.3 These disorders have negative impacts on disease outcomes; for example, depression in PD is associated with worse disability and health-related quality of life. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 18, 2020 Category: Geriatrics Authors: Danielle S. Abraham, Thanh Phuong Pham Nguyen, Sean Hennessy, Shelly L. Gray, Dawei Xie, Daniel Weintraub, Allison W. Willis Tags: Regular Research Article Source Type: research

Ethical and Logistical Considerations of Caring for Older Adults on Inpatient Psychiatry During the COVID-19 Pandemic.
We describe two cases: patient A, a 62-year-old woman who initially refused screening for potential COVID-19, bringing up questions about threshold for capacity when public health is at risk and questions about whether screening for infection should be different in older adults. The other case, patient B, is that of an 83-year-old man who was on the unit when patient A tested positive, and brought up concerns for risk of dissemination in the context of wandering, spitting behaviors, and inability to adhere to room isolation or masking measures. We review measures taken to decrease risk of transmission and improve screening...
Source: The American Journal of Geriatric Psychiatry - May 17, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Understanding Personality's Role in Late-Life Suicide Research: A Multifaceted Challenge: Invited Perspective on "The Interaction of Personality and Social Support on Prospective Suicidal Ideation in Men and Women With Late-Life Depression".
Understanding Personality's Role in Late-Life Suicide Research: A Multifaceted Challenge: Invited Perspective on "The Interaction of Personality and Social Support on Prospective Suicidal Ideation in Men and Women With Late-Life Depression". Am J Geriatr Psychiatry. 2020 Apr 25;: Authors: Szücs A PMID: 32409193 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 17, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Preventing and Controlling Measures of 2019 Coronavirus Disease (COVID-19): Practice in Psychogeriatric Ward.
Authors: Zhao W, Jian W, Li H PMID: 32409194 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 17, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Effects of Ramelteon on the Prevention of Postoperative Delirium in Older Patients Undergoing Orthopedic Surgery: The RECOVER Randomized Controlled Trial
Postoperative delirium, an acute confusional state arising after surgery, is caused by an underlying physiological disturbance and characterized by sleep/wake cycle disturbances. (1) It is a serious public health problem that disproportionately affects older people. (2) Delirium is associated with many negative outcomes including: increased mortality, longer hospital stays, increased institutionalization after acute care hospitalization, worse cognitive and physical outcomes (both short- and long-term), and significant distress for patients and their families. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 16, 2020 Category: Geriatrics Authors: Esther S Oh, Jeannie-Marie Leoutsakos, Paul B Rosenberg, Alexandra Pletnikova, Harpal S Khanuja, Robert S. Sterling, Julius K Oni, Frederick E Sieber, Neal S Fedarko, Narjes Akhlaghi, Karin J Neufeld Tags: Regular Research Article Source Type: research

Aging and Positive Mood: Longitudinal Neurobiological and Cognitive Correlates
It is widely acknowledged that aging is associated with more losses than gains, from physical and cognitive health to social losses. Despite adverse experiences and increased life stressors, older adults demonstrate remarkable emotional resilience (1, 2). While a number of theories exist offering possible insights into why emotional regulation is preserved in older adults, one of the most prevalent is the socioemotional selectivity theory (SST). The SST posits that individuals, when faced with time horizon constraints, mentally restructure motivational priorities such that emotionally gratifying experiences and relationshi...
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: DL Cotter, SM Walters, C Fonseca, A Wolf, Y Cobigo, EC Fox, M You, M Altendahl, N Djukic, AM Staffaroni, FM Elahi, JH Kramer, KB Casaletto, the Hillblom Aging Network Tags: Regular Research Article Source Type: research

Electroconvulsive therapy for geriatric depression in the COVID-19 era: reflection on the ethics
Electroconvulsive therapy (ECT) is a highly effective treatment for severe, life-threatening and/or treatment resistant geriatric depression.1,2 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: Amer M. Burhan, Ajmal Safi, Mervin Blair, Richard O'Reilly Tags: Letter to the Editor Source Type: research

Telehealth Reimbursement Allows Access to Mental Health Care During COVID-19
Older adults belong to the cohort most at risk for serious illness reactions to COVID-19, for whom shelter in place is most strongly recommended [1]. In order to make remote services more accessible, the Center for Medicare and Medicaid Services (CMS) announced non-enforcement of some telehealth policies, e.g., those limiting the patient's location to approved rural facilities, or requiring HIPAA compliance of audio-visual platforms used for telehealth [2]. While these measures increased access to care to Medicare subscribers with IT fluency, they failed to address access to care for Medicare subscribers who lack IT fluenc...
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: Charles M. Lepkowsky Tags: Letter to the Editor Source Type: research

A Geriatric Psychiatry Virtual Rotation during Covid-19
Older adults with mental illnesses are currently facing a health crisis due to severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV 2) infections resulting in coronavirus disease 2019 (Covid-19)1. In order to minimize exposures to our most vulnerable older adult patients, the McLean Hospital Division of Geriatric Psychiatry restructured the geriatric psychiatry rotation for psychiatry residents to an all-outpatient virtual model. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: Stephanie Collier Tags: Letter to the Editor Source Type: research

Promoting Technology and Virtual Visits to Improve Older Adult Mental Health in the Face of COVID-19
Prior to COVID-19, technology-delivered mental health services were a novel, innovative approach poised to potentially increase access to care among older adults. Now, these services are imperative in nearly all care. These services must be offered to older adults, who are especially vulnerable to COVID-19, loneliness, social isolation, and subsequent depression. Services include video telehealth, which has a robust evidence base including among older adults.1 Internet interventions and mobile app interventions utilize a more automated approach than telehealth. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: Christine E. Gould, Nathan C. Hantke Tags: Letter to the Editor Source Type: research

Qigong for the Prevention, Treatment, and Rehabilitation of COVID-19 Infection in Older Adults
The outbreak of coronavirus disease 2019 (COVID-19), that was first reported by local health facilities in Wuhan, China, in December 2019, has rapidly spread throughout the world. Older people and patients with existing medical conditions are prone to have severe complications associated with Covid-19 infection. 1 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: Fan Feng, Sylvie Tuchman, John W. Denninger, Gregory L. Fricchione, Albert Yeung Tags: Clinical Review Article Source Type: research

Altered Mental Status as a Novel Initial Clinical Presentation for COVID-19 Infection in the Elderly
Coronavirus disease 2019 (COVID-19) was declared a global health emergency by the World Health Organization on December 31, 2019 and a global pandemic on March 11, 2020. The most significant health problem associated with COVID-19 has been identified as a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) leading to pneumonia, respiratory failure and death. Elderly individuals with chronic health conditions (e.g., hypertension, asthma, diabetes, coronary heart disease) are more vulnerable. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 14, 2020 Category: Geriatrics Authors: Christine F. Ward, Gary S. Figiel, William M. McDonald Tags: Brief Report Source Type: research

Of Feast and Famine.
Authors: Shepherd JB PMID: 32389415 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 12, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Intensive Medicine and Nursing Home Care in Times of SARS CoV-2: A Norwegian Perspective.
Authors: Husebø BS, Berge LI PMID: 32381282 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 9, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Atypical Presentation of Covid-19 in an Older Adult With Severe Alzheimer Disease.
Authors: Isaia G, Marinello R, Tibaldi V, Tamone C, Bo M PMID: 32381283 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 9, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Abiding.
Authors: Shepherd JB PMID: 32371011 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 8, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Purpose after Retirement during COVID-19: Trying to Find Direction in Retirement Communities.
Authors: Hill PL, Lewis NA, Burrow AL PMID: 32376079 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 8, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Resting State Functional Connectivity and Outcomes of Psychotherapies for Late-Life Depression.
CONCLUSION: The results suggest that patients who present with higher rsFC between the sgACC and a structure within the DMN may benefit from behavioral psychotherapies for late life depression. "Engage" may lead to increased rsFC within the reward system reflecting a reconditioning of the reward systems by reward exposure. PMID: 32376080 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 8, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Commentary on "The Association Between Biomarkers and Neuropsychiatric Symptoms Across the Alzheimer's Disease Spectrum".
Commentary on "The Association Between Biomarkers and Neuropsychiatric Symptoms Across the Alzheimer's Disease Spectrum". Am J Geriatr Psychiatry. 2020 Apr 15;: Authors: Beaudreau SA, Schneider L PMID: 32376081 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 8, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The convergence of biomedical and psychosocial approaches to neural network connectivity in depression.
There is a growing consensus on the influence neural networks of the mesocorticolimbic brain system on neuropsychiatric disorders. Neural networks consist of clusters of connected circuits identified with functional magnetic resonance imaging of the brain. Multiple networks including the default mode network, salience network, and executive function also described as the cognitive control network are implicated in both the presentation of depressive symptoms but also as moderators of treatment response. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 7, 2020 Category: Geriatrics Authors: Gary J. Kennedy Tags: Invited Perspective Source Type: research

Black in American Medicine: An Early-Career Psychiatrist's Journey to Stand Against Disparities.
Authors: Parker CB PMID: 32362455 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - May 5, 2020 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Neurobiologic Rationale for Treatment of Apathy in Alzheimer's Disease with Methylphenidate
The public health burden of Alzheimer's disease (AD) is related not only to cognitive symptoms, but also to neuropsychiatric symptoms. Most patients with AD will develop at least one such symptom over the course of the disease.1 Common neuropsychiatric symptoms in AD include agitation, depression, and apathy.2 Apathy is defined as a quantitative reduction of goal-directed activity in comparison to a previous level of functioning3 and affects 30-70% of persons with AD.2, 4 Even in the prodromal condition of mild cognitive impairment (MCI), apathy has an estimated prevalence of 15-18%4, 5 and is associated with a significant...
Source: The American Journal of Geriatric Psychiatry - May 5, 2020 Category: Geriatrics Authors: Christopher H. van Dyck, Amy F.T. Arnsten, Prasad R. Padala, Olga Brawman-Mintzer, Alan J. Lerner, Anton P. Porsteinsson, Roberta W. Scherer, Allan I. Levey, Nathan Herrmann, Nimra Jamil, Jacobo E. Mintzer, Krista L. Lanct ôt, Paul B. Rosenberg Tags: Clinical Review Article Source Type: research

Ethical and Logistical Considerations Of Caring for Older Adults on Inpatient Psychiatry during the COVID-19 Pandemic
These are unprecedented times. The coronavirus disease 2019 (COVID-19) pandemic has upended day-to-day life and care delivery. The older adult population is at high risk of negative outcomes from a COVID infection. In fact, the CDC estimates that 8 out of 10 deaths reported in the U.S. have been in adults 65 years old and older.1 This makes the task of caring for this population on an inpatient psychiatry unit especially challenging. Inpatient psychiatry units are ambulatory units that are designed to promote recovery through socialization and milieu therapy, and thus, there exists an increased risk of person-to-person tra...
Source: The American Journal of Geriatric Psychiatry - May 5, 2020 Category: Geriatrics Authors: Mario Fahed, Gregory C. Barron, David C. Steffens Tags: Special Issue Article Source Type: research