Elder Financial Abuse and Electronic Financial Instruments: Present and Future Considerations for Financial Capacity Assessments
Living free from abuse, neglect, and exploitation is considered a fundamental right for older adults.1 While there are various definitions of elder abuse, no universal standards exist for reporting these offenses,2-7 creating a fractured system of elder financial abuse (EFA) research, prevention, and response, including recovery of funds.2, 7 Although economic stability is one of five social determinants of health recognized by the United States (US) Centers for Disease Control and Prevention (CDC),8, 9 EFA remains one of the most common yet under-reported forms of elder abuse,10 often involving significant suffering regar...
Source: The American Journal of Geriatric Psychiatry - March 4, 2021 Category: Geriatrics Authors: Aaron J. Greene Tags: Special Article Source Type: research

Perioperative Mental Health in Older Adults: New Research on Epidemiology and Outcomes
Am J Geriatr Psychiatry. 2021 Feb 6:S1064-7481(21)00203-7. doi: 10.1016/j.jagp.2021.02.036. Online ahead of print.NO ABSTRACTPMID:33653599 | DOI:10.1016/j.jagp.2021.02.036 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - March 3, 2021 Category: Psychiatry Authors: Katherine J Holzer Michael S Avidan Eric J Lenze Source Type: research

Optimal Treatment of Depression and Anxiety in Parkinson's Disease
Am J Geriatr Psychiatry. 2021 Feb 9:S1064-7481(21)00204-9. doi: 10.1016/j.jagp.2021.02.037. Online ahead of print.ABSTRACTDepression and anxiety are highly prevalent and have major adverse effects on function and quality of life in Parkinson's disease (PD). Optimal management requires that motor symptoms and psychiatric symptoms be simultaneously addressed. While there is fairly robust evidence for the treatment of motor symptoms, there are no completed randomized controlled trials to guide pharmacological treatment of anxiety in PD and no nonpharmacologic interventions have proven efficacious. Several high-quality trials ...
Source: The American Journal of Geriatric Psychiatry - March 2, 2021 Category: Psychiatry Authors: Gregory M Pontone Kelly A Mills Source Type: research

Ignoring Societal Structure in Public Health Approaches to Suicide Prevention
Am J Geriatr Psychiatry. 2021 Feb 2:S1064-7481(21)00160-3. doi: 10.1016/j.jagp.2021.01.134. Online ahead of print.NO ABSTRACTPMID:33640266 | DOI:10.1016/j.jagp.2021.01.134 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 28, 2021 Category: Psychiatry Authors: Paul R Duberstein Perry N Halkitis Source Type: research

Heroin Use in Older Adults: A Treatment Challenge
Am J Geriatr Psychiatry. 2021 Feb 9:S1064-7481(21)00206-2. doi: 10.1016/j.jagp.2021.02.039. Online ahead of print.NO ABSTRACTPMID:33640267 | DOI:10.1016/j.jagp.2021.02.039 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 28, 2021 Category: Psychiatry Authors: Paolo Mannelli Source Type: research

Association of Depressive Symptoms With Postoperative Delirium and CSF Biomarkers for Alzheimer's Disease Among Hip Fracture Patients
CONCLUSIONS: In older adults undergoing hip fracture repair, depressive symptoms were associated with underlying AD pathology and postoperative delirium. Mild baseline depressive symptoms were the strongest predictor of postoperative delirium, and may represent a dementia prodrome.PMID:33640268 | DOI:10.1016/j.jagp.2021.02.001 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 28, 2021 Category: Psychiatry Authors: Carol K Chan Frederick E Sieber Kaj Blennow Sharon K Inouye Geoffrey Kahn Jeannie-Marie S Leoutsakos Edward R Marcantonio Karin J Neufeld Paul B Rosenberg Nae-Yuh Wang Henrik Zetterberg Constantine G Lyketsos Esther S Oh Source Type: research

Ignoring Societal Structure in Public Health Approaches to Suicide Prevention
Am J Geriatr Psychiatry. 2021 Feb 2:S1064-7481(21)00160-3. doi: 10.1016/j.jagp.2021.01.134. Online ahead of print.NO ABSTRACTPMID:33640266 | DOI:10.1016/j.jagp.2021.01.134 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 28, 2021 Category: Psychiatry Authors: Paul R Duberstein Perry N Halkitis Source Type: research

Heroin Use in Older Adults: A Treatment Challenge
Am J Geriatr Psychiatry. 2021 Feb 9:S1064-7481(21)00206-2. doi: 10.1016/j.jagp.2021.02.039. Online ahead of print.NO ABSTRACTPMID:33640267 | DOI:10.1016/j.jagp.2021.02.039 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 28, 2021 Category: Psychiatry Authors: Paolo Mannelli Source Type: research

Association of Depressive Symptoms With Postoperative Delirium and CSF Biomarkers for Alzheimer's Disease Among Hip Fracture Patients
CONCLUSIONS: In older adults undergoing hip fracture repair, depressive symptoms were associated with underlying AD pathology and postoperative delirium. Mild baseline depressive symptoms were the strongest predictor of postoperative delirium, and may represent a dementia prodrome.PMID:33640268 | DOI:10.1016/j.jagp.2021.02.001 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 28, 2021 Category: Psychiatry Authors: Carol K Chan Frederick E Sieber Kaj Blennow Sharon K Inouye Geoffrey Kahn Jeannie-Marie S Leoutsakos Edward R Marcantonio Karin J Neufeld Paul B Rosenberg Nae-Yuh Wang Henrik Zetterberg Constantine G Lyketsos Esther S Oh Source Type: research

Editorial Board
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 25, 2021 Category: Geriatrics Source Type: research

Information for Subscribers
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 25, 2021 Category: Geriatrics Source Type: research

Table of Contents
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 25, 2021 Category: Geriatrics Source Type: research

In This Issue
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 25, 2021 Category: Geriatrics Source Type: research

Disclosure of Competing Interests for 2020
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 25, 2021 Category: Geriatrics Source Type: research

Social Disconnection in Late Life Suicide: An NIMH Workshop on State of the Research in Identifying Mechanisms, Treatment Targets, and Interventions
We present a synthesis of research discussed during a workshop hosted by the National Institute of Mental Health on social disconnection and late-life suicide. Social disconnection is related to suicide risk in late life via a variety of mechanisms, including biological, behavioral, and psychological correlates. Researchers in several scientific fields have begun to establish these connections and identify targets for interventions to reduce risk in late life. While research has demonstrated that social connection is amenable to change, there is little research to date on the most evidence-based interventions to mitigate s...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Julie Lutz Kimberly A Van Orden Martha L Bruce Yeates Conwell Members of the NIMH Workshop on Social Disconnection in Late Life Suicide Source Type: research

The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia
Am J Geriatr Psychiatry. 2021 Feb 3:S1064-7481(21)00164-0. doi: 10.1016/j.jagp.2021.01.135. Online ahead of print.ABSTRACTRedesigning the healthcare workforce to meet the needs of the growing population of persons living with dementia (PLWD), most of whom reside in the community and receive care from primary care providers, is a national priority. Yet, the shortage of adequately trained providers is raising concerns that the primary care system is not equipped to care for PLWD. The growing nurse practitioner (NP) workforce could bridge this gap. In this review, the authors synthesized the existing evidence from fourteen st...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Lusine Poghosyan Jessica M Brooks Vaneh Hovsepian Madeline Pollifrone Amelia E Schlak Tatiana Sadak Source Type: research

Social Disconnection in Late Life Suicide: An NIMH Workshop on State of the Research in Identifying Mechanisms, Treatment Targets, and Interventions
We present a synthesis of research discussed during a workshop hosted by the National Institute of Mental Health on social disconnection and late-life suicide. Social disconnection is related to suicide risk in late life via a variety of mechanisms, including biological, behavioral, and psychological correlates. Researchers in several scientific fields have begun to establish these connections and identify targets for interventions to reduce risk in late life. While research has demonstrated that social connection is amenable to change, there is little research to date on the most evidence-based interventions to mitigate s...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Julie Lutz Kimberly A Van Orden Martha L Bruce Yeates Conwell Members of the NIMH Workshop on Social Disconnection in Late Life Suicide Source Type: research

The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia
Am J Geriatr Psychiatry. 2021 Feb 3:S1064-7481(21)00164-0. doi: 10.1016/j.jagp.2021.01.135. Online ahead of print.ABSTRACTRedesigning the healthcare workforce to meet the needs of the growing population of persons living with dementia (PLWD), most of whom reside in the community and receive care from primary care providers, is a national priority. Yet, the shortage of adequately trained providers is raising concerns that the primary care system is not equipped to care for PLWD. The growing nurse practitioner (NP) workforce could bridge this gap. In this review, the authors synthesized the existing evidence from fourteen st...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Lusine Poghosyan Jessica M Brooks Vaneh Hovsepian Madeline Pollifrone Amelia E Schlak Tatiana Sadak Source Type: research

Social Disconnection in Late Life Suicide: An NIMH Workshop on State of the Research in Identifying Mechanisms, Treatment Targets, and Interventions
We present a synthesis of research discussed during a workshop hosted by the National Institute of Mental Health on social disconnection and late-life suicide. Social disconnection is related to suicide risk in late life via a variety of mechanisms, including biological, behavioral, and psychological correlates. Researchers in several scientific fields have begun to establish these connections and identify targets for interventions to reduce risk in late life. While research has demonstrated that social connection is amenable to change, there is little research to date on the most evidence-based interventions to mitigate s...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Julie Lutz Kimberly A Van Orden Martha L Bruce Yeates Conwell Members of the NIMH Workshop on Social Disconnection in Late Life Suicide Source Type: research

The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia
Am J Geriatr Psychiatry. 2021 Feb 3:S1064-7481(21)00164-0. doi: 10.1016/j.jagp.2021.01.135. Online ahead of print.ABSTRACTRedesigning the healthcare workforce to meet the needs of the growing population of persons living with dementia (PLWD), most of whom reside in the community and receive care from primary care providers, is a national priority. Yet, the shortage of adequately trained providers is raising concerns that the primary care system is not equipped to care for PLWD. The growing nurse practitioner (NP) workforce could bridge this gap. In this review, the authors synthesized the existing evidence from fourteen st...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Lusine Poghosyan Jessica M Brooks Vaneh Hovsepian Madeline Pollifrone Amelia E Schlak Tatiana Sadak Source Type: research

Social Disconnection in Late Life Suicide: An NIMH Workshop on State of the Research in Identifying Mechanisms, Treatment Targets, and Interventions
We present a synthesis of research discussed during a workshop hosted by the National Institute of Mental Health on social disconnection and late-life suicide. Social disconnection is related to suicide risk in late life via a variety of mechanisms, including biological, behavioral, and psychological correlates. Researchers in several scientific fields have begun to establish these connections and identify targets for interventions to reduce risk in late life. While research has demonstrated that social connection is amenable to change, there is little research to date on the most evidence-based interventions to mitigate s...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Julie Lutz Kimberly A Van Orden Martha L Bruce Yeates Conwell Members of the NIMH Workshop on Social Disconnection in Late Life Suicide Source Type: research

The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia
Am J Geriatr Psychiatry. 2021 Feb 3:S1064-7481(21)00164-0. doi: 10.1016/j.jagp.2021.01.135. Online ahead of print.ABSTRACTRedesigning the healthcare workforce to meet the needs of the growing population of persons living with dementia (PLWD), most of whom reside in the community and receive care from primary care providers, is a national priority. Yet, the shortage of adequately trained providers is raising concerns that the primary care system is not equipped to care for PLWD. The growing nurse practitioner (NP) workforce could bridge this gap. In this review, the authors synthesized the existing evidence from fourteen st...
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Psychiatry Authors: Lusine Poghosyan Jessica M Brooks Vaneh Hovsepian Madeline Pollifrone Amelia E Schlak Tatiana Sadak Source Type: research

What Can We Learn From Studies Linking Gout with Dementia?
Risk factors for dementia include increasing age, vascular disease, chronic illness, nutritional factors, and social isolation. Targeting modifiable risk factors is an important strategy in dementia management; despite drug development efforts, a cure for dementia has not been elucidated2. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 24, 2021 Category: Geriatrics Authors: Jane P. Gagliardi Tags: Editorial Source Type: research

I Am a Father, an Employee, and at One Point in My Life, I Was Also Caregiver
Am J Geriatr Psychiatry. 2021 Feb 4:S1064-7481(21)00165-2. doi: 10.1016/j.jagp.2021.01.136. Online ahead of print.NO ABSTRACTPMID:33618975 | DOI:10.1016/j.jagp.2021.01.136 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 23, 2021 Category: Psychiatry Authors: Willie Pringle Source Type: research

Repeated preoperative intranasal administration of insulin decreases the incidence of postoperative delirium in elderly patients undergoing laparoscopic radical gastrointestinal surgery: a randomized, placebo-controlled, double-blinded clinical study
Postoperative delirium (POD) is an acute neuropsychiatric syndrome that generally occurs within 7 days after surgery in elderly patients. The incidence of POD in elderly patients has been reported to be as high as 15% to 62%1. The development of POD not only increases mortality at 6 to 12 months after surgery but can also seriously affect quality of life and health status, prolong the length of hospital stays, increase hospitalization costs, and exert great pressure on society and families2, 3. In the United States, the 1-year health care costs associated with delirium in the elderly population have been estimated to excee...
Source: The American Journal of Geriatric Psychiatry - February 23, 2021 Category: Geriatrics Authors: Qingqing Huang, Qin Li, Fuen Qin, Libang Yuan, Zhihong Lu, Huang Nie, Gu Gong Tags: Regular Research Article Source Type: research

A Case of Sustained Antidepressant Effects and Large Changes in the Brain With a Single Brief Exposure to Nitrous Oxide
Am J Geriatr Psychiatry. 2021 Feb 4:S1064-7481(21)00168-8. doi: 10.1016/j.jagp.2021.01.138. Online ahead of print.NO ABSTRACTPMID:33612348 | DOI:10.1016/j.jagp.2021.01.138 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 22, 2021 Category: Psychiatry Authors: Thomas Desmidt Val érie Gissot Paul-Armand Dujardin Fr édéric Andersson Laurent Barantin Bruno Brizard Nicolas Arlicot Jean-Pierre R éméniéras Fabien Espitalier Wissam El-Hage Vincent Camus Source Type: research

Association Between Gout and Dementia in the Elderly: A Nationwide Population-Based Cohort Study
CONCLUSION: Gout was independently associated with a 37% lower risk of dementia in the elderly.PMID:33593591 | DOI:10.1016/j.jagp.2021.01.016 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 17, 2021 Category: Psychiatry Authors: Kyung Hyun Min Sang Oh Kang Su Jin Oh Ji Min Han Kyung Eun Lee Source Type: research

Cannabinoids for Agitation in Alzheimer's Disease.
Authors: Outen JD, Burhanullah MH, Vandrey R, Amjad H, Harper DG, Patrick RE, May RL, Agronin ME, Forester BP, Rosenberg PB Abstract Agitation is a common neuropsychiatric symptom of Alzheimer's disease (AD) that greatly impacts quality of life and amplifies caregiver burden. Agitation in AD may be associated with volume loss in the anterior cingulate cortex, posterior cingulate cortex, insula, amygdala, and frontal cortex, as well as with degeneration of monoaminergic neurotransmission, disrupted circadian rhythms, and frailty. Current pharmacologic options have troubling safety concerns and only modest efficacy. ...
Source: The American Journal of Geriatric Psychiatry - February 13, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Does Low Subjective Social Status Predict Cognitive Decline in Chinese Older Adults? A 4-Year Longitudinal Study From Hong Kong.
CONCLUSION: Cognitive decline is influenced by self-perceived rank in proximal reference groups rather than socioeconomic comparison with society at-large. SSS-Community is a useful, single-item supplementary instrument to improve prediction of cognitive decline in elderly Chinese. PMID: 33563520 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 12, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The Scientific Autobiography of a Traveler.
Authors: Andreescu C PMID: 33563521 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 12, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Nurse Practitioners and Dementia Care: A Perfect Fit
Alzheimer's disease and other dementias (ADRD) inevitably follow a progressive course of cognitive and functional decline ultimately leading to death; they are devastating both to persons affected and their caregivers. Yet, the journey of each person living with dementia is unique based on the rate of person-specific disease progression, complications, available personal and community resources, and individual goals and values. Therefore, each person's care must be customized. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 11, 2021 Category: Geriatrics Authors: David B. Reuben, Terry Fulmer Tags: Editorial Source Type: research

Atrial fibrillation and dementia
The search for modifiable risk factors for dementia has been on for a long time and is becoming ever more important. As the population ages, the number of patients with dementia is growing fast, as is the impact on health services and public health. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 11, 2021 Category: Geriatrics Authors: AARTJAN TF Beekman, Laure ROUCH, Feng Xia, Amber Bahorik, Jeffrey Olgin, Kristine Yaffe Tags: Editorial for the American Journal of Geriatric Psychiatry. Source Type: research

Adverse impacts of declining financial and health literacy in old age
Financial and health literacy, the acquisition, processing and utilization of financial and health information to facilitate effective decisions1, is of particular importance to successful aging in modern society. Every day, thousands of older Americans are confronted with a series of financial and healthcare challenges ranging from planning for retirement, making investment decisions, to choosing Medicare coverage and signing up for healthcare services. Alarming data have shown that older adults are highly vulnerable to poor financial and health literacy2. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 11, 2021 Category: Geriatrics Authors: Lei Yu, Gary Mottola, David A. Bennett, Patricia A. Boyle Tags: Regular Research Article Source Type: research

Clinician Experiences Delivering Dementia Caregiver Support Services During COVID-19.
Authors: Quach ED, Franzosa E, Moo LR, Hartmann CW PMID: 33549414 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 9, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Association of White Matter Integrity With Executive Function and Antidepressant Treatment Outcome in Patients With Late-Life Depression.
CONCLUSION: In late-life depression LLD subjects, white matter integrity was positively associated with executive function in white matter tracts which act as key connecting structures underlying the cognitive control network. These tracts may play a role as a positive prognostic factor in antidepressant treatment outcome. PMID: 33551234 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 9, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Optimal treatment of depression and anxiety in Parkinson's disease
Mr. P is a 72 year old married male with a seven year history of PD. He had no history of anxiety, major depression, or psychotic illness prior to PD. For the first six years he was treated with a combination of the dopamine agonist pramipexole and one tablet of carbidopa-levodopa three times per day. However, he developed an impulse control disorder (hypersexuality) and visual hallucinations last year and pramipexole was tapered off. He is currently treated with carbidopa-levodopa 25/100mg two tablets four times per day. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 9, 2021 Category: Geriatrics Authors: Gregory M. Pontone, Kelly A. Mills Source Type: research

Atrial fibrillation is associated with greater risk of dementia in older veterans
Both atrial fibrillation (AF) and dementia predominantly affect the elderly and exert a heavy burden on health care systems. Several lines of data suggest that AF is associated with cognitive impairment and dementia 1,2; however the evidence, especially among older adults, is conflicting1,3 –6. Small sample size and cross-sectional designs are methodological limitations that may explain the inconsistent findings. Furthermore, the mechanisms underlying the association between AF and dementia still need further investigation. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 9, 2021 Category: Geriatrics Authors: Laure Rouch, Feng Xia, Amber Bahorik, Jeffrey Olgin, Kristine Yaffe Tags: Brief Report Source Type: research

Heroin use in older adults: a treatment challenge
Older populations have been disproportionally involved in the ongoing opioid epidemic, though media and society at large have mostly focused their attention on younger individuals. The U.S. adult population 55 and older has been increasing by about 2% yearly, yet the proportion of older people seeking treatment increased 59.5% between 2008-20171, a sizeable signal of a larger problem. In that time period, deaths by overdose from opioids increased 25 % in the same age group, and were almost 20% of the total opioid overdose deaths by 20182. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 9, 2021 Category: Geriatrics Authors: Paolo Mannelli Tags: Invited Perspective Source Type: research

The "Late-Life" Snag in Late-Life Anxious Depression.
The "Late-Life" Snag in Late-Life Anxious Depression. Am J Geriatr Psychiatry. 2021 Jan 19;: Authors: Andreescu C PMID: 33546981 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 8, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Perioperative Mental Health in older adults: new research on epidemiology and outcomes
Perioperative mental health presents different challenges from those posed in the outpatient psychiatry setting. For example, major depression is present in ∼5% of older adults, where it is a chronic illness that impairs quality of life and increases suicide risk; therefore it requires antidepressant medication and psychotherapy to attain and maintain symptomatic remission. In contrast, depression in the perioperative context occurs in 20-40% of older adults, where it is highly fluctuating over time and predicts poor operative outcomes, yet it may not be responsive to standard antidepressant medications or psychotherap...
Source: The American Journal of Geriatric Psychiatry - February 5, 2021 Category: Geriatrics Authors: Katherine J. Holzer, Michael S. Avidan, Eric J. Lenze Tags: Editorial Source Type: research

Social disconnection in late life suicide: An NIMH workshop on state of the research in identifying mechanisms, treatment targets, and interventions
In the United States and internationally, the number of older adults is increasing: projections suggest one-fifth of the US population will be 65 years or older by 2030, with this population nearly doubling from approximately 40 million in 2010 to approximately 72 million by 2030.1,2 In response to this changing makeup of the population, more attention to public health concerns related to aging is necessary. Two significant and related public health concerns for the aging population are suicide deaths and social disconnection. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 4, 2021 Category: Geriatrics Authors: Julie Lutz, Kimberly A. Van Orden, Martha L. Bruce, Yeates Conwell, Members of the NIMH Workshop on Social Disconnection in Late Life Suicide Tags: Clinical Review Article Source Type: research

I am a Father, an Employee, and at one point in my life, I was also Caregiver
As someone with a lived experience of a mental health challenge, I am also a father, an employee, and at one point in my life, I was also a caregiver. As a caregiver to an aging grandparent, it was at that moment that I learned about the importance of self-care throughout the lifespan. Below, I take you through the stages I went through as I lost my grandmother and began to take care of my grandfather. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 4, 2021 Category: Geriatrics Authors: Willie Pringle Tags: Editorial Source Type: research

The Importance of Cross-Disciplinary Research: A Commentary on "Brainstem Pathologies Correlate With Depression and Psychosis in Parkinson's Disease".
The Importance of Cross-Disciplinary Research: A Commentary on "Brainstem Pathologies Correlate With Depression and Psychosis in Parkinson's Disease". Am J Geriatr Psychiatry. 2021 Jan 19;: Authors: Schneider RB, Richard IH PMID: 33526370 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 3, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Association of depressive symptoms with postoperative delirium and CSF biomarkers for Alzheimer's disease among hip fracture patients
Delirium is a syndrome defined by acute changes in attention and cognition 1 that commonly occurs in hospitalized older adults after acute illness or surgery. Delirium is associated with increased morbidity and mortality, longer hospital stays, as well as physical and cognitive decline 2. The estimated annual health care costs associated with delirium and its downstream effects are over $164 billion dollars in the United States.3 Although delirium occurs in various clinical settings, the risk is especially high among older adults undergoing hip fracture surgery, with incidences ranging from 13 % to 56 % 4. (Source: The Ame...
Source: The American Journal of Geriatric Psychiatry - February 3, 2021 Category: Geriatrics Authors: Carol K Chan, Frederick E Sieber, Kaj Blennow, Sharon K Inouye, Geoffrey Kahn, Jeannie-Marie S Leoutsakos, Edward R Marcantonio, Karin J Neufeld, Paul B Rosenberg, Nae-Yuh Wang, Henrik Zetterberg, Constantine G Lyketsos, Esther S Oh Tags: Regular Research Article Source Type: research

A case of sustained antidepressant effects and large changes in the brain with a single brief exposure to nitrous oxide
We report the case of a 53-year-old woman with a history of recurrent depression and a current 2-year major depressive episode resistant to well-conducted escitalopram and venlafaxine therapy. She was included in the Protobrain study (NCT04199143 on clinicaltrials.gov), which consisted of exposing patients with treatment-resistant depression to 50% N20/50% O2 for 1 hour and investigating brain changes in response to the gas. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 3, 2021 Category: Geriatrics Authors: Thomas Desmidt, Val érie Gissot, Paul-Armand Dujardin, Frédéric Andersson, Laurent Barantin, Bruno Brizard, Nicolas Arlicot, Jean-Pierre Réméniéras, Fabien Espitalier, Wissam El-Hage, Vincent Camus Tags: Letter to the Editor Source Type: research

The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living with Dementia
Currently, more than 5.7 million Americans have Alzheimer's disease and related dementias (referred to as persons living with dementia [PLWD]), and this number is expected to double by 2030 and triple by 2050.1,2 Almost two-thirds of PLWD live in the community and receive health and disease management in primary care practices.3 Primary care is also the first place where community-dwelling PLWD and their families raise initial concerns about cognition, attention, and behavioral issues and where the majority are diagnosed with cognitive impairment. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 3, 2021 Category: Geriatrics Authors: Lusine Poghosyan, Jessica M. Brooks, Vaneh Hovsepian, Madeline Pollifrone, Amelia E. Schlak, Tatiana Sadak Source Type: research

Ignoring Societal Structure in Public Health Approaches to Suicide Prevention
In post-World War II America, theorists influenced by Karl Marx and Emile Durkheim warned that societal structures (e.g., economic, political, organizational) could fragment populations, breed alienation and normlessness (anomie), and increase risk for suicide.1-3 A popular book elaborated on this idea and influenced hospital administration.4 In the ensuing decades, a “culture of narcissism” has, arguably, further frayed the population5 and civic engagement has declined. 6 Yet scholarly interest in societal conceptions of disconnectedness has waned, largely due to the biomedicalization movement. (Source: The Am...
Source: The American Journal of Geriatric Psychiatry - February 1, 2021 Category: Geriatrics Authors: Paul R. Duberstein, Perry N. Halkitis Tags: Editorial Source Type: research

Ketamine for Depression in Older Adults.
Authors: Subramanian S, Lenze EJ PMID: 33509675 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - January 30, 2021 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research