Unsolicited Patient Complaints Identify Physicians with Evidence of Neurocognitive Disorders.
Authors: Cooper WO, Martinez W, Domenico HJ, Callahan ST, Kirkby BP, Finlayson AJR, Foster JJ, Johnson TM, Longo FM, Merrill DG, Jacobs ML, Pichert JW, Catron TF, Moore IN, Webb LE, Karrass J, Hickson GB Abstract OBJECTIVES: Determine whether words contained in unsolicited patient complaints differentiate physicians with and without neurocognitive disorders (NCD). METHODS: We conducted a nested case-control study using data from 144 healthcare organizations that participate in the Patient Advocacy Reporting System program. Cases (physicians with probable or possible NCD) and two comparison groups of 60 physicia...
Source: The American Journal of Geriatric Psychiatry - August 29, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The Hospital Elder Life Program: Past and Future.
Authors: Scheunemann LP, Girard TD, Skidmore ER, Resnick NM PMID: 30146370 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 29, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Increased Risk of Suicide Attempts and Unintended Death Among Those Transitioning From Prison to Community in Later Life.
Authors: Barry LC, Steffens DC, Covinsky KE, Conwell Y, Li Y, Byers AL Abstract OBJECTIVE: The number of individuals transitioning from correctional facilities to community in later life (age ≥50 ) is increasing. We sought to determine if later-life prison release is a risk factor for suicidal behavior and death by accidental injury, including drug overdose. DESIGN: Retrospective cohort study. SETTING: U.S. Department of Veterans Affairs and Medicare healthcare systems, 2012-2014. PARTICIPANTS: Veterans age ≥50 released from correctional facilities (N = 7,671 re-entry veterans) and those never...
Source: The American Journal of Geriatric Psychiatry - August 29, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Images In Aging: Eleanor Roosevelt.
Authors: Reynolds CF PMID: 30145020 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 27, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Invited Perspective on “The Molecular Intersection Between Senescence and Major Depression in the Elderly”
Biologic aging —especially the boundaries between normal and pathologic aging—is a matter of constant research and debate. Also, clinical psychiatrists, neurologists, and geriatricians are frequently faced with the question of whether late-life depression (LLD) is clinically and neurobiologically different fro m early-onset depression. In our daily clinical practice and research settings, determining the differential diagnosis and comorbidities between LLD, dementia, and frailty is challenging.1 These are complex and multifactorial conditions, and there is a need for the development of more specific appro aches...
Source: The American Journal of Geriatric Psychiatry - August 25, 2018 Category: Geriatrics Authors: Jerson Laks Tags: INVITED PERSPECTIVE Source Type: research

Variation of follow-up rate after psychiatric hospitalization of Medicare beneficiaries by hospital characteristics and social determinants of health
The period following discharge from an inpatient psychiatric unit is a critical time in a patient's recovery. During this time, patients are at high risk for suicide and readmission.1,2 Timely follow-up with an outpatient mental health provider after discharge has been shown to decrease the likelihood of readmission and emergency department utilization and increase the likelihood of medication adherence and extended participation in outpatient treatment.3 (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 25, 2018 Category: Geriatrics Authors: Ivy Benjenk, Jie Chen Source Type: research

Invited Perspective on Diniz BS. The molecular intersection between senescence and major depression in the elderly.
Biological aging is a matter of constant research and debate, especially the boundaries between normal or pathological aging. Also, clinical psychiatrists, neurologists, and geriatricians are frequently posed with the question of whether late-life depression (LLD) is clinically and neurobiologically different from early-onset depression. The differential diagnosis and comorbidity between LLD, dementia, and frailty are challenging in our daily clinical practice and research settings (1). These are complex and multifactorial conditions, and there is a need for the development of more specific approaches that allow clinicians...
Source: The American Journal of Geriatric Psychiatry - August 25, 2018 Category: Geriatrics Authors: Jerson Laks Tags: Invited Perspective Source Type: research

Blasted hopes and wasted dreams
Stripling friends, four decades past,School and team mates, play companions,Imagined arms entwined again,Conjured hither, rise! With rebornJoyous hopes and boyish loves, nowThink about what might have been.Why did I survive, successful,Writing down this lamentation,You now ruined, lost, deceased —You, with melted mind, now mad;You, by greed laid low, in prison;You, by tumor, untimely dead?Fortune dealt a parlous hand, andJustice cruelly cut the cards,Making jokers of us all.Better not to see our future,Back when we were young and full ofDreams the years would soon destroy. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 25, 2018 Category: Geriatrics Authors: David L. Coulter Tags: Editorial Source Type: research

Neurocognitive Correlates of Resilience in Late-Life Depression
Late-life depression (LLD) is a common and debilitating disorder, with roughly 8-16% of older adults experiencing clinically significant symptoms1 and 2% meeting criteria for major depressive disorder (MDD).2 LLD is more chronic than depression experienced earlier in life3 and significantly predicts cognitive decline.4 With the population rapidly aging, identifying factors that support sustained remission is a high public health priority. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 25, 2018 Category: Geriatrics Authors: Kelsey T. Laird, Helen Lavretsky, Pauline Wu, Beatrix Krause, Prabha Siddarth Tags: Brief Report Source Type: research

The Challenging Task of Addressing the Role of Vitamin D in Late-life Depression: considerations of measures, confounders, mediators and moderators
The study by de Koning et  al.1 adds to a growing literature on the role of vitamin D in risk of depression among older adults.2 Specifically, with a large sample of nearly 2,000 well-characterized community-dwelling participants in the Longitudinal Aging Study Amsterdam, the study represents an important contribution to th e body of observational research evidence. Depression was examined longitudinally – as an outcome of depressive mood symptoms – allowing for both cross-sectional and prospective analyses. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 25, 2018 Category: Geriatrics Authors: Olivia I. Okereke Tags: Invited Perspective Source Type: research

An Experience Sampling Method Intervention for Dementia Caregivers: Results of a Randomized Controlled Trial.
CONCLUSIONS: ESM interventions could be an important asset for increasing caregiver resources and could help caregivers to better adapt and manage difficult situations and to protect against negative emotions. PMID: 30126766 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 23, 2018 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 - August 21, 2018 Category: Geriatrics Source Type: research

Information for Subscribers
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 21, 2018 Category: Geriatrics Source Type: research

Table of Contents
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 21, 2018 Category: Geriatrics Source Type: research

In This Issue
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 21, 2018 Category: Geriatrics Source Type: research

Memory, Mood, and Marriage: Examining the Interplay in Older Adults.
Authors: Lee EE, Balasubramaniam M PMID: 30120018 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 20, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Longitudinal Associations Between Cognitive Functioning and Depressive Symptoms Among Older Adult Spouses in the Cardiovascular Health Study.
CONCLUSION: Having a spouse who is depressed may increase one's risk of cognitive decline as well as one's risk of depression. Interventions for preventing cognitive decline and depression among older adults may be enhanced by considering the marital context. PMID: 30120019 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 20, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Scientific Biography of a Mid-Career Physician-Scientist: Getting by With Help From My Friends.
Authors: Lenze EJ PMID: 30098857 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 14, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The Interpersonal Context of Suicide and Self-Harm in Later Life: An Invited Commentary on "Why Do the Very Old Self-Harm? A Qualitative Study".
The Interpersonal Context of Suicide and Self-Harm in Later Life: An Invited Commentary on "Why Do the Very Old Self-Harm? A Qualitative Study". Am J Geriatr Psychiatry. 2018 Aug;26(8):872-873 Authors: Van Orden K PMID: 30100022 [PubMed - in process] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 14, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

FDA Approval of Pimavanserin: Response to Absence of Evidence Versus Evidence of Absence-Pimavanserin and the SAPS-PD.
Authors: Schubmehl S, Sussman J PMID: 30100268 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 14, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Microvascular Endothelial Function and Neurocognition Among Adults With Major Depressive Disorder.
CONCLUSION: Greater microvascular dysfunction is associated with poorer neurocognition among middle-aged and older adults. This association was strongest in participants with preserved macrovascular function. PMID: 30093218 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 11, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Psychometric Properties of an Abbreviated Version of the Apathy Evaluation Scale for Parkinson Disease (AES-12PD).
CONCLUSION: Results confirm a high internal consistency and good discriminant validity of the AES-12PD. The AES-12PD represents a reliable tool for the efficient assessment of apathy that can be applied in PD patients with and without dementia and depression. PMID: 30082208 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 9, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Community-based Outreach and Treatment for Underserved Older Adults with Clinically Significant Worry: A Randomized Controlled Trial
Clinically significant worry is the key feature of generalized anxiety disorder (GAD), one of the most common anxiety disorders among older adults.1,2 Even in the absence of a GAD diagnosis , however, clinically significant worry is frequently unrecognized and untreated among older adults,3 despite high prevalence (16% to 30%)4 and significant negative health outcomes, including increased cognitive difficulties and coexistent medical symptoms.5 6,7 Racial and ethnic minorities, many of whom live in underserved, low-income communities, are at particularly high risk for inadequate recognition and treatment of mental health n...
Source: The American Journal of Geriatric Psychiatry - August 7, 2018 Category: Geriatrics Authors: Melinda A. Stanley, Nancy L. Wilson, Srijana Shrestha, Amber B. Amspoker, Paula Wagener, Jane Bavineau, Marla Turner, Terri L. Fletcher, Jessica Freshour, Cynthia Kraus-Schuman, Mark E. Kunik Source Type: research

The Hospital Elder Life Program: Past and Future
The Hospital Elder Life Program (HELP) has been in existence and has been studied extensively for a quarter century. Thus, the excellent systematic review and meta-analysis of HELP's effects on outcomes for hospitalized older adults by Hshieh et  al.,1 published in this issue of The American Journal of Geriatric Psychiatry, examined a rich body of evidence before concluding that HELP improves patient and family satisfaction while reducing delirium, falls, and costs. Impressively, despite the fact that HELP addresses a challenging problem i n a vulnerable population, the program succeeds in every aspect of the Institut...
Source: The American Journal of Geriatric Psychiatry - August 6, 2018 Category: Geriatrics Authors: Leslie P. Scheunemann, Timothy D. Girard, Elizabeth R. Skidmore, Neil M. Resnick Source Type: research

Memory, Mood, and Marriage: Examining the Interplay in Older Adults
My every molecule seems to scream out that I do, indeed, exist, and that existence must be valued by someone! Without someone to walk this labyrinth by my side, without the touch of a fellow traveler who understands my need of self-worth, how can I endure the rest of this uncharted journey? (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 6, 2018 Category: Geriatrics Authors: Ellen E. Lee, Meera Balasubramaniam Source Type: research

Stress, Inflammation, and Aging: An Association Beyond Chance.
Authors: Diniz BS, Vieira EM PMID: 30064870 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 4, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Perspective on Pimavanserin and the SAPS-PD: Novel Scale Development as a Means to FDA Approval.
Authors: Schubmehl S, Sussman J Abstract In 2016, pimavanserin, a 5-hydroxytryptamine 2A inverse agonist, became the first U.S. Food and Drug Administration (FDA) approved medication for Parkinson disease psychosis (PDP) after demonstrating modest clinical improvement in a single positive trial as assessed by a novel PDP scale, the Scale for the Assessment of Positive Symptoms for Parkinson's Disease Psychosis (SAPS-PD). This followed three trials that demonstrated negative findings on established measures of psychosis widely used in PDP research, including the Brief Psychiatric Rating Scale, the Scale for the...
Source: The American Journal of Geriatric Psychiatry - August 4, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

A Nationwide Population-Based Cohort Study of Dementia Risk Among Acid Suppressant Users.
CONCLUSION: Our results indicate that exposure to H2RAs (but not PPIs) is associated with increased dementia risk. Further randomized controlled trials and basic research examining the underlying mechanism are needed to confirm this association. PMID: 30072307 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 4, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Screening for Executive Dysfunction in Late-Life Depression: Utility of Trail Making Test and Self-Report Measures.
CONCLUSION: Neither the TMT-B nor self-reports are useful screening tools for ED on the SCWT or DRS IP. PMID: 30072308 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 4, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The Complex, Multifaceted Relationship Between Cognitive Impairment and Hip Fracture
There is a growing body of literature on the physical, psychological, and functional outcomes of hip fracture. Hip fractures are interesting to researchers as an acute medical event that is common in older adults, with a clear-cut diagnosis and well-defined treatment, but with a wide range of outcomes, from full recovery to death. Hip fractures are thus a model event to help develop our understanding of resilience in older adults. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 3, 2018 Category: Geriatrics Authors: Kathleen S. Bingham, Andrea Iaboni, Alastair J. Flint Tags: INVITED PERSPECTIVE Source Type: research

Reflections on Aging and Wisdom
You shall rise up before the gray headed and honor the aged. (Leviticus 19:32) Knowledge without wisdom is a load of books on the back of an ass. (Japanese proverb) (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 3, 2018 Category: Geriatrics Authors: Thomas E. Oxman Source Type: research

The Complex, Multi-Faceted Relationship between Cognitive Impairment and Hip Fracture
There is a growing literature on the physical, psychological and functional outcomes of hip fracture. Hip fractures are interesting to researchers as an acute medical event that is common in older adults, with a clear-cut diagnosis and well-defined treatment, but with a wide range of outcomes from full recovery to death. Hip fractures are thus a model event to help develop our understanding of resilience in older adults. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 3, 2018 Category: Geriatrics Authors: Kathleen S. Bingham, Andrea Iaboni, Alastair J. Flint Tags: Invited Perspective Source Type: research

Images In Aging: Eleanor Roosevelt
Eleanor Roosevelt's was an extraordinary voice for social justice and peace well into the final years of her life, almost two decades after the death of Franklin Delano Roosevelt. Rather than retreating from life, she remained fully engaged —exemplifying resilience, immense stamina, and courage—in the service of world peace. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 1, 2018 Category: Geriatrics Authors: Charles F. Reynolds Tags: IMAGES IN AGING Source Type: research

Editorial Board
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 1, 2018 Category: Geriatrics Source Type: research

Information for Subscribers
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 1, 2018 Category: Geriatrics Source Type: research

Table of Contents
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 1, 2018 Category: Geriatrics Source Type: research

In This Issue
(Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 1, 2018 Category: Geriatrics Source Type: research

Eleanor Roosevelt
's was an extraordinary voice for social justice and peace, well into the final years of her life, almost two decades after the death of FDR.  Rather than retreating from life, she remained fully engaged, exemplifying a resilience of immense stamina and courage, in the service of world peace. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - August 1, 2018 Category: Geriatrics Authors: Charles F. Reynolds Tags: Images In Aging: Source Type: research

Stopping Cognitive Decline in Patients With Late-Life Depression: A New Front in the Fight Against Dementia.
Authors: Lenze EJ, Voineskos AN, Butters MA, Karp JF, OPTIMUM and OPTIMUM-Neuro collaborative team PMID: 30049598 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 28, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

The Storm.
Authors: Coulter DL PMID: 30049599 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 28, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Low Tri-iodothyronine Syndrome Is Associated With Cognitive Impairment in Patients With Acute Ischemic Stroke: A Prospective Cohort Study
Low tri-iodothyronine (T3) syndrome is a predictor of poor prognosis in patients with stroke. Poststroke cognitive impairment (PSCI) is a common and important complication after stroke. The association between low T3 syndrome and PSCI is unclear. We aimed to explore the potential relationship between low T3 syndrome and PSCI in the acute phase of ischemic stroke at a 1-month follow-up visit. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 28, 2018 Category: Geriatrics Authors: Huijun Chen, Yuemin Wu, Guiqian Huang, Weilei He, Shasha Lin, Xingru Zhang, Jincai He Tags: Regular Research Articles Source Type: research

Low triiodothyronine syndrome is associated with cognitive impairment in patients with acute ischemic stroke: a prospective cohort study
Cognitive impairment is a common and important consequence of stroke and prominently affects patients ’ quality of life1. With reported prevalence ranging widely from 10-82%2, 3, poststroke cognitive impairment (PSCI) is commonly associated with poor functional outcomes3, reduced quality of life4 and higher risk of recurrent stroke5. However, multiple factors that have been found to lead to the pr ogression of PSCI, including older age, family history, gender, and poor educational status6, are not readily amenable to prevention and treatment7. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 28, 2018 Category: Geriatrics Authors: Huijun Chen, Yuemin Wu, Guiqian Huang, Weilei He, Shasha Lin, Xingru Zhang, Jincai He Source Type: research

Associations of Age and Gender with Negative Symptom Factors and Functioning Among Middle-Aged and Older Adults with Schizophrenia
Gender differences in outcomes among people with schizophrenia have rarely been examined in older adulthood. Studies of young/middle-aged individuals with schizophrenia have found that women exhibit later age of onset, better social functioning, and, more equivocally, better neurocognition and decreased negative symptom severity, than their male counterparts;1 it is unclear whether these differences persist with age. Decreases in circulating estrogens during menopause may be associated with greater symptom severity, poorer antipsychotic response, and worsening neurocognition among women. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 27, 2018 Category: Geriatrics Authors: Anjana Muralidharan, Philip D. Harvey, Christopher R. Bowie Tags: Brief Report Source Type: research

Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial.
CONCLUSION: The results do not support adjunctive off-label cholinesterase inhibitor treatment in patients with depression and cognitive impairment. The findings highlight the need to prioritize discovery of novel treatments for this highly prevalent population with comorbid illnesses. PMID: 30037778 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 25, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Scientific Autobiography: On Brain Health and Cognitive Fitness Into the Later Years of Life —Journey of a Behavioral Neurologist of Aging
Am professor of neurology, psychiatry, and clinical and translational sciences at the University of Pittsburgh. I am the Levidow-Pittsburgh Foundation endowed chair in Alzheimer's disease and dementia disorders and the chief of the Cognitive and Behavioral Neurology Division at the University of Pittsburgh School of Medicine. In addition, I am the director of the Alzheimer's Disease Research Center (ADRC) of Pittsburgh. I am a behavioral neurologist who has published extensively on neurologic signs and symptoms, behavior, genetics, neuroimaging, and neuropathology of neurodegenerative disorders that cause cognitive deficit...
Source: The American Journal of Geriatric Psychiatry - July 23, 2018 Category: Geriatrics Authors: Oscar L. Lopez Tags: Editorial Source Type: research

Scientific Autobiography: On brain health and cognitive fitness into the later years of life: journey of a behavioral neurologist of aging
I graduated from the National University of La Plata School of Medicine, La Plata, Argentina, and completed a neurology residency in Buenos Aires. There I met Dr. Marcelo Berthier, who introduced me to Behavioral Neurology. I completed a Fellowship in Behavioral Neurology at the University of Pittsburgh School of Medicine with Dr. Fran çois Boller, MD, Ph.D. I began my research career pioneering studies of the prevalence and long-term outcomes of the neurological and psychiatric symptoms of dementia, especially Alzheimer's disease (AD) with Dr. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 23, 2018 Category: Geriatrics Authors: Oscar L. Lopez Tags: Editorial Source Type: research

The molecular intersection between senescence and major depression in the elderly
Major depressive disorders in the elderly (or Late-life depression (LLD)) is one of the most common mental disorders in the elderly, with prevalence rates ranging from 1%-5% (for major depressive episodes) to 30% (subsyndromal depressive syndromes).1,2 Although the prevalence of major depressive disorder does not increase with aging, its occurrence increases the risk of negative health outcomes that are commonly observed during aging. Subjects with LLD have an increased risk of cardiovascular and metabolic diseases (e.g. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 23, 2018 Category: Geriatrics Authors: Breno S. Diniz Tags: Editorial Source Type: research

Increased Risk of Suicide Attempts and Unintended Death Among Those Transitioning from Prison to Community in Later Life
With minimum sentencing laws, more arrests in later age, and population aging, the number of incarcerated persons age ≥50 in the U.S. has increased exponentially1, 2. As most inmates are eventually released (from prisons or jails) to the community3, the number of middle- and older-aged individuals reentering the community after incarceration can also be expected to grow. Considering that persons age ≥50 years h ave the highest suicide rates4 and that deaths by drug overdose, specifically opioid-related deaths, increased 6-fold among those age 55-64 between 1999 and 20115, it may be especially important to characteriz...
Source: The American Journal of Geriatric Psychiatry - July 21, 2018 Category: Geriatrics Authors: Lisa C. Barry, David C. Steffens, Kenneth E. Covinsky, Yeates Conwell, Yixia Li, Amy L. Byers Tags: Regular Research Articles Source Type: research

Refining Delirium: A Transtheoretical Model of Delirium Disorder with Preliminary Neurophysiologic Subtypes.
Authors: Oldham MA, Flaherty JH, Maldonado JR Abstract The development of delirium indicates neurophysiologic disruption and predicts unfavorable outcomes. This relationship between delirium and its outcomes has inspired a generation of studies aimed at identifying, predicting, and preventing both delirium and its associated sequelae. Despite this, evidence on delirium prevention and management remains limited. No medication is approved for the prevention or treatment of delirium or for its associated psychiatric symptoms. This unmet need for effective delirium treatment calls for a refined approach. First, we expl...
Source: The American Journal of Geriatric Psychiatry - July 20, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Half of Home Care Recipients Are Depressed: How Do We Optimize Their Care?
Authors: Gum AM PMID: 30017238 [PubMed - as supplied by publisher] (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - July 20, 2018 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research