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Specialty: Geriatrics
Condition: Depression

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Total 194 results found since Jan 2013.

Productive Aging During COVID-19 - Lessons from WH SeniorLink
According to the National Academies of Science, Medicine, and Engineering, even before the pandemic, 24% of Americans 65+ were considered socially isolated, and 43% of adults 60+ were lonely. Both experiences are associated with serious physical and mental health problems, including increased risks of dementia, stroke, depression, and suicidal ideation. As older adults engage in stricter social distancing to protect themselves from COVID-19, their risk of social isolation and loneliness is heightened.
Source: The American Journal of Geriatric Psychiatry - March 17, 2021 Category: Geriatrics Authors: Daniella Spencer-Laitt, Mark Nathanson, Marie Spence Tags: Poster Number: EI-61 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 | DOI:10.1016/j.jagp.2021.01.014
Source: Am J Geriatr Psychia... - February 10, 2021 Category: Geriatrics Authors: Jean H Kim Timothy S Sumerlin William B Goggins Elizabeth M S Kwong Jason Leung Blanche Yu Timothy C Y Kwok Source Type: research

Perceived versus objective sleep quality in long-stay hospitalised older adults —a mixed methods study
ConclusionsWe found high levels of sleep problems and identified substantial discrepancies between the validated sleep questionnaire and qualitative response data. Our findings indicate that standard assessment tools, such as PSQI, may not be suitable to assess sleep in hospitalised older adults and call for further investigations to build more appropriate methods. Further exploring psychological factors and expectations could potentially lead to novel interventions to improve sleep in this setting.
Source: Age and Ageing - February 2, 2021 Category: Geriatrics Source Type: research

Effect of the COVID-19 lockdown on disease recognition and utilisation of healthcare services in the older population in Germany: a cross-sectional study
ConclusionThe data suggest that organisational changes were adopted quickly by practice management but also raise concerns about the maintenance of routine care. Prospective studies should evaluate the long-term effects of lockdowns on patient-related outcomes.
Source: Age and Ageing - November 17, 2020 Category: Geriatrics Source Type: research

Neurodegenerative disease is associated with increased incidence of epilepsy: a population based study of older adults
ConclusionIncident epilepsy is more frequently diagnosed among neurodegenerative disease patients, particularly when preceded by a diagnosis of depression, TBI or stroke. Further studies into the differences in epilepsy risk between these two populations may help elucidate different mechanisms of epileptogenesis.
Source: Age and Ageing - October 7, 2020 Category: Geriatrics Source Type: research

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

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

Stress, Burden, and Well-Being in Dementia and Non-Dementia Caregivers: Insights from the Caregiving Transitions Study.
DISCUSSION AND IMPLICATIONS: Dementia and non-dementia caregivers showed relatively few differences in indicators of overall well-being in this population-based sample, perhaps because both groups of caregivers in this study were providing substantial care. Dementia caregivers may require special assistance with dementia-specific problems such as behavioral problems. Clinical interventions and policy changes targeting highly burdened caregivers are needed to support them in allowing their care recipients to age in place at home. PMID: 32816014 [PubMed - as supplied by publisher]
Source: The Gerontologist - August 19, 2020 Category: Geriatrics Authors: Sheehan OC, Haley WE, Howard VJ, Huang J, Rhodes JD, Roth DL Tags: Gerontologist Source Type: research

Subjective Memory Complaints and Sensitivity of the Subjective Memory Complaint Questionnaire in Post-Stroke Dementia Patients
Conclusions: The SMCQ may be a valid measure of cognitive function among patients with stroke, is sensitive for post-stroke dementia, and may assume a complementary role for assessing patients with stroke.Dement Geriatr Cogn Disord
Source: Dementia and Geriatric Cognitive Disorders - August 11, 2020 Category: Geriatrics Source Type: research

Neurobiological Targets of Apathy Can Guide Treatment Development
Apathy is a motivational disturbance leading to reduced goal-oriented behavior. It afflicts a large percentage of patients suffering for Alzheimer's disease but it is also common in many neuropsychiatric disorders, including Parkinson's disease, frontotemporal dementia, stroke, and idiopathic depression. Apathy is disabling and adds to caregiver burden and distress. In an authoritative review, van Dyke et al1 summarize evidence indicating that compromise of the prefrontal cortex by the neuropathological changes of Alzheimer's disease lead to the lack of motivation characterizing apathy.
Source: The American Journal of Geriatric Psychiatry - June 28, 2020 Category: Geriatrics Authors: George S. Alexopoulos Tags: Editorial Source Type: research

Neurogeriatrics-a  vision for improved care and research for geriatric patients with predominating neurological disabilities.
This article discusses how neurological know-how could be integrated in academic geriatric medicine to improve care of neurogeriatric patients, to foster neurogeriatric research and training concepts and to provide innovative care concepts for geriatric patients with predominant neurological conditions and disabilities. PMID: 32430766 [PubMed - as supplied by publisher]
Source: Zeitschrift fur Gerontologie und Geriatrie - May 18, 2020 Category: Geriatrics Authors: Jacobs AH, Emmert K, Baron R, Bartsch T, Bauer J, Becker C, Berg D, Bergmann P, Boetzel K, Bollheimer C, Deuschl G, Djukic M, Drey M, Durwen H, Ebersbach G, Elshehabi M, Geritz J, Gisinger C, Guennewig T, Hauptmann B, Heppner HJ, Hobert MA, Hofmann W, Hue Tags: Z Gerontol Geriatr Source Type: research

Childhood Misfortune and Late-Life Stroke Incidence, 2004-2014.
DISCUSSION AND IMPLICATIONS: Accumulated childhood misfortune and adolescent depression heighten the risk of stroke in later life, but the influence is remediable through adult wealth. Reducing poverty in later life may decrease stroke incidence for persons exposed to negative childhood exposures. PMID: 32267501 [PubMed - as supplied by publisher]
Source: The Gerontologist - April 7, 2020 Category: Geriatrics Authors: Zaborenko CJ, Ferraro KF, Williams-Farrelly MM Tags: Gerontologist Source Type: research

Poststroke Depression and Apathy: Why Should We Care?
Depression occurs in about 25% of stroke survivors and contributes to persistent disability and increased mortality.1 Poststroke depression is a heterogeneous syndrome; mood symptoms span the range of minor to major depression, and patients may also experience emotionally liability or blunting, restlessness, decreased insight, and cognitive impairment. These symptoms may in turn impair recovery and contribute to greater subsequent disability. In this issue of the Journal, Kanellopoulos et al. characterize dimensions of poststroke depression in 135 older adults with comorbid major depression by conducting a factor analysis ...
Source: The American Journal of Geriatric Psychiatry - March 17, 2020 Category: Geriatrics Authors: Kevin J. Manning, Warren D. Taylor Tags: Editorial Source Type: research

Post-stroke depression and Apathy: Why Should we Care?
Depression occurs in about 25% of stroke survivors and contributes to persistent disability and increased mortality.1 Post-stroke depression is a heterogeneous syndrome; mood symptoms span the range of minor to major depression, and patients may also experience emotionally lability or blunting, restlessness, decreased insight, and cognitive impairment. These symptoms may in turn impair recovery and contribute to greater subsequent disability. In this issue of the Journal, Kanellopoulos et al. characterize dimensions of post-stroke depression in 135 older adults with comorbid major depression by conducting a factor analysis...
Source: The American Journal of Geriatric Psychiatry - March 17, 2020 Category: Geriatrics Authors: Kevin J. Manning, Warren D. Taylor Tags: Editorial Source Type: research

Treating post-stroke depression with ect
Post-stroke depression (PSD) is a common and potentially debilitating sequelae after a stroke, presenting in over 30% of stroke patients. PSD often does not respond to pharmacotherapy and significantly prevents recovery of stroke patients. In addition, depression in geriatric PSD patients may present with more somatic complaints and pain rather than traditional depressive symptoms. Central post-stroke pain syndrome (CPSP), found in 10.6% of patients with ischemic strokes, may present with similar pain and may overlap with symptoms of depression.
Source: The American Journal of Geriatric Psychiatry - March 14, 2020 Category: Geriatrics Authors: Danielle Tolton, Mario Fahed, Sarah Nguyen Tags: Poster Number: EI-33 Source Type: research