2,960 results match your criteria American Journal Of Geriatric Psychiatry[Journal]


The Neuropsychiatry of Parkinson Disease: A Perfect Storm.

Am J Geriatr Psychiatry 2019 Mar 9. Epub 2019 Mar 9.

Perelman School of Medicine (DW, EM), University of Pennsylvania, Philadelphia.

Affective disorders, cognitive decline, and psychosis have long been recognized as common in Parkinson disease (PD), and other psychiatric disorders include impulse control disorders, anxiety symptoms, disorders of sleep and wakefulness, and apathy. Psychiatric aspects of PD are associated with numerous adverse outcomes, yet in spite of this and their frequent occurrence, there is incomplete understanding of epidemiology, presentation, risk factors, neural substrate, and management strategies. Psychiatric features are typically multimorbid, and there is great intra- and interindividual variability in presentation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.002DOI Listing

Delirium: Medical Students' Knowledge and Effectiveness of Different Teaching Methods.

Am J Geriatr Psychiatry 2019 Mar 8. Epub 2019 Mar 8.

Department of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.

Objective: Medical schools are often blamed for inadequately training doctors on delirium. This study assesses the knowledge of medical students regarding delirium and evaluates different teaching methods for comparing learning outcomes.

Methods: A video, a handout, and a video+handout were used as three different teaching methods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.003DOI Listing
March 2019
1 Read

Mindful?: (… on living in the moment.).

Am J Geriatr Psychiatry 2019 Mar 29. Epub 2019 Mar 29.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.018DOI Listing

Psychological and Psychosocial Interventions for Depression and Anxiety in Patients With Age-Related Macular Degeneration: A Systematic Review.

Am J Geriatr Psychiatry 2019 Mar 7. Epub 2019 Mar 7.

Centre of Psychology, Faculty of Psychology and Educational Sciences (NN, EC), University of Porto, Porto, Portugal.

Objective: To review the current literature on psychosocial and psychological interventions to prevent and treat depression and anxiety in patients with age-related macular degeneration (AMD).

Methods: The authors conducted a systematic review of literature evaluating psychosocial and psychological interventions for depression and anxiety in patients with AMD. Primary searches of PubMed, Cochrane library, EMBASE, Global Health, Web of Science, EBSCO, and Science Direct were conducted to include all articles published up to April 21, 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.001DOI Listing

Lamotrigine Therapy and Biomarkers of Cerebral Energy Metabolism in Older Age Bipolar Depression.

Am J Geriatr Psychiatry 2019 Mar 6. Epub 2019 Mar 6.

McLean Hospital Division of Geriatric Psychiatry (EJM, DGH, BPF), Belmont, MA; Department of Psychiatry (DGH, CR, EJ, MS, BPF), Harvard Medical School, Boston. Electronic address:

Objective: This study compared brain energy metabolism, as measured by cerebral concentrations of glutamate (Glu), glutamine (Gln), and N-acetyl aspartate (NAA), in older age bipolar depression (OABD) to that of psychiatrically healthy comparison subjects using proton (H) magnetic resonance spectroscopy imaging at 4-Tesla. Metabolite levels were assessed in OABD subjects before and after 8 weeks of lamotrigine therapy with the goal of determining relationships between cerebral energy metabolism, depression symptom severity, and changes in depression symptom response.

Methods: Individuals (n = 21, mean age: 62. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193027
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.02.017DOI Listing
March 2019
1 Read

Commentary on "The Neuropsychiatry of Parkinson's Disease: A Perfect Storm".

Am J Geriatr Psychiatry 2019 Mar 20. Epub 2019 Mar 20.

Movement Disorders Program, Butler Hospital; Division of Movement Disorders, Department of Neurology, Warren Alpert Medical School, Brown University; and School of Pharmacy, University of Rhode Island. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.007DOI Listing
March 2019
2 Reads

The Limitations of Using Cognitive Cutoff Scores for Enrollment in Alzheimer Trials.

Am J Geriatr Psychiatry 2019 Mar 1. Epub 2019 Mar 1.

Geriatric Psychiatry Research Program (REP, KH, LM, DGH, BPF); Department of Psychiatry (REP, DGH, BPF), Harvard Medical School, Boston.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.014DOI Listing
March 2019
1 Read

Risk Aversion and Alzheimer Disease in Old Age.

Am J Geriatr Psychiatry 2019 Feb 21. Epub 2019 Feb 21.

Behavioral Sciences (RSW, PAB).

Objective: To test the hypothesis that late-life risk aversion is partly a prodromal sign of dementia.

Methods: The authors' design was a longitudinal clinical-pathologic cohort study. The setting included participants' residences in the Chicago area, and a total of 874 older persons without dementia were enrolled. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.011DOI Listing
February 2019
1 Read

Deterioration of Brain Neural Tracts in Elderly Women with Sarcopenia.

Am J Geriatr Psychiatry 2019 Mar 8. Epub 2019 Mar 8.

Department of Physical Medicine and Rehabilitation (MCC), College of Medicine, Yeungnam University, Taegu, Republic of Korea. Electronic address:

Objectives: Sarcopenia is known to be associated with increased stiffness in brain arteries, which causes deterioration in brain structure and function. In this study, the authors evaluated the deterioration of neural tracts using diffusion tensor tractography (DTT) in elderly women with sarcopenia and investigated whether deterioration of neural tracts is consistent with clinical findings.

Methods: Twenty elderly women with sarcopenia were recruited. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193028
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.02.018DOI Listing
March 2019
1 Read

Effectiveness of Shared Decision-Making for Elderly Depressed Minority Primary Care Patients.

Am J Geriatr Psychiatry 2019 Mar 1. Epub 2019 Mar 1.

Fordham University (SR), Bronx, NY.

Objective: The authors assessed the impact of a shared decision-making (SDM) intervention among elderly depressed minority primary care patients not currently receiving treatment.

Methods: A total of 202 English and Spanish-speaking primary care participants aged 65 and older who scored positive on the Patient Health Questionnaire-9 (≥10) were randomized at the physician level to receive a brief SDM intervention or usual care (UC). Primary analyses focused on patient adherence to either psychotherapy or antidepressant medication, and reduction in depression severity (Hamilton Depression Rating Scale) over 12 weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.016DOI Listing

Integration and Extension of Specialty Mental Healthcare Services to Community Practice in Parkinson Disease.

Am J Geriatr Psychiatry 2019 Mar 13. Epub 2019 Mar 13.

Department of Neurology (GMP, ZM), Johns Hopkins University School of Medicine, Baltimore; Cleveland Clinic Lou Ruvo Center for Brain Health (ZM), Movement Disorders Program, Las Vegas.

Parkinson disease (PD) is a progressive neurodegenerative disease with a higher prevalence of neuropsychiatric symptoms compared with the general population. Symptoms such as anxiety, depression, psychosis, impulse control disorders, and cognitive impairment cause a greater worsening of quality of life than even the motor symptoms that define PD. Despite the ubiquity and impact of neuropsychiatric symptoms, specialty mental healthcare is not routinely available, accessible, or integrated in most neurology practices. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.005DOI Listing
March 2019
2 Reads

Early Clinical Exposure to Geriatric Psychiatry and Medical Students' Interest in Caring for Older Adults: A Randomized Controlled Trial.

Am J Geriatr Psychiatry 2019 Mar 12. Epub 2019 Mar 12.

Geri-PARTy Research Group, Department of Psychiatry (KP, SGTP, MN, YM, GM, SR), Jewish General Hospital, McGill University, Montreal; Division of Geriatric Psychiatry (PSA, CL, WB, TKR, SR), Center for Addiction and Mental Health, University of Toronto, Toronto.

Objective: In the next 25years, the population aged 65 and older will nearly double in many countries, with few new doctors wishing to care for older adults. The authors hypothesize that early clinical exposure to elderly patient care could increase student interest in caring for older adults during their future career.

Methods: The authors conducted a pragmatic medical education randomized controlled trial (RCT) at the Jewish General Hospital and the Douglas Mental Health Institute, McGill University, in Montreal, Canada. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.004DOI Listing
March 2019
4.235 Impact Factor

Use of Actigraphy to Measure Symptoms of Agitation in Dementia.

Am J Geriatr Psychiatry 2019 Feb 27. Epub 2019 Feb 27.

Department of Psychiatry (LP, AMB), Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.

Objective: To evaluate the feasibility and validity of actigraphy as a measurement of agitation in dementia.

Methods: Participants aged 65 and older, diagnosed with dementia, residing in a geriatric psychiatry inpatient unit or long-term care facility were included in a cross-sectional study. Agitation was assessed using the Cohen-Mansfield Agitation Inventory (CMAI) and the Neuropsychiatric Inventory (NPI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.013DOI Listing
February 2019
1 Read

Mild Behavioral Impairment: A New Domain of Late-Life Psychiatric Symptoms.

Authors:
David L Sultzer

Am J Geriatr Psychiatry 2019 Mar 20. Epub 2019 Mar 20.

VA Greater Los Angeles Healthcare System, and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.010DOI Listing

Three A.M. A Resident's Prayer.

Authors:
David L Coulter

Am J Geriatr Psychiatry 2019 Mar 21. Epub 2019 Mar 21.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.012DOI Listing

The Potential of Actigraphy to Assess Agitation in Dementia.

Am J Geriatr Psychiatry 2019 Mar 20. Epub 2019 Mar 20.

Department of Psychiatry and Behavioral Sciences (PBR, APS), Johns Hopkins Bayview Medical Center, Baltimore; Department of Mental Health (SKW, APS), Johns Hopkins Bloomberg School of Public Health, Baltimore; Center on Aging and Health (APS), Johns Hopkins University, Baltimore.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.009DOI Listing

Training the Next Generation of Geriatric-Focused Clinical Neuroscientists.

Am J Geriatr Psychiatry 2019 Mar 13. Epub 2019 Mar 13.

Department of Psychiatry (KJM, DCS), University of Connecticut Health Center, Farmington, CT.

It remains challenging to integrate clinical neuroscience into clinical practice. Hindrances at the training level (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.03.006DOI Listing
March 2019
1 Read

Transition of Care.

Authors:
Diane Portman

Am J Geriatr Psychiatry 2019 Mar 22. Epub 2019 Mar 22.

Department of Supportive Care Medicine, Moffitt Cancer Center, Tampa, FL; Department of Oncologic Sciences, Morsani School of Medicine, University of South Florida, Tampa, FL. Electronic address:

In the course of my work as a palliative care physician I confront the profound toll of care transitions on family and patient well-being daily. Facing the decline and behaviors of a loved one with cognitive impairment is challenging. Home care may not be possible, and many families must select a dedicated facility to provide needed care. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193030
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.03.014DOI Listing
March 2019
2 Reads

Extent and Predictors of Potentially Inappropriate Antidepressant Use Among Older Adults With Dementia and Major Depressive Disorder.

Am J Geriatr Psychiatry 2019 Feb 7. Epub 2019 Feb 7.

Banner Alzheimer's Institute (WJB), Phoenix; University of Arizona College of Medicine (WJB), Phoenix; Arizona Alzheimer's Consortium (WJB), Phoenix.

Objective: To quantify the extent and identify predictors of potentially inappropriate antidepressant use among older adults with dementia and newly diagnosed major depressive disorders (MDD).

Methods: This retrospective cohort study included older adults (aged ≥65 years) with dementia and newly diagnosed MDD using Medicare 5% sample claims data (2012-2013). Based on Healthcare Effectiveness Data and Information Set guidelines, intake period for new antidepressant medication use was from May 1, 2012, through April 30, 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.002DOI Listing
February 2019

Metabolic Syndrome, Mild Cognitive Impairment, and Dementia: A Meta-Analysis of Longitudinal Studies.

Am J Geriatr Psychiatry 2019 Feb 15. Epub 2019 Feb 15.

Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.

Objective: A systematic review and a meta-analysis of both clinical and population-based studies was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement to clarify whether Metabolic Syndrome (MetS) is a risk or a protective factor for incident dementia, Alzheimer disease (AD), and vascular dementia (VaD), and whether it's involved in progression to dementia in patients affected by mild cognitive impairment (MCI).

Methods: Search terms included ("metabolic syndrome" OR "syndrome x" OR "plurimetabolic syndrome") AND ("dementia" OR "Alzheimer disease" OR "vascular dementia" OR "mild cognitive impairment" OR "MCI"). Research was restricted to articles published in English between January 1, 2000 and August 31, 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.214DOI Listing
February 2019
1 Read

Influence of Positive and Negative Dimensions of Dementia Caregiving onCaregiver Well-Being and SatisfactionWith Life: Findings From theIDEAL Study.

Am J Geriatr Psychiatry 2019 Feb 11. Epub 2019 Feb 11.

Centre for Research in Ageing and Cognitive Health (REACH) (CQ, SMN, AM, LC), University of Exeter Medical School and College of Life and Environmental Sciences, St Luke's Campus, Exeter, United Kingdom.

Objective: The aim of this study was to identify the potential impact of positive and negative dimensions of caregiving on caregiver well-being and satisfaction with life (SwL).

Methods: This study used time-point one data from the Improving the experience of Dementia and Enhancing Active Life (also known as IDEAL)cohort study that involved 1,283 informal caregivers of people in the mild-to-moderate stages of dementia recruited from 29 sites within Great Britain. Multivariate linear regression modeling was used to investigate the associations between positive dimensions of caregiving (measured by caregiving competence and perceptions of positive aspects of caregiving), negative dimensions of caregiving (measured by caregiving stress and role captivity), and caregiver well-being and SwL. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.005DOI Listing
February 2019

The Roles of Apathy and Depression in Predicting Alzheimer Disease: A Longitudinal Analysis in Older Adults With Mild Cognitive Impairment.

Am J Geriatr Psychiatry 2019 Feb 7. Epub 2019 Feb 7.

Hurvitz Brain Sciences Program (MR, NH, DV, KLL), Sunnybrook Research Institute, Toronto; Departments of Pharmacology and Toxicology (MR, KLL), and Psychiatry (NH, DG, KLL), University of Toronto, Toronto. Electronic address:

Objective: Apathy and depression have each been associated with an increased risk of conversion from mild cognitive impairment (MCI) to Alzheimer disease (AD).These symptoms often co-occur and the contribution of each to risk of AD is not clear.

Methods: National Alzheimer's Coordinating Center participants diagnosed with MCI at baseline and followed until development of AD or loss to follow-up (n = 4,932) were included. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193024
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.02.003DOI Listing
February 2019
6 Reads

Exercise and Cognitive Training as a Strategy to Improve Neurocognitive Outcomes in Heart Failure: A Pilot Study.

Am J Geriatr Psychiatry 2019 Feb 1. Epub 2019 Feb 1.

Emory University Nell Hodgson Woodruff School of Nursing (RAG, SP, EC, BB, KH, BW, DWV), Atlanta.

Objective: Mild cognitive impairment, especially memory loss, is prevalent in patients with heart failure (HF) and contributes to poor clinical outcomes and higher mortality.

Methods: This study evaluated a combined aerobic exercise and cognitive training (EX/CT) program on memory, executive function, attention, processing speed and reaction time compared to exercise only or a usual care attention control (UCAC) stretching and flexibility program. Participants completed a standardized neurocognitive battery at baseline, 3 months, and 6 months along with demographic, clinical, and functional capacity (6-minute walk test). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.211DOI Listing
February 2019
1 Read

Comments on the Use of "Inappropriate" Antidepressants in Older Adults With Dementia and Major Depressive Disorder.

Authors:
J Craig Nelson

Am J Geriatr Psychiatry 2019 Mar 1. Epub 2019 Mar 1.

University of California San Francisco, San Francisco. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.015DOI Listing

Mild Behavioral Impairment as a Marker of Cognitive Decline in Cognitively Normal Older Adults.

Am J Geriatr Psychiatry 2019 Feb 2. Epub 2019 Feb 2.

University of Exeter Medical School (BC, HB, KAW, AC, CB), University of Exeter, Exeter, UK.

Objective: Mild behavioral impairment (MBI) is a neurobehavioral syndrome characterized by later life emergent neuropsychiatric symptoms (NPS) that represent an at-risk state for incident cognitive decline and dementia in people with mild cognitive impairment (MCI). We undertook a study to determine whether MBI was associated with progressive changes in neuropsychological performance in people without significant cognitive impairment.

Methods: A total of 9,931 older adults enrolled in the PROTECT study who did not have MCI or dementia undertook a comprehensive neuropsychological battery measuring attention, reasoning, executive function, and working memory at baseline and 1 year. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.215DOI Listing
February 2019

Improving Everyday Functioning in the Old-Old with Working Memory Training.

Am J Geriatr Psychiatry 2019 Jan 29. Epub 2019 Jan 29.

Department of General Psychology, University of Padova, Padua, Italy.

Objective: The aim of this study was to assess gains related to working memory (WM) training, in the short and long term (9 months after the training), in abilities required in everyday life, and in cognitive measures in old-old adults (aged ≥ 75 years).

Methods: Thirty-two community-dwelling older adults (aged 75-85 years) were randomly assigned to a training or an active control group. In addition to testing for any specific gains in a WM task similar to the one used in the training (criterion task), we sought transfer effects to: 1) abilities involved in everyday life using objective performance-based tasks (the Everyday Problem Test [EPT] and the Timed Instrumental Activities of Daily Living [TIADL] scale; 2) tasks demanding the comprehension and recall of spatial information and pairing names with faces; and 3) a measure of inhibitory control, that is, recall errors (intrusion errors). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.210DOI Listing
January 2019

May You Go Safely.

Authors:
David L Coulter

Am J Geriatr Psychiatry 2019 Feb 22. Epub 2019 Feb 22.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.012DOI Listing
February 2019
1 Read

Is Successful Dying or Good Death an Oxymoron?

Am J Geriatr Psychiatry 2019 May 13;27(5):472-475. Epub 2019 Feb 13.

Department of Psychiatry (DVJ, SG), University of California San Diego, San Diego; Sam and Rose Stein Institute for Research on Aging (DVJ, SG), University of California San Diego, San Diego.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.007DOI Listing

Mechanisms Underlying Exercise as a Treatment for Depression.

Am J Geriatr Psychiatry 2019 Feb 14. Epub 2019 Feb 14.

Department of Psychiatry (VK, SLW), University of Utah, Salt Lake City; Mental Health Service (SLW), Salt Lake City Veterans Affairs Healthcare System, Salt Lake City. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.008DOI Listing
February 2019

Metabolic Syndrome: A Matter of The Heart and the Brain.

Authors:
Neha Jain

Am J Geriatr Psychiatry 2019 Feb 21. Epub 2019 Feb 21.

Department of Psychiatry, University of Connecticut Health Center, Farmington, CT. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.010DOI Listing
February 2019

Commentary on "Influence of Positive and Negative Dimensions of Dementia Caregiving on Caregiver Well-Being and Satisfaction with Life: Findings from the Ideal Study".

Authors:
Richard Schulz

Am J Geriatr Psychiatry 2019 Feb 14. Epub 2019 Feb 14.

Department of Psychiatry, University of Pittsburgh, Pittsburgh. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.02.009DOI Listing
February 2019

Applying Rigor: Intervention Studies for Behavioral and Psychological Symptoms of Dementia.

Am J Geriatr Psychiatry 2019 Feb 8. Epub 2019 Feb 8.

Department of Veterans Affairs (HCK), HSR&D Center for Clinical Management Research, Ann Arbor, MI.

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193024
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.02.004DOI Listing
February 2019
3 Reads

Purpose in Life Protects Against Cognitive Decline Among Older Adults.

Am J Geriatr Psychiatry 2019 Jan 19. Epub 2019 Jan 19.

Alabama Research Institute on Aging (MAS, PP), University of Alabama, Tuscaloosa, AL; Department of Psychology (MAS, PP), University of Alabama, Tuscaloosa, AL.

Objective: This study examined whether having a sense of purpose in life protects against cognitive decline among older adults and whether purpose in life moderates the relationship between selected risk factors (age, sex, and race/ethnicity) and cognitive abilities.

Methods: This was a longitudinal analysis of existing secondary data of adults (N = 11,557) aged 50 or older using the 2006-2012 waves of the Health and Retirement Study. The study measured purpose in life, cognitive functioning score, and various covariates. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193002
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.01.010DOI Listing
January 2019
7 Reads

Leaving It Behind and Letting Go.

Authors:
David L Coulter

Am J Geriatr Psychiatry 2018 Dec 28. Epub 2018 Dec 28.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2018.12.030DOI Listing
December 2018
1 Read

Advice on How to Choose a Geriatric Psychiatry Fellowship.

Am J Geriatr Psychiatry 2019 Jan 21. Epub 2019 Jan 21.

Mental Health Service (BCY), VA Greater Los Angeles Healthcare System, Los Angeles; Department of Psychiatry and Biobehavioral Sciences (BCY), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles.

The population of older adults with mental health and substance use disorders in the United States is increasing at a significant rate. This growth creates a critical need for trained geriatric psychiatrists. Unfortunately, the number of psychiatrists choosing to receive subspecialty training in geriatric psychiatry has not kept pace with the growing needs of society. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193002
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2019.01.013DOI Listing
January 2019
5 Reads

Chronology.

Am J Geriatr Psychiatry 2019 Feb 2. Epub 2019 Feb 2.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.213DOI Listing
February 2019

Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study.

Am J Geriatr Psychiatry 2019 Jan 4. Epub 2019 Jan 4.

Department of Primary and Community Care (BA, CB, JCLD, RTCMK), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands; Radboudumc Alzheimer Center (BA, CB, JCLD, RTCMK), Nijmegen, The Netherlands; De Waalboog "Joachim en Anna" Center for Specialized Geriatric Care (RTCMK), Nijmegen, The Netherlands.

Objective: The effect of an intervention on neuropsychiatric symptoms (NPS), particularly agitation and aggression, and psychotropic drug use (PDU) in institutionalized people with young-onset dementia (YOD) was evaluated.

Methods: A randomized controlled trial was conducted using a stepped wedge design. Thirteen YOD special care units were randomly assigned to three groups, which received the intervention at different time points. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2018.12.032DOI Listing
January 2019
1 Read

Measuring and Intervening to Instill Purpose in Life for Older Adults to Prevent Cognitive Decline.

Authors:
Dan Blazer

Am J Geriatr Psychiatry 2019 Jan 30. Epub 2019 Jan 30.

Department of Psychiatry and Behavioral Sciences (DB), Duke University Medical Center, Durham, NC. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.212DOI Listing
January 2019

Exercise for Depression: A Feasibility Trial Exploring Neural Mechanisms.

Am J Geriatr Psychiatry 2019 Jan 17. Epub 2019 Jan 17.

Department of Psychology (SG, GG, KIE), University of Pittsburgh, Pittsburgh.

Objective: The aim of this study was to test the feasibility of an exercise augmentation to pharmacotherapy in depressed younger and older adults while exploring neural mechanisms.

Methods: A randomized, double-blind, controlled clinical trial was conducted in 15 inactive younger (20-39 years) and older (60-79 years) adults meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for a major depressive episode (https://clinicaltrials.gov/ct2/show/NCT02407704). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.012DOI Listing
January 2019

Engagement in Socially and Interpersonally Rewarding Activities as a Predictor of Outcome in "Engage" Behavioral Activation Therapy for Late-Life Depression.

Am J Geriatr Psychiatry 2019 Jan 10. Epub 2019 Jan 10.

Weill Cornell Institute of Geriatric Psychiatry (NS, JNB, JAS, FMG, GSA), Weill Cornell Medicine, White Plains, NY.

Objective: Loneliness and social isolation are associated with depressive symptoms, cognitive and physical disabilities, and increased risk of mortality among older adults. Socially rewarding activities reduce loneliness, and neurobiological evidence suggests that these activities may activate neural reward systems in older adults to a greater extent than other rewarding experiences. The current study was designed to investigate whether engagement in social and interpersonal activities (i. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2018.12.033DOI Listing
January 2019

Depression Agency-Based Collaborative: Effect of Problem-Solving Therapy on Risk of Common Mental Disorders in Older Adults With Home Care Needs.

Am J Geriatr Psychiatry 2019 Jan 10. Epub 2019 Jan 10.

Department of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.

Background: Interventions to prevent depression in older adults have mainly focused on young-old ambulatory adults, not on the old-old with disabilities who receive supportive services in their homes.

Objective: The Depression Agency-Based Collaborative (Dep-ABC) is a single-blind pilot randomized controlled trial assessing the effect of an intervention-development strategy using problem-solving therapy (PST) on the risk of common mental health disorders in this vulnerable population.

Methods: The intervention involved six to eight sessions of PST over 12 weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.002DOI Listing
January 2019
2 Reads

Reliably Assessing Language Function in Dementia in the 21st Century.

Authors:
Mohit Verma

Am J Geriatr Psychiatry 2019 Apr 21;27(4):378-380. Epub 2019 Jan 21.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.016DOI Listing

Accelerated DNA Methylation Aging in U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study.

Am J Geriatr Psychiatry 2019 May 7;27(5):528-532. Epub 2019 Jan 7.

Department of Psychiatry (JLM, SMS, JHK, RHP), Yale University School of Medicine, New Haven, CT; Clinical Neurosciences Division (SMS, JHK, RHP), U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, CT; Yale School of Public Health (BRL, RHP), New Haven, CT.

Objective: The aim of this study was to identify how a broad range of sociodemographic, military, health, and psychosocial factors relate to accelerated DNA methylation aging (Δ) in a large, contemporary, nationally representative sample of male U.S. veterans. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.001DOI Listing
May 2019
1 Read

Psychosocial Interventions for Community-Dwelling People Following Diagnosis of Mild to Moderate Dementia: Findings of a Systematic Scoping Review.

Am J Geriatr Psychiatry 2018 Dec 24. Epub 2018 Dec 24.

Centre for Applied Dementia Studies (GM, KL), University of Bradford, Bradford, England.

National policies and evidence reviews recommend psychosocial interventions (PIs) as an essential support, particularly in the period following dementia diagnosis. However, availability and uptake of these interventions are comparatively low. One of the reasons for this is that clinicians lack information about what might be provided and the potential benefits of different interventions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2018.12.027DOI Listing
December 2018

Katharine Hepburn: Markings and Remembrances.

Am J Geriatr Psychiatry 2019 Apr 18;27(4):458. Epub 2019 Jan 18.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.007DOI Listing

Grocery List.

Authors:
Nancy R Davison

Am J Geriatr Psychiatry 2019 May 11;27(5):569. Epub 2019 Jan 11.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jagp.2019.01.004DOI Listing

Commentary on "Depression Predicts Delirium After Coronary Artery Bypass Graft Surgery Independent of Cognitive Impairment and Cerebrovascular Disease: An Analysis of the Neuropsychiatric Outcomes After Heart Surgery Study".

Am J Geriatr Psychiatry 2019 May 2;27(5):487-489. Epub 2019 Jan 2.

Department of Psychiatry and Behavioral Sciences (CKC, KJN), Johns Hopkins University School of Medicine, Baltimore, MD.

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10647481193000
Publisher Site
http://dx.doi.org/10.1016/j.jagp.2018.12.031DOI Listing
May 2019
8 Reads