bluuebunny/crossref_metadata_2025_split huggingface dataset:
Memory effect as if a group of self-esteem, mental health quality of life elderly
Authors: Ahmadi Gatab T. 
Published: May 2011

IntroductionOlder people with special challenges such as increased chronic problems reduced financial resources and reduced functional abilities have encountered.ObjectivesThis study group as if the memory effect on self-esteem, mental health and quality of life for elderly people has been done.MethodsResearch methods, experimental. Statistical Society Research Babol are elderly. Sample aged 60 to cluster all the city neighborhoods selected randomly into two experimental groups (30 patients) and control (n = 30) groups. Then each of the experimental and control groups also were divided into six groups. Seniors in the experimental group meetings as if the memory control group, but group sessions in eight sessions and each session for one and a half hours they attended.ResultsThe results show that the experimental group participated in group meetings as if the memory than the control group who participated in group sessions, having self-esteem, mental health and quality of life are at a high level. The results also show that the mental health subscales (physical impairment, impaired social function, anxiety and depression) compared to the experimental group had better control of the situation.ConclusionsSeniors expressed their memories in a group, their positive and negative emotions poured out, and now that this reconciliation will lead to attitude change are elderly. On the other hand seems to have an active role in memory leads to increased confidence and improving mental health and sense of usefulness and the elderly are a result of depression and anxiety decreased.
Screening for depression in nursing homes: Validity of the WHO (Five) Well-Being Index
Authors: Allgaier A.-K. , Liwowsky I. , Kramer D. , Mergl R. , Fejtkova S. , Hegerl U. 
Published: May 2011

IntroductionDepression is common in nursing home residents, but is still underrecognized. Screening for depression could be a first step to increase recognition rates within this high-risk group.ObjectivesTherefore, we investigated the validity of the WHO (Five) Well-Being Index (WHO-5) for early detection of depression in nursing home residents.MethodsThe Structural Clinical Interview for DSM-IV (SCID) was used as the gold standard for the validation of the WHO-5. The diagnoses covered in this assessment were both current major depression (MD) as well as minor depression (MinD) according to DSM-IV research criteria.ResultsIn our sample of 92 nursing home residents in Munich aged 65–97 years, (73.9% female, 26.1% male) 14.1% fulfilled the criteria of MinD, and again 14.1% fulfilled the criteria of MD in the SCID. Overall diagnostic validity (area under the ROC curve) of the WHO-5 was 90.1% (95% confidence interval: 83.5%–96.7%). The World Health Organization's recommended cut-off-point of 13 yielded a sensitivity of 92.3% for the category of ‘MinD or MD’, and a specificity of 74.2%. Corresponding values for an adapted cut-off point of 12 are 92.3% and 78.7%, respectively.ConclusionsThe diagnostic accuracy of the WHO-5 in our study is promising. The WHO-5 might be an efficient screening tool for nursing home residents, especially with the adapted cut-off point, but results have to be replicated in a larger sample.
Poststroke depression in elderly, a review
Authors: Samakouri M. , Arseniou S. , Keskeridou F.-G. , Gymnopoulou M. , Livaditis M. 
Published: May 2011

IntroductionMood disturbances are often found in stroke patients and have a negative impact both on the recovery and the outcome of the stroke. Depression is the most common neuropsychiatric complication in the poststroke population, affecting nearly 30%–50% of patients within the first year. PSD implies a significant burden on both patients and their caregivers.Material and methodsUsing the search engines Pubmed and Scopus, 20 papers regarding the elderly dated from 2002–2010 were reviewed using the keywords depression, poststroke, recovery after stroke.ResultsThe core features of PSD include but are not limited to: persistent sadness, feelings of hopelessness, helplessness and worthlessness, guilt and sense of being a burden on the caregiver, lack of motivation, loss of interest, death wishes and suicidal ideation. Various cerebrovascular risk factors, including hypertension, atherosclerotic heart disease, hyperlipidemia and diabetes mellitus have been implicated as risks for depression in late life.Other predisposing factors are: prior history of depression or anxiety disorder, certain personality traits, baseline dementia but also, social isolation, living alone, physical functional impairments or a history of other psychiatric disorder.ConclusionDepression may impede recovery from stroke and impair outcome by affecting social functioning, motor abilities, cognitive functions and quality of life, thus it is important to early diagnose and prevent PSD.
Cognitive complaints are associated to multi-morbidity in an old population with good cognitive functioning
Authors: Atti A.R. , Marengoni A. , De Ronchi D. , Palmer K. , Forlani C. , Dalmonte E. , Fratiglioni L. 
Published: May 2011

IntroductionThe role of cognitive complaints has recently received increasing attention in dementia research.AimTo investigate whether the subjective perception of cognitive deficits is related to multi-morbidity in an old Italian cohort.MethodsThe study population(N = 6,825) included persons who did not receive a diagnosis of dementia(DSM-IIIR criteria), were not cognitively impaired and scored < 4 at the Global Deterioration Scale(GDS). On GDS stage one, Individuals with GDS score equal to one do not report memory problems and no deficits are detected during the interview. In subjects with GDS score = 2, a very mild cognitive decline is appreciable. On GDS score = 3,deficiencies begin to be noted. The examining physicians diagnosed the somatic disorders according to the International Classification Disease version 10 (ICD-10). Mental health was clinically assessed by the examining physicians with semi-structured questions. A multimorbidity index was created based on the number of co-occurring chronic disorders. Binary logistic regression analyses were used to estimate multiadjusted Odds ratio (aOR) and 95% Confidence Intervals (CI).ResultsAccording to GDS, 28.4% (N = 1,940) of participants reported some degree of perceived cognitive decline. Cognitive complaints were associated with increasing age, low education, and multimorbidity. Stroke (aOR,95%CI 1.6;1.3–1.9),diabetes(aOR,95%CI 1.4;1.1–1.7),depressive(aOR,95%CI 2.2;1.8–2.7) and anxiety symptoms(aOR, 95%CI 1.5;1.3–1.8) were significantly associated with perceived cognitive decline. When performances at MMSE were taken into account, cardiovascular(aOR,95%CI 2.3;1.3–4.1) and respiratory diseases(aOR,95%CI 1.9;1.0–3.6) were associated with self-perceived cognitive decline in absence of observable cognitive deficits.ConclusionsCognitive complaints have many somatic correlates and some of them may account for the discrepancy between perceived cognitive decline and cognitive assessment.
Clinical audit on nice guidance on anticholinesterases in a memory clinic
Authors: Bangar S. , Powell R. 
Published: May 2011

IntroductionThe National Institute for Clinical Excellence (NICE) has laid down certain guidelines for prescribing Anti-cholinesterases in patients with dementia. Keeping in mind the NICE guidance, an audit was conducted to see whether these were followed.Aims and objectivesTo ascertain the level of compliance to the NICE guidance and ensure they are adhered to.MethodThe data was collected from patients attending the memory clinic at Park Royal Centre for Mental Health in Central London over a six month period. Sixteen patients were randomly selected for this audit. The baseline MMSE score was recorded and also the medication prescribed.ResultsThe baseline MMSE score in all the 16 (100%) patients was above the recommended score of 12.The MMSE score was done in 12(75%) patients during follow up at 4–6 months.Of the 12 available MMSE scores at follow up, none were below 12 and hence continued treatment.In 2 (12.5%) patients there was an improvement, in 6 (37.5%) patients there was a fall and in 4 (25%) patients there was no change in the MMSE score at follow up.ConclusionIt was found that the NICE guidance was followed in most (75%) patients.
Quality of life and mortality in elderly patients with schizophrenia: a prospective cohort study
Authors: Béra Potelle C. , Cuervo Lombard C.V. , Tran É. , Barrière S. , Schuster J.P. , Limosin F. ,   Investigateurs de l’Étude CSA (Cohorte Schizophrènes Agés)
Published: May 2011

IntroductionThe increase of elderly schizophrenia patients during the last few decades is a major health issue. Although life expectancy increased for patients with schizophrenia, there is a greater rate of the occurrence of somatic illnesses, and premature mortality remains 2 to 3 times higher in these patients than in general population.ObjectivesTo prospectively assess health care access, quality of life, functional status, and rates and causes of death in a cohort of elderly schizophrenia patients.MethodsWe initiated a national epidemiologic 5-year cohort study including a large sample of schizophrenic patients aged 60 or more. The first aim was to assess the geriatric psychiatric services provided by a large sample (n = 108) of departments of psychiatry in France (n = 829). The second aim was to assess the number of elderly schizophrenia patients followed by each participating centre. Finally, we prospectively assess some demographic, clinical and biological variables, as well as quality of life indexes.ResultsThe geriatric psychiatric services are heterogeneously spread in French territory. Schizophrenic patients aged 60 and more represent 15% of French public psychiatric department activity. The cohort is actually in course of constitution.ConclusionsOur data may help to identify factors associated with increased morbidity and mortality in elderly schizophrenia.
Gender differences in elderly patientswith depression
Authors: Dessoki H. , Moussa F. , Nasr M. 
Published: May 2011

ObjectiveTo detect phenomenological gender differences in elderly patients with depression for better understanding. In addition to illustrate neuro- psychological gender differences in elderly patients with depression for better management.SubjectsA case/control, comparative study with consecutive sample. 80 elderly Egyptian subjects of both sexes aged 60 years or above recruited from psychiatry outpatient clinic in Kasr Al Aini and Beni Suef hospitals with no obvious cognitive impairment or substance related psychiatric disorders. The subjects were classified into 2 groups (depressed patients and control groups) 40 subjects each.The MethodsDiagnostic criteria of the DSM-IV TR, Symptom checklist, MMSE, GDS,WAIS and STAI were used.ResultsComparison between the depressed patients and the control group revealed that the depressed group has affected cognitively than the control group as assessed by MMSE and also showed deterioration of intellectual abilities (deterioration index). Comparison between the depressed males and females subgroups revealed that the characteristics of the patients and correlates of depression are similar in both sexes except for some significant findings e.g, depression in elderly women is more associated with widowhood, more suffering of sense of worthlessness, more affection of attention and more disturbance in reasoning and costructional abilities.ConclusionDepression in older patients is related to widowhood, presence of family conflicts an positive past history of depression. There were no gender differences in elderly depressed patients except for that depression in elderly women is more associated with widowhood, sense of worthlessness, more affection of attention and more disturbance in reasoning.
Characteristics of elderly patients attended at a psychiatry emergency room
Authors: Prats L. , Gual N. , Lusilla P. , Gual A. 
Published: May 2011

IntroductionThere is no general agreement on the prevalence of mental disorders in the elderly, although it is estimated that 25%. of them present psychiatric symptoms. Geriatric psychiatry is one of the most rapidly advancing fields and requires a comprehensive approach.ObjectivesTo analyse the characteristics of patients older than 65 who are attended at the psychiatry emergency room.MethodsA descriptive study was conducted among all elderly pacients seen during May 2010 at the psychiatry emergency room at Vall d’Hebron University Hospital. Clinical variables (functional status, reason to show up, medical history, diagnosis), treatment and referral at discharge were analysed.Results36 patients (44.4% men, mean age 75.3 years) were identified. Charlson comorbidity index was 2.08. Suicide attempts were the most frequent reason for admission (27.8%), followed by psychomotor agitation (16.7%), anxiety disorders (13.9%), delirium (13.9%), depression (11.1%), and behaviour disorders (8.3%). Concerning psychiatric antecedents 58.3% had depressive disorder and 40% reported somatic symptoms during the month prior to their consultation.The most common diagnosis at discharge were anxiety-depressive disorders (52.7%) and delirium (16.7%). The most widely prescribed psychotropics were antipsychotics (19.4% haloperidol, 13.9% quetiapine) followed by benzodiazepines (13.9%). Referral at discharge was: 41.7% home, 13.9% midterm psychiatric units, 27.8% acute psychiatric inpatient unit and 16.7% Internal Medicine.ConclusionsTypically, elderly patients attended at the psychiatric emergency room are diagnosed of an anxiety-depressive disorder and often present with a suicidal attempt, but only 41.7% are admitted as psychiatric inpatients.
Delirium and parkinsonic syndrome in elderly
Authors: Guerra C. , Azevedo J. , Massano J. , Fernandes L. 
Published: May 2011

Delirium is an acute or subacute syndrome characterized by a fluctuating global disorder of cognition, impairment of attention and awareness, disorganization of thought and speech, perceptual disturbances, hallucinations, as well as hypo or hyperactivity.We present a case report of a 76-year-old woman who developed disorientation, lack of familiar recognition and functional impairment, three days before admission. She was admitted to a Medicine Department and submitted to several laboratory and imaging studies.During this period she presented attention, consciousness fluctuations and agitation that required several treatments, including neuroleptics. Like these symptoms were linked to an important life even that triggered reactive depression, she was transferred to a psychiatric ward. Progressively her clinical state worsened, she became permanently bedridden and was observed by Neurology. She presented moderate to severe parkinsonian signs, namely akinesia and rigidity, predominantly on her left side. Reviewing her clinical past, she had suffered these symptoms during the two years before this episode (apathy, small stepped gait, flexed posture, and left hand rest tremor). Treatment with antiparkinsonic drugs produced a dramatic improvement in the patient’s mental and physical status. A I-Ioflupane-SPECT (DaTscan) confirmed striatal presynaptic dopaminergic degeneration, more on the right side, which was the proof of the presence of a degenerative parkinsonian syndrome.The present clinical case shows Delirium with degenerative Parkinsonism comorbidity, worsened by the use of neuroleptics. We emphasize the importance previously undiagnosed Parkinsonism in old age which is highlighted by usefulness of dopamine transporter imaging in this scenery.
Depressiveness in preoperative period and postoperative recovery of orthopedic patients - preliminary results of prospective study
Authors: Ignjatovic Ristic D. , Janjic V. , Ristic B. , Radmanovic B. 
Published: May 2011

IntroductionDepression is often occurred after surgical interventions and may have serious consequences on postoperative recovery. The treatment of early discovered depressive symptoms may have strong influence on the recovery of operated orthopedic patients.Simple and quick instrument for detection and evaluation of depressive symptoms could be of great use to doctors.Work objectives are1) determine the prevalence of depressiveness in preoperative period in patients with scheduled surgical interventions, and2) validation of Geriatric Depression Scale - short form (GDS-SF) in detection of depressiveness.MethodA sample of 120 orthopedic patients is the part of larger sample in prospective research of depressiveness in patients in preoperative period with scheduled surgical interventions (except cardio-surgical). For estimation of depressiveness we used battery of tests (GDS-SF, BDI - Beck's depression scale, MDI - major depressive disorder questionnaire), and patients were tested 3 times: to 14 days prior the surgery, 7 and 90 days after the surgery. Validation of GDS-SF was examined compared to BDI according to age and gender of examinees.ResultsIn preliminary sample of 120 orthopedic patients with scheduled orthopedic interventions, prevalence of depressiveness is greater than prevalence of depressiveness in general population (p < 0.001). Depressiveness is much more present in women than in men (p < 0.001). Correlation of depressive scores in BDI and in GDS-SF is satisfactory for all age groups.ConclusionPreliminary results indicate on further research of depressiveness in preoperative period in order to confirm validation of GDS-SF as simpler alternative for early detection of depressiveness.
P02-243 Life satisfaction, depression and spirituality for Korean elderly people
Authors: Lee S.B. 
Published: May 2011

AimThe purpose of this study was to assess Korean elderly people's residential condition with or without cohabitants, spouse and children, and to analyze their depression, spirituality and life satisfaction depending on residential condition.Methods160 subjects were randomly selected from one of religious organizations, Suwon City, Kyounggi Do, South Korea. The participants were divided into Group 1 (the elderly living alone: n = 74, Mean Age = 72.45, SD = 6.78) and Group 2 (the elderly living with spouse and/or children: n = 86, Mean Age = 72.12, SD = 6.82). The subjects participated in the survey forms of spiritual well-being, life satisfaction, and depression. It was hypothesized that the elderly living alone (Group 1) had lower scale in the areas of spiritual well-being, life satisfaction and higher scale in depression.ResultsThe t-test on the mean of each scale for the Group 1 and Group 2 was significant: Korean elderly people, who were living alone without family support, were less satisfied (p < .001), more depressed (p < .0001) and their spiritual well-being scale was lower (p < .001). For the total participants (n = 160). there was a positive correlation between spiritual well-being and life satisfaction (rho = .56, p < .001). There was negative correlation between depression and spiritual wellbeing (rho = −.67, p < .0001); depression and life satisfaction (rho = −.78, p < .0001).ConclusionFor the mental health professionals, including psychiatrists and gerontologists, it is important to understand the elderly people's residential situation, emotional support as well as to assess their life satisfaction and spiritual well-being in terms of quality of life measurement.
Elder abuse in Poland
Authors: Leszek J. 
Published: May 2011

Poland is a country with a rate of demographic aging similar to other developed nations. The percentage of pesons 60 yrs and older is expected to rise dramatically to 20% by 2020.The complexity of elderly’s life situations in Poland increases the probability that they will be subject to neglect and abuse.It is difficult to estimate the extent of this problem in Poland.Polish gerontological literature has not defined abuse and neglect with regard to the elderly people. In this situation is difficult to estimate the extent of this problem in Poland. Individual studies only marginally suggest the existence of this phenomenon. According to this investigations, the following factors take part in elderly abuse:* the increased rate of aging of the ruled society (16,5%) compared to urban society(12,8%)- a result of intensive migration process* the influence of the residence on the creation, course on results of family conflicts* in cities neglect and abuse of the elderly are more frequently (a results of a shortage of flats, lack of specified social roles for old age, their dependency in terms of care and help, and alcohol abuse)difficult economic situation for retired peopleThe kind of elder abuse:1.psychological aggression occured more often than physical aggression2.emotional neglect3.economic neglect4.isolations from family5.neglecting the care of older people6.material abuseKnowledge about the problems of elder abuse in Poland as not satisfactory till now is currently under discussion and new concept of this phenomenon will be prepared.
Comorbidity of Current Depression Among the Elderly
Authors: Manetti A. , Hoertel N. , Le Strat Y. , Schuster J.-P. , Limosin F. 
Published: May 2011

IntroductionDepression in later life is a major public heath issue. Few studies to date examined the psychiatric correlates of depression in elderly surveys in the general population.ObjectiveTo provide nationally representative data on the prevalence, sociodemographic correlates and comorbidity of current major depressive disorder in late life.MethodsThis study is based on a nationally representative survey, the National Epidemiologic Survey on Alcohol and Related Conditions, of the noninstitutionalized household population (8,205 respondents aged 65 and above). The past 12-months prevalence of major depressive disorder was estimated, and logistic regression analyses were used to examine the relationship between 12-months major depressive disorder and sociodemographic characteristics, general medical condition and psychiatric disorder. Diagnoses were made according to the of DSM-IV criteria.ResultsAmong the respondents, 3.2% individuals with a past 12-months diagnosis of major depressive disorder were identified. Women and individuals living in urban areas were more likely to be diagnosed with a major depressive disorder. Significant associations between major depressive disorder and cardiovascular, gastrointestinal diseases, arthritis were found. Several psychiatric disorder were associated with past 12-months major depressive disorder, including dysthymia, bipolar disorder, panic disorder, specific phobia, generalized anxiety disorder, nicotine and alcohol dependence, and histrionic personality disorder.ConclusionRecent Major depressive disorder in the elderly was associated with a large number of psychiatric disorders. This study highlights the need to develop effective and targeted intervention initiatives to detect major depressive disorder in elderly.
Discharge destination of patients from a psychogeriatric unit
Authors: Ochuko-Emore M. 
Published: May 2011

ObjectivesTo determine the discharge destination of patients admitted to a psychogeriatric unit.MethodsRecords of all patients discharged from an in-patient psychogeriatric unit between 1st July 2009 and 30th June 2010 were examined. The diagnosis, residence at admission, length of stay and discharge destination were recorded.ResultsThere were ninety-four discharges over the study period. Four of the patients were admitted and discharged twice. The mean age was 76.7 years (range 65–95 years). 52.1% (n = 49) were diagnosed with dementia and 47.9% (n = 45) with functional mental illness. The average length of stay was 67.4 days for dementia compare to 74.2 days for functional mental illness. 17.1% (n = 6/32) of patients with dementia and 84.2% (n = 32/38) of patients with functional mental illness resident at home at the time of admission were discharged home.ConclusionThis finding suggests that patients with functional mental illness are more likely to be discharge back to their homes compared with patients with dementia.