Liam F Borelli-Millott, Samantha M Loi, Dennis Velakoulis, Anita M Y Goh
{"title":"A thematic analysis of psychotic symptoms in young-onset dementia.","authors":"Liam F Borelli-Millott, Samantha M Loi, Dennis Velakoulis, Anita M Y Goh","doi":"10.1017/S1041610223000169","DOIUrl":"10.1017/S1041610223000169","url":null,"abstract":"<p><strong>Objectives: </strong>Exploration of the themes and content of psychotic symptoms in young-onset dementia (YOD) is limited to case analysis. The primary objective of this study was to determine the themes of psychotic symptoms in individuals diagnosed with YOD.</p><p><strong>Design: </strong>Comprehensive retrospective file review of discharge summaries.</p><p><strong>Setting: </strong><i>Neuropsychiatry</i>, a specialist mental health service located at the Royal Melbourne Hospital, Australia.</p><p><strong>Participants: </strong>Inpatients at <i>Neuropsychiatry</i> admitted between 2018 and 2020 (inclusive).</p><p><strong>Measurements: </strong>Data extracted included descriptions and prevalence of psychotic symptoms as well as general demographic and clinical data. Data analysis was conducted using a thematic approach.</p><p><strong>Results: </strong>Twenty-three inpatients had a diagnosis of YOD with psychotic symptoms. Themes were identified in the domains of delusions (six themes), auditory hallucinations (five themes), and visual hallucinations (two themes). Strong recurring themes across the modalities of hallucinations and delusions were beliefs and experiences relating to paranoia, suspicion, harm, and abuse. Themes did not clearly intersect across the modalities of hallucinations and delusions. A degree of thematic heterogeneity existed within individuals, and individuals experienced delusions or hallucinations of multiple themes. The themes of the psychotic symptoms did not clearly relate to diagnostic category, nor to time from diagnosis.</p><p><strong>Conclusion: </strong>This study is the first thematic analysis of psychotic symptoms in YOD and provides further understanding of patient phenomenology and experiences of psychosis in YOD.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"465-473"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9085415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anita M Y Goh, Monica Cations, Dennis Velakoulis, Raymond Koopmans
{"title":"Young-onset dementia: not the same as late-onset dementia - highlighting the differences in diagnosis, care, treatment, and models of care.","authors":"Anita M Y Goh, Monica Cations, Dennis Velakoulis, Raymond Koopmans","doi":"10.1017/S1041610224000656","DOIUrl":"https://doi.org/10.1017/S1041610224000656","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 6","pages":"429-434"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142914560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberly Gressie, Fiona Kumfor, Her Teng, David Foxe, Emma Devenney, Rebekah M Ahmed, Olivier Piguet
{"title":"Error profiles of facial emotion recognition in frontotemporal dementia and Alzheimer's disease.","authors":"Kimberly Gressie, Fiona Kumfor, Her Teng, David Foxe, Emma Devenney, Rebekah M Ahmed, Olivier Piguet","doi":"10.1017/S1041610223000297","DOIUrl":"10.1017/S1041610223000297","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the patterns of errors in facial emotion recognition in frontotemporal dementia (FTD) subtypes compared with Alzheimer's disease (AD) and healthy controls.</p><p><strong>Design: </strong>Retrospective analysis.</p><p><strong>Setting: </strong>Participants were recruited from FRONTIER, the frontotemporal dementia research group at the University of Sydney, Australia.</p><p><strong>Participants: </strong>A total of 356 participants (behavioral-variant FTD (bvFTD): 62, semantic dementia (SD)-left: 29, SD-right: 14, progressive non-fluent aphasia (PNFA): 21, AD: 76, controls: 90) were included.</p><p><strong>Measurements: </strong>Facial emotion recognition was assessed using the Facial Affect Selection Task, a word-face matching task measuring recognition of the six basic emotions (anger, disgust, fear, happiness, sadness, and surprise), as well as neutral emotion, portrayed by black and white faces.</p><p><strong>Results: </strong>Overall, all clinical groups performed significantly worse than controls with the exception of the PNFA subgroup (<i>p</i> = .051). The SD-right group scored worse than all other clinical groups (all <i>p</i> values < .027) and the bvFTD subgroup performed worse than the PNFA group (<i>p</i> < .001). The most frequent errors were in response to the facial emotions <i>disgust</i> (26.1%) and <i>fear</i> (22.9%). The primary error response to each target emotion was identified; patterns of errors were similar across all clinical groups.</p><p><strong>Conclusions: </strong>Facial emotion recognition is impaired in FTD and AD compared to healthy controls. Within FTD, bvFTD and SD-right are particularly impaired. Dementia groups cannot be distinguished based on error responses alone. Implications for future clinical diagnosis and research are discussed.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"455-464"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9642689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jan Rachel Oyebode, Jenny La Fontaine, Vasileios Stamou, Mary O'Malley, Jacqueline Parkes, Janet Carter
{"title":"Establishing and sustaining high-quality services for people with young onset dementia: the perspective of senior service providers and commissioners.","authors":"Jan Rachel Oyebode, Jenny La Fontaine, Vasileios Stamou, Mary O'Malley, Jacqueline Parkes, Janet Carter","doi":"10.1017/S1041610223000443","DOIUrl":"10.1017/S1041610223000443","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to understand the facilitators to developing and sustaining high-quality services for people with young onset dementia (YOD) and their families/supporters.</p><p><strong>Design: </strong>This qualitative study used semi-structured interviews with commissioners and service managers, analyzed using inductive thematic analysis.</p><p><strong>Setting: </strong>A purposive sample of providers was selected from diverse areas and contrasting YOD services.</p><p><strong>Participants: </strong>Eighteen senior staff from YOD services and two dementia service commissioners took part.</p><p><strong>Measurements: </strong>For commissioners, key interview topics were experiences of commissioning YOD services, perceived facilitators or barriers, and how future guidance should be structured for ease of use. For service providers, key topics explored experiences of delivering YOD services; what was achievable or challenging; how the service was funded; how it linked with broader provision for YOD in the area; and how guidance should be structured.</p><p><strong>Results: </strong>Recorded interviews lasted 30-40 minutes. Seven key facilitators to the development and sustaining of YOD services were identified: having knowledgeable, committed local champions; involvement of people living with YOD and family supporters; initial delivery within existing resources; partnership working within and between sectors; having a reflective, supportive organizational culture; gathering evidence of impact; and having wider support and guidance.</p><p><strong>Conclusions: </strong>Improvements in provision for those with YOD and their families need to be built on understanding of service-level and interpersonal influences as well as on understanding of YOD itself. Our findings highlight a set of facilitators which need to be in place to establish and sustain high-quality YOD services that fit the local context.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"492-501"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disentangling factors that influence the spousal relationship of people with young-onset dementia: Starting points for person-centered care and support?","authors":"Hanna E Bodde, Janne M Papma, Jackie M Poos","doi":"10.1017/S1041610224000395","DOIUrl":"10.1017/S1041610224000395","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"444-447"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeroen Bruinsma, Kirsten Peetoom, Joany Millenaar, Sebastian Köhler, Christian Bakker, Raymond Koopmans, Yolande Pijnenburg, Frans Verhey, Marjolein de Vugt
{"title":"The quality of the relationship perceived by spouses of people with young-onset dementia.","authors":"Jeroen Bruinsma, Kirsten Peetoom, Joany Millenaar, Sebastian Köhler, Christian Bakker, Raymond Koopmans, Yolande Pijnenburg, Frans Verhey, Marjolein de Vugt","doi":"10.1017/S1041610220000332","DOIUrl":"10.1017/S1041610220000332","url":null,"abstract":"<p><strong>Background: </strong>Young-onset dementia (YOD) has a profound impact on spouses. However, little is known on how the quality of the relationship changes over time in YOD. This study aims to determine how the quality of the relationship changes over time and identify predictors of this change.</p><p><strong>Methods: </strong>This study used data from the NEEDs in Young onset Dementia (NeedYD) study. The primary outcome measure was the quality of the relationship perceived by spouses measured throughout 24 months. Baseline characteristics of persons with YOD and spouses were also measured to assess their predictive value.</p><p><strong>Results: </strong>Totally, 178 dyads were included. The perceived quality of the relationship deteriorated over time. A longer symptom duration, a diagnosis of frontotemporal dementia, lower levels of awareness of deficits, lower levels of initiative toward daily living activities, and higher levels of apathy, hyperactivity, depression, and anxiety in the person with YOD were associated with a lower perceived quality of the relationship by spouses. A coping style characterized by palliative and passive reacting patterns and higher levels of neuroticism in spouses was also associated with a lower quality of the relationship.</p><p><strong>Conclusion: </strong>The quality of the relationship as perceived by spouses deteriorated over time and was influenced by characteristics of the person with YOD as well as their spouse. Helping spouses to come to terms with factors that threaten their sense of couplehood might help them to develop a more positive attitude toward their spousal relationship and improve the quality of the relationship and care.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"482-491"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37720541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The critical role of clinical champions: Commentary on \"Establishing and sustaining high-quality services for people with young-onset dementia: The perspective of senior service providers and commissioners\".","authors":"Monica Cations","doi":"10.1017/S1041610223000832","DOIUrl":"10.1017/S1041610223000832","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"448-450"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41122624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of behavioral problems in carer burden in young-onset dementia.","authors":"Latha Velayudhan","doi":"10.1017/S1041610224000127","DOIUrl":"10.1017/S1041610224000127","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"440-443"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel E Cohen, Hyun Kim, Alina Levine, Davangere P Devanand, Seonjoo Lee, Terry E Goldberg
{"title":"Effects of age on the relationship between sleep quality and cognitive performance: Findings from the Human Connectome Project-Aging cohort - CORRIGENDUM.","authors":"Daniel E Cohen, Hyun Kim, Alina Levine, Davangere P Devanand, Seonjoo Lee, Terry E Goldberg","doi":"10.1017/S1041610224000644","DOIUrl":"10.1017/S1041610224000644","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"518"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}