Journal of Geriatric Mental Health最新文献

{"title":"Clinician's experience of telepsychiatry consultations with elderly patients","authors":"Chandrima Naskar, S. Grover, A. Mehra, Swapnajeet Sahoo","doi":"10.4103/jgmh.jgmh_31_22","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_31_22","url":null,"abstract":"Background: During the coronavirus disease-2019 pandemic, telepsychiatry became a norm as a primary method of health-care delivery across India. However, not much evidence is available regarding the experience of psychiatrists in providing a telepsychiatry consultation. Objective: This study aims to assess the experience and satisfaction of the clinician in providing teleconsultations to elderly patients/their caregivers. Methodology: Clinicians scored their experience, satisfaction, and their perception of therapeutic alliance in providing the teleconsultation to patients of age 60 years or more, in a detailed Google Forms-based questionnaire. Results: Ninety-eight teleconsultations were assessed by clinicians. The patients had a mean age of 69.5 years, with an equal number of males and females. In more than 80% of the teleconsultations, patients were accompanied by their relatives. In about one-fourth of the consultations, psychiatrists encountered connectivity issues from the patient side. Overall, for three-fourth (72%) of the teleconsultations, clinicians reported being satisfied to a large extent; for two-thirds (66%) of the consultations, the clinicians rated their teleconsultation experience as that of providing an in-person consultation; and for about 10% of consultations, the experience was rated as better than the in-person consultation. In terms of a therapeutic alliance, in almost 85%–90% of consultations, the clinicians noted that they could build a rapport, empathize with their patients, and build a relationship of trust with the patients and their caregivers. Conclusions: Teleconsultation with the elderly might not be as difficult as intuitively thought and clinicians are in general satisfied with the same and consider that they can establish a good therapeutic alliance with the patients and their caregivers.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"9 1","pages":"26 - 33"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47490630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing social dynamics and older population: A qualitative analysis of the quality of life among older adults in Kerala","authors":"Julie Abraham, Sibasis Hense, E. Mathews","doi":"10.4103/jgmh.jgmh_19_22","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_19_22","url":null,"abstract":"Background: The concomitant availability of services and care with the rise in the older population in India does not commensurate with their health care needs, thus affecting their well-being and quality of life (QoL). The Indian State of Kerala, epidemiologically and demographically advanced and often compared with developed countries, has the highest number of older persons. It also ranks top in the human development index in the country. This study seeks to explore the factors influencing QoL among older persons in Kerala, a state located within a low middle-income country. Materials and Methods: Qualitative methods using exploratory design were employed. Ten focus group discussions and ten face-to-face in-depth interviews were conducted in two districts of Kerala. The data were thematically analyzed using a framework approach. Results: The study explored a multitude of factors influencing QoL among older people in Kerala. The themes that emerged from the study were, “Financial securities and insecurities,” “psychological well-being,” “lifestyle,” “health-care utilization,” and “social engagement.” Conclusion: The current study findings have explored the changing importance or value of the factors attributed to older persons' QoL in an advanced population within a low middle-income country such as India.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"9 1","pages":"34 - 42"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41953703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hopelessness and quality of life in elderly: A community-based cross-sectional study","authors":"Amithabh Sajeev, A. Kakunje, R. Karkal","doi":"10.4103/jgmh.jgmh_12_22","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_12_22","url":null,"abstract":"Introduction: Elderly population has a higher vulnerability to many physical and mental disturbances. These setbacks can lead to decreased quality of life (QOL) which may increase the feeling of hopelessness among the elderly. Aim: This study aims to assess the association between hopelessness and the QOL among the elderly in the community. Materials and Methods: This cross-sectional study involved 100 elderly people with 50 participants each from two different locations of South India. The study was conducted from February 2020 to December 2020 after obtaining the institutional ethics committee approval. Beck's Hopelessness Scale and the World Health Organization quality of life (WHOQOL)-BREF instrument were used to assess hopelessness and QOL. Results: The average age of the sample was 66.26 ± 5.29 years with a male predominance. The Beck's hopelessness score was greater in females, whereas the WHOQOL score was higher in males. We also found a significantly strong negative strength of association (Pearson's correlation score of − 0.954) between Beck's hopelessness score and WHOQOL scoring systems. Our study showed that hopelessness and QOL were significantly influenced by educational status, marital status, annual income, medical illness, psychiatric illness, and duration of hospital admissions. Conclusion: Elderly people with good financial stability are more secure with a higher QOL.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"9 1","pages":"21 - 25"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45667757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of leisure activity in quality of life and meaning in life of male and female older adults","authors":"Pooja Mukherjee, Ankita Ghosh, Subrata Dasgupta","doi":"10.4103/jgmh.jgmh_44_21","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_44_21","url":null,"abstract":"Context: India at present is experiencing a phenomenal increase in the number of older adults. Old age is marked by challenges across multiple domains of life. To overcome the challenges of old age, the focus should be on improving the quality of life (QOL) and meaning in life (MIL) of older adults. Aim: This study aimed to determine the effect of leisure activity on QOL and MIL of male and female older adults in old-age homes. Methodology: A cross-sectional study was conducted among 120 male and female retired older adults (65–80 years), living in old-age homes of Hooghly district, West Bengal, using the Older People's Quality of Life Questionnaire (OPQOL-35) by Bowling and Meaning in Life Questionnaire (MLQ) by Steger, Frazier, Oishi, & Kaler. Results: Older adults who engaged in active leisure activities had higher QOL and MIL than those engaged in passive leisure activities. Male older adults had higher QOL and MIL than female older adults. Conclusion: Opportunities to pursue active leisure activities should be promoted among older adults in old-age homes.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"9 1","pages":"4 - 8"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46812362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-based care of persons with dementia during COVID-19 pandemic: Caregivers' experiences","authors":"C. Vasanthra, Thirumoorthy Ammapattian, Sojan Antony, Girish N Rao, K. Prasad, Kanjirakattu Madom Anu, T. Issac, S. Thangaraju","doi":"10.4103/jgmh.jgmh_10_22","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_10_22","url":null,"abstract":"Background: Dementia is a neurocognitive disorder that contributes to a high caregiver burden. This article describes caregivers' experiences in providing care at home for persons with dementia during the COVID-19 pandemic. The pandemic had brought the world to a standstill that no one alive had experienced before. Methods: Cross-sectional focus group discussion with 17 caregivers of persons living with Alzheimer's disease was conducted using video conferencing software. Results: The significant issues reported by the caregivers were changing routine, an increase in demanding behavior, an increase in the tendency of wandering behavior, increased frustration among caregivers, intolerance, and overall burden. However, some caregivers were also able to adapt to emerging situations and design a new set of daily living activities. Conclusion: Understanding caregiving experiences and guiding caregivers to build their resilience would prevent caregivers' burnout.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"9 1","pages":"9 - 12"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42255951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dropout rates and its correlates among the elderly patients attending a community health center","authors":"A. Mehra, S. Grover, A. Avasthi","doi":"10.4103/jgmh.jgmh_34_22","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_34_22","url":null,"abstract":"Aim: The current study aimed to evaluate the dropout rates and the reasons for dropouts among elderly patients presenting with mental health problems to a community health centre. Methodology: This naturalistic, longitudinal, follow-up study was carried out in the Outpatient Setting of a community health centre in North India. The study included 169 patients, aged ≥ 60 years diagnosed with mental health problems. They were assessed at the baseline and then followed for a period of 1 year. Those who dropped out from the outpatient clinic were contacted over the phone to evaluate the reasons for dropout from treatment. Results: The mean age of the participants was 67.6 years and the mean number of years of education was 2.9. Most of the patients were female, married, Hindu, unemployed, from lower socioeconomic status, and non-nuclear families. The most common diagnosis was that of depression (42.6%), and this was followed by somatoform disorder (11.2%). The mean age of onset of psychiatric disorder was 62.2 years, with a mean duration of illness being 30.3 months. Nearly half (53.3%) of the patients dropped out of treatment after their first visit and 90% dropped out by 1 year. Overall the most common reason of drop out was complete relief of symptoms, and this was followed by the presence of family problems, and farming-related work. Among the very early drop out (never returned to clinic after the first visit) the most common reason for dropout was complete relief in symptoms, followed by inability to follow up due to family problems, no relief in symptoms, and farming-related work. Among those who dropped out within 6 months, the most common reason was complete relief of symptoms followed by lack of time due to personal reasons. When the reason for “late” dropout (dropout between 6 to 12 months) was evaluated, the most common reason was complete relief of symptoms followed by an inability to follow up due to problems in the family. Conclusion: A significant number of elderly patients with mental health-related problems drop out of treatment prematurely. Psychoeducation about the illness, outcome, and course of illness should be done at each step, and prevailing psychosocial issues need to be evaluated to reduce the rate of dropout among elderly patients with mental health-related problems attending the community health centre.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"9 1","pages":"54 - 59"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The complex conundrum of geriatric depression and dementias: Revisiting the clinical ambiguity","authors":"S. Mukhopadhyay, D. Banerjee","doi":"10.4103/jgmh.jgmh_21_21","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_21_21","url":null,"abstract":"Late-life depression (LLD), mild cognitive impairment (MCI), and dementia are clinically distinct yet interrelated disease constructs, wherein LLD can be a prodrome, risk factor, comorbidity, or consequence of MCI and dementia. There is considerable prevalence of depression in those with MCI or dementia, and vice versa, with maximum evidence in Alzheimer's disease. These intersections often form one of the most confusing aspects of psychogeriatric practice, leading to under-detection and mismanagement of depression, thus leading to incomplete recovery in most cases. This article focuses on this clinical ambiguity in daily practice, reviews the clinico-investigative pointers for the LLD–dementia intersection, and puts forward clinical and research recommendations in view of the available evidence. Although there is conflicting evidence regarding the cause–effect relationship between LLD, MCI, and dementia, it is likely that these constructs share some common pathological processes and are often associated with each other within a longitudinal clinical continuum. This is a linear yet complex bidirectional association: either the comorbid depression exaggerates preexisting cognitive deficits or chronic persistent depression eventually leads to major neurocognitive disorders, not to mention depression as a part of behavioral and psychological symptoms of dementia, which often impairs quality of life and psychosocial morbidity. Thus, a comprehensive approach, including tailored history, neuropsychiatric examination, and relevant investigations, is necessary for assessing the differentials, with a sound clinical understanding being vital to the process. Depression, if suspected, must be treated adequately with longitudinal neuropsychological reviews. Future research warrants elucidating precision biomarkers unique to these clinicopathological entities.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"93 - 106"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49036759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive status of older adults with diabetes mellitus, hypertension, and dyslipidemia on Hindi Cognitive Screening Test and Saint Louis University Mental State","authors":"R. Tripathi, S. Tripathi, N. Pandey, Anamika Srivastava, K. Usman, W. Ali, S. Tiwari","doi":"10.4103/jgmh.jgmh_43_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_43_20","url":null,"abstract":"Background: Hindi cognitive screening test (HCST) and Saint Louis University Mental Status (SLUMS) Examination both claim that they are bias-free cognitive screening tests. HCST is highly sensitive and specific in screening Indian older adults. However, SLUMS is more comprehensive in terms of assessing visuospatial and memory functions. The present study presents and compare cognitive status of older adults with diabetes mellitus (DM), hypertension (HT), and dyslipidemia (DL) on HCST and SLUMS. Methods: The sample comprised of 150 older adults ≥60 years included in a consecutive series. Participants and their family members, giving written informed consent, residing permanently in central catchment areas Chowk, Lucknow, constituted the study sample. Semistructured sociodemographic details and medical history proforma, Socioeconomic Status (SES) Scale, General Health Questionaire – 12, SLUMS and HCST were administered. Blood pressure was measured by Medical Research Assistant. Biochemical investigations for DM and DL were carried out. Participants were categorized into two groups: (1) case groups (112): DM only + HT only + DL only and (2) control group (38): Without discernable abnormality of physical illness on the basis of invesigations. Data were analyzed using percentage, mean, standard devitation SD, Chi-square, and t-test. Results: There was a statistically significant difference on cognitive status between control and DM group on recall, reading, copying (P < 0.05 level), and on writing (P < 0.01) on HCST. A statistically significant difference was also found in writing (P < 0.01) between control and HT group. A statistically significant difference was found between control and DL on recall (P < 0.05) and writing (P < 0.01). According to SLUMS control and DM group differ significantly (0.01) for delayed recall and with HT and DL group on visuospatial function. Conclusion: Cognitive status of older adults with DM, HT, and DL was found to be significantly impaired on specific domains as compared to the control group.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"118 - 125"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46323413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of quality of sleep, quality of life, and cognition in elderly: Healthy control, depressed and with mild neurocognitive disorder","authors":"Samiksha Jadhav, A. Subramanyam, Nitin B. Raut, Shipra Singh","doi":"10.4103/jgmh.jgmh_35_21","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_35_21","url":null,"abstract":"Background: Sleep plays a vital role in maintaining optimum physical and mental functioning and can be implicated in affecting the quality of life (QOL) and cognition in elderly population. This study aims to assess quality of sleep, QOL and to assess the effect of quality of sleep on QOL and cognition in elderly population Materials and Methods: A cross-sectional study was done in elderly population in which 30 were healthy control, 30 depressed, and 30 with mild neurocognitive disorder (NCD) who were assessed using Pittsburg Sleep Quality Index, World Health Organization QOL (WHOQOL)-BREF, Geriatric Depression Scale-Short form, and Addenbrooke's Cognitive Examination Scale-Revised (ACE-R). Statistical analysis was done using SPSS 20 software using descriptive methods and Pearson's correlation test. Results: Mean Pittsburgh Sleep Quality Index (PSQI) score was the lowest and mean WHOQOL-BREF score highest in healthy control compared to elderly with mild NCD and depression, the difference being statistically significant in both cases (P < 0.01). PSQI scores have negative correlation with the ACE-R scores when studied in healthy control group (P < 0.05, r = −0.136) and WHOQOL-BREF domain scores overall (P < 0.01 r = −0.485, −0.497, −0.350, −0.475). Conclusion: Quality of sleep in elderly with depression and mild NCD is lower as compared to healthy control. Sleep may affect QOL and cognition in elderly and thus it would be essential to screen and identify sleep-related issues and intervene early.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"107 - 112"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46746968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should I prescribe or deprescribe!","authors":"S. Grover","doi":"10.4103/jgmh.jgmh_1_22","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_1_22","url":null,"abstract":"","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"61 - 62"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48764125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}