Journal of Geriatric Psychiatry and Neurology最新文献_第6页

Burden and Depression among Empirically-Derived Subgroups of Family Caregivers for Individuals With Dementia. 根据经验得出的痴呆症患者家庭照顾者亚群的负担和抑郁情况。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-08 DOI: 10.1177/08919887231195217

Nina Ahmad, Zachary J Kunicki, Ellen Tambor, Gary Epstein-Lubow, Geoffrey Tremont

{"title":"Burden and Depression among Empirically-Derived Subgroups of Family Caregivers for Individuals With Dementia.","authors":"Nina Ahmad, Zachary J Kunicki, Ellen Tambor, Gary Epstein-Lubow, Geoffrey Tremont","doi":"10.1177/08919887231195217","DOIUrl":"10.1177/08919887231195217","url":null,"abstract":"Dementia caregiving experiences are not universal and different factors may influence the risk for burden and depression. This study examined factors such as the relationship with the care recipient, severity of dementia, and relationship satisfaction to uncover different types of caregiver burden profiles using baseline assessment for a telephone-based intervention study for dementia caregivers. Participants (n = 233) completed a battery of psychological and caregiving related surveys. The sample was predominantly White and female. Latent class analysis suggested four class models in subsamples of spousal caregivers and adult children caregivers. The results suggested four distinct classes among samples of spousal and adult child caregivers. Differences in burden emerged across both spouses and adult children, and differences in depression also emerged in the spousal sample. Our findings demonstrate the diversity of the caregiving experience and suggest that future psychosocial interventions may benefit from being tailored to the needs of caregiver subgroups.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"163-172"},"PeriodicalIF":2.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10840657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atypical Neuropsychiatric Presentation of FTD-ALS Caused by a Pathogenic Repeat Expansion in C9orf72: A Case Report. 由 C9orf72 中的致病性重复扩展引起的 FTD-ALS 的非典型神经精神表现：病例报告

IF 2.9 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-07 DOI: 10.1177/08919887231195337

Marissa A LeBlanc, Amy Gough, Andrea L Rideout, Sarah Dyack, Kathleen Singh, Meagan MacNeil

引用次数: 0

Language Impairment in Vascular Dementia: A Clinical Review. 血管性痴呆的语言障碍：临床回顾。

IF 2.9 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-08 DOI: 10.1177/08919887231195225

Joël Macoir

引用次数: 0

Does the Etiology, Phenomenology and Motor Subtype of Delirium Differ When It Occurs in Patients With An Underlying Dementia?: A Multi-Site, International Study. 当谵妄发生在有痴呆基础的患者身上时，其病因、表现和运动亚型是否有所不同？一项多地点国际研究。

IF 2.9 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-11 DOI: 10.1177/08919887231195232

Kevin Glynn, Frank McKenna, Kevin Lally, Sandeep Grover, Subho Chakrabarti, Surendra K Mattoo, Ajita Avasthi, Akhilesh Sharma, Dimitrios Adamis, Fahad Awan, Colum P Dunne, John McFarland, Faiza Jabbar, Henry O'Connell, Maeve Leonard, David J Meagher

{"title":"Does the Etiology, Phenomenology and Motor Subtype of Delirium Differ When It Occurs in Patients With An Underlying Dementia?: A Multi-Site, International Study.","authors":"Kevin Glynn, Frank McKenna, Kevin Lally, Sandeep Grover, Subho Chakrabarti, Surendra K Mattoo, Ajita Avasthi, Akhilesh Sharma, Dimitrios Adamis, Fahad Awan, Colum P Dunne, John McFarland, Faiza Jabbar, Henry O'Connell, Maeve Leonard, David J Meagher","doi":"10.1177/08919887231195232","DOIUrl":"10.1177/08919887231195232","url":null,"abstract":"Objectives: To compare the etiology, phenomenology and motor subtype of delirium in patients with and without an underlying dementia.Methods: A combined dataset (n = 992) was collated from two databases of older adults (>65 years) from liaison psychiatry and palliative care populations in Ireland and India. Phenomenology and severity of delirium were analysed using the Delirium Symptom Rating Scale Revised (DRS-R98) and contributory etiologies for the delirium groups were ascertained using the Delirium Etiology Checklist (DEC). Delirium motor subtype was documented using the abbreviated version of the Delirium Motor Subtype Scale (DMSS4).Results: Delirium superimposed on dementia (DSD) showed greater impairment in short term memory, long term memory and visuospatial ability than the delirium group but showed significantly less perceptual disturbance, temporal onset and fluctuation. Systemic infection, cerebrovascular and other Central nervous system etiology were associated with DSD while metabolic disturbance, organ insufficiency and intracranial neoplasm were associated with the delirium only group.Conclusion: The etiology and phenomenology of delirium differs when it occurs in the patient with an underlying dementia. We discuss the implications in terms of identification and management of this complex condition.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"125-133"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10328052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caregiver Burden in Parkinson Disease: A Scoping Review of the Literature from 2017-2022. 帕金森病护理者的负担：2017-2022年文献范围综述》。

IF 2.9 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-08 DOI: 10.1177/08919887231195219

Whitley W Aamodt, Benzi M Kluger, Miray Mirham, Anna Job, Samantha E Lettenberger, Philip E Mosley, Sandhya Seshadri

{"title":"Caregiver Burden in Parkinson Disease: A Scoping Review of the Literature from 2017-2022.","authors":"Whitley W Aamodt, Benzi M Kluger, Miray Mirham, Anna Job, Samantha E Lettenberger, Philip E Mosley, Sandhya Seshadri","doi":"10.1177/08919887231195219","DOIUrl":"10.1177/08919887231195219","url":null,"abstract":"Caregiver burden is a term that refers to the adverse effect of caregiving on the physical, emotional, social, spiritual, and financial well-being of the caregiver. Caregiver burden is associated with providing care to an individual with a chronic illness or disability, and the unique symptoms of Parkinson disease (PD) can amplify a patient's needs and reliance on others, leading to adverse outcomes for patients and their caregivers. In this scoping review of the literature from January 2017 through April 2022 that included 114 studies, we provide an updated, evidence-based summary of patient and caregiver-related factors that contribute to caregiver burden in PD. We also describe the impact of caregiver stress and burden on caregivers based on qualitative research studies and review recent interventions to mitigate burden. By providing clinical updates for practitioners, this review is designed to improve recognition of caregiver burden in the post-pandemic era and foster the development of targeted interventions to reduce caregiver burden in PD.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"96-113"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10326471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotion Regulation in Dementia Caregiving: The Role of Neuropsychiatric Symptoms and Attachment Orientation. 痴呆症护理中的情绪调节：神经精神症状和依恋取向的作用。

IF 2.9 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-04 DOI: 10.1177/08919887231195228

Tânia Brandão, Rute Brites, João Hipólito, Odete Nunes, Catarina Tomé Pires

{"title":"Emotion Regulation in Dementia Caregiving: The Role of Neuropsychiatric Symptoms and Attachment Orientation.","authors":"Tânia Brandão, Rute Brites, João Hipólito, Odete Nunes, Catarina Tomé Pires","doi":"10.1177/08919887231195228","DOIUrl":"10.1177/08919887231195228","url":null,"abstract":"Family caregivers are usually the main source of support for persons living with dementia, being exposed to a loved one's suffering, which can lead to experiencing strong and negative emotions. This study aimed to identify factors capable of explaining individual differences in the way caregivers regulate their emotions. This cross-sectional study included 78 informal caregivers (M = 64.84 years; SD = 13.32) and 84 controls (non-caregivers) (M = 77 years; SD = 7.59). Neuropsychiatric symptoms (NPS), attachment orientations, and emotion regulation were measured using self-report scales. Caregivers of persons living with dementia used more expressive suppression in comparison to non-caregivers. NPS and attachment avoidance were associated with expressive suppression. Moderation analyses showed that NPS only predicted expressive suppression when attachment avoidance was low or medium. The present study showed that caregivers are more likely to suppress their emotions in the presence of NPS, especially those with lower/middle levels of attachment avoidance. Psychological interventions targeting emotion regulation should be offered especially to caregivers that face NPS of persons living with dementia and present lower/middle levels of attachment avoidance.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"146-156"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minor Phenomena in Parkinson's Disease-Prevalence, Associations, and Risk of Developing Psychosis. 帕金森病的轻微现象--发病率、关联性和罹患精神病的风险。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-05 DOI: 10.1177/08919887231195220

Ruth B Schneider, Peggy Auinger, Roseanne D Dobkin, Kelly A Mills, Catherine V Kulick-Soper, Taylor L Myers, Monica Korell, Gregory M Pontone, Melissa J Nirenberg

{"title":"Minor Phenomena in Parkinson's Disease-Prevalence, Associations, and Risk of Developing Psychosis.","authors":"Ruth B Schneider, Peggy Auinger, Roseanne D Dobkin, Kelly A Mills, Catherine V Kulick-Soper, Taylor L Myers, Monica Korell, Gregory M Pontone, Melissa J Nirenberg","doi":"10.1177/08919887231195220","DOIUrl":"10.1177/08919887231195220","url":null,"abstract":"Background: Minor phenomena, including passage phenomena, feeling of presence, and illusions, are common and may represent a prodromal form of psychosis in Parkinson's disease (PD). We examined the prevalence and clinical correlates of minor phenomena, and their potential role as a risk factor for PD psychosis.Methods: A novel questionnaire, the Psychosis and Mild Perceptual Disturbances Questionnaire for PD (PMPDQ), was completed by Fox Insight cohort participants with and without PD. Additional assessments included the Non-Motor Symptoms Questionnaire (NMSQuest), REM Sleep Behavior Disorder Single Question Screen (RBD1Q), Movement Disorder Society-Unified Parkinson Disease Rating Scale Part II, demographic features, and medication usage. For participants with PD, we used regression models to identify clinical associations and predictors of incident psychosis over one year of follow-up.Results: Among participants with PD (n = 5950) and without PD (n = 1879), the prevalence of minor phenomena was 43.1% and 31.7% (P < .001). Of the 3760 participants with PD and no baseline psychosis, independent correlates of minor phenomena included positive responses on the NMSQuest apathy/attention/memory (OR 1.7, 95% CI 1.3-2.1, P < .001) or sexual function domain (OR 1.3, 95% CI 1.1-1.6, P = .01) and positive RBD1Q (OR 1.3, 95% CI 1.05-1.5, P = .01). Independent risk factors for incident PD psychosis included the presence of minor phenomena (HR 3.0, 95% CI 2.4-3.9, P < .001), positive response on the NMSQuest apathy/attention/memory domain (HR 1.8, 95% CI 1.3-2.6, P < .001), and positive RBD1Q (HR 1.5, 95% CI 1.1-1.9, P = .004).Conclusions: Minor phenomena are common, associated with specific non-motor symptoms, and an independent predictor of incident psychosis in PD.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"134-145"},"PeriodicalIF":2.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9940380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behavioral Impairments and Increased Risk of Cortical Atrophy Risk Scores Among World Trade Center Responders. 世贸中心救援人员的行为障碍和皮质萎缩风险评分增加。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-03-01 Epub Date: 2023-08-05 DOI: 10.1177/08919887231195234

Allen P F Chen, Zahinoor Ismail, Frank D Mann, Evelyn J Bromet, Sean A P Clouston, Benjamin J Luft

{"title":"Behavioral Impairments and Increased Risk of Cortical Atrophy Risk Scores Among World Trade Center Responders.","authors":"Allen P F Chen, Zahinoor Ismail, Frank D Mann, Evelyn J Bromet, Sean A P Clouston, Benjamin J Luft","doi":"10.1177/08919887231195234","DOIUrl":"10.1177/08919887231195234","url":null,"abstract":"Objective: World Trade Center (WTC) responders are susceptible to both cognitive and neuropsychiatric impairments, particularly chronic posttraumatic stress disorder. The present study examined self-reported behavioral impairments in a sample of 732 WTC responders, 199 of whom were determined to have high risk of WTC-related cortical atrophy by an artificial neural network. Results: We found that responders at increased risk of cortical atrophy showed behavioral impairment across five domains: motivation, mood, disinhibition, empathy, and psychosis (14.6% vs 3.9% in the low-risk group; P = 3.90 × 10-7). Factor analysis models revealed that responders at high risk of cortical atrophy tended to have deficits generalized across all aspects of behavioral impairment with focal dysfunction in sensory psychosis. We additionally describe how relationships are modulated by exposure severity and pharmacological treatments. Discussion: Our findings suggest a potential link between sensory deficits and the development of cortical atrophy in WTC responders and may indicate symptoms consistent with a clinical portrait of parietal dominant Alzheimer's disease or a related dementia (ADRD). Results underscore the importance of investigating neuropsychiatric symptomatology in clinical evaluations of possible ADRD.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"114-124"},"PeriodicalIF":2.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Sport Stacking on Cognition in Patients With Mild Alzheimer's Disease and MCI: Preliminary Findings of Randomized Controlled Trial. 运动堆叠对轻度阿尔茨海默病和轻度认知障碍患者认知的影响:随机对照试验的初步结果

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-09-05 DOI: 10.1177/08919887231195227

Ziying Yang, Jun Yang, Doris S F Yu, Dunxiu Liu, Fu Ding

{"title":"Effects of Sport Stacking on Cognition in Patients With Mild Alzheimer's Disease and MCI: Preliminary Findings of Randomized Controlled Trial.","authors":"Ziying Yang, Jun Yang, Doris S F Yu, Dunxiu Liu, Fu Ding","doi":"10.1177/08919887231195227","DOIUrl":"10.1177/08919887231195227","url":null,"abstract":"Objective: This mixed-method pilot study aims to investigate the feasibility and preliminary effects of sport stacking on cognitive function in individuals with mild Alzheimer's disease (AD) and those with mild cognitive impairment (MCI).Methods: Twenty-four community-dwelling subjects with confirmed mild AD or MCI were evenly randomly assigned to either the 12-week sport stacking intervention group (n = 12) or clinic routine management control group (n = 12). Outcome evaluation included the Auditory Verbal Learning Test (AVLT), Alzheimer's Disease Cooperative Study-Activities of Daily Living scale (ADCS-ADL), and plasma brain-derived neurotrophic factor (BDNF). A qualitative descriptive study was conducted to explore the overall perception and experience of the sport stacking from the subjects' perspective.Results: Twenty-two subjects completed the trial. At 12 weeks post-intervention, compared to the control group, the sport stacking group had significantly greater improvements in AVLT immediate recall (P < .001, Cohen d = .66) and an increase in plasma BDNF (P < .001, Cohen d = .64). Subgroup analysis indicated that subjects with MCI had significantly greater increases in AVLT immediate recall (P = .005, Cohen d = .72), ADCS-ADL (P = .130, Cohen d = .42) and plasma BDNF (P = .024, Cohen d = .83). Twelve subjects participating in the post-intervention interviews expressed the benefits (e.g., hand-eye coordination and faster reaction) from sport stacking and their enjoyment of it.Conclusion: To the best of our knowledge, this is the first study indicating that sport stacking is feasible among individuals with MCI and mild AD. The preliminary effect on episodic memory is encouraging, possibly via upregulation of BDNF.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"24-38"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting Caregiver Communications in a Geriatric Clinic. 预测老年诊所护理人员的沟通。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-08-04 DOI: 10.1177/08919887231195223

John T Martin, Jason R Anderson, Kimberly R Chapman, Natalie Kayani, Jennifer Drost, Mary Beth Spitznagel

{"title":"Predicting Caregiver Communications in a Geriatric Clinic.","authors":"John T Martin, Jason R Anderson, Kimberly R Chapman, Natalie Kayani, Jennifer Drost, Mary Beth Spitznagel","doi":"10.1177/08919887231195223","DOIUrl":"10.1177/08919887231195223","url":null,"abstract":"The current study evaluated the use of a machine learning model to determine benefit of medical record variables in predicting geriatric clinic communication requirements. Patient behavioral symptoms and global cognition, medical information, and caregiver intake assessments were extracted from 557 patient records. Two independent raters reviewed the subsequent 12 months for documented (1) incoming caregiver contacts, (2) outgoing clinic contacts, and (3) clinic communications. Random forest models' average explained variance in training sets for incoming, outgoing, and clinic communications were 7.42%, 3.65%, and 6.23%, respectively. Permutation importances revealed the strongest predictors across outcomes were patient neuropsychiatric symptoms, global cognition, and body mass, caregiver burden, and age (caregiver and patient). Average explained variance in out-of-sample test sets for incoming, outgoing, clinic communications were 6.17%, 2.78%, and 4.28%, respectively. Findings suggest patient neuropsychiatric symptoms, caregiver burden, caregiver and patient age, patient body mass index, and global cognition may be useful predictors of communication requirements for patient care in a geriatric clinic. Future studies should consider additional caregiver variables, such as personality characteristics, and explore modifiable factors longitudinally.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"39-48"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0