Journal of Geriatric Psychiatry and Neurology最新文献_第7页

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

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

Facial Expression Recognition of Emotional Situations in Mild and Moderate Alzheimer's Disease. 轻、中度阿尔茨海默病情绪情境的面部表情识别。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-05-09 DOI: 10.1177/08919887231175432

Michelle Brandt, Felipe de Oliveira Silva, José Pedro Simões Neto, Maria Alice Tourinho Baptista, Tatiana Belfort, Isabel Barbeito Lacerda, Marcia Cristina Nascimento Dourado

{"title":"Facial Expression Recognition of Emotional Situations in Mild and Moderate Alzheimer's Disease.","authors":"Michelle Brandt, Felipe de Oliveira Silva, José Pedro Simões Neto, Maria Alice Tourinho Baptista, Tatiana Belfort, Isabel Barbeito Lacerda, Marcia Cristina Nascimento Dourado","doi":"10.1177/08919887231175432","DOIUrl":"10.1177/08919887231175432","url":null,"abstract":"Background: Recognizing emotional situations may be impaired in people with Alzheimer's disease (AD). Purpose: We examined differences in the comprehension of an emotional situation in healthy older controls (HOC) and individuals with mild and moderate AD. Research Design: cross-sectional study. Study Sample: We assessed a convenience sample of 115 participants in 3 contexts: understanding the situation, ability to name the congruent emotion, and choice of the correct face in 4 emotional situations (sadness, surprise, anger, happiness). Data Colection: Chi-square and Mann-Whitney U tests were used for comparison between groups separated by CDR 1 and 2. Chi-square and Kruskal-Wallis tests were also used for comparison between groups separated by CDR 0, 1, and 2, with a pairwise comparisons analysis. Results: We found that the ability to understand, name, and choose the proper emotion is not linked and depends on the portrayed emotion. Conclusions: The findings suggest an interaction between emotional processing and cognitive functioning. Therefore, knowledge of an emotional condition and the connection to a specific facial choice most likely involve 2 degraded areas of knowledge, resulting in even higher odds of inaccuracy.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"73-83"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9432322","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: 2

Virtual Group Music Therapy for Apathy in Parkinson's Disease: A Pilot Study. 虚拟团体音乐治疗帕金森病冷漠:一项试点研究。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-05-18 DOI: 10.1177/08919887231176755

Deepal Shah-Zamora, Sharlet Anderson, Brandon Barton, Jori E Fleisher

{"title":"Virtual Group Music Therapy for Apathy in Parkinson's Disease: A Pilot Study.","authors":"Deepal Shah-Zamora, Sharlet Anderson, Brandon Barton, Jori E Fleisher","doi":"10.1177/08919887231176755","DOIUrl":"10.1177/08919887231176755","url":null,"abstract":"Objective: To evaluate the effect of virtual group music therapy on apathy in people with Parkinson's disease (PD).Introduction: Apathy affects 40% of people with PD, lacks effective therapies, and independently predicts poorer quality of life and greater caregiver burden. Music therapy is the clinical application of music to address a person's physical or emotional needs and is effective in treating apathy in dementia.Methods: People with idiopathic PD and apathy (Movement Disorders Society-Unified Parkinson's Disease Rating Scale, apathy item ≥ 2) and their caregivers participated in twelve, weekly virtual group music therapy sessions, with session attendance signifying adherence. Participants completed pre- and post-intervention assessments of apathy (Apathy Scale (AS)), quality of life (Parkinson's Disease Questionnaire-short form), functional ability (Schwab & England Activities of Daily Living Scale), depression (Beck Depression Inventory (BDI-II)), and cognition (Montreal Cognitive Assessment-Blind). Among secondary outcomes, we assessed caregiver burden (Zarit Burden Interview-short form) and strain (Multidimensional Caregiver Strain Index).Results: Sixteen PD participants (93.8% men, mean age 68.3 ± 8.4 years, median 6 years PD duration) and their caregivers (93.8% women, mean age 62.6 ± 11 years) completed the study. All PD participants and 88% of caregivers were >70% adherent to the intervention. Apathy (AS, effect size = 0.767, P = 0.002) and depression (BDI-II, effect size = 0.542, P = 0.03) improved, with no change in caregiver measures.Conclusion: Group music therapy is an effective treatment for apathy in PD and may improve mood. The virtual format is a feasible alternative to in-person sessions with high adherence and satisfaction.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"49-60"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9492274","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: 1

Late-Life High Blood Pressure and Enlarged Perivascular Spaces in the Putaminal Regions of Community-Dwelling Japanese Older Persons. 居住在日本社区的老年人的晚期高血压和血管周围空间增大。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-08-03 DOI: 10.1177/08919887231195235

Ayumi Tachibana, Jun-Ichi Iga, Yasuko Tatewaki, Benjamin Thyreau, Hongkun Chen, Tomoki Ozaki, Taku Yoshida, Yuta Yoshino, Hideaki Shimizu, Takaaki Mori, Yoshihiko Furuta, Mao Shibata, Tomoyuki Ohara, Jun Hata, Yasuyuki Taki, Shigeyuki Nakaji, Tetsuya Maeda, Kenjiro Ono, Masaru Mimura, Kenji Nakashima, Minoru Takebayashi, Toshiharu Ninomiya, Shu-Ichi Ueno

{"title":"Late-Life High Blood Pressure and Enlarged Perivascular Spaces in the Putaminal Regions of Community-Dwelling Japanese Older Persons.","authors":"Ayumi Tachibana, Jun-Ichi Iga, Yasuko Tatewaki, Benjamin Thyreau, Hongkun Chen, Tomoki Ozaki, Taku Yoshida, Yuta Yoshino, Hideaki Shimizu, Takaaki Mori, Yoshihiko Furuta, Mao Shibata, Tomoyuki Ohara, Jun Hata, Yasuyuki Taki, Shigeyuki Nakaji, Tetsuya Maeda, Kenjiro Ono, Masaru Mimura, Kenji Nakashima, Minoru Takebayashi, Toshiharu Ninomiya, Shu-Ichi Ueno","doi":"10.1177/08919887231195235","DOIUrl":"10.1177/08919887231195235","url":null,"abstract":"Background: Enlarged perivascular spaces (EPVS) of the brain may be involved in dementia, such as Alzheimer's disease and cerebral small vessel disease (CSVD). Hypertension has been reported to be a risk factor for dementia and CSVD, but the association between blood pressure (BP) and perivascular spaces is still unclear. The aim of this study was to determine the association between BP and EPVS volumes and to examine the interactions of relevant factors.Methods: A total of 9296 community-dwelling subjects aged ≥65 years participated in a brain magnetic resonance imaging and health status screening examination. Perivascular volume was measured using a software package based on deep learning that was developed in-house. The associations between BP and EPVS volumes were examined by analysis of covariance and multiple regression analysis.Results: Mean EPVS volumes increased significantly with rising systolic and diastolic BP levels (P for trend = .003, P for trend<.001, respectively). In addition, mean EPVS volumes increased significantly for every 1-mmHg-increment in systolic and diastolic BPs (both P values <.001). These significant associations were still observed in the sensitivity analysis after excluding subjects with dementia.Conclusions: The present data suggest that higher systolic and diastolic BP levels are associated with greater EPVS volumes in cognitively normal older people.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"61-72"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9924968","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

Baseline Differences in Driving Frequency as a Predictor of Cognitive Decline and Alzheimer's Disease. 驾驶频率基线差异作为认知能力下降和阿尔茨海默病的预测因子。

IF 2.6 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-05-06 DOI: 10.1177/08919887231175436

Luke R Miller, Christopher Reed, Ross Divers, Matthew Calamia

{"title":"Baseline Differences in Driving Frequency as a Predictor of Cognitive Decline and Alzheimer's Disease.","authors":"Luke R Miller, Christopher Reed, Ross Divers, Matthew Calamia","doi":"10.1177/08919887231175436","DOIUrl":"10.1177/08919887231175436","url":null,"abstract":"Objective: To extend prior research by examining daily driving frequency as a predictor of cognitive decline and later diagnosis of Alzheimer's disease.Methods: 1,426 older adults completed batteries of questionnaires and neuropsychological tests at baseline and yearly follow-ups (M = 6.8, SD = 4.9). Linear mixed effects models were estimated to examine whether daily driving frequency at baseline was predictive of cognitive decline while accounting for IADLs, mobility, depression, and demographics. Cox regression was used to examine driving frequency as a predictor of Alzheimer's disease diagnosis.Results: Less daily driving frequency was associated with greater decline in all cognitive domains over time except for working memory. Although driving frequency was associated with these changes in cognition, it did not uniquely predict the development of Alzheimer's disease when accounting for other factors (eg, other IADLs).Conclusions: Our findings extend prior research linking driving cessation to greater levels of cognitive decline. Future work might benefit from examining the utility of driving habits (especially changes in driving) as measures of everyday functioning in older adult evaluations.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"14-23"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470988","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

Geriatric Psychiatrists' Perspectives on Palliative Care: Results From A National Survey. 老年精神病学家对姑息治疗的看法:来自全国调查的结果。

IF 2.9 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-05-09 DOI: 10.1177/08919887231175435

Hana Elhassan, Gregg A Robbins-Welty, Jerad Moxley, M Carrington Reid, Daniel Shalev

{"title":"Geriatric Psychiatrists' Perspectives on Palliative Care: Results From A National Survey.","authors":"Hana Elhassan, Gregg A Robbins-Welty, Jerad Moxley, M Carrington Reid, Daniel Shalev","doi":"10.1177/08919887231175435","DOIUrl":"10.1177/08919887231175435","url":null,"abstract":"Objectives: Older adults with psychiatric illnesses often have medical comorbidities that require symptom management and impact prognosis. Geriatric psychiatrists are uniquely positioned to meet the palliative care needs of such patients. This study aims to characterize palliative care needs of geriatric psychiatry patients and utilization of primary palliative care skills and subspecialty referral among geriatric psychiatrists.Methods: National, cross-sectional survey study of geriatrics psychiatrists in the United States.Results: Respondents (n = 397) reported high palliative care needs among their patients (46-73% of patients). Respondents reported using all domains of palliative care in their clinical practice with varied comfort. In multivariate modeling, only frequency of skill use predicted comfort with skills. Respondents identified that a third of patients would benefit from referral to specialty palliative care.Conclusions: Geriatric psychiatrists identify high palliative care needs in their patients. They meet these needs by utilizing primary palliative care skills and when available referral to subspecialty palliative care.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"3-13"},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10862371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9513611","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