Psychogeriatrics最新文献

{"title":"Day service use and improved Serial 7 and Verbal fluency scores in patients with Alzheimer's disease","authors":"Yasuyuki Honjo, K. Ide, H. Takechi","doi":"10.1111/psyg.12868","DOIUrl":"https://doi.org/10.1111/psyg.12868","url":null,"abstract":"Day services (DS) are provided as part of the Japanese public nursing care system. Recent studies have suggested a possible relationship between DS use and limited progression of Alzheimer's disease (AD). This study examined in detail the relationship between improvements in cognitive function and DS use in people with AD.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43406314","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}

{"title":"Speedometer‐reading performance of senior drivers with cognitive impairment: a comparison of analogue and digital speedometers","authors":"Zhouyuan Peng, Momoyo Shimosaka, Hiroyuki Nishimoto, A. Kinoshita","doi":"10.1111/psyg.12863","DOIUrl":"https://doi.org/10.1111/psyg.12863","url":null,"abstract":"With the deterioration of cognitive functions, the capability to obtain information with speed, one of the essential elements needed to perform safe driving, may be impacted. We aimed to compare the legibility of analogue and digital speedometers for senior drivers with cognitive impairment, and examined the demographic, cognitive, and driving‐related variables that predict their speedometer‐reading performance.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47152262","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}

{"title":"Effectiveness of change from suvorexant to lemborexant drug in the treatment of sleep disorders","authors":"Kazumaro Okino, Hirohisa Suzuki, Seiji Kondo, H. Tomioka, Takahiro Tokumasu, Hiroki Yamada, A. Iwanami, Atsuko Inamoto","doi":"10.1111/psyg.12858","DOIUrl":"https://doi.org/10.1111/psyg.12858","url":null,"abstract":"This study aimed to examine the effects of a change in medication from suvorexant to lemborexant among patients with insomnia.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49560898","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}

{"title":"Feasibility study of comfort with and use of sleep visualisation data from non‐wearable actigraphy among psychiatric unit staff","authors":"R. Odachi, M. Yamakawa, Keisuke Nakashima, T. Kajiwara, Yuko Takeshita, M. Iwase, Junko Tsukuda, Manabu Ikeda","doi":"10.1111/psyg.12859","DOIUrl":"https://doi.org/10.1111/psyg.12859","url":null,"abstract":"Sleep disorders are a common factor in many psychiatric disorders, and objective observation and assessment of sleep states are important. However, observing the sleep of hospitalised patients in psychiatry units is complex. Polysomnography (PSG), the gold standard for objective sleep observation, is invasive and uncomfortable for the patient because of the sensors attached to the body. In addition, understanding the correct use of PSG systems is often difficult for observers. Wrist-worn actigraphy is an effective tool that is simpler and less invasive than PSG. However, there are unique problems associated with using wrist-worn actigraphy in a psychiatric unit. For patients with psychiatric illnesses, various issues are likely to occur, such as unexpected behaviour caused by hallucinations or cognitive decline that can result in the patient’s inability to correctly wear the device, or a lack of cooperation. Consequently, observation in psychiatric units is often limited to visual checks by nurses, which are considered to have low validity and can interfere with patient sleep. Nemuri Scan (Paramount Bed, Tokyo, Japan) is a non-wearable actigraphy system designed to avoid some of these difficulties. Because the thickness of the Nemuri Scan system is only 1.5 cm and it is placed under a mattress, it is difficult for the user to detect the device under their mattress. Therefore, the Nemuri Scan allows the continuous monitoring of their activities. The sensitivity, specificity, and concordance rate of the Nemuri Scan to PSG are equivalent to those of wearable actigraphy. This device can retrospectively collect and visualise sleep data during hospitalisation and show the patient’s current sleep state via a personal computer in the nurses’ station connected to a local area network using a function called Real-time monitor. However, little attention has been paid to how psychiatrists and psychiatric nurses utilise this technology. The current study aimed to clarify the level of interest in visualised sleep data among healthcare staff, and to explore the ways in which these data are used in a psychiatric unit. The setting of this survey was a 50-bed psychiatric unit in a general hospital with approximately 1000 beds in a major city in western Japan. This psychiatric unit contains an open ward and a closed ward. Nemuri Scan was introduced in all patients’ beds of the open ward and all private patients’ beds of the closed ward. The staff comprised 52 doctors and 25 nurses. The unit has a 10:1 nursing care system and double shifts, with three nurses working the night shift. In this investigation, a questionnaire was distributed three times: first, when the scan was introduced; second, after 3 months; and third, after 9 months. The items in the questionnaire included participants’ basic demographic information (age, gender, and clinical ladder level for nurses only), whether they believed that the data obtained from Nemuri Scan were useful, their motivations","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48615423","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}

{"title":"Diversity of dopamine transporter images in frontotemporal lobar degeneration‐motor neuron disease","authors":"R. Kobayashi, S. Kawakatsu, D. Morioka, Akihito Suzuki","doi":"10.1111/psyg.12860","DOIUrl":"https://doi.org/10.1111/psyg.12860","url":null,"abstract":"Dear Editor, We read with great interest Arafuka et al.’s case report on frontotemporal lobar degeneration (FTLD) with trans-activation response DNA protein 43 (TDP43) type B published in this journal. Their patient exhibited a mildly decreased dopamine transporter (DAT) availability on DAT imaging 1.5 years before the onset of dysphagia. In contrast, severely decreased DAT availability was observed in a patient with a similar disease course, based on our previously reported case without confirmatory autopsy results. The authors associated the discrepancy in the severity of the DAT findings between their patient and ours with the differences in disease stage. Our recent report discussed the reduced striatal DAT availability in six patients with FTLD with motor neuron disease (MND). It included three cases of pathologically confirmed FTLD with TDP-43 type B. Moderate to severe reduction in DAT availability was observed among patients with FTLD-MND. On pathological examination, the degeneration of the substantia nigra was apparent. Meanwhile, the pathological findings for the caudate and putamen varied among patients. The patient in Arafuka et al.’s report had mild degeneration of the substantia nigra and caudate, but there was no apparent putamen damage. The mild DAT reduction in their case was likely due to the mild or minimal degeneration of the substantia nigra, caudate, and putamen, which influenced the DAT imaging results. Based on the findings of our cases and Arafuka et al.’s case, the striatal DAT imaging findings of FTLD with TDP-43 type B varies, depending on the degree of degeneration in the substantia nigra, caudate, and putamen. Another remarkable finding in the case report by Arafuka et al. was the DAT reduction, observed prior to the onset of MND symptoms in their patient. This was consistent with the clinical course of the previously reported patients. Therefore, the development of MND should be considered in FTLD patients with abnormal findings on DAT imaging. More studies on the application of DAT imaging in patients with FTLD are needed.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44222356","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}

{"title":"Elderly abuse, affecting factors and evaluation of life satisfaction: a cross‐sectional study","authors":"Muammer Yılmaz, A. Durmaz, Inci Arikan","doi":"10.1111/psyg.12862","DOIUrl":"https://doi.org/10.1111/psyg.12862","url":null,"abstract":"The aim of this study was to evaluate the frequency of abuse and its effect on life satisfaction in older adults living in our region.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"22 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41474223","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}

{"title":"Which reduces the risk of cognitive impairment: physical activity or daytime nap?","authors":"T. Kawada","doi":"10.1111/psyg.12864","DOIUrl":"https://doi.org/10.1111/psyg.12864","url":null,"abstract":"Dear Editor, Qian et al. conducted a cross-sectional study to investigate the association between three lifestyles and cognitive impairment (COI) in adults aged 60 years or older. The adjusted odds ratios (ORs) (95% confidence intervals (CIs)) of tea consumption, physical activity for COI were 0.66 (0.48–0.90) and 0.79 (0.65–0.96), respectively. In addition, the adjusted OR (95% CI) of physical activity plus siesta for COI was 0.44 (0.31–0.64). Although almost all combinations of lifestyle factors had a significant negative association with COI, the adjusted OR of tea consumption plus siesta for COI did not reach the level of significance. Tea consumption and siesta are lifestyles without body movement, and physical activity may be indispensable to avoid COI. I present some information regarding siesta and cognition. Duan et al. conducted a prospective study to examine the association between sleep characteristics and mild cognitive impairment (MCI) incidence with special reference to apolipoprotein E polymorphism ε4 (APOEε4). The adjusted hazard ratios (HRs) (95% CIs) of taking a nap at noon for MCI were 0.723 (0.592– 0.883) and 0.719 (0.576–0.897) in all participants and in APOEε4 non-carriers, respectively. They concluded that MCI was protected by nap regardless of APOEε4. Palpatzis et al. reported that the adjusted HR (95% CI) of daytime napping in middle-aged adults for dementia incidence was 1.67 (1.37–2.03). They also observed that the elevated dementia risk was observed regardless of genetic risk by APOE genotype. On this point, the effect of APOE on the association between sleep and incident dementia may differ in middle-aged people and older adults, because the effects of APOEε4 can vary with age and other factors. Furthermore, Riaz et al. reported that APOEε4 presented different risks of cognitive decline and dementia. Anyway, clinical outcome and age should be treated with caution, when APOEε4 is included for the analysis. Finally, Li et al. reported the association between daytime napping and subsequent risk of Alzheimer’s dementia. Longer and more frequent daytime naps were significantly associated with higher risk of Alzheimer’s dementia. In addition, there were bidirectional dose–response relationships between longer and/or more frequent daytime napping and worse levels of cognition. Causal association should be specified by further studies.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49519373","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}

{"title":"Effectiveness of a cognitive behavioural therapy app developed for care workers involved in elderly care","authors":"S. Takeda, T. Fukuzaki, S. Nakayama","doi":"10.1111/psyg.12856","DOIUrl":"https://doi.org/10.1111/psyg.12856","url":null,"abstract":"With the global spread of COVID-19 since 2020, care workers have been subject to serious psychological distress. Older adults are more likely to get severely ill from COVID-19. Therefore, care workers involved in elderly care are required to take strict infection control measures, leading to restrictions and other stressors in their daily lives. Cognitive behavioural therapy (CBT) has gained attention in recent years as a method for managing stress. With the current spread of COVID-19, online CBT interventions targeting healthcare workers are becoming increasingly common. However, these programs require many sessions implemented over a long period of time and may not be suitable for busy and tired care workers. Therefore, this study seeks to create and examine the effectiveness of a cognitive behavioural therapy-based app that care workers can quickly and easily use at home on a tablet device. The study participants were six care workers (two men and four women; mean age 50.3 11.4 years) who work for a social welfare corporation and provide homevisit care to elderly people. This study was approved by the Tottori University Ethical Review Board. All participants providedwritten informed consent. The app consisted of five modules. The first module comprised a task to enable participants to gain an understanding of the correspondence between thoughts and moods. The second module comprised a task to enable participants to notice negative moods, in which participants looked back on their day and selected the mood they felt most strongly from among the nine negative moods. The third module comprised a task which enabled participants to notice the thoughts that came into their minds, in which participants were asked to put in those thoughts when they were experiencing a negative mood. The app displayed suggestions for typical examples of thoughts corresponding to each mood. The fourth module comprised a task which enabled participants to find rational ways of thinking, in which participants were asked to think of and put in rational thoughts that were different from negative thoughts by thinking about them from a different perspective. The app displayed suggestions for rational thoughts corresponding to each of the moods. The fifth module comprised a task that enabled participants to think about behaviours that they could implement that would make the next day more pleasant. The app provided suggestions for four different ways of thinking about pleasant activities, such as: simple actions, specific actions, things that you want to do instead of things that you ‘should’ do, and actions that match up with your values. The app was configured to require no more than 10 minutes per session.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44465083","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}

{"title":"Behavioural and psychological symptoms of early‐onset and late‐onset Alzheimer's disease among Chinese adults","authors":"K. Kajiwara, J. Kako, Masamitsu Kobayashi, H. Noto, Ayako Ogata","doi":"10.1111/psyg.12857","DOIUrl":"https://doi.org/10.1111/psyg.12857","url":null,"abstract":"Dear Editor, We read with interest the report by Fang et al. on the comparison of behavioural and psychological symptoms of dementia (BPSD) in Chinese patients with early-onset Alzheimer’s disease (EOAD) and late-onset Alzheimer’s disease (LOAD) and the analysis of the modifiable factors. The authors reported significant differences in BPSD between the EOAD and LOAD groups at baseline. We would like to discuss their result in detail below. Fang et al. reported that worse caregiver attitudes were associated with more severe overall psychobehavioural symptoms in the EOAD group. Additionally, the authors showed that an improvement in BPSD was associated with positive attitudes and fewer expressions of criticism. We agree that positive aspects of caregiving are important. However, previous longitudinal studies have reported that BPSD impacts caregiver burden. We believe that both positive and negative aspects of caregiving are important. We wonder if caregiver burden of negative aspects among caregivers may be considered a confounding factor. Therefore, we are interested in an analysis of the negative aspects with regard to caregivers in this study. Undoubtedly, it is important to focus on BPSD in patients with EOAD and LOAD. Fang et al. provide useful data on the same. We believe that focusing on BPSD may support caregiving at home for Chinese patients with EOAD and LOAD in the future.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42051241","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}

{"title":"Effect of simple calculation and reading aloud on cognitive function and depression in postoperative older adults","authors":"Funda Çetinkaya, M. Diri, M. Gül","doi":"10.1111/psyg.12861","DOIUrl":"https://doi.org/10.1111/psyg.12861","url":null,"abstract":"This study was conducted to determine the effect of simple calculation and reading aloud on postoperative cognitive function and depression level in older adults.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43095382","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}