GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry最新文献_第3页

Evaluating Decision-Making Capacity: Challenges Faced by Clinicians in Switzerland 评估决策能力：瑞士临床医生面临的挑战

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-05-23 DOI: 10.1024/1662-9647/a000186

L. M. Iseli, T. Wangmo, Helena Hermann, M. Trachsel, B. Elger

引用次数: 5

Medical Decision-Making Capacity: Knowledge, Attitudes, and Clinical Evaluation Practices of Primary-Care Physicians and Psychiatrists in Croatia 医疗决策能力：克罗地亚初级保健医生和精神病学家的知识、态度和临床评估实践

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-05-23 DOI: 10.1024/1662-9647/a000185

Dragutin Novosel, Stjepan Ljudevit Maru šić, N. Biller-Andorno, M. Trachsel

引用次数: 1

Advance Care Planning for Persons with Intellectual Disabilities 智障人士预先护理计划

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-05-23 DOI: 10.1024/1662-9647/a000187

M. Wicki

{"title":"Advance Care Planning for Persons with Intellectual Disabilities","authors":"M. Wicki","doi":"10.1024/1662-9647/a000187","DOIUrl":"https://doi.org/10.1024/1662-9647/a000187","url":null,"abstract":"As people live longer, they become more likely to die from prolonged, incurable, chronic illnesses occurring more frequently in old age. This study explores the usefulness, quality, and reliability of documented advance care planning interviews to determine the decision-making capacity of persons with intellectual disabilities (IDs). A volunteer sample of 60 persons rated the capacity to consent to treatment of four persons deciding on two end-of-life decisions. Sensitivity, specificity, and percent agreement were calculated. Interrater reliability was assessed using Fleiss’ &kgr; and Krippendorff’s &agr;. A Yates’ corrected &khgr;2 was used to analyze differences in ratings between groups of raters. The sensitivity value was 62%; the specificity value was 95%. The percent agreement for all participants was 70%, Fleiss’ &kgr; was 0.396, and Krippendorff’s &agr; was 0.395. Of the participants, 72 found documented advance care planning discussions useful for diagnosing the decision-making capacity of people with IDs. The documented interviews helped to identify those persons with IDs who had the decision-making capacity. Documented interviews on end-of-life decisions could make a valuable contribution to fostering their self-determination in end-of-life issues.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"87–95"},"PeriodicalIF":1.0,"publicationDate":"2018-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41799764","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}

引用次数: 3

Perceptions of Cognitive Aging Among Older Veterans 老年退伍军人对认知衰老的认知

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-04-13 DOI: 10.1024/1662-9647/a000188

Brett C. Bundy, Ryan T. Daley, Erika L. Clark, K. Indorewalla, Maureen K. o’Connor

{"title":"Perceptions of Cognitive Aging Among Older Veterans","authors":"Brett C. Bundy, Ryan T. Daley, Erika L. Clark, K. Indorewalla, Maureen K. o’Connor","doi":"10.1024/1662-9647/a000188","DOIUrl":"https://doi.org/10.1024/1662-9647/a000188","url":null,"abstract":"Background and objectives: To understand the perceptions, knowledge, and understanding of memory, cognition, and aging among older veterans. Research design and methods: Twelve male, Caucasian, community-dwelling veterans from a suburban New England demographic area, aged 62 to 83 years, participated in qualitative interviews. The interviews were audio recorded, transcribed verbatim, and subsequently coded by three independent reviewers. The responses were calculated and analyzed for major themes. Results: Veterans equated healthy aging to be both of a physical and cognitive nature, although a significant subset viewed especially intact cognitive faculties to be a sign of successful aging despite physical limitations. Two of the most widely cited concerns about aging were loss of functional independence and the progression of cognitive decline into dementia, although most of the participants were unable to accurately describe dementia or Alzheimer’s disease. Military service was associated with both positive (e.g., social support) and negative (e.g., trauma) associations with aging. Most of the participants noted the importance of a healthy diet and exercise in aging but were unable to accurately describe a healthy diet or exercise regimen or the effect of these activities on the brain. Discussion and implications: Aging veterans represent a unique population among older adults, and more information is required to understand their specific needs. Older male veterans are less likely to engage in healthcare; for some, education alone may be enough to improve engagement, whereas for others an estimate of current cognitive function would provide the extra motivation required.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"185–194"},"PeriodicalIF":1.0,"publicationDate":"2018-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46746712","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}

引用次数: 0

“Music First”: An Alternative or Adjunct to Psychotropic Medications for the Behavioral and Psychological Symptoms of Dementia “音乐优先”：治疗痴呆行为和心理症状的精神药物的替代或辅助药物

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-03-01 DOI: 10.1024/1662-9647/a000180

Dane L. Shiltz, T. Lineweaver, T. Brimmer, Alex C. Cairns, Danielle S. Halcomb, Jacqueline Juett, Laura Beer, D. Hay, J. Plewes

{"title":"“Music First”: An Alternative or Adjunct to Psychotropic Medications for the Behavioral and Psychological Symptoms of Dementia","authors":"Dane L. Shiltz, T. Lineweaver, T. Brimmer, Alex C. Cairns, Danielle S. Halcomb, Jacqueline Juett, Laura Beer, D. Hay, J. Plewes","doi":"10.1024/1662-9647/a000180","DOIUrl":"https://doi.org/10.1024/1662-9647/a000180","url":null,"abstract":"Existing research has primarily evaluated music therapy (MT) as a means of reducing the negative affect, behavioral, and/or cognitive symptoms of dementia. Music listening (ML), on the other hand, offers a less-explored, potentially equivalent alternative to MT and may further reduce exposure to potentially harmful psychotropic medications traditionally used to manage negative behavioral and psychological symptoms of dementia (BPSD). This 5-month prospective, naturalistic, interprofessional, single-center extended care facility study compared usual care (45 residents) and usual care combined with at least thrice weekly personalized ML sessions (47 residents) to determine the influence of ML. Agitation decreased for all participants (p < .001), and the ML residents receiving antipsychotic medications at baseline experienced agitation levels similar to both the usual care group and the ML patients who were not prescribed antipsychotics (p < .05 for medication × ML interaction). No significant changes in psychotropic medication exposure occurred. This experimental study supports ML as an adjunct to pharmacological approaches to treating agitation in older adults with dementia living in long-term care facilities. It also highlights the need for additional research focused on how individualized music programs affect doses and frequencies of antipsychotic medications and their associated risk of death and cerebrovascular events in this population.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"17–30"},"PeriodicalIF":1.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46120258","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}

引用次数: 13

Willingness of Older Adults to Share Mobile Health Data with Researchers 老年人与研究人员分享移动健康数据的意愿

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-02-06 DOI: 10.1024/1662-9647/a000181

A. Seifert, M. Christen, Mike Martin

引用次数: 24

Optimism and Well-Being Among Institutionalized Older Adults 制度化老年人的乐观与幸福

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-02-06 DOI: 10.1024/1662-9647/a000182

H. Espirito Santo, F. Daniel

引用次数: 13

Leisure Activities and the Subjective Well-Being of Older Adults in Croatia 休闲活动与克罗地亚老年人的主观幸福感

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2018-02-06 DOI: 10.1024/1662-9647/a000179

Ljiljana Kaliterna Lipovčan, Tihana Brkljačić, Zvjezdana Prizmić Larsen, A. Brajša-žganec, Renata Franc

{"title":"Leisure Activities and the Subjective Well-Being of Older Adults in Croatia","authors":"Ljiljana Kaliterna Lipovčan, Tihana Brkljačić, Zvjezdana Prizmić Larsen, A. Brajša-žganec, Renata Franc","doi":"10.1024/1662-9647/a000179","DOIUrl":"https://doi.org/10.1024/1662-9647/a000179","url":null,"abstract":"Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"31–39"},"PeriodicalIF":1.0,"publicationDate":"2018-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46566184","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}

引用次数: 8

MultiTANDEM: Training the Trainer to Improve Homecare for People with Dementia MultiTANDEM:培训培训师以改善痴呆症患者的家庭护理

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2017-12-01 DOI: 10.1024/1662-9647/a000178

Anne Messemaker, A. Schall, J. Haberstroh, J. Pantel

引用次数: 2

Reminiscence Therapy for Depression in Dementia: An Observational Study with Matched Pairs 记忆疗法治疗痴呆症抑郁症的配对观察研究

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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2017-11-13 DOI: 10.1024/1662-9647/a000175

J. Bohlken, S. Weber, A. Siebert, S. Forstmeier, T. Kohlmann, M. Rapp

引用次数: 7