American Journal of Geriatric Psychiatry最新文献

{"title":"46. COMPARING THE EFFICACY OF BRAIN STIMULATION THERAPIES FOR LATE-LIFE DEPRESSION: A NETWORK META-ANALYSIS","authors":"Chemin Lin ,&nbsp;Chen-Hsin Yu ,&nbsp;Huang-Li Lin ,&nbsp;Ying-Chih Cheng","doi":"10.1016/j.jagp.2025.04.048","DOIUrl":"10.1016/j.jagp.2025.04.048","url":null,"abstract":"<div><h3>Introduction</h3><div>Late-life depression (LLD) is a common and debilitating condition. Brain stimulation therapies, including electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), offer promising alternatives to traditional treatments. However, their relative efficacy in older adults remains unclear. This meta-analysis aims to provide evidence-based guidance for optimizing brain stimulation approaches in clinical practice.</div></div><div><h3>Methods</h3><div>A network meta-analysis (NMA) was conducted to compare brain stimulation therapies for LLD. A systematic literature search identified randomized controlled trials (RCTs) evaluating ECT, rTMS, tDCS, and other neuromodulation techniques. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were computed to assess treatment effects on depression severity. A Bayesian NMA estimated relative treatment rankings, and statistical models evaluated heterogeneity and consistency.</div></div><div><h3>Results</h3><div>This meta-analysis includes 17 studies with 1,056 participants, comparing nine brain stimulation treatments. Compared to sham, all interventions improved depression severity. Bilateral ECT (SMD = 1.14, 95% CI: 0.07–2.21) and mixed ECT (SMD = 1.12, 95% CI: -0.09–2.33) showed the highest efficacy. High-frequency rTMS (20Hz) had a notable effect (SMD = 1.47, 95% CI: 0.35–2.59), while lower-frequency rTMS and tDCS showed more modest improvements.</div></div><div><h3>Conclusions</h3><div>High-frequency rTMS and ECT, particularly bilateral ECT, appear most effective for LLD. All brain stimulation methods showed benefits, and clinicians should consider availability, tolerability, and patient preference when selecting the optimal treatment.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Page S34"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"25. EXPLORING QUALITY OF LIFE IMPACT REPORTED BY CAREGIVERS IN THE FTD INSIGHTS SURVEY","authors":"Devon Chenette ,&nbsp;Stella McCaughey ,&nbsp;Robert Reinecker ,&nbsp;Carrie Milliard ,&nbsp;Penny Dacks ,&nbsp;Tiffany Chow","doi":"10.1016/j.jagp.2025.04.027","DOIUrl":"10.1016/j.jagp.2025.04.027","url":null,"abstract":"<div><h3>Introduction</h3><div>As the most common form of dementia affecting persons under age 60, frontotemporal degeneration (FTD) can cause financial, career, and household challenges for caregivers that are unique from late-onset dementia. Additionally, FTD causes loss of insight that can give patients a different impression of their burden of disease. To further understand FTD patient and caregiver experiences, a subset of data collected in the FTD Insights Survey was analyzed.</div></div><div><h3>Methods</h3><div>The FTD Insights Survey was developed and executed by the Association for Frontotemporal Degeneration (AFTD) and the FTD Disorders Registry. Reported impact to quality of life (QoL), especially with respect to FTD “symptoms affecting activities with others” were assessed in those who identified “I am or was a primary or secondary caregiver for someone with FTD” vs. responders who were diagnosed with FTD. Pearson’s chi-square test was used to assess association among variables. Cramer’s V was used to assess association strength, nominal p-values were reported.</div></div><div><h3>Results</h3><div>A greater percentage of caregivers reported “loss of financial security” and “loss of important family relationships” as impacted QoL indicators. The strongest effect size observed was loss of financial security (nominal p LESS THAN 0.001, V=0.358). A greater percentage of caregivers reported impact to all “symptoms affecting activities with others” indicators. The strongest effect size observed was impact to intimacy with a spouse or partner (nominal p LESS THAN 0.001, V=0.365).</div></div><div><h3>Conclusions</h3><div>Caregivers more frequently acknowledged certain QoL impact indicators, especially “difficulty doing activities with others”, compared to individuals diagnosed with FTD. These data are consistent with reported loss of insight and support the importance of assessing the burden of disease through caregiver reporting.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Page S18"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"10. BRAIN PARENCHYMA AND VASCULATURE AMYLOID: CLINICAL IMPLICATIONS OF A QUADRUPLE HIT?","authors":"Julia Golden ,&nbsp;Jessica Principe ,&nbsp;David Adamowicz ,&nbsp;Ricardo Salazar","doi":"10.1016/j.jagp.2025.04.013","DOIUrl":"10.1016/j.jagp.2025.04.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Cerebral amyloid angiopathy (CAA) is a disease of small and medium-sized vessels that affects the arteries in the cerebral cortex and the overlying leptomeninges. Over the disease course, amyloid progressively deposits in the vessel walls, producing fragile vessels that are susceptible to hemorrhage, ischemia, and inflammation. Patients typically present with intra-cerebral hemorrhages and transient focal neurological episodes. We discuss a patient with cerebrovascular imaging markers of CAA plus confirmed Alzheimer's disease (AD), neuropsychiatric symptoms (NPS) of dementia, and combat post-traumatic stress disorder (PTSD) who has remained cognitively and functionally stable for three years despite worsening disease burden on imaging.</div></div><div><h3>Methods</h3><div>A 73-year-old male war veteran with combat PTSD, CAA, AD, hypertension, hyperlipidemia, paroxysmal atrial fibrillation, and superior mesenteric artery dissection presented to our academic center geropsychiatry clinic in 2021 with six months of paranoia and verbal outbursts. His symptoms of cognitive decline date back to 2015, and neuropsychiatric testing in 2017 linked these initial frontal system weaknesses to active PTSD. In 2020, he was diagnosed with mild AD dementia confirmed by cerebrospinal fluid AD biomarkers with elevated total tau (t-tau) at 249 pg/ml; elevated phosphorylated tau (p-tau)/Abeta42 ratio at 0.054; decreased amyloid beta1-42 (Abeta42) at 505 pg/ml; and elevated p-tau = 27.1 pg/ml. A brain MRI showed multiple microhemorrhages and superficial siderosis on the right temporal lobe, indicating probable CAA. The patient's wife reported increased agitation over trivial matters, jealousy, and inferences of infidelity. The patient started memantine 10 mg daily and received NPS of dementia psychoeducation. After three years, his cognitive and functional statuses were stable. A repeat MRI in 2023 showed increasing punctate foci and mildly increased generalized volume loss of the bilateral temporal and occipital lobes. Despite NPS improvement and stabilization, the patient's disease progressed.</div></div><div><h3>Results</h3><div>CAA is a common co-pathology of AD, occurring in 20–100% of AD cases. Traditionally, cognitive decline in CAA has been thought to result from intra-cerebral hemorrhage and/or AD pathology. More recent research suggests CAA-specific pathways of neurodegeneration. As the current case alludes, there may also be co-occurring neuroprotective pathways at work. Through a biopsychosocial lens, we investigate potential genetic factors, medication positive effects, and lifestyle choices that may have contributed to the patient's relative cognitive stability.</div></div><div><h3>Conclusions</h3><div>This case provides insights into the clinical course of CAA, the pathophysiology of neurodegeneration in CAA, and potential mediators of disease burden.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Pages S7-S8"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"44. GROUP-BASED MUSIC INTERVENTIONS FOR OLDER ADULTS WITH DEMENTIA: A REVIEW","authors":"Grace Ro ,&nbsp;Tessa Oliver ,&nbsp;Kim Van Orden ,&nbsp;Yeates Conwell","doi":"10.1016/j.jagp.2025.04.046","DOIUrl":"10.1016/j.jagp.2025.04.046","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Social isolation is among several risk factors for dementia, and with loneliness comes higher rates of anxiety, depression and suicide. Higher social engagement and frequent social contact has been associated with a lower risk of dementia. While there are psychopharmacological approaches to treating symptoms of cognitive disorders, psychological and social interventions also play a role. The neurobiology of music has been explored as a potential therapeutic medium for cognition and memory, particularly at the individual level. In theory, music-based interventions in a group setting for individuals with dementia may improve cognitive and affective symptoms. Our objective of this review was to explore whether and how this is defined in the literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The online databases PubMed, Embase and PsycINFO were used to identify potential articles to assess the current literature of group music interventions for individuals with dementia from inception to 03/2024. The search strategy contained terms related to “older adults OR aging OR geriatric” AND “group music OR music intervention OR music therapy” in various permutations. To be considered for this review, articles had to be written in English and include the following: older adults as the population of interest, a group based music intervention, and cognitive and mood symptoms as outcome measures.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The preliminary search across the three databases yielded 117 results. Several studies explored the benefit of individualized music therapy for individuals with dementia (e.g. potential benefit of familiarity in music/song choice, which could increase participation and efficacy of the intervention via personalization). A few studies explored the potential benefit of a music activity for an individual with dementia and care partners. However, only 5 studies met the inclusion criteria which explored the potential benefit of group-based music therapy interventions for older adults with cognitive deficits. There were no existing review articles of this topic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Based on this review, several studies explore the potential for music-based interventions to promote cognitive function. However, there is no existing framework involving group-based music interventions for individuals with dementia to guide future studies nor intervention development. Given positive impacts of social activity on cognition, group-based interventions may help to optimize their effects. Future research should examine how group music interventions could promote cognitive function and well-being in persons with dementia, including specifying Principles of Behavioral Change (e.g. being in a group setting, singing, listening to music, making music, playing an instrument), Biopsychosocial Mechanisms (e.g. cognitive stimulation, reduced stress, social connection, cultural meaning), and Outcomes (e.g. redu","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Pages S32-S33"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"26. FALLING BETWEEN THE GUARDRAILS: CURRENT GUARDIANSHIP LAWS AND LIMITATIONS IN SOUTH CAROLINA","authors":"Josneldavmatus Faiivae ,&nbsp;Juliet Glover ,&nbsp;Charlotte Imlach ,&nbsp;Agnieszka Mynarska","doi":"10.1016/j.jagp.2025.04.028","DOIUrl":"10.1016/j.jagp.2025.04.028","url":null,"abstract":"<div><h3>Introduction</h3><div>Legal guardian appointment is the process by which people who have been determined to lack capacity to care for themselves are assigned a substituted decision maker while striving to maintain as much patient autonomy as possible. Appointment of a legal guardian can be indicated for numerous reasons, and the U.S. government estimates that guardianship cases are on the rise. Guardianship laws can vary by jurisdiction, but the overall objective is to serve as a safeguard for incapacitated patients. Despite this objective, unanticipated clinical situations may arise for which current laws prove inadequate.</div></div><div><h3>Methods</h3><div>Two case reports of patients with no next of kin are presented to illustrate current gaps in South Carolina guardianship procedures that significantly impact patients. Case one involves a patient who required a serious but non-urgent surgical procedure but was unable to consent. Lack of an available substituted decision maker prevented this patient from accessing the necessary care, increasing long-term patient morbidity. Case two involves a patient with impaired dispositional capacity, and lack of timely designation of a court appointed guardian resulted in a prolonged hospital stay with deterioration of the patient’s mental status. A literature review was subsequently conducted. A PubMed search for articles published within the last ten years was performed using the term “legal guardianship” with filters for “humans,” “age 65+,” and “English.” This yielded 35 articles, 16 of which were deemed relevant and were reviewed. Current legal guardianship statues in South Carolina were also examined.</div></div><div><h3>Results</h3><div>The literature review showed that legal guardianship proceedings, while heterogenous across settings, can be used to maintain patient autonomy and quality of life. Nevertheless, the cases reported here highlight current limitations in the application of these laws.</div></div><div><h3>Conclusions</h3><div>The scope of legal guardianship is broad, and the available research is limited. There is an ongoing need for uniformity in guardianship processing and reduction in adverse events, including those related to lengthy wait times. Due to variations and nuances in laws across the nation, understanding guardianship legislation and procedures in one’s area of practice is paramount to providing comprehensive care, advocating for patient safety, and preserving quality of life.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Page S19"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"92. EXPLORATION OF NIGHTTIME AGITATION IN PEOPLE WITH DEMENTIA LIVING AT HOME FROM THE PERSPECTIVE OF INFORMAL CAREGIVERS: A QUALITATIVE INTERVIEW STUDY","authors":"Ajda Flisar ,&nbsp;Maarten Van Den Bossche ,&nbsp;Evelien Coppens ,&nbsp;Chantal Van Audenhove ,&nbsp;Jessie Dezutter","doi":"10.1016/j.jagp.2025.04.094","DOIUrl":"10.1016/j.jagp.2025.04.094","url":null,"abstract":"<div><h3>Introduction</h3><div>Agitation is one of the most important neuropsychiatric symptoms of dementia and can be present both during the day and during the night. Nighttime agitation imposes considerable strain on both patients and informal caregivers, as it disrupts the sleep of both. Moreover, it significantly impacts the quality of life, increases caregiver burden, and the likelihood of institutionalization (and as such also increases economic costs). Despite its significance, there is a paucity of knowledge regarding the experiences and management strategies employed by informal caregivers in addressing nighttime agitation.</div><div>The current study aims to gain a better understanding of nighttime agitation and explore how informal caregivers experience and respond to it. Additionally, we also aim to obtain an overview of the digital and assistive technologies that informal caregivers use when coping with nighttime agitation.</div></div><div><h3>Methods</h3><div>We conducted in-depth interviews with 15 informal caregivers using purposive sampling to include caregivers of people with dementia who experience problems during the night. The study did not restrict participants based on the type or stage of dementia. Thematic analysis is used to gain insight into the important themes of the experience and to obtain an overview of management strategies used by informal caregivers.</div></div><div><h3>Results</h3><div>Five themes emerged from the analytic process which describe the experience of sleeping with one ear open, the need to establish the evening/night routine, coping with safety concerns, feelings of exhaustion in informal caregivers, and striving for flexibility and acceptance in disease progression. The themes will be further discussed during the conference.</div></div><div><h3>Conclusions</h3><div>Our results show that the management of nighttime agitation causes significant challenges for informal caregivers, who despite trying out various solutions, remain feeling exhausted. The value of our study lies in exploring nighttime agitation from the perspective of informal caregivers whose insights represent first-hand experiences and are essential for a comprehensive understanding of the phenomenon.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Page S68"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"77. BRIDGING CULTURES: NAVIGATING PSYCHIATRIC CHALLENGES AND CARE BARRIERS FOR AANHPI OLDER ADULTS","authors":"Lisa Bang ,&nbsp;Meachelle Lum ,&nbsp;Meghan Reddy ,&nbsp;Jennifer Tu ,&nbsp;Sarah Nguyen","doi":"10.1016/j.jagp.2025.04.079","DOIUrl":"10.1016/j.jagp.2025.04.079","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;The Asian American and Native Hawaiian/Pacific Islander (AANHPI) community is the fastest growing racial group in the country, growing over four times as rapidly as the total U.S. population and expected to double to over 47 million by 2060 [1]. Despite this tremendous growth, AANHPIs are one of the most understudied racial groups in the country and underutilize existing mental health services, particularly mental health. There is a current lack of understanding of how mental health conditions are portrayed in AANHPI populations, and misdiagnosis frequently occurs [2]. It is imperative to provide training in the healthcare curriculum that incorporates the cultural nuances of clinical diagnosis and presentation of AANHPI mental health, particularly in older adults, and to ensure care that enhances trust and improves communication between clinicians and patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A series of case-based learning scenarios demonstrating the impact of addressing mental health stigmas and psychiatric presentations in AANHPI populations are discussed based on patient encounters with trainees in various clinical settings. Personal factors of age, ethnicity, and spirituality will be identified along with cultural considerations that take into account both Eastern and Western medical approaches, to show how a holistic approach influences the therapeutic alliance and interventions utilized.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;These clinical vignettes illustrate the importance of addressing cultural factors that affect the nonconventional psychiatric presentations in the AANHPI population. Their cultural perspectives tend to emphasize the inseparability of body and mind, leading to a prioritization of physical discomfort over emotional symptoms [2]. This results in an overrepresentation of somatic complaints during an AANHPI patient’s first mental health encounter [2]. AANHPI communities also tend to employ traditional Eastern healing practices, such as acupuncture and herbal medicine, to alleviate distress both before and after engagement with mental health services [2]. This is particularly important to consider in the older AANHPI population, as AANPHI patients over the age of 65 were twice as likely to use both complementary and alternative medicine to treat any health condition, compared to those aged 18-39 [3]. Therefore, when prescribing medications and other interventions, clinicians should be mindful of the unique responses to psychotropic drugs, particularly concerning dosage requirements and potential side effects, and ensure that they counsel patients adequately. Mental health providers must consider the diverse approaches of Eastern and Western medicine to provide holistic care that addresses both physical symptoms and underlying psychological factors. This hybrid approach will help patients and providers collaborate more effectively to ensure patients are receiving proper workup and culturally","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Pages S56-S57"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"82. ROOM FOR GROWTH: A RESIDENT-DRIVEN APPROACH TO EXPANDING THE CURRENT GERIATRIC PSYCHIATRY CURRICULUM","authors":"Jai McQuilla ,&nbsp;Shaina Schwartz ,&nbsp;Erica Garcia-Pittman","doi":"10.1016/j.jagp.2025.04.084","DOIUrl":"10.1016/j.jagp.2025.04.084","url":null,"abstract":"<div><h3>Introduction</h3><div>The Cone Health Psychiatry Residency located in Greensboro, NC matriculated its first class in 2021. Residency leadership routinely examine didactics with the intention of facilitating change to accommodate appropriate resident learning. The current geriatric psychiatric curriculum focuses on diagnosis and treatment of geriatric patients, with limited coverage of care service options. Greensboro has 12 independent living facilities, 28 assisted living facilities, 41 skilled- nursing facilities, 22 memory care facilities, and numerous senior communities. Throughout a resident’s time in the program, they will inevitably have to navigate caring for patients who are transiting to and from these communities.</div></div><div><h3>Methods</h3><div>An informal interview with resident physicians was conducted to assess for areas of need and interest related to education in geriatric psychiatry. The Kern 6 step approach for Curriculum design will be used to design the educational intervention.</div><div>An anonymous pre-intervention survey assessing perceived knowledge gaps was distributed electronically to all residents in the PGY1-PGY3 cohorts. Responses were recorded using a Likert Scale format for each question where 1 indicated very uncomfortable and 5 indicated very comfortable.</div></div><div><h3>Results</h3><div>A total of 12 respondents completed the pre-intervention survey. Overall, study participants indicated that they were uncomfortable with all geriatric care service options assessed. Respondents indicated that they were least comfortable with knowledge of senior housing facilities in Greensboro, NC (mean = 1.5) and most comfortable with understanding the clinical differences between senior housing options (mean = 2.3).</div></div><div><h3>Conclusions</h3><div>A lecture will be created to address areas of need that were revealed by the pre-intervention survey. Pre- and post-intervention results will be analyzed using an independent T-test. A subgroup analysis will be performed based on cohort (PGY1-PGY3). Qualitative data will also be collected regarding resident experience and future application of the educational intervention.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Page S60"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"89. PSYCHIATRIC PATHOLOGY AMONG HEALTHCARE WORKERS: A NARRATIVE REVIEW OF THE PAST 20 YEARS","authors":"Jose Reyes","doi":"10.1016/j.jagp.2025.04.091","DOIUrl":"10.1016/j.jagp.2025.04.091","url":null,"abstract":"<div><h3>Introduction</h3><div>The incidence of mental illness, along with its associated mortality rates among healthcare workers, has reportedly increased in the United States and around the world. The past two decades have been defined by social reforms, the global financial crisis, and the ongoing COVID-19 pandemic, all psychosocial markers that have significantly affected many worldwide. Untreated and undiagnosed psychiatric conditions among healthcare workers can negatively impact their health, as well as that of the patients whom they intend to provide care for. This narrative review focuses on defining the patterns of psychiatric pathology among healthcare professionals in the U.S. and around the globe over the past 20 years.</div></div><div><h3>Methods</h3><div>A database search was performed utilizing three open-access catalogs: Directory of Open Access Journals (DOAJ), Research4Life (R4L), and Springer Open. Key terms were chosen for each engine to generate a compiled list of peer-reviewed journal articles. Upon incorporating the appropriate inclusion and exclusion criteria, 31 articles were included and evaluated for this narrative review. The evaluated articles were then included in a table and assessed based on their focus, targeted population, study, outcome, and overall result.</div></div><div><h3>Results</h3><div>The review found that some of the most common psychiatric pathologies among healthcare workers include: anxiety, depression, post-traumatic stress disorder, and sleep related disorders. In terms of substance use, alcohol and tobacco use were the most common among healthcare workers.</div></div><div><h3>Conclusions</h3><div>This paper sought to describe the relationship between the burden of mental health and psychiatric pathology among healthcare workers. This narrative review demonstrated precise diagnoses, which were reproducible throughout healthcare systems in the United States and around the globe. The burden of mental health played a significant factor when it came to illness development and progression. It is imperative to set forth interventions in the workplace to prevent psychiatric pathology and increases in mortality rates among healthcare workers. This, in turn, will promote the well-being of healthcare personnel, the efficiency of health systems, proper staffing, and optimal service to the community they serve.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Page S66"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"86. UNDERSTANDING TRAINEES’ PERSPECTIVES: KNOWLEDGE, ATTITUDES, AND PRACTICES IN GERIATRIC PSYCHIATRY","authors":"Ju Eun Lee ,&nbsp;Vanessa Thoo","doi":"10.1016/j.jagp.2025.04.088","DOIUrl":"10.1016/j.jagp.2025.04.088","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Globally, one in two people are ageists (WHO, 2021). The World Health Organization (WHO) defines ageism as “the stereotypes (how we think), prejudice (how we feel) and discrimination (how we act) towards others or oneself based on age (WHO, 2021). Studies have shown that ageism is linked to numerous negative health outcomes, including poorer physical health, depression, dementia, sexually transmitted infections, and even premature death (Chang et al., 2020; WHO, 2021). Despite evidence supporting the harmful impact of ageism, its influence on healthcare trainees remains less explored.&lt;/div&gt;&lt;div&gt;It is known that working with older adults is often an unpopular choice among healthcare trainees and professionals. Contributing factors include a lack of education in gerontology, limited interest, widespread stereotypes about older adults, discomfort with uncertainties, and reliance on the hidden curriculum for learning (Meiboom et al., 2015; Guttman et al., 2022). Common stereotypes involve therapeutic nihilism, paternalism, communication challenges, and assumptions about increased morbidity and lower quality of life in older patients (Wilson et al., 2018).&lt;/div&gt;&lt;div&gt;This study aims to address the gap in understanding the knowledge, attitudes, and practices of psychiatry trainees regarding the care of older adults.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted a voluntary survey among third-year psychiatry residents at the University of Toronto during their core geriatric psychiatry rotation. The survey was distributed as part of a Quality Improvement project during the Equity, Diversity, and Inclusion in Geriatric Psychiatry seminar.&lt;/div&gt;&lt;div&gt;The survey included several components: a modified version of the Relating to Old People Evaluation (ROPE), the Facts on Aging Quiz, questions related to medical education and clinical experiences, and inquiries about career choices in geriatric psychiatry and working with older adults. Data collection was conducted using encrypted Jotform software.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 17 participants, all third-year psychiatry residents aged 26–36, completed the survey. Of these participants, 10 had prior exposure to geriatrics (geriatric medicine or geriatric psychiatry) during medical school.&lt;/div&gt;&lt;div&gt;Most participants felt their medical school somewhat prepared them to work with older adults, and all were aware of the concept and impact of ageism before the survey. However, training on ageism during medical school and residency was inconsistent.&lt;/div&gt;&lt;div&gt;Participants' perceptions of their supervisors' attitudes toward working with older patients were largely positive or neutral, while colleagues' attitudes were more neutral or negative. Many trainees felt \"somewhat\" competent (11) to work with older adults without additional subspecialty training, and only 2 participants felt fully competent.&lt;/div&gt;&lt;div&gt;Trainees reported mostly positive learning experiences in g","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":"33 10","pages":"Pages S63-S64"},"PeriodicalIF":4.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}