American Journal of Geriatric Psychiatry最新文献_第3页

Testamentary Capacity: The Glass Testamentary Capacity Measure (G-TCM). 遗嘱能力：玻璃遗嘱能力测量法（G-TCM）。

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-16 DOI: 10.1016/j.jagp.2024.09.003

Oliver M Glass

引用次数: 0

Social Cognition and Aging: The Importance of Performance Based Assessment Strategies to Detect Impairment Across Aging Related Conditions and Functional Domains. 社会认知与老龄化：基于表现的评估策略对检测与老龄化相关的疾病和功能领域的损伤的重要性。

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-14 DOI: 10.1016/j.jagp.2024.09.007

Philip D Harvey

引用次数: 0

Trends in Hyperpolypharmacy Before and After Nursing Home Admission Among Older Adults in Ontario, Canada. 加拿大安大略省老年人入住养老院前后过度用药的趋势。

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-14 DOI: 10.1016/j.jagp.2024.09.005

Laura C Maclagan, Abby Emdin, Anjie Huang, Michael A Campitelli, Mina Tadrous, Andrea Iaboni, Luis Viana, Colleen J Maxwell, Susan E Bronskill

{"title":"Trends in Hyperpolypharmacy Before and After Nursing Home Admission Among Older Adults in Ontario, Canada.","authors":"Laura C Maclagan, Abby Emdin, Anjie Huang, Michael A Campitelli, Mina Tadrous, Andrea Iaboni, Luis Viana, Colleen J Maxwell, Susan E Bronskill","doi":"10.1016/j.jagp.2024.09.005","DOIUrl":"10.1016/j.jagp.2024.09.005","url":null,"abstract":"Objectives: To examine trends in the prevalence of hyperpolypharmacy prior to and following nursing home admission in Ontario, Canada.Methods: We conducted a cohort study of adults aged 75+ years admitted to nursing homes between 2017 and 2020 using health administrative data (n = 61,470). The prevalence of hyperpolypharmacy (≥10 dispensed drugs) was assessed quarterly from ten years prior to 1.5 years following admission.Results: Over ten years, the prevalence of hyperpolypharmacy increased from 4.4% to 12.0% (+0.2% per quarter, [p <0.001]) and further increased after admission (13.8%). Antidepressants (three-fold), antipsychotics (seven-fold) and cholinesterase inhibitors (14-fold) increased significantly over ten years prior to admission, while cardiovascular medications peaked 4 to 5 years prior to admission.Conclusions: While hyperpolypharmacy increased nearly three-fold in the ten years prior to nursing home admission, patterns varied by drug class. Increasing hyperpolypharmacy throughout the life course suggests opportunities exist for medication reconciliation in community and nursing home settings.","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376383","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}

引用次数: 0

Commentary: "How should Null Findings be Interpreted?" 评论："如何解读无效结论？

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-13 DOI: 10.1016/j.jagp.2024.09.004

Charles South, Stephan Arndt

引用次数: 0

Temporal Associations Between Specific Depressive Symptoms and Physical Inactivity in Middle Aged and Older Adults. 中老年人特定抑郁症状与缺乏运动之间的时间关联

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-10 DOI: 10.1016/j.jagp.2024.08.020

Eetu Soini, Tom H Rosenström, Ilmari Määttänen, Markus Jokela

{"title":"Temporal Associations Between Specific Depressive Symptoms and Physical Inactivity in Middle Aged and Older Adults.","authors":"Eetu Soini, Tom H Rosenström, Ilmari Määttänen, Markus Jokela","doi":"10.1016/j.jagp.2024.08.020","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.020","url":null,"abstract":"Being physically inactive can worsen mental health. Physical inactivity and depression are associated, but the temporal precedence and underlying mechanism are unclear; symptoms affecting future physical activity may not be the same symptoms as those associated with and affected by it. We used large European cohort (Survey of Health, Ageing, and Retirement in Europe, SHARE, N = 124, 526) to study temporal associations between physical inactivity and individual depressive symptoms. Multivariate regression with robust standard errors were used to analyze how physical inactivity is associated with later depression and how depressive symptoms predict later physical inactivity. After adjusting the models for demographics, other health behaviors, BMI, and chronic diseases, physical inactivity was prospectively associated with 10 of the 12 depressive symptoms and 7 of the 12 baseline depressive symptoms were prospectively associated with physical inactivity. These findings were robust for adjusting for antidepressant medication. Age-stratified analyses suggested that the associations between physical inactivity and depressive symptoms were independent of age. Omitting the most influential symptom, lack of enjoyment, from the sum score attenuated the association by 13% in the longitudinal and by 26% in the cross-sectional analyses. These findings suggest that physical inactivity and depression are bidirectionally associated even at symptom-level.","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333038","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}

引用次数: 0

Facing a Catastrophic Illness: A Perspective from Contemporary Philosophy 面对灾难性疾病：当代哲学的视角。

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-07 DOI: 10.1016/j.jagp.2024.08.017

George S. Alexopoulos M.D.

引用次数: 0

A Systematic Review of Antidepressants and Psychotherapy Commonly Used in the Treatment of Late Life Depression for Their Effects on Cognition. 关于治疗晚年抑郁症常用的抗抑郁药和心理疗法对认知影响的系统性综述》（A Systematic Review of Antidepressants and Psychotherapy commonly used in the Treatment of Late Life Depression for Their Effects on Cognition.

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-06 DOI: 10.1016/j.jagp.2024.08.015

J Craig Nelson, Jason A Gandelman, R Scott Mackin

{"title":"A Systematic Review of Antidepressants and Psychotherapy Commonly Used in the Treatment of Late Life Depression for Their Effects on Cognition.","authors":"J Craig Nelson, Jason A Gandelman, R Scott Mackin","doi":"10.1016/j.jagp.2024.08.015","DOIUrl":"10.1016/j.jagp.2024.08.015","url":null,"abstract":"Cognitive dysfunction is common in late life depression (LLD) and is a major risk factor for dementia. Recent studies show limited improvement in cognition with commonly employed treatments for LLD, contradicting the notion that cognition \"returns to normal\" with treatment. However, findings differ with the treatments used. The aim of this study is to perform a systematic review of studies of antidepressants and psychotherapies commonly employed in LLD to determine their effects on cognition, particularly processing speed, memory, and executive function. We searched for trials of acute phase treatment, in nondemented individuals 60 years and older with unipolar nonpsychotic Major Depressive Disorder, that assessed cognitive performance with neuropsychological tests before and after treatment. We compared the magnitude of change in cognition by examining within group effect sizes. Six antidepressant trials and two psychotherapy trials (both using Problem Solving Therapy)(PST) provided relatively comparable data that allowed for quantitative comparison. Nine other antidepressant trials provided descriptive findings. Sertraline and vortioxetine had significant positive effects on processing speed and memory. Duloxetine had significant effects on memory. The most selective SRIs-citalopram and escitalopram-had minimal effects on cognition and citalopram had adverse effects in depression nonresponders. PST had modest effects on processing speed and no effect on memory. Effects of practice and improvement in depression on cognition are examined. In all but one study, cognition was a secondary outcome and various quality indicators (e.g. blinding cognitive assessment to treatment) were often not reported. As a consequence, these findings must be considered preliminary.","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376382","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}

引用次数: 0

Corrigendum to the Effect of Diagnostic Criteria on Dementia Prevalence—A Population-Based Study From Gothenburg, Sweden The American Journal of Geriatric Psychiatry, 2023, 230-243/32:2 诊断标准对痴呆症患病率的影响--基于瑞典哥德堡人口的研究》更正美国老年精神病学杂志，2023，230-243/32:2

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-05 DOI: 10.1016/j.jagp.2024.09.001

Hanna Wetterberg Ph.D. , Jenna Najar M.D., Ph.D. , Therese Rydberg Sterner Ph.D. , Silke Kern M.D., Ph.D. , Ingmar Skoog M.D., Ph.D.

引用次数: 0

Weill Cornell Alacrity for Late- and Mid-Life Depression 2.0: From Simplified Psychosocial Interventions Based on Brain Theories of Aging to Implementation Based on the Socio-Ecological Model 威尔-康奈尔大学中晚期抑郁症快速治疗 2.0：从基于脑老化理论的简化社会心理干预到基于社会生态模型的实施

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-04 DOI: 10.1016/j.jagp.2024.08.010

Dimitris Kiosses Ph.D., Jo Anne Sirey Ph.D., Sara Czaja Ph.D., Samprit Banerjee Ph.D., Faith Gunning Ph.D.

引用次数: 0

Responding to the Growing Need for Medical Experts in Testamentary and Estate Related Capacities: A Course for Physicians. 应对在遗嘱和遗产相关能力方面对医学专家日益增长的需求：医生课程。

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-09-04 DOI: 10.1016/j.jagp.2024.08.013

J Kirkham, S B Mitchell, C Cohen, C Hao, K Shulman

{"title":"Responding to the Growing Need for Medical Experts in Testamentary and Estate Related Capacities: A Course for Physicians.","authors":"J Kirkham, S B Mitchell, C Cohen, C Hao, K Shulman","doi":"10.1016/j.jagp.2024.08.013","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.013","url":null,"abstract":"Objectives: The objective of this continuing medical education course was to improve the knowledge and skills of physicians in the assessment of testamentary and related capacities.Methods: We developed, conducted, and evaluated an accredited medical education course focusing on the role and responsibilities of medical experts in estate litigation and held in Toronto, Ontario, Canada in June 2022.Results: Participants reported a 65% and 35% improvement in confidence in conducting retrospective and contemporaneous assessments of testamentary capacity, respectively. The overall mean score in the 9 key competencies for medical experts in estate litigation improved by 1.2-points from 3.02 (SD 1.33) to 4.22 (SD 0.74) from pre to postcourse (p <0.05, 95% CI [-1.66, -0.67]).Conclusions: This course addresses a significant gap in training and formal education opportunities in testamentary and other related capacities that may contribute to increasing the pool of available and qualified medical experts in estate litigation.","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301785","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}

引用次数: 0