Namwoo Kim, Sungtaek Son, Saemina Kim, Jieun Lee, Yong Min Ahn, Dong Keon Yon, Bong-Jin Hahm
{"title":"Association Between Dementia Development and COVID-19 among Individuals Who Tested Negative for COVID-19 in South Korea: A Nationwide Cohort Study.","authors":"Namwoo Kim, Sungtaek Son, Saemina Kim, Jieun Lee, Yong Min Ahn, Dong Keon Yon, Bong-Jin Hahm","doi":"10.1177/15333175211072387","DOIUrl":"https://doi.org/10.1177/15333175211072387","url":null,"abstract":"<p><p>We aim to assess whether the number of newly diagnosed dementia increases and whether comorbid psychiatric symptoms of patients with dementia worsen, in people who were tested for COVID-19. We used electronic medical records from a nationwide cohort consisting of people who tested positive (positive group), tested negative (negative group), and those who did not receive the test (control group) for COVID-19. For people with neither a history of dementia nor mild cognitive disorder (MCI), the negative group was more likely to develop dementia than the control group, and less likely to develop MCI than the positive group. For people who already had dementia, the negative group was more likely to develop comorbid psychiatric disorders than the control group, but less likely than the positive group. These findings suggest the necessity of managing mental health not only for patients with COVID-19 but also for people who tested negative for COVID-19.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"15333175211072387"},"PeriodicalIF":3.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/2c/10.1177_15333175211072387.PMC8905049.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39698707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sadaf Arefi Milani, Phillip A Cantu, Abbey B Berenson, Yong-Fang Kuo, Kyriakos S Markides, Mukaila A Raji
{"title":"Gender Differences in Neuropsychiatric Symptoms Among Community-Dwelling Mexican Americans Aged 80 and Older.","authors":"Sadaf Arefi Milani, Phillip A Cantu, Abbey B Berenson, Yong-Fang Kuo, Kyriakos S Markides, Mukaila A Raji","doi":"10.1177/15333175211042958","DOIUrl":"https://doi.org/10.1177/15333175211042958","url":null,"abstract":"<p><p>Background and ObjectivesTo assess gender differences in prevalence of neuropsychiatric symptoms (NPS) among community-dwelling Mexican Americans ≥80 years. <b>Research Design and Methods:</b> Using data from Wave 7 (2010-2011) of the Hispanic Established Population for the Epidemiological Study of the Elderly, we analyzed the NPS of 914 participants as determined by the Neuropsychiatric Inventory (NPI) with assessments conducted by their caregivers. Multivariate logistic regression models were used to test the association of individual NPS with gender, adjusting for relevant characteristics. <b>Results:</b> The average age of our sample was 86.1 years, and 65.3% were women. Over 60% of participants had at least one informant/caregiver reported NPS. After adjustment, women had lower odds than men of agitation/aggression but higher odds of dysphoria/depression and anxiety. <b>Discussion:</b> Recognizing gender differences in NPS phenotype could help guide development of culturally appropriate NPS screening and treatment programs.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"15333175211042958"},"PeriodicalIF":3.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8641300/pdf/nihms-1754394.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39449935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A 2-Study Psychometric Evaluation of the Modified Dementia Worry Scale.","authors":"Jennifer R Roberts, Molly Maxfield","doi":"10.1177/1533317521995322","DOIUrl":"https://doi.org/10.1177/1533317521995322","url":null,"abstract":"<p><p>A modified version of the Dementia Worry Scale (DWS) used the terminology \"Alzheimer's disease and related dementias\" (versus the DWS' use of \"dementia\"). Two studies investigated psychometric properties of the modified DWS (MDWS). Study 1 compared the psychometric properties of the DWS and MDWS; both versions had single factor structures and exhibited excellent internal consistency (αs ≥ .95). The MDWS exhibited greater test-retest reliability after a 4-week interval (DWS r = .68; MDWS r = .90). In Study 2, the MDWS again displayed a single factor structure, excellent internal consistency (α = .95), and good test-retest reliability after an 8-week interval (r = .78). Additionally, results support convergent validity between the MDWS and fear of dementia, subjective memory, general anxiety, health anxiety, and neuroticism. The MDWS is psychometrically consistent with the DWS, maintains strong test-retest reliability, and is appropriate for use in cross-sectional and longitudinal research.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"1533317521995322"},"PeriodicalIF":3.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1533317521995322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25408586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren J Parker, Katherine Marx, Joseph E Gaugler, Laura N Gitlin
{"title":"Implications of the COVID-19 Pandemic on Adult Day Services and the Families They Serve.","authors":"Lauren J Parker, Katherine Marx, Joseph E Gaugler, Laura N Gitlin","doi":"10.1177/15333175211050152","DOIUrl":"https://doi.org/10.1177/15333175211050152","url":null,"abstract":"<p><p>The COVID-19 pandemic forced adult day services (ADS) to close and abruptly end in-person services to clients. To understand the effect of the pandemic on ADS, a 20-item survey was used to examine services provided, staffing, finances, and plans to reopen. Data came from 22 sites participating in the Adult Day Service Plus a national randomized controlled trial. Of the 22 ADS sites responding to the survey, most (86.4%, n = 19) closed due to COVID-19 with nearly half closing due to a state mandate (52.6%, n = 10). Most sites reported the need to furlough or terminate staff (63.6%, n = 14). Services that sites continued to provide included telephone support (n = 22, 100%), delivery of food (n = 8, 36.4%), medical check-ins (n = 9, 40.1%), and activity <i>via</i> Zoom or YouTube (n = 14, 63.6%). Most of these services were provided without reimbursement. Adult day services have considerable potential as a platform for service innovation in community-based services.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"15333175211050152"},"PeriodicalIF":3.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/6e/nihms-1761314.PMC8745481.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39517818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cynthia M Stonnington, Janina Krell-Roesch, Dona E C Locke, Joseph G Hentz, Amylou C Dueck, Yonas E Geda, Pierre N Tariot, Richard J Caselli
{"title":"Impact of Zumba on Cognition and Quality of Life is Independent of APOE4 Carrier Status in Cognitively Unimpaired Older Women: A 6-Month Randomized Controlled Pilot Study.","authors":"Cynthia M Stonnington, Janina Krell-Roesch, Dona E C Locke, Joseph G Hentz, Amylou C Dueck, Yonas E Geda, Pierre N Tariot, Richard J Caselli","doi":"10.1177/1533317519868370","DOIUrl":"10.1177/1533317519868370","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association of a 6-month Zumba intervention with cognition and quality of life among older cognitively unimpaired apolipoprotein ∊4 (APOE4) carrier and noncarrier women.</p><p><strong>Methods: </strong>Fifty-three women were randomly assigned to either twice-weekly Zumba group classes or maintenance of habitual exercise (control group) for 6 months. At baseline, 3, and 6 months, all participants underwent neuropsychological, physical activity, and quality-of-life assessments.</p><p><strong>Results: </strong>Overall, neuropsychological test scores and level of physical activity did not differ between intervention and control groups at any time. However, compared to the control group, quality of life was higher at 3 months, and visuospatial working memory and response inhibition improved more in the intervention group by 6 months. Apolipoprotein ∊4 status did not affect the results.</p><p><strong>Discussion: </strong>Zumba may strengthen performance on visuospatial working memory among cognitively unimpaired older women but this needs to be tested in a larger clinical trial.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"35 ","pages":"1533317519868370"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. McGilton, K. McGilton, E. Rochon, E. Rochon, S. Sidani, Alexander C. Shaw, Alexander C. Shaw, Boaz M. Ben-David, M. Saragosa, V. Boscart, Rozanne Wilson, Rozanne Wilson, Rozanne Wilson, Karmit K. Galimidi-Epstein, M. Pichora-Fuller, M. Pichora-Fuller
{"title":"Can We Help Care Providers Communicate More Effectively With Persons Having Dementia Living in Long-Term Care Homes?","authors":"K. McGilton, K. McGilton, E. Rochon, E. Rochon, S. Sidani, Alexander C. Shaw, Alexander C. Shaw, Boaz M. Ben-David, M. Saragosa, V. Boscart, Rozanne Wilson, Rozanne Wilson, Rozanne Wilson, Karmit K. Galimidi-Epstein, M. Pichora-Fuller, M. Pichora-Fuller","doi":"10.1177/1533317516680899","DOIUrl":"https://doi.org/10.1177/1533317516680899","url":null,"abstract":"Background: Effective communication between residents with dementia and care providers in long-term care homes (LTCHs) is essential to resident-centered care. Purpose: To determine the effects of a communication intervention on residents’ quality of life (QOL) and care, as well as care providers’ perceived knowledge, mood, and burden. Method: The intervention included (1) individualized communication plans, (2) a dementia care workshop, and (3) a care provider support system. Pre- and postintervention scores were compared to evaluate the effects of the intervention. A total of 12 residents and 20 care providers in an LTCH participated in the feasibility study. Results: The rate of care providers’ adherence to the communication plans was 91%. Postintervention, residents experienced a significant increase in overall QOL. Care providers had significant improvement in mood and perceived reduced burden. Conclusion: The results suggest that the communication intervention demonstrates preliminary evidence of positive effects on residents’ QOL and care providers’ mood and burden.","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"1 1","pages":"41 - 50"},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81099625","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}
L. Schindel Martin, L. Gillies, E. Coker, Anne Pizzacalla, M. Montemuro, G. Suva, V. McLelland
{"title":"An Education Intervention to Enhance Staff Self-Efficacy to Provide Dementia Care in an Acute Care Hospital in Canada","authors":"L. Schindel Martin, L. Gillies, E. Coker, Anne Pizzacalla, M. Montemuro, G. Suva, V. McLelland","doi":"10.1177/1533317516668574","DOIUrl":"https://doi.org/10.1177/1533317516668574","url":null,"abstract":"Education is needed for enhanced capacity of acute hospitals to provide dementia care. A nonrandomized controlled, repeated-measures design was used to evaluate a dementia education program delivered to an intervention group (IG, n = 468), compared to a wait-listed group (n = 277), representing separate sites of a multisite hospital. Participants completed self-efficacy for dementia and satisfaction measures and provided written descriptions of dementia care collected at baseline, postintervention (IG only), and at 8-week follow-up. Oral narratives were gathered from IG participants 8 weeks postintervention. The IG demonstrated significant improvement in self-efficacy scores from baseline to immediately postintervention (P < .001), sustained at 8 weeks. There were no changes from baseline to 8 weeks postintervention evident in the wait-listed group (P = .21). Intervention group participants described positive impacts including implementation of person-centered care approaches. Implementation of dementia care education programs throughout hospital settings is promising for the enhancement of dementia care.","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"24 1","pages":"664 - 677"},"PeriodicalIF":0.0,"publicationDate":"2016-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79832903","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}
Lisa M Brown, David M Dosa, Kali Thomas, Kathryn Hyer, Zhanlian Feng, Vincent Mor
{"title":"The effects of evacuation on nursing home residents with dementia.","authors":"Lisa M Brown, David M Dosa, Kali Thomas, Kathryn Hyer, Zhanlian Feng, Vincent Mor","doi":"10.1177/1533317512454709","DOIUrl":"https://doi.org/10.1177/1533317512454709","url":null,"abstract":"<p><strong>Background: </strong>In response to the hurricane-related deaths of nursing home residents, there has been a steady increase in the number of facilities that evacuate under storm threat. This study examined the effects of evacuation during Hurricane Gustav on residents who were cognitively impaired.</p><p><strong>Methods: </strong>Nursing homes in counties located in the path of Hurricane Gustav were identified. The Minimum Data Set resident assessment files were merged with the Centers for Medicare enrollment file to determine date of death for residents in identified facilities. Difference-in-differences analyses were conducted adjusting for residents' demographic characteristics and acuity.</p><p><strong>Results: </strong>The dataset included 21,255 residents living in 119 at risk nursing homes over three years of observation. Relative to the two years before the storm, there was a 2.8 percent increase in death at 30 days and a 3.9 percent increase in death at 90 days for residents with severe dementia who evacuated for Hurricane Gustav, controlling for resident demographics and acuity.</p><p><strong>Conclusions: </strong>The findings of this research reveal the deleterious effects of evacuation on residents with severe dementia. Interventions need to be developed and tested to determine the best methods for protecting this at risk population when there are no other options than to evacuate the facility.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"406-12"},"PeriodicalIF":3.4,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1533317512454709","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30866236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"NIH-funded research provides new clues on how ApoE4 affects Alzheimer's risk.","authors":"","doi":"10.1037/e591022012-001","DOIUrl":"https://doi.org/10.1037/e591022012-001","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"6 1","pages":"356-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81529425","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}
Jessica S Calleo, Mark E Kunik, Dana Reid, Cynthia Kraus-Schuman, Amber Paukert, Tziona Regev, Nancy Wilson, Nancy J Petersen, A Lynn Snow, Melinda Stanley
{"title":"Characteristics of generalized anxiety disorder in patients with dementia.","authors":"Jessica S Calleo, Mark E Kunik, Dana Reid, Cynthia Kraus-Schuman, Amber Paukert, Tziona Regev, Nancy Wilson, Nancy J Petersen, A Lynn Snow, Melinda Stanley","doi":"10.1177/1533317511426867","DOIUrl":"10.1177/1533317511426867","url":null,"abstract":"<p><strong>Background: </strong>Overlap of cognitive and anxiety symptoms (i.e., difficulty concentrating, fatigue, restlessness) contributes to inconsistent, complicated assessment of generalized anxiety disorder (GAD) in persons with dementia.</p><p><strong>Methods: </strong>Anxious dementia patients completed a psychiatric interview, the Penn State Worry Questionnaire-Abbreviated, and the Rating for Anxiety in Dementia scale. Analyses to describe the 43 patients with and without GAD included the Wilcoxon Mann-Whitney two-sample test, Fisher's exact test. Predictors of GAD diagnosis were identified using logistic regression.</p><p><strong>Results: </strong>Those with GAD were more likely to be male, have less severe dementia and endorsed more worry, and anxiety compared to patients without GAD. Gender, muscle tension and fatigue differentiated those with GAD from those without GAD.</p><p><strong>Conclusions: </strong>Although this study is limited by a small sample, it describes clinical characteristics of GAD in dementia, highlighting the importance of muscle tension and fatigue in recognizing GAD in persons with dementia.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"492-7"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252749/pdf/nihms343291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40136319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}