Journal articles: 'Geriatric psychiatry Evaluation'

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Demla, Kavita, Jennifer McKinley, and Jason Schillerstrom. "Geriatric Psychiatry Fellowship Website Evaluation." American Journal of Geriatric Psychiatry 26, no. 3 (March 2018): S133. http://dx.doi.org/10.1016/j.jagp.2018.01.161.

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Stolee, Paul, J. Kenneth Le Clair, and Linda Kessler. "Geriatric Psychiatry Consultation in the Community." Canadian Journal of Psychiatry 39, no. 8_suppl (October 1994): 27–33. http://dx.doi.org/10.1177/070674379403908s05.

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While increasing emphasis is being placed on geriatric psychiatry consultation and outreach services, there is considerable variation in terms of the composition and direction of these programs. Programs vary in terms of their objectives, location, target population, use of health professions and other resources and their method of consultation. The purposes of this paper are to review the characteristics of existing programs, to review the needs of the targets of consultation and to consider theoretical and methodological approaches which have been found to be useful in mental health/psychiatric consultation, in continuing medical education, and in program evaluation. On the basis of this review, future directions for effective approaches to consultative outreach in geriatric psychiatry will then be proposed.

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Weibel, M. L., J. F. Mall, P. Voirol, A. Pannatier, A. von Gunten, L. Saiah, and I. De Giorgi. "Evaluation of inappropriate prescribing in geriatric psychiatry." Le Pharmacien Hospitalier et Clinicien 49, no. 3 (September 2014): 229. http://dx.doi.org/10.1016/j.phclin.2014.04.046.

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Benedict, Ralph H. B., Marion Zucker Goldstein, Melissa Dobraski, and Judith Tannenhaus. "Neuropsychological Predictors of Adaptive Kitchen Behavior in Geriatric Psychiatry Inpatients." Journal of Geriatric Psychiatry and Neurology 10, no. 4 (December 1997): 146–53. http://dx.doi.org/10.1177/089198879701000404.

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This study examined the degree to which demographic variables, psychiatric diagnosis, depression rating, and neuropsychological test performance predict adaptive kitchen behavior in geriatric psychiatry patients and normal elderly volunteers. A mixed group of 27 participants including 8 normal volunteers and 19 geriatric psychiatry inpatients underwent psychiatric evaluation, neuropsychological testing, and a kitchen skills assessment conducted in a natural setting. Both depression and dementia were prevalent among patients. The kitchen skills assessment was abnormal in 69% of patients, compared to none of the normal volunteers. Estimated premorbid IQs, psychiatric diagnosis, and neuropsychological test scores significantly predicted the pass/fail status on the kitchen skills assessment, but there was no effect for age, education, gender, or depression. The discriminant function analysis classified 92% of cases, and the canonical correlation coefficient was .84. Of the neuropsychological tests employed in the study, two tests involving visuospatial processing and attention were retained in the discriminant function analysis. The results are consistent with previous studies that suggest that visuospatial tasks are more predictive of instrumental activities of daily living than are cognitive tasks emphasizing verbal and memory abilities. In addition, we conclude that neuropsychological test data are useful and valid for the purpose of guiding clinical judgments regarding activities of daily living in geriatric psychiatry patients.

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Sivakumar, Palanimuthu Thangaraju, Shiva Shanker Reddy Mukku, Nilamadhab Kar, Narayana Manjunatha, Vivek Haridas Phutane, Preeti Sinha, Channaveerachari Naveen Kumar, and Suresh Bada Math. "Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers." Indian Journal of Psychological Medicine 42, no. 5_suppl (October 2020): 41S—46S. http://dx.doi.org/10.1177/0253717620958380.

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Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.

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Sorocco, Kristen. "Education of Caregivers and Veterans to Improve the Care of the Geriatric Psychiatric Patient." Innovation in Aging 5, Supplement_1 (December 1, 2021): 494. http://dx.doi.org/10.1093/geroni/igab046.1906.

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Abstract The geriatric psychiatry outpatient clinic provides assessment of the elderly Veteran with mental illness and behavioral and psychological symptoms of dementia. I will describe strategies developed and implemented in this setting to provide education to the caregiver (family) to improve early identification of delirium, depression and cognitive impairment. This education proved to reduce the number of pharmacological treatment and increase the use of nonpharmacological interventions based on "what matters to the patient" and following the BEERS criteria guidelines. One of the most important outcomes of the education and evaluation in the geriatric psychiatric clinic was a decrease in number of emergency room visits of elderly, specifically those with dementia.

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Law, Marcus, Mark J. Rapoport, Dallas Seitz, Marla Davidson, Robert Madan, and Andrew Wiens. "Evaluation of a National Online Educational Program in Geriatric Psychiatry." Academic Psychiatry 40, no. 6 (June 25, 2015): 923–27. http://dx.doi.org/10.1007/s40596-015-0377-y.

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Balasundaram, Bharathi, Peng Soon Yoon, Barbara Helen Rosario, Jia Wen Kam, Louisa Mei Ying Tan, and Surendra Varman. "Geriatric psychiatry liaison programme in a Singapore public hospital geriatric ward setting: descriptive and evaluation study on delirium and dementia." Proceedings of Singapore Healthcare 28, no. 4 (August 14, 2019): 266–73. http://dx.doi.org/10.1177/2010105819869031.

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Background: Comprehensive geriatric psychiatry liaison services are in early and evolving stages in Singapore. A description and evaluation of a geriatric psychiatry liaison programme in geriatric wards was undertaken describing programme activity and clinical outcomes in patients with neurocognitive disorders. Dementia training and staff upskilling are also discussed. Methods: This study included all referred patients by the geriatric team in Changi General Hospital over a one-year period from 15 June 2017 to 14 June 2018. As measures of good clinical practice, diagnosis of delirium and new diagnosis of dementia made during the inpatient admission following liaison consultation were included in the study. Patient-related outcomes that included length of stay (LOS), institutionalisation rates and in-hospital mortality were evaluated. Results: Dementia (53%), delirium (49%) and depression (28%) were the commonest diagnoses in this study. Dementia was newly diagnosed in 30% of cases. The median LOS in those with delirium was 19 days; 19% with a delirium diagnosis had new institutionalisation rates. In-hospital mortality in this study was 2%. Conclusions: The geriatric psychiatry liaison programme in geriatric wards in Changi General Hospital improved detection rates of delirium and new diagnoses of dementia. It also reports increased LOS and new institutionalisation rates in those with a diagnosis of delirium. Nursing staff education in neurocognitive disorders is enhanced. This article has outlined the importance of team-based care, joint specialist care and staff training in recognition of delirium and dementia in an acute hospital setting to improve outcomes for older patients.

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Gerritsen, J. C., P. C. Der van Ende, E. W. Wolffensperger, and R. Ch Boom. "Evaluation of a geriatric assessment unit." International Journal of Geriatric Psychiatry 10, no. 3 (March 1995): 207–17. http://dx.doi.org/10.1002/gps.930100307.

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MacDonald, Z., D. Eagles, and I. G. Stiell. "LO77: Compliance of older emergency department patients to community-based specialized geriatric services." CJEM 19, S1 (May 2017): S54—S55. http://dx.doi.org/10.1017/cem.2017.139.

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Introduction: The Geriatric Emergency Management (GEM) model has been developed to facilitate identification of older patients that are at higher risk of functional decline, repeat Emergency Department (ED) visits and future hospitalization. Those identified at risk, are referred for more in-depth evaluation and management in community-based specialized geriatric services. Our objective was to: 1) determine the compliance rate to outpatient evaluation following ED recommendation; and 2) identify barriers and facilitators to attendance. Methods: We conducted a prospective cohort study at two sites of an academic, tertiary level hospital ED between July and December 2016. We enrolled a convenience sample of ED patients, 65 years and older who were seen by a GEM nurse, referred to outpatient specialized geriatric services and consented to study participation. The GEM nurses conducted targeted geriatric assessments, identifying those who would benefit from further community management. We conducted a chart review and a structured telephone follow-up at 6 weeks. Descriptive statistics were used. Results: A total of 101 patients were prospectively enrolled, with 30.4% of eligible participants declining outpatient referral. Enrolled subjects had a mean age of 83.3 years, 58.4% female and 62.0% cognitively impaired. Reasons for referral to specialized geriatric services included: mobility (86.1%), cognition (57.4%), pain (38.6%), mood (34.7%), medication management (33.6%) and nutrition (30.7%). Outpatient referrals were to: geriatric day hospital (51.5%), geriatric outreach (22.7%), falls clinic (11.8%) and geriatric psychiatry (9.9%). Compliance with follow-up within 6 weeks was 64.4%. Barriers to attendance included: patient did not feel specialized geriatric services was needed (52.6%); admitted to hospital (10.5%); reported not called for appointment (15.8%); forgot appointment (5.3%) and transportation (5.3%). Family support with scheduling and transportation to appointments, reported by 68.6%, was the most common enabler to compliance. Conclusion: Over one third of older ED patients referred by GEM for further specialized geriatric services are non-compliant with their community-based evaluation, while one in four older ED patients decline referral to these evaluations while in the ED. Future work should focus on interventions that promote increased referral acceptance and address barriers to attendance.

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Di Tullio, E., C. Vecchi, A. Venesia, L. Girardi, C. Molino, P. Camera, M. Chiarelli serra, C. Gramaglia, A. Feggi, and P. Zeppegno. "The Psycho-geriatric Patient in the Emergency Room (ER) of the Maggiore della Carità Hospital in Novara." European Psychiatry 41, S1 (April 2017): S648—S649. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1079.

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IntroductionDue to population aging, the health system will face increasing challenges in the next years. Concerning mental disorders, they are major public health issues in late life, with mood and anxiety disorders being some of the most common mental disorder among the elderly. For this reason, increasing attention has to be paid to the evaluation of the elderly in psychiatry emergency settings.ObjectivesTo evaluate the socio-demographic and clinical features of over 65 patients referred to psychiatric consultations in the ER of “Maggiore della Carità” Hospital in Novara, in a 7 years period.AimsThe analysis of the characteristics of the study sample could be potentially useful in resource planning in order to better serve this important segment of the general population.MethodsDeterminants of ER visits for over 65 patients referred to psychiatric evaluation were studied retrospectively from 2008 to 2015.ResultsElderly patients made up 14,7% (n = 458) of all psychiatric evaluation in the ER (n = 3124). About two thirds (65,9%) were females and one third were males (34,1%). The mean age of patients recruited was 75.11 years. The majority of subjects (68.6%) presented without a diagnosis of Axis I according to DSM-IV. The other most frequent diagnosis was “cognitive disorders” (11.4%) and “mood disorders” (10.9%).ConclusionsThe large proportion of patients without a diagnosis of Axis I, could be related to the misunderstanding of the psychosocial aspects of aging. Preliminary results highlight the importance of research on this topic, considering population aging and the impact of mental disorders in late-life.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Reischies, Friedel M. "The Broad Scope of Clinical Neuropsychology in Old Age." Journal of the International Neuropsychological Society 6, no. 4 (May 2000): 511–12. http://dx.doi.org/10.1017/s1355617700234085.

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Neuropsychological aspects of neuropsychiatric diseases that are common in old age or that present problems for diagnosis and treatment especially in the old patient represent the objective of this book. There are several good reasons for addressing this topic. Disorders of brain function become more frequent in old age and neuropsychology thus gains importance in geriatric medical evaluation and in distinguishing the many dimensions of neuropsychological deviations from “normal senescence.” Research in this area has recently intensified and valuable insights have accumulated; however, few books on this topic are currently available. The Handbook of Neuropsychology and Aging focuses on neuropsychological aspects; specifically, on geriatric psychiatry and neurology. Here, the editor has attempted to bring together outstanding researchers to cover the entire field of geriatric neuropsychiatry.

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Magni, Guido, Fabrizio Schifano, Antonella Baiocchi, and Valeria Renesto. "Longitudinal evaluation of psychological distress in medical geriatric in-patients." British Journal of Medical Psychology 61, no. 4 (December 1988): 369–75. http://dx.doi.org/10.1111/j.2044-8341.1988.tb02799.x.

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Fenton, Nancy, Leila Augustin, Carole Redden, and Christopher Patterson. "Development and evaluation of a common intake process for geriatric medicine and psychiatry services." Leadership in Health Services 13, no. 1 (March 2000): 6–10. http://dx.doi.org/10.1108/13660750010304202.

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Rapoport, Mark J., Dallas Seitz, Melissa Andrew, Andrew Wiens, Salinda Horgan, and Marcus Law. "Online Continuing Medical Education in Geriatric Psychiatry: Preliminary Evaluation of a National Canadian Program." American Journal of Geriatric Psychiatry 21, no. 3 (March 2013): S161—S162. http://dx.doi.org/10.1016/j.jagp.2012.12.213.

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Galeoto, Giovanni, Julita Sansoni, Michela Scuccimarri, Valentina Bruni, Rita De Santis, Mariele Colucci, Donatella Valente, and Marco Tofani. "A Psychometric Properties Evaluation of the Italian Version of the Geriatric Depression Scale." Depression Research and Treatment 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/1797536.

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Objective. The Geriatric Depression Scale (GDS) is an evaluation tool to diagnose older adult’s depression. This questionnaire was defined by Yesavage and Brink in 1982; it was designed expressly for the older person and defines his/her degree of satisfaction, quality of life, and feelings. The objective of this study is to evaluate the psychometric properties of the Italian translation of the Geriatric Depression Scale (GDS-IT). Methods. The Italian version of the Geriatric Depression Scale was administered to 119 people (79 people with a depression diagnosis and 40 healthy ones). We examined the following psychometric characteristics: internal consistency reliability, test-retest reliability, concurrent validity, and construct validity (factor structure). Results. Cronbach’s Alpha for the GDS-IT administered to the depressed sample was 0.84. Test-retest reliability was 0.91 and the concurrent validity was 0.83. The factorial analysis showed a structure of 5 factors, and the scale cut-off is between 10 and 11. Conclusion. The GDS-IT proved to be a reliable and valid questionnaire for the evaluation of depression in an Italian population. In the present study, the GDS-IT showed good psychometric properties. Health professionals now have an assessment tool for the evaluation of depression symptoms in the Italian population.

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Holt, Brian R., Suzy Conway, Linda Hulbert, and Robin Eastwood. "Assessment of International Psychogeriatrics: The Journal of the International Psychogeriatric Association." International Psychogeriatrics 9, no. 4 (December 1997): 373–80. http://dx.doi.org/10.1017/s1041610297004511.

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In 1996, new editorial management took over International Psychogeriatrics (IP), only a year after the frequency of its publication increased from semiannual to quarterly. At the request of the editorial board, an assessment of the journal was conducted by comparing it to other journals in the field of geriatrics and, specifically, geriatric psychiatry. The evaluation included both a modified citation analysis and a review of journal content. The study was undertaken in order to identify the position the journal has within its discipline. Further, it was to identify the journal's strengths and weaknesses with the overall goal of recommending changes to IP's current content and format. IP ranked seventh of 15 journals in terms of impact factor. It is primarily oriented towards the publication of original research, and features fewer longer articles than others in the field. Adding a wider variety of content may increase the overall interest in the journal. However, these changes must be weighed against the goals of the journal and its reputation as a source of original research in the field of geriatrics.

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Maştaleru, Alexandra, Adina Carmen Ilie, Ramona Stefaniu, Maria‐Magdalena Leon‐Constantin, Ioana Alexandra Sandu, Anca Iuliana Pislaru, Irina Mihaela Abdulan, and Ioana Dana Alexa. "Evaluation of frailty and its impact on geriatric assessment." Psychogeriatrics 20, no. 3 (January 19, 2020): 321–26. http://dx.doi.org/10.1111/psyg.12506.

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Mukku, Shiva Shanker Reddy, Ajit Bhalchandra Dahale, Nagalakshmi Rajavoor Muniswamy, Krishna Prasad Muliyala, Palanimuthu Thangaraju Sivakumar, and Mathew Varghese. "Geriatric Depression and Cognitive Impairment—An Update." Indian Journal of Psychological Medicine 43, no. 4 (January 21, 2021): 286–93. http://dx.doi.org/10.1177/0253717620981556.

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Background: Depression and cognitive impairment often coexist in older adults. The relation between depression and cognitive impairment is complex. The objective of this article is to review recent literature on cognitive impairment in older adults with depression and provide clinicians an update. Methods: We searched PubMed, Google Scholar, Science Direct, and Psych Info for the articles published in the English language related to late-life depression (LLD)/geriatric depression and cognitive impairment. We considered original research articles, relevant systematic reviews, chapters, and important conceptual articles published in the last 9 years (2011–2019). We selected relevant articles for this narrative review. Conclusion: The concept pseudodementia, indicating depression with cognitive impairment mimicking dementia, is now seen only as a historical concept. The current literature strongly agrees with fact that cognitive deficits often exist in LLD. The cognitive deficits in depression were initially seen as trait marker; however, some recent studies suggest that cognitive deficits persist even in the remission phase. There is heterogeneity among the studies in terms of the nature of the cognitive deficits, but higher number of studies reported impairment in attention and executive function. LLD with cognitive deficits is at a higher risk of progression to dementia. In older adults, depression with cognitive impairments requires a comprehensive evaluation. Electroencephalography, event-related potentials, fluorodeoxyglucose–positron emission tomography, amyloid positron emission tomography, and CSF amyloid will supplement clinical evaluation in differentiating functional depressive disorder with cognitive impairment from depression with an underlying degenerative condition.

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Abrams, Robert C., Blanca Boné, M. Cary Reid, Ronald D. Adelman, Risa Breckman, Ronald Goralewicz, Marlena Palombo, Amy Stern, Rouzi Shengelia, and Jeanne Teresi. "Psychiatric Assessment and Screening for the Elderly in Primary Care: Design, Implementation, and Preliminary Results." Journal of Geriatrics 2015 (March 29, 2015): 1–9. http://dx.doi.org/10.1155/2015/792043.

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Introduction. We describe the design and implementation of a psychiatric collaborative care model in a university-based geriatric primary care practice. Initial results of screening for anxiety and depression are reported. Methods and Materials. Screens for anxiety and depression were administered to practice patients. A mental health team, consisting of a psychiatrist, mental health nurse practitioner, and social worker, identified patients who on review of screening and chart data warranted evaluation or treatment. Referrals for mental health interventions were directed to members of the mental health team, primary care physicians at the practice, or community providers. Results. Subjects (N=1505) comprised 38.2% of the 3940 unique patients seen at the practice during the 4-year study period. 37.1% (N=555) screened positive for depression, 26.9% (N=405) for anxiety, and 322 (21.4%) screened positive for both. Any positive score was associated with age (P<0.033), female gender (P<0.006), and a nonsignificant trend toward living alone (P<0.095). 8.87% had suicidal thoughts. Conclusions. Screening captured the most affectively symptomatic patients, including those with suicidal ideation, for intervention. The partnering of mental health professionals and primary care physicians offers a workable model for addressing the scarcity of expertise in geriatric psychiatry.

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Dokuzlar, Ozge, Pinar Soysal, Cansu Usarel, and Ahmet Turan Isik. "The evaluation and design of a short depression screening tool in Turkish older adults." International Psychogeriatrics 30, no. 10 (March 21, 2018): 1541–48. http://dx.doi.org/10.1017/s1041610218000236.

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ABSTRACTIntroduction:Depression is a common and serious healthcare problem for older adults. This study aimed to determine the validity and reliability of GDS-4 and GDS-5 in Turkish, and to establish a new short-form Geriatric Depression Scale (GDS) for our population, and also determine the superiority of each short scale to another.Methods:A total of 437 outpatients were enrolled in the study. A researcher evaluated all participants according to the Diagnostic and Statistical Manual of Mental Disorders-fifth edition (DSM-5) diagnostic criteria, and then another researcher applied GDS-15 to all participants. We obtained the answers of short GDS forms, examined in this study, from GDS-15 forms. After Cohen's κ analysis, we compared the diagnostic value of each question for geriatric depression according to their κ values, and developed three (TGDS-3), four (TGDS-4), five (TGDS-5), and six (TGDS-6) question scales to screen geriatric depression in Turkish population.Results:A total of 437 participants were assessed. The mean age (SD) of the patients was 72.95 years (7.37).Cronbach's α values of GDS-4 and GDS-5 were <0.70. Cronbach's α values of TGDS-3, TGDS-4, TGDS-5, and TGDS-6 were >0.70. The best cut-off values were ≥5 for GDS-15 and GDS-5, and ≥1 for others.Discussion:GDS-15 is the most powerful screening scale for geriatric depression. GDS-4 and GDS-5 are not eligible for depression screening in Turkish older adults. All new short scales are valid and reliable, and TGDS-4 is a practical, less time-consuming option for daily practice.

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Magni, G., F. Schifano, D. De Leo, G. De Dominicis, V. Renesto, and S. Vianello. "Evaluation of Use Patterns of Psychotropic Drugs in an Italian Geriatric Hospital." Neuropsychobiology 13, no. 1-2 (1985): 38–43. http://dx.doi.org/10.1159/000118160.

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MacDonald, Zachary, Ian G. Stiell, Ioanna Genovezos, and Debra Eagles. "Adherence of older emergency department patients to community-based specialized geriatric services." CJEM 21, no. 5 (August 1, 2019): 659–66. http://dx.doi.org/10.1017/cem.2019.376.

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ABSTRACTObjectivesOur objective was to determine emergency department (ED) patient adherence to outpatient specialized geriatric services (SGS) following ED evaluation by the geriatric emergency management (GEM) nurse, and identify barriers and facilitators to attendance.MethodsWe conducted a prospective cohort study at two academic EDs between July and December 2016, enrolling a convenience sample of patients ≥ 65 years, seen by a GEM nurse, referred to outpatient SGS, and consented to study participation. We completed a chart review and a structured telephone follow-up at 6 weeks. Descriptive statistics were used.ResultsWe enrolled 103/285 eligible patients (86 eligible but not enrolled, 86 declined specialized geriatric referrals, and 10 declined study participation). Patients were mean age of 83.1 years, 59.2% female, and 73.2% cognitively impaired. Reasons for referral included mobility (86.4%), cognition (56.3%), pain (38.8%), mood (35.0%), medications (33.0%), and nutrition (31.1%). Referrals were to Geriatric Day Hospital (GDH) programs (50.5%), geriatric outreach (26.2%), falls clinic (12.6%), and geriatric psychiatry (8.7%). Adherence with follow-up was 59.2%. Barriers to attendance included patient did not feel SGS were needed (52.1%), inability to recall GEM consultation (53.4%), and dependence on family for transportation (72.6%). Home-based assessments had the highest adherence (81.5%).ConclusionAdherence of older ED patients referred by the GEM team to SGS is suboptimal, and a large proportion of patients decline these referrals in the ED. Future work should examine the efficacy of home-based assessments in a larger confirmatory setting and focus on interventions to increase referral acceptance and address barriers to attendance.

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Sano, I., Y. Inoue, T. Momose, Y. Nakashima, Y. Sudo, and M. Matsushita. "370 Evaluation of the ultra-early image of IMP-SPECT for the patients of geriatric psychiatry." Neurobiology of Aging 17, no. 4 (January 1996): S92—S93. http://dx.doi.org/10.1016/s0197-4580(96)80372-1.

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Jenkins, Melissa A., Cynthia Cimino, Paul F. Malloy, Stephen Salloway, Ronald Cohen, Robert Kohn, and Robert Westlake. "Neuropsychiatric Factors in the Illusion of Visitors among Geriatric Patients: A Case Series." Journal of Geriatric Psychiatry and Neurology 10, no. 2 (July 1997): 79–87. http://dx.doi.org/10.1177/089198879701000208.

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The ‘illusion of visitors' is a common phenomenon among geriatric patients presenting for psychiatric or neurologic evaluation and treatment. Although these illusory beliefs are etiologically diverse, patients may commonly have visual impairment and functional and/or structural disruption of frontal and right-hemisphere-mediated cognitive functioning. This article outlines eight cases of illusory beliefs among elderly patients, presenting psychiatric, neurologic, neuroimaging, and neuropsychological findings among these patients. Commonalities and differences among these cases are discussed, and a framework is provided for multidisciplinary assessment and treatment of patients presenting with illusory beliefs.

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Walczewska, Jolanta, Krzysztof Rutkowski, Marcin Cwynar, Barbara Wizner, and Tomasz Grodzicki. "Comprehensive Geriatric Evaluation in Former Siberian Deportees with Posttraumatic Stress Disorder." American Journal of Geriatric Psychiatry 22, no. 8 (August 2014): 820–28. http://dx.doi.org/10.1016/j.jagp.2013.01.044.

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Morin, Thomas, Isabelle Lanièce, Aurélie Desbois, Stéphanie Amiard, Gaëtan Gavazzi, and Pascal Couturier. "Evaluation of adherence to recommendations within 3 months after comprehensive geriatric assessment by an inpatient geriatric consultation team." Gériatrie et Psychologie Neuropsychiatrie du Viellissement 10, no. 3 (September 2012): 285–93. http://dx.doi.org/10.1684/pnv.2012.0359.

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Lightbody, E., and R. Baldwin. "Inpatient geriatric evaluation and management did not reduce mortality but reduced functional decline." Evidence-Based Mental Health 5, no. 4 (November 1, 2002): 109. http://dx.doi.org/10.1136/ebmh.5.4.109.

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Grossberg, George, Angela Sanford, Susan Scanland, Karen Tracy, and Richard G. Stefanacci. "AGITATION IN ALZHEIMER'S DISEASE: A DECISION TREE FOR HEALTHCARE PROVIDERS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 528. http://dx.doi.org/10.1093/geroni/igac059.2013.

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Abstract Agitation in Alzheimer's Disease (AAD) impacts nearly 80% of persons with Alzheimer's Disease and is a cause of significant distress for patients and family/professional caregivers.Clinicians need guidance relative to assessment as well as non-pharmacologic and pharmacologic treatment approaches to AAD. To this end, the Gerontological Society of America (GSA) convened a group of experts representing Geriatric Psychiatry, Gerontological Nursing, Geriatric Medicine, and Long-Term Care to develop a "Decision Tree for Healthcare Providers" in the evaluation and management of AAD. The "Decision Tree" is a practical, user-friendly template for clinicians which provides a step-by-step approach to differential diagnosis of AAD, including conditions such as delirium, pain/discomfort, environmental and psycho-social stressors. The "Decision Tree" also walks the clinician through a range of non-pharmacologic treatment options such as music therapy; activities therapy, environmental modification and de-prescribing. The "Decision Tree" highlights rational use of pharmacotherapies as well as their hazards in this vulnerable population.

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Elanchenny, Nalini, and Ajit Shah. "Evaluation of three nurse-administered depression rating scales on acute admission and continuing care geriatric psychiatry wards." International Journal of Methods in Psychiatric Research 10, no. 1 (February 2001): 43–51. http://dx.doi.org/10.1002/mpr.99.

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Shulman, Richard, Reenu Arora, Rose Geist, Amna Ali, Julia Ma, Elizabeth Mansfield, Sara Martel, Jane Sandercock, and Judith Versloot. "Integrated Community Collaborative Care for Seniors with Depression/Anxiety and any Physical Illness." Canadian Geriatrics Journal 24, no. 3 (July 13, 2021): 251–57. http://dx.doi.org/10.5770/cgj.24.473.

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Background We report on the feasibility and effectiveness of an integrated community collaborative care model in improving the health of seniors with depression/anxiety symptoms and chronic physical illness. Methods This community collaborative care model integrates geriatric medicine and geriatric psychiatry with care managers (CM) providing holistic initial and follow-up assessments, who use standardized rating scales to monitor treatment and provide psychotherapy (ENGAGE). The CM presents cases in a structured case review to a geriatrician and geriatric psychiatrist. Recommendations are communicated by the CM to the patient’s primary care provider. Results 187 patients were evaluated. The average age was 80 years old. Two-thirds were experiencing moderate-to-severe depression upon entry and this proportion decreased significantly to one-third at completion. Qualitative interviews with patients, family caregivers, team members, and referring physicians indicated that the program was well-received. Patients had on average six visits with the CM without the need to have a face-to-face meeting with a specialist. Conclusion The evaluation shows that the program is feasible and effective as it was well received by patients and patient outcomes improved. Implementation in fee-for-service publicly funded health-care environments may be limited by the need for dedicated funding.

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Berrut, Gilles, Christelle Dibon, Olivier Hanon, Gaëtan Gavazzi, Philippe Chassagne, and Laure de Decker. "Care of elderly subject with iron deficiency anaemia: evaluation of geriatric practice." Gériatrie et Psychologie Neuropsychiatrie du Viellissement 12, S2 (June 2014): 17–24. http://dx.doi.org/10.1684/pnv.2014.0480.

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Beskardes, F., and T. Ertan. "P.4.a.006 Evaluation of the prevalence of anxiety disorders with comorbidity of depression among geriatric psychiatry outpatients." European Neuropsychopharmacology 18 (August 2008): S480—S481. http://dx.doi.org/10.1016/s0924-977x(08)70717-x.

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Paschali, Myrella, Daniel Kamp, Claudia Reichmann, Michaela Jaenner, Christian Lange-Asschenfeldt, and Tillmann Supprian. "A systematic evaluation of impulsive–aggressive behavior in psychogeriatric inpatients using the staff observation aggression scale-revision (SOAS-R)." International Psychogeriatrics 30, no. 1 (August 30, 2017): 61–68. http://dx.doi.org/10.1017/s1041610217001600.

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ABSTRACTBackground:Impulsive–aggressive behavior is a significant challenge in geriatric psychiatry and requires professional evaluation and management.Methods:SOAS-R scales (Staff Observation Aggression Scale-Revision) completed by medical staff on three secure psychiatric wards were analyzed during a period of 12 months. Patients were subdivided into the following two diagnostic subgroups: dementia and other diagnoses.Results:A total of 146 aggressive incidents involving 66 patients were reported (8.8% of patients treated during this period, n = 752). Fifty-seven percent of the incidents involved patients with dementia. In 20% of the incidents, no precipitating event could be identified; this was more common in patients without dementia (p = 0.005). The medical condition of the patient was considered the trigger in 55% of the cases. Aggression was directed at nurses in 82% of the cases. Visible injury was reported in 12 cases, 3 of which required medical treatment. Male gender, the presence of previous aggressive incidents, and the evening shift (in the case of dementia patients) were identified as risk factors.Conclusions:Aggression in dementia is often reactive and seems to be more predictable than if occurring with other diagnoses. Prevention measures such as de-escalations techniques, warning notes in the patient's file with previous aggressive behavior and stepping up for evening shifts are of crucial importance. As nurses were primarily affected, employer support programs, and mental health interventions are proposed to avoid long-term consequences.

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Higuet, S., L. Berte, F. Kromar, C. Lelubre, JP Praet, and N. Denewet. "512 - The impact of the Health Crisis on the psychological feeling of patients during the second wave of Covid-19 in Geriatric wards." International Psychogeriatrics 33, S1 (October 2021): 63. http://dx.doi.org/10.1017/s1041610221002076.

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ObjectivesDuring the Covid Health crisis, Belgium is one of the countries that currently counts a very high rate mortality among the elderly population.With more than 24,000 deaths, including more than 10 000 nursing home patients (for a total population of 11 million); this vulnerable population paid a heavy price during this pandemic. During the 2nd wave, we wanted to focus on the level of stress, anxiety, depression and loneliness among the Geriatric hospitalized population.MethodsThis prospective observational and multicentric study (CHU St Pierre and Hospital of Nivelles-Tubize) evaluated the psychological state of our patients hospitalized in Geriatrics from 16/11/2020 to 16/03/2021 (with a Minimal Mental State > 20/30) according to the Hospital Anxiety and Depression Scale (HAD) and to the Perceived Stress Scale(PSS).We also estimated their feeling of loneliness. We analysed their biographical, social and medical data as well as their Global Geriatric Evaluation. We will also observe if there are difference between patient living in Nursing Home (NH) or at home.ResultsThe sample (n=81) has an average age of 85 years and is predominantly female. The majority were widows with an average of 2 children living at homeAmong the 81 geriatric inpatients, 30% scored positive for anxiety, rising to 57% with questionable cases. The depression scale was found to be certain for 17%, rising to 39% if doubtful cases are taken into account.We did not observe a significant difference between the two categories for the patients living at home or in Nursing Home. For the Perceived Stressed Scale, 65% had a high stress score, 15% a moderate score and 20% a low score. It can be noted that nursing home residents also suffer more from loneliness (56%) than people living at home (35%).ConclusionThis study confirms that the pandemic has had a deleterious effect on the mental state of our elderly during the 2nd wave despite some efforts to reduce isolation. The high mortality rate could be explained by government mismanagement, a delay in action in NH, but also by a latent ageism in Belgium which it would be good to analyze after the pandemic.

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Chulakadabba, Kritapas, Weerasak Muangpaisan, Pitiporn Siritipakorn, Titima Wongviriyawong, Patumporn Suraarunsumrit, Chalobol Chalermsri, Somboon Intalapaporn, Wichai Chatthanawaree, Varalak Srinonprasert, and Prasert Assantachai. "Characteristics and Real-Life Outcomes of Dementia and Cognitive Impairment at a Geriatric Clinic." Dementia and Geriatric Cognitive Disorders 49, no. 3 (2020): 312–20. http://dx.doi.org/10.1159/000509731.

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Background: Various patterns of dementia care have been developed in different settings, depending on the availability of healthcare resources and facilities. The purpose of this study was to examine the epidemiology and characteristics of dementia care at a geriatric clinic, a field that has been subject to little prior evaluation. Methods: A retrospective chart review was undertaken of cohort patients with cognitive impairment who had received a diagnosis and were still on active follow-up at a geriatric clinic. A total of 892 patients were included. In addition, 203 geriatric patients with no cognitive impairment who attended the clinic during the study period were sampled as a control. Results: The main diagnoses of dementia were Alzheimer’s disease (AD) (40.1%), vascular dementia (16.9%), unspecified dementia (16.3%), mixed dementia (9.0%), AD with cerebrovascular disease (8.7%), and Parkinson’s disease dementia (6.1%). Atypical dementia was presented in 3.0% of cases. There were 178 patients with mild cognitive impairment, 20 with vascular cognitive impairment, and 18 with subjective cognitive decline. Other comorbidities were found in 97% of the subjects. Patients with cognitive impairment had a higher total number of other geriatric syndromes and higher percentages for delirium, falls, immobility, loss of appetite, and incontinence. Potentially reversible causes of dementia were found in 11.3% of the cases. Acetylcholinesterase inhibitors were administered to 61%, whereas 23.5% received an NMDA receptor antagonist. The need for a change in the antidementia medication was identified for 10.7% of the subjects; the major cause was adverse drug side effects. Nonpharmacological therapy only was administered to 52.4% of the people with dementia who had behavioral and psychological symptoms. Conclusions: Mixed brain pathologies, comorbidities, and the coexistence of other geriatric syndromes are common at geriatric clinics. Holistic, integrated, and continuous care are needed to improve the outcomes of patients with more complicated comorbidities.

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Widder, Sandy, Kristine Morch, Nori Bradley, Lauren Ternan, and Ni Lam. "Geriatric Recovery and Enhancement Alliance in Trauma (GREAT) multidisciplinary quality improvement initiative: improving rates of successful resuscitation, rehabilitation and reintegration of geriatric trauma patients across the trauma spectrum of care." Canadian Journal of Emergency Nursing 44, no. 2 (July 20, 2021): 5–6. http://dx.doi.org/10.29173/cjen129.

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Geriatric Recovery and Enhancement Alliance in Trauma (GREAT) multidisciplinary quality improvement initiative: improving rates of successful resuscitation, rehabilitation and reintegration of geriatric trauma patients across the trauma spectrum of care. Sandy Widder, Kristin E. Morch, Nori L Bradley, Lauren Ternan, Ni Thuyen Lam Background: Traumatic injuries are a significant cause of morbidity and mortality in the elderly, with the risk of poor outcomes increasing with advanced age. Using a multidisciplinary geriatric trauma care approach, led by a dedicated nursing coordinator, standardized order sets were implemented to reduce in-hospital complications and screening tools applied early to identify patient specific care needs. Specifically, early trauma consult, identification of injuries, appropriate opioid ordering, polypharmacy avoidance, delirium prevention, mental health issues, and mobility needs were addressed The goal was to improve geriatric trauma awareness, decrease in-hospital complications and improve the likelihood of return to home and baseline function Implementation: Through stakeholder consultation process, it was recognized that the hospital needed a coordinated, geriatric trauma team process. The geriatric trauma navigator (GTN) role was created to lead these quality improvement initiatives. This included the development of educational strategies for frontline staff and physicians to highlight the unique challenges of trauma patient management and to introduce the GREAT study for optimized patient care. Patients 65 years of age or older with a traumatic mechanism were enrolled. GREAT patients then followed a protocol designed for tracking and implementing standardized processes, including early ED and in-patient order sets, engagement of trauma services, and the application of screening tools and specialty consultations. Screening tools (Identification of Seniors At Risk (ISAR), Confusion Assessment Method (CAM), Mini-Cog, Patient Health Questionnaire (PHQ-2), Geriatric Depression Scale (GDS-15), Alcohol Use Disorders Identification Test- Concise (AUDIT-C), Canadian Nutrition Screening Tool (CNST), Clinical Frailty Scale, ADL/IDLs) were administered to identify at-risk patients and to inform consultation with geriatrics and psychiatry, and allied health services (occupation therapy, physical therapy, nutrition services, pharmacy). The study team evaluated data on a monthly basis and met quarterly to evaluate and implement changes. Evaluation Methods: Data was prospectively collected and compared to control data from the Alberta Trauma Registry and Trauma Quality Improvement Program (American College of Surgeons). Data tabulation and statistical analysis was performed using Stat59 (STAT59 Services Ltd, Edmonton, AB, Canada). Outcome measures-provision of timely and comprehensive care: rates of trauma team activations, emergencydepartment and in-hospital length of stay-reduction of hospital complications: UTI, DVT/PE, pneumonia, pressure ulcers, ICUadmission, unexpected readmission to hospital-improvement of functionality upon discharge: in-hospital and 30 day mortality rates,return to function, disposition (home versus long term care) Process measures-time to diet and ambulation-tracking of number of days of urinary catheter in situ-compliance with GOC discussions-use of assessment screening tools-spinal clearance <24 hours Results: Enrollment of patients into GREAT based on study criteria lowered the threshold for triggering a trauma team consult, improving the recognition rate of geriatric trauma. This was reflected in the decreased average ISS scores and higher rate of trauma consults. Ground level falls, which previously did not typically activate a trauma consult, are now be recognized as major trauma. With the GTN, we determined that gaps exist in the current monitoring of key performance measures. Through the GREAT data collection process, we were able to establish baseline data and target PDSA changes to address these gaps. Advice and Lessons Learned: This quality initiative was designed as a proof of concept model for early identification of the geriatric trauma patient and a collaborative team approach to optimize care processes, and in turn minimize complications. The GTN role was vital to identify patients, implement screening tools, and coordinate care. With limited resources and increasing work loads for all programs, the additional GTN role required site leadership and stakeholder support. Ideally, a protocolized geriatric trauma team activation and admission process would ensure all patients receive screening tools as part of their in-patient orders for early assessments and interventions. Further educational campaigns will need to be developed to increase awareness of the importance of geriatric trauma. Additionally, processes need to be streamlined for data gathering and monitoring of performance measures. Access to screening tools and order sets need to be user friendly, built into currently existing workflows, and evaluated for optimization.

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Afekouh, Hind, Patricia Baune, Diane De Falvelly, Fatima Guermah, Saïda Ghitri, and Nicole Haber. "Evaluation of antibiotic prescriptions for urinary tract infections in a geriatric rehabilitation unit." Gériatrie et Psychologie Neuropsychiatrie du Viellissement 15, no. 1 (March 2017): 47–54. http://dx.doi.org/10.1684/pnv.2017.0658.

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Burke, D. "A geriatric evaluation and management programme prevented functional decline and reduced depression in high risk older adults." Evidence-Based Mental Health 5, no. 1 (February 1, 2002): 9. http://dx.doi.org/10.1136/ebmh.5.1.9.

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Mackenzie, Corey S., Marsha Rosenberg, and Melissa Major. "Evaluation of a psychiatric day hospital program for elderly patients with mood disorders." International Psychogeriatrics 18, no. 4 (May 10, 2006): 631–41. http://dx.doi.org/10.1017/s1041610206003437.

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Background: Very little is known about the utility of psychiatric day hospitals for elderly adults with mood disorders. The objectives of this study were to evaluate a long-standing day-hospital program and to explore whether demographic and non-demographic patient characteristics were associated with treatment outcomes.Method: We used t-tests to compare retrospective admission and discharge data for 708 patients over a 16-year period, and multiple regression to examine predictors of improvement.Results: Depressed patients showed statistically and clinically significant improvements on the Geriatric Depression Scale and the Hamilton Depression Rating Scale. The number and severity of depressive symptoms at admission were strongly related to treatment outcomes. After controlling for initial levels of depression, demographic characteristics did not predict improvement, and axis I and II diagnoses modestly and inconsistently predicted improvement.Conclusions: A biopsychosocially-focused day-hospital treatment program was associated with improvements in depression in a large sample of elderly adults with mood disorders. Except for depression severity at admission, patient characteristics had very little impact on treatment outcomes, suggesting that day hospital programs are beneficial for a wide range of depressed elderly adults.

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Fields, Suzanne D., George Fulop, Charles J. Sachs, James Strain, and Howard Fillit. "Usefulness of the Neurobehavioral Cognitive Status Examination in the Hospitalized Elderly." International Psychogeriatrics 4, no. 1 (June 1992): 93–102. http://dx.doi.org/10.1017/s1041610292000929.

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A prospective pilot study compared the Neurobehavioral Cognituve Status Examination (NCSE) to the Folstein Mini-Mental State Examination (MMSE) to determine the usefulness of the NCSE as a cognitive screen in a geriatric inpatient population. All patients directly admitted to the geriatric evaluation and treatment unit (GETU) of a university teaching hospital over a two-and-a-half-month period were eligible for the study, in which 42% participated, Within 72 hours of admission, patients were given the MMSE and the NCSE in a nonrandom order by a trained psychologist and a structured interview by a psychiatrist. The ability of the NCSE to detect global cognitive impairment was compared to the MMSE and psychiatrist's assessment. Differences in sensitivity were examined by discordant pair analysis. The psychiatrist's determination of the presence of cognitive impairment was used as the criterion standard. Comparison of the MMSE and NCSE, respectively, revealed the following: sensitivity 83% versus 100%; specificity 78% versus 11%; positive predictive value 83% versus 43%; and negative predictive value 78% versus 100%. Seven patients who were cognitively impaired by the NCSE were not impaired by the MMSE (p < 0.05 by discordant pair analysis). The time of administration for the two tests was significantly shorter for the MMSE (14.75 ± 5.7 minutes) than for the NCSE (38.9 ± 12.9 minutes). The NCSE was found to be more sensitive than the MMSE in detecting cognitive impairment among geriatric inpatients, but its specificity and positive predictive values were lower. Beyond this pilot study, additional work examining the utility of the NCSE in other geriatric settings and for different purpose (e.g., as part of comprehensive assessment) needs to be performed.

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Korc-Grodzicki, Beatriz, Yesne Alici, Christian Nelson, Koshy Alexander, Ruth Manna, Natalie Gangai, Megan J. Shen, Patricia A. Parker, and Smita C. Banerjee. "Addressing the quality of communication with older cancer patients with cognitive deficits: Development of a communication skills training module." Palliative and Supportive Care 18, no. 4 (April 16, 2020): 419–24. http://dx.doi.org/10.1017/s1478951520000218.

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AbstractObjectiveEffective communication is an essential part of patient-centered care. The complexity of cancer care in older adults makes communication challenging, particularly when older patients have cognitive deficits and lose their autonomy. This paper describes the development, implementation, and evaluation of a communication skills training module for health care providers (HCPs) who work with older adults with cancer, with or at risk of developing cognitive deficits.MethodUsing a pre-post single arm study design, 99 HCPs from a comprehensive cancer center in North-East USA, who worked primarily with geriatric patients, participated in the study. Participants included Advance Practice Providers (including Nurse Practitioners and Physician Assistants; n = 24, 24.2%); nurses (n = 23, 23.2%), social workers (n = 14, 14.1%), physicians (n = 13, 13.1%), and “other” HCPs (including occupational therapists, physical therapists, and psychologists; n = 20, 20.2%). The HCPs participated in a one-day geriatric communication skills training program in groups of 12–15 over a 2-year period. Participants complete pre-post surveys on module evaluation and perception of self-efficacy as well as pre-post video-recorded Standardized Patient Assessment (SPA) to evaluate communication skill uptake.ResultsMost participants evaluated the module positively; over 90% indicated that they agreed or strongly agreed with five of the six module evaluation items. HCPs’ self-efficacy in communicating with cancer patients with cognitive deficits significantly increased from pre- to post-module training. There was a significant increase in the following communication skill use from pre- to post-training: checking patient preferences, declaring agenda, and inviting agenda.Significance of resultsResults demonstrated a successful implementation of the program as evidenced through favorable program evaluation, significant gains in self-efficacy, as well as significant improvement in several communication skills.

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Davies, Keren Nicola, Wendy Katherine Burn, Fiona Ross McKenzie, Judith Ann Brothwell, and John Philip Wattis. "Evaluation of the hospital anxiety and depression scale as a screening instrument in geriatric medical inpatients." International Journal of Geriatric Psychiatry 8, no. 2 (February 1993): 165–69. http://dx.doi.org/10.1002/gps.930080209.

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Yildiz, Sevler, Asli Kazgan, Osman Kurt, and Kerim Ugur. "Evaluation of depression, self-esteem and hopelessness in patients admitted to psychiatry outpatient clinic in geriatric population during COVID-19 outbreak." Medicine Science | International Medical Journal 10, no. 4 (2021): 1285. http://dx.doi.org/10.5455/medscience.2021.04.146.

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George, M., R. Gupta, and N. Elanchenny. "EPA-1223 – An evaluation of the effectiveness of a geriatric liaison psychiatry service in an acute district general hospital in the UK." European Psychiatry 29 (2014): 1. http://dx.doi.org/10.1016/s0924-9338(14)78467-6.

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Aguiló, Sira, Esther García, Adriana Arza, Jorge M. Garzón-Rey, and Jordi Aguiló. "Evaluation of chronic stress indicators in geriatric and oncologic caregivers: a cross-sectional study." Stress 21, no. 1 (October 24, 2017): 36–42. http://dx.doi.org/10.1080/10253890.2017.1391211.

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Wall, J. R., S. A. Deshpande, S. E. MacNeill, and P. A. Lichtenburg. "The fuld object memory evaluation, a useful tool in the assessment of urban geriatric patients." Archives of Clinical Neuropsychology 12, no. 4 (January 1, 1997): 423–24. http://dx.doi.org/10.1093/arclin/12.4.423a.

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Koenig, Harold G., Debra K. Weiner, Bercedis L. Peterson, Keith G. Meador, and Francis J. Keefe. "Religious Coping in the Nursing Home: A Biopsychosocial Model." International Journal of Psychiatry in Medicine 27, no. 4 (December 1997): 365–76. http://dx.doi.org/10.2190/m2d6-5ydg-m1dd-a958.

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Objective: To examine psychosocial and physical health correlates of religious coping in medically ill chronically institutionalized older adults. Religious coping is defined as the extent to which persons use religious beliefs and practices to help them to cope. Method: This is a cross-sectional cohort study conducted in a 120 bed VA-affiliated and a 125 bed university-affiliated community-based nursing home in Durham, North Carolina. Participants were 115 chronic care nursing home residents; mean age of the sample was seventy-nine years, 44 percent were women, and 17 percent were African Americans. Subjects were enrolled for a one-month period during which comprehensive psychosocial and health assessments were performed, including evaluation of cognitive function (Mini-Mental State Exam), physical function (Barthel index), severity of medical comorbidity (Cumulative Illness Rating Scale), self-reported physical pain (vertical verbal descriptor scale), depressive symptoms (Geriatric Depression Scale), social support (social network), and religious coping (Religious Coping Index). Results: Over 43 percent of the sample scored in the depressed range of the Geriatric Depression Scale. Almost 60 percent reported they used religion at least to a large extent when coping with their problems; 34 percent said that it was the most important factor that enabled them to cope. Patients who used religion to cope had greater social support ( p = .01), more severe medical illness ( p = .04), and better cognitive functioning ( p = .02). Conclusions: Religious beliefs and practices are frequently used by chronically institutionalized older adults to help them to cope. Religious coping is associated with more severe medical illness, higher social support, and better cognitive functioning.

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Mehra, Aseem, Arun Agarwal, Mohammad Bashar, and Sandeep Grover. "Evaluation of Psychometric Properties of Hindi Versions of Geriatric Depression Scale and Patient Health Questionnaire in Older Adults." Indian Journal of Psychological Medicine 43, no. 4 (June 28, 2021): 319–24. http://dx.doi.org/10.1177/02537176211022159.

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Background: A limited number of studies have evaluated the psychometric properties of rating scales used to assess depression in the older adults. The present study aimed to assess the validity of the Hindi Geriatric Depression Scale (GDS, 30, 15, 10, 5, 4, and 1 item version) and Hindi Patient Health Questionnaire (nine and two items version) in a group of older adults residing in a rural community. Methods: The psychometric properties of these scales were assessed against the diagnosis of depression a qualified psychiatrist made by using a semistructured interview. Results: Total 125 older adults were recruited from a rural community, with a mean age of 65.5 (SD: 6.4) years. The prevalence of depression was 36.8% as per the evaluation by the psychiatrist. When the agreement of different scales with the clinicians’ diagnosis was evaluated, it was seen that sensitivity, specificity, and Cohen Kappa value of GDS-30 and 15 were better than the other scales used to assess depression. When the sensitivity and specificity were evaluated using newer cutoffs, the specificity and sensitivity of GDS-30 were more than that of other scales. Conclusion: Hindi version of GDS-30 with a cutoff of 13 has excellent psychometric properties.

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Morgan, Kait, Robert W. Kessler, Kera Larson, Lydia Marvin, Katherine Carlson, Marissa Lange, and Freeman Chakara. "A-205 Impact of Depressive Symptoms on Memory Scores in Older Adults." Archives of Clinical Neuropsychology 37, no. 6 (August 17, 2022): 1360. http://dx.doi.org/10.1093/arclin/acac060.205.

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Abstract Objective: Geriatric adults’ neuropsychological scores were analyzed to clarify the impact of depressive symptoms on immediate and delayed memory. Methods: Geriatric adults (n=16) showing no or minimal signs of cognitive decline were recruited to participate in a telehealth neuropsychological evaluation (NPE). The participants (age range 65-89; M=74.25) included 10 females and 6 males. The participants completed a 30-minute intake interview, 60 minutes of NPE, and a post-assessment feedback survey. The subjects participated via remote administration using video telecommunication technology (VTCT). Results: A mixed methods experimental design was employed. A Pearson’s correlation coefficient was computed to assess the linear relationship between scores on a self-report measure of depressive symptoms [Geriatric Depression Scale (GDS)] and objective immediate and delayed memory measures [Wechsler Memory Scale Logical Memory-I & II (WMS LM), California Verbal Learning Test-3rd Edition, Brief Form (CVLT-3), Rey Complex Figure Task (RCFT)]. There was significant negative correlations found between scores on the GDS and CVLT Long Delay Free Recall Trial r(14) = -.62, p < 0.05, the CVLT Long Delay Cued Recall Trail r(14)= -.60, p < 0.05, and WMS Logical Memory II r(14)= -.75, p < 0.01. Conclusion: The significant findings for the Pearson’s correlation suggest a strong negative relationship between depressive symptoms and scores on delayed trials of auditorily presented memory measures in older adults. This provides support for depressive symptoms negatively impacting delayed memory abilities among older adults. Due to the limited sample size, further research is needed to support these findings.

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Journal articles on the topic 'Geriatric psychiatry Evaluation'

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