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Hoarding by elderly people
- Authors:
- STEKETTE Gail, FROST Randy O., KIM Hyo-Jin
- Journal article citation:
- Health and Social Work, 26(3), August 2001, pp.176-184.
- Publisher:
- Oxford University Press
This American study used a structured telephone interview with elder services providers to investigate hoarding behaviours in relation to functional impairment, cognitive deficits, and physical and psychological conditions in 62 elderly clients. Most elderly hoarders were female, unmarried, and lived alone. Clients were rarely insightful about their collecting and often resisted change, rendering interventions generally ineffective. Health and mental health implications of hoarding by elderly people and implications for treatment are discussed.
Psychotic symptoms in Patients with Dementia
- Authors:
- BALLARD Clive, OYEBODE Femi
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(9), September 1995, pp.743-752.
- Publisher:
- Wiley
Reviews the current state of knowledge pertaining to psychotic symptoms in patients with dementia, drawing on over 70 studies in this area.
Depressive symptoms in newly admitted nursing home residents
- Authors:
- ACHTERBERG Wilco, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(12), December 2006, pp.1156-1162.
- Publisher:
- Wiley
The aim was to study the relationship between the prevalence of depressive symptoms in newly admitted nursing home residents and their previous place of residence. In 65 nursing homes in the Netherlands trained physicians assessed 562 residents (mean age 78.5, range 28-101, 64.6% female) within 10 days after admission. Depressive symptoms were assessed with the Minimum Data Set (MDS) Depression Rating Scale (DRS), and the MDS items: diagnosis of major or minor depression, change in depression and indicators of persistent depressed, sad or anxious mood disorder present. Previous place of residence was categorized as own home, hospital or sheltered living facility. Adjustments were performed for demographic and health related factors measured with the MDS. The prevalence of depressive symptoms (DRS 3) for all 562 residents was 26.9%; it was higher in residents admitted from their own home (34.3%) than in residents admitted from the hospital (19.7%). Residents who were admitted from the hospital have an adjusted Odds Ratio for having many depressive symptoms of 0.54 (95% CI 0.31-0.94) compared to residents admitted from their own home. There is, after adjustment, no statistical significant difference between residents admitted from their own home, or residents admitted from a sheltered living facility. Depressive symptoms are very prevalent in nursing homes. Residents who are admitted from their own home, or from a residential facility, have more depressive symptoms than residents admitted from the hospital. This may reflect different conceptualizations or different adjustment patterns for those groups. For a better understanding of the factors associated with nursing home depression, future studies in detection, prevention and management of depressive symptoms should start prior to or directly after admission, especially for those who have no prior institutional history.
The Psychogeriatric Assessment Scales (PAS): psychometric properties in French and German speaking populations
- Authors:
- MACKINNON Andrew, MULLIGAN Reinhild
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(9), September 2001, pp.892-899.
- Publisher:
- Wiley
Investigates the structure and measurement properties of the Psychogeriatric Assessment Scales (PAS) in a community sample, studies the performance of French and German translations of the PAS, determines the power of PAS scales to discriminate dementia and depression diagnosed to DSM-IV criteria. The measures were gathered as part of a large community survey. Responses to PAS items were obtained in the course of the administration of the Canberra Interview for the Elderly. Demographic variables, the mini-mental state examination and measures of premorbid intelligence robust to current intellectual impairment were also gathered in the course of the survey. There were 465 participants from Zurich and 456 from Geneva. Concludes that the study supports the PAS as a valid and reliable summary of the status of older persons with respect to the impairments, changes and symptomatology that lie at the core of dementing and depressive disorders. This study not only supports the results found in the original development sample, but demonstrates that it performs well against DSM-IV diagnostic criteria and amongst speakers of French and German.
Assessing disruptive behavior in older adults: the Disruptive Behavior Scale
- Authors:
- BECK C., et al
- Journal article citation:
- Aging and Mental Health, 1(1), February 1997, pp.71-79.
- Publisher:
- Taylor and Francis
Disruptive behaviours in older adults with dementia negatively affect their quality of life, their quality of care and resource efficiency. This article discusses the development and testing of an instrument to assess the severity of disruptive behaviour in geropsychiatric patients. Results found that the use of weighting in the Disruptive Behaviour Scale improved the ability to predict perceived patient disruptiveness over other schemes to score disruptive behaviour. The scale also provided a measure of patient disruptiveness that takes into account the frequency and impact of individual behaviours.
Mental illness and the use of restraints in nursing homes
- Author:
- BURTON Lynda C.
- Journal article citation:
- Gerontologist, 32(2), 1992, pp.164-170.
- Publisher:
- Oxford University Press
Describes research on newly admitted residents to identify predictors of restraint use.
Social behavior and physical restraints
- Authors:
- FOLMAR S., WILSTON H.
- Journal article citation:
- Gerontologist, 29(5), October 1989, pp.650-653.
- Publisher:
- Oxford University Press
Research suggests that physical restraints may be the cause as well as a consequence of deteriorating social skills.
Therapist and patient perspectives on cognitive-behavioral therapy for older adults with hoarding disorder: a collective case study
- Authors:
- AYERS Catherine R., et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.915-921.
- Publisher:
- Taylor and Francis
This study investigated therapist and patient perspectives on a specialised cognitive-behavioural therapy (CBT) protocol for clinically significant hoarding in older adult patients. Data were derived from therapist observation, CBT consultant observation, clinical treatment notes, participant feedback and participant in-session notes and completed homework assignments. Findings revealed that the value of homework, treatment session compliance, and deficits in executive functioning were common themes among participants as viewed by the therapist. Patients reported that exposure exercises and the therapeutic relationship were the most helpful aspects of their treatment, while cognitive strategies had limited success. Treatment for hoarding in older adults may be improved by focusing on exposure therapy elements, providing simplified homework assignments, and decreasing the emphasis or modifying cognitive restructuring techniques. Implications for practice are discussed.
Hoarding cases involving older adults: the transition from a private matter to the public sector
- Authors:
- CHAPIN Rosemary Kennedy, et al
- Journal article citation:
- Journal of Gerontological Social Work, 53(8), November 2010, pp.723-742.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this study was to identify individual and environmental characteristics in hoarding cases that progressed from being a private matter to being a public concern. Hoarding interventions with older adults require significant resources from multiple public agencies, but recidivism is common. Some US communities have formed multiagency hoarding teams (MAHT), which include aging services, to better coordinate and improve services. The authors explored the characteristics of hoarding cases, older adults hoarding behaviour, and the ways in which hoarding situations come to public attention. Data was collected on 52 cases involving adults aged over 60 years from file reviews of open cases and telephone interviews with MAHT members in seven counties across six states. A number of case studies illustrate the progression of cases through the public sector. Nearly three quarters of the cases involved women, most were Caucasian but the number of African Americans was disproportionately high, many were unmarried and/or reclusive. The authors conclude that individual characteristics interact with physical manifestations of hoarding leading to a transition from a private matter to a public interest concern involving health risk or danger to others.
Vocally disruptive behaviour in the elderly: a systematic review
- Authors:
- GUNTEN Armin Von, et al
- Journal article citation:
- International Psychogeriatrics, 20(4), 2008, pp.653-672.
- Publisher:
- Cambridge Journals
Vocally disruptive behaviour is a common condition in the elderly, especially among those with advanced dementia, but is difficult to treat. This review examines the current state of knowledge about prevalence, causes and treatments, both pharmacological and psychosocial. The evidence base remains very limited and (in the case of interventions) largely anecdotal, despite the prevalence of the condition and its deleterious effects on other patients, carers and professional staff. The heterogeneous and multiple contributory factors suggest that a range of different interventions tailored to the individual’s needs, and based on careful assessment of the origins and purposes of the behaviour, will be needed.