Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychopathological features in patients with Parkinson's disease and related caregivers’ burden
- Authors:
- STELLA Florindo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(10), October 2009, pp.1158-1165.
- Publisher:
- Wiley
This study aimed to identify the profile of psychopathological symptoms in patients with Parkinson's disease (PD) and the impact of this condition on the carer’s burden. Fifty patients with PD were divided into groups according to the respective psychiatric diagnosis, and caregivers were divided into groups according to the mental condition of their patients. To assess the mental condition of patients and caregivers’ burden, and to correlate psychopathological features found with clinical features of PD, the Neuropsychiatric Inventory was applied. The conclusion was that patients with dementia presented more severe motor impairments and lower functionality, followed by patients with depression and those non-demented, non-depressed. Psychotic symptoms, agitation, aberrant motor behaviours and sleep disturbances were higher in the dementia group. Neuropsychiatric disturbances from both the dementia and depression groups represented a significant burden for their respective carers, which was highest for patients with dementia.
Mental health and well-being in later life: report of a regional seminar programme April-May 2004
- Author:
- HEALTH SCOTLAND
- Publisher:
- NHS Health Scotland
- Publication year:
- 2005
- Pagination:
- 28p.
- Place of publication:
- Edinburgh
The mental health and well-being of older people is a much neglected issue. Dementia affects 1 in 20 people over the age of 65, and depression is even more common, affecting up to 1 in 6 in the same age group. Other mental health problems are at least as common among older people as they are among younger people. Older people's mental health often falls 'between two stools' because research, policy and practice frameworks in the UK tend to focus either on older people or on mental health. Age discrimination and the stigma surrounding mental illness act as a 'double whammy' that disadvantages all older people. Gaps are starting to be filled but mental health problems are still too often seen as a 'normal' part of ageing. There is a notable lack of understanding of the wide range of older people's mental health needs and how they may differ from those of younger people. As a result, these needs are not being recognised or met.
Confusional State Evaluation (CSE): an instrument for measuring severity of delirium in the elderly
- Authors:
- ROBERTSSON B., et al
- Journal article citation:
- British Journal of Psychiatry, 170, June 1997, pp.565-570.
- Publisher:
- Cambridge University Press
Presents the results of a study which aimed to construct a reliable and valid instrument for measuring delirium or confusional state in older people. Results of the study found that the CSE instrument was a useful and reliable measurement which can be used to follow the course of confusion.
Making life better: mental health for older people
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 1995
- Pagination:
- 24p.,bibliog.
- Place of publication:
- London
Describes 4 research projects which provide a greater understanding of the needs of older people with dementia and mental health problems, including depression.
Elderly patients and the Mental Health Act 1983
- Authors:
- GILMORE C., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(10), October 1994, pp.809-818.
- Publisher:
- Wiley
Reports a retrospective casenote review which was carried out in Southport on all patients over 65 years of age who were detained under the Mental Health Act 1983 during the first six years of its operation. There were 132 episodes of detention affecting 120 patients. 53% were for organic illness and 47% for functional illness. the organically ill were detained most commonly because the carer was no longer able to cope or, for those living alone, because of self-neglect. The functionally ill were most commonly detained in the interests of their health alone. The majority of patients with dementia were not discharged to their previous address after being detained but to residential care. Twenty-seven per cent of the whole sample died within a year of being detained, a rate higher than in the general population.
Narrative inquiry on case studies of crisis in dementia
- Authors:
- BOSCO Alessandro, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.181-191.
- Publisher:
- Emerald
Purpose: This study aims to explore the coping styles that can be inferred from the discourse of dyads with dementia, and how these appear to impact on care management. Design/methodology/approach: This was a case study approach. Participants were recruited from two teams managing crisis in dementia in the UK. The authors conducted multiple qualitative interviews with people with dementia and their family carers over the course of one month. The analysis was first performed through thematic analysis. Data were further analysed through narrative inquiry to create a story line, or play in our case, for our findings. Findings: Five dyads were interviewed and a total of 16 interviews were conducted. Three dyads were husband–wife and two were daughter–mother relationships. The mean age was 67.4 years for carers and 79.8 years for people with dementia. In these cases, the carer assumed responsibility for managing the episode and was more likely to seek formal help if a pre-existing plan was in place. Otherwise, when a crisis arose, dyads preferred to avoid involving professionals. Practical implications: Psychosocial interventions should aim to identify and replace unhelpful strategies used by dyads to manage crisis episodes. Originality/value: To the best of the authors’ knowledge, this is the first study using qualitative interviews of dyads to inquire into their experience of mental health crisis. (Edited publisher abstract)
Development and preliminary testing of a framework for quantifying local service provision for people with dementia
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.193-202.
- Publisher:
- Emerald
Purpose: It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this. Design/methodology/approach: Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area. Findings: The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services. Originality/value: The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice. (Edited publisher abstract)
The interface between dementia and mental health: an evidence review
- Author:
- REGAN Marguerite
- Publisher:
- Mental Health Foundation
- Publication year:
- 2016
- Pagination:
- 52
- Place of publication:
- London
Explores the relationship between dementia, mental health and mental health problems. An evidence review was carried out to explore the extent to which people living with dementia have co-existing mental health problems and several interviews were undertaken to get a clearer idea of the real world experiences of those working with people living with dementia and mental health problems. The report begins with a section discussing the similarities and differences between dementia, cognitive impairment and mental health problems, followed by a section on the identification issues. It then discusses the current policy in relation to mental health and dementia, and the social and economic costs associated with both. Care, service provision and treatment methods identified through the review are then discussed, followed by gaps and resources. The main finding of this review is that co-morbidities are under-diagnosed in people living with dementia, not extensively researched and therefore not understood fully. The relationship between dementia and mental health problems is not well documented, and extensive searching found relatively little literature on the challenges or experiences associated with living with this co-morbidity. There was also an overwhelming lack of literature on the care needs of those with dementia who develop a mental health problem or for those with a pre-existing mental health problem with develop dementia. This translates into a lack of understanding within service provision and an absence of specialised services for people living with both mental health problems and dementia, which was confirmed through the interviews with people working as service providers. The review ends with some recommendations based on the findings of the review, focusing on the policy, organisational and programme levels. (Edited publisher abstract)
Incremental patterns in the amount of informal and formal care among non-demented and demented elderly persons results from a 3-year follow-up population-based study
- Authors:
- WIMO A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(1), January 2011, pp.56-64.
- Publisher:
- Wiley
Against the assumption that care for older people includes complex interactions between formal services and informal care, this study aimed describe longitudinal patterns in formal and informal care given to older people with and without dementia. The older people studied (who were participating in a longitudinal population-based study on ageing and dementia called the Kungsholmen-Nordanstig Project) were aged 75 years and over, and living at home in a rural area in northern Sweden. They were clinically examined and interviewed at the baseline of the project and at follow-up approximately 3 years later. The researchers found that overall quantified informal care at follow-up for those still living at home was about 3 times larger than formal care. They also found that the amount of informal care was lower for people with dementia still living at home at follow-up than at baseline, probably due to effects such as institutionalisation and mortality, and that having mild cognitive decline and no home support at baseline had a strong association with receiving care or being dead at follow-up.
Post-traumatic stress disorder and prediction of aggression in persons with dementia
- Authors:
- BALL Valdesha L., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(11), November 2009, pp.1285-1290.
- Publisher:
- Wiley
Aggression is an important issue in the management and treatment of post traumatic stress disorder (PTSD) in combat veterans. Both PTSD and dementia have been implicated in the increased risk of aggression, but the relationship between PTSD and aggression among patients with dementia remains unclear. This study looked at a prospective cohort of veterans newly diagnosed with dementia (using patients from a Veterans Affairs Medical Centre in Houston, Texas) to evaluate the possibility of an increased incidence of aggression in patients with dementia who had a pre-existing diagnosis of PTSD, compared with those without a diagnosis of PTSD. It found no evidence to support an increased risk of aggression in patients with coexisting diagnoses of dementia and PTSD, and noted that it is important to consider other causal factors that may increase risk of aggression and that further studies would be valuable.