Search results for ‘Subject term:"mental health problems"’ Sort:
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Parkinson's and associated mental health issues
- Author:
- HEISTRS Daiga
- Journal article citation:
- Nursing and Residential Care, 13(5), May 2011, pp.248-250.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
The impact of Parkinson's disease on an individual mental health is discussed. The article looks at anxiety, depression, hallucinations, dementia and communication problems.
Cognitive–behavioural therapy for anxiety in dementia: pilot randomised controlled trial
- Authors:
- SPECTOR Aimee, et al
- Journal article citation:
- British Journal of Psychiatry, 206(6), 2015, pp.509-516.
- Publisher:
- Cambridge University Press
Background: Anxiety is common and problematic in dementia, yet there is a lack of effective treatments. Aims: To develop a cognitive–behavioural therapy (CBT) manual for anxiety in dementia and determine its feasibility through a randomised controlled trial. Method: A ten-session CBT manual was developed. Participants with dementia and anxiety (and their carers) were randomly allocated to CBT plus treatment as usual (TAU) (n = 25) or TAU (n = 25). Outcome and cost measures were administered at baseline, 15 weeks and 6 months. Results: At 15 weeks, there was an adjusted difference in anxiety (using the Rating Anxiety in Dementia scale) of (–3.10, 95% CI –6.55 to 0.34) for CBT compared with TAU, which just fell short of statistical significance. There were significant improvements in depression at 15 weeks after adjustment (–5.37, 95% CI –9.50 to –1.25). Improvements remained significant at 6 months. CBT was cost neutral. Conclusions: CBT was feasible (in terms of recruitment, acceptability and attrition) and effective. A fully powered RCT is now required. (Publisher abstract)
Anxiety disorders in dementia sufferers
- Authors:
- BALLARD Clive, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(11), November 1996, pp.987-990.
- Publisher:
- Wiley
One hundred and fifty-eight consecutive patients attending a university memory clinic were assessed using variety of standardized instruments. Dementia was diagnosed according to DSM-III-R criteria. One hundred and nine patients had DSM-II-R dementia. None of the cognitive or demographic variables were significantly associated with the presence of anxiety symptoms. Three main categories of anxiety symptoms were evident - anxiety related to depression, anxiety related to psychosis and anxiety to interpersonal situations.
Concise guide to geriatric psychiatry
- Authors:
- SPAR James E., LA RUE Asenath
- Publisher:
- American Psychiatric Press
- Publication year:
- 1990
- Pagination:
- 208p.,tables,bibliogs.
- Place of publication:
- Washington, DC
Contains sections on: normal ageing; diagnosis and treatment of mood disorders; dementia and delirium; anxiety disorders and late-onset psychosis; and other common mental disorders, including sleep disorders and sexual dysfunction.
Depression and anxiety among partner and offspring carers of people with dementia: a systematic review
- Authors:
- WATSON Brittany, TATANGELO Gemma, MCCABE Marita
- Journal article citation:
- Gerontologist, 59(5), 2019, p.e597–e610.
- Publisher:
- Oxford University Press
Background and Objectives: Family carers of people with dementia (PWD) experience high rates of depression and anxiety. However, the factors that are associated with these mental health concerns among family carers are not well understood. The purpose of this review was to identify factors that are associated with depression and anxiety in family carers of PWD. Research Design and Methods: A systematic review was conducted of studies that examined depressive or anxiety symptoms among family caregivers of community-dwelling older adults with dementia. Twenty-six studies met inclusion criteria and were included in the review. Results: Depressive and anxiety symptoms were related to demographic factors, dementia characteristics, carer psychological and social factors, and dyadic relationship factors. Some prominent factors were consistently associated with depressive symptoms across studies. Female carers and adult–child carers, rather than spousal carers, were more likely to experience depressive symptoms. Carers’ coping strategies and activity restriction were also found to be strongly related to depressive symptoms. Severity of dementia-related problematic behaviours was related to carers’ depression and anxiety symptoms. In addition, relationship type and quality were important factors associated with depressive symptoms. Discussion and Implications: Several important risk factors for carer depression were highlighted in this review. However, a lack of measurement precision and a reliance on cross-sectional studies limits our understanding of exactly how depression and anxiety progress during the caregiving experience. The implications for prevention and intervention programs for depression and anxiety are discussed, as well as suggestions for future research to improve the quality of research in this area. (Edited publisher abstract)
Insomnia and mental health disorders
- Authors:
- PULLEN Lisa, MAYES Wendy, HORTON Krista
- Journal article citation:
- Mental Health Today, May/June 2013, pp.24-26.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article discusses the links between insomnia and specific types of mental illness. After describing the difference between primary and secondary insomnia, the article focuses on depression and anxiety, bipolar disorder, ADHD, dementia, and substance induced sleep disorder. (Original abstract)
Mental health and later life: delivering an holistic model for practice
- Editors:
- KEADY John, WATTS Sue, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2011
- Pagination:
- 200p.
- Place of publication:
- London
Taking an interdisciplinary approach, this publication looks at different practice contexts in the United Kingdom and the increasingly important role played by social care in addressing the mental health needs of older people. Part 1 covers caring, practice and community contexts and social care approaches. Part 2, focuses on the clinical topics of: depression and anxiety; mood disorders; psychoses; neurosis; dementia; alcohol and dual diagnosis; and later life liaison services. Case studies are used to illustrate current practice. Part 3 looks at the way forward and the final chapter distils key messages from the book and sets a number of key challenges.
Promoting the mental health and well-being of older people: trainer manual to support the level 2 award
- Authors:
- CLARE Alison, CUTHBERT Sharon Lee
- Publisher:
- Pavilion
- Publication year:
- 2008
- Pagination:
- 157p., CD ROM
- Place of publication:
- Brighton
This training manual provides the resources and materials to deliver training to those involved in improving the mental health and well-being of older people, including paid staff, volunteers and informal carers. It includes guidance for trainers, activities and timings, and suggests learning materials and resources. The manual has been developed to support the Level 2 City and Guilds Award, but can also be used to delivery non-accredited learning programmes. The contents are split into five units: the principles and values that underpin the promotion and well-being and mental health with older people; mental well-being, mental health problems and older people; communication and relationships; working within services to promote well-being and mental health with older people; and developing yourself and your role.
Assessing family caregiver's mental health using a statistically derived cut-off score for the Zarit Burden Interview
- Authors:
- SCHREINER A. S., et al
- Journal article citation:
- Aging and Mental Health, 10(2), March 2006, pp.107-111.
- Publisher:
- Taylor and Francis
Decades of research have confirmed that being a family caregiver is a stressful role. However, the point at which these stressors constitute a real risk for decreased mental health has not been established. The purpose of the present study was to determine a statistically valid cut-off score for the Zarit Burden Interview (ZBI) in order to identify family caregivers at risk for depression and in need of further assessment and intervention. The ZBI and the Geriatric Depression Scale or the CES-D were administered to three different populations of family caregivers of older adults: stroke caregivers (n?=?80), chronic obstructive pulmonary disease (COPD) caregivers (n?=?48), and general disability caregivers (n?=?70). Using three different statistical methods, a ZBI cut-off score was determined. Next, contingency analysis was used to compare depression scale scores and ZBI cut-offs for the three groups of caregivers. Findings suggest that a cut-off score ranging from 24–26 has significant predictive validity for identifying caregivers at risk for depression. A ZBI cut-off of 24 correctly identified 72% of caregivers with probable depression. The validity of ZBI cut-offs scores warrants further confirmation with larger samples. Valid cut-off scores would enable health care providers to assess family caregivers at risk and provide necessary interventions to improve their quality of life in this important role.
Perceptions of caregiving role by son's caring for a parent with Alzheimer's disease: a qualitative study
- Authors:
- SANDERS Sara, McFARLAND Peggy
- Journal article citation:
- Journal of Gerontological Social Work, 37(2), 2002, pp.61-76.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In this qualitative study, 18 sons were interviewed about the factors that led them to assume the role of primary caregiver for a parent with progressive memory loss, such as Alzheimer's disease, as well as the personal challenge that they experienced in this role. The analysis demonstrated that sons experience a range of emotional reactions, personal and professional conflict, as well as learn about new roles and responsibilities as they attempt to access the needed services for their parent.