Search results for ‘Subject term:"mental health problems"’ Sort:
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International Psychogeriatrics
- Publisher:
- Cambridge Journals
The journal aims to be the leading peer reviewed journal dealing with the mental health of older people throughout the world in all its aspects. Published quarterly, International Psychogeriatrics features research articles, important editorials, commentaries, book reviews and letters to the editors. Coverage on Social Care Online from this journal is limited to relevant systematic reviews only.
Epidemiology of paranoid symptoms in an elderly population
- Authors:
- FORSELL Yvonne, HENDERSON Scott A.
- Journal article citation:
- British Journal of Psychiatry, 172, May 1998, pp.429-432.
- Publisher:
- Cambridge University Press
This article aims to estimate the community prevalence and to identify some associated variables. A community sample of 1420 elderly people, was extensively examined by nurses and physicians. Paranoid symptoms in this elderly population were associated most strongly with cognitive impairment. Other associated variables pointed to a higher level of social isolation than others in the community.
The practice of geriatric psychiatry in three countries: observations of an American in the British Isles
- Author:
- REIFLER B.V.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(8), August 1997, pp.795-807.
- Publisher:
- Wiley
The author compares the practice of geriatric psychiatry among the three countries: Ireland, the United Kingdom and the United States. Reviews how the practice of geriatric psychiatry is carried out, and the mental health services available in each country, including organisational characteristics. Findings suggest the USA is the most entrepreneurial of the three, Britain's greatest strength is the uniformity and comprehensiveness of its services, and Ireland provides an excellent model for nations of comparable size. Also found that considerable change is occurring in all three countries.
Adapting services for a changing society: a reintegrative model for old age psychiatry (based on a model proposed by Knight and Emanuel, 2007)
- Authors:
- BLANCHARD Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(2), February 2009, pp.202-206.
- Publisher:
- Wiley
The authors discuss models of care for older people with mental health problems. The weaknesses of the Recovery model for this group are discussed, and an alternative, the reintegration model is put forward.
Profile of psychiatric disorders and life events in medically ill elderly: experiences from geriatric clinic in Northern India
- Authors:
- PRAKASH Om, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(11), November 2007, pp.1101-1105.
- Publisher:
- Wiley
Morbidity among elderly people has an important influence on their psychological well-being. Evaluation of the morbidity profile and its determinants, which have implications for management of medical problems of elderly people, are scarce in developing countries. Even the physicians' detection rate of mental distress in elderly populations is low in medical outpatient clinics. This could be due to the large caseloads and also, importantly, underestimation of psychological concerns of the elderly. The objective of this study was to study the psychiatric co-morbidity and life events among elderly medical outpatients One hundred medically ill elderly (>60 years) patients attending the Geriatric Clinic at Bikaner (North India) constituted the study population. The physical diagnosis was made by a physician based on reported illness, clinical examination and medical records. Psychiatric diagnosis was made by detailed clinical psychiatric interview using ICD-10 guidelines. Life events were assessed by the Indian adaptation of Presumptive Stressful Life Events Scale. Hypertension was the most commonly reported physical diagnosis (50%), other specific medical illnesses were osteoarthritis (15%), diabetes (13%) and constipation (8%). The study found 18% subjects had depression and 11% had other mental disorders. Patients with mental disorders had suffered more recent stressful life events. Among life events, conflicts in family (16%); unemployment of self or children (9%) was reported by elderly psychiatric patients. Other reported life events in psychiatric diagnosed elderly were conflict in family (7%), illness of self (6%) or family members (5%) and death of family members (5%) or close relatives (4%). Mental disorders are common among medically ill elderly patients, but they are poorly recognized and treated. Assessment of the psychiatric morbidity will help in strengthening psycho-geriatric services and thus, improve the quality of life of the elderly.
The prevalence of psychiatric symptoms and behavioural disturbances and the use of psychotropic drugs in Norwegian nursing homes
- Authors:
- SALBAEK Geir, KIRKEVOLD Oyvind, ENGEDAL Knut
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(9), September 2007, pp.843-849.
- Publisher:
- Wiley
Psychiatric and behavioural symptoms in dementia are associated with a range of negative outcomes, including institutional placement and the widespread use of psychotropic drugs in spite of limited evidence for their efficacy. The aim was to determine the prevalence of psychiatric and behavioural symptoms and the pattern of psychotropic drug prescription in patients with various degrees of dementia. A sample of 1,163 non-selected nursing home patients were assessed by means of the Neuropsychiatric Inventory, the Clinical Dementia Rating scale and Lawton's activities of daily living scale. In addition, information was collected from the patients' records. Dementia was found in 81% of the patients and 72% of them had clinically significant psychiatric and behavioural symptoms. The frequencies of symptoms increased with the severity of the dementia. Psychotropic medication was being prescribed to 75% of patients with dementia. There was a significant relationship between the type of drug and the symptom for which it had been dispensed. Psychiatric and behavioural symptoms are frequent in nursing homes and the rate increases with the progression of the dementia. Systematic programmes are needed for disseminating skills and providing guidance regarding the evaluation and treatment of these symptoms in nursing homes.
Prevalence of depression in older patients consulting their general practitioner in the Netherlands
- Authors:
- LICHT-STRUNK Els, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(11), November 2005, pp.1013-1019.
- Publisher:
- Wiley
Data of The West Friesland Study were used. Five thousand, six hundred and eight-six GP attendees of 55 years and older filled in the Geriatric Depression Scale - 15 items as a screening instrument for depression (response 62%). Of those screened positive on the GDS-15, 846 (77.5%) were interviewed using the Primary Care Evaluation of Mental Disorders (PRIME-MD). A random sample of 102 patients scoring below the threshold of the GDS-15 was interviewed to estimate the proportion of false negatives. Major depression was prevalent in 13.7% and minor depression in 10.2% of the patients. Depressed patients were older, more often female and lived more often in urban districts. Patients with major depression were younger and more often female than those with a minor depression. Only 22.9% of the patients with a major depression were treated with antidepressants. Depression in older GP attendees is a very common health problem. Further research should focus on identifying those groups of patients with high risk of persistence of depression. This could help to focus the limited resources available in general practice to those patients in whom treatment is most urgently needed.
International Journal of Geriatric Psychiatry
- Publisher:
- Wiley
The International Journal of Geriatric Psychiatry provides an international perspective on the of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services. This journal is indexed and abstracted selectively on Social Care Online.
Alzheimer's Disease and dementia
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 1999
- Pagination:
- 10p.
- Place of publication:
- London
Part of a series of booklets describing a range of mental health problems, aiming to make people more understanding of what these are and of the people who suffer from them. This pamphlet looks at Alzheimer's Disease and dementia, particularly in older people.
The natural history of mental disorder on old age. Martin Roth, Journal of Medical Science (1955) 101, 281-301
- Author:
- BURNS Alistair
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(1), January 1996, pp.7-14.
- Publisher:
- Wiley
This article is part of a series in which key papers in old age psychiatry are presented with an introduction, commentary by the original author and current update by someone working in the field. The paper was the first attempt to differentiate the features of clinical psychiatric illness in later life and has been comprehensively summarized. The salient findings of the paper are presented and discussed.