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Factors associated with non-use of antipsychotics among older residents with schizophrenia in long-term institutional care
- Authors:
- ALANEN Hanna-Mari, FINNE-SOVERI Harriet, LEINONEN Esa
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(12), December 2008, pp.1261-1265.
- Publisher:
- Wiley
This study aimed to investigate factors associated with non-use of antipsychotics among older schizophrenia residents in long-term institutional care. A retrospective study was designed using cross-sectional data gathered between 1 January and 30 June 2006 in Finland. Data were extracted from the Resident Assessment Instrument (RAI) database, based on Minimum Data Set for long-term care facilities (MDS-LC) assessments. Residents with schizophrenia 65 years or older were included, giving a total of 356 patient assessments. The prevalence of older schizophrenia residents not receiving any antipsychotic medication was 18.5%. Factors independently associated with non-use of antipsychotics in the logistic regression model were: severe degree of functional impairment, severely impaired vision, any diagnosis of dementia and severe underweight. There was a negative association between non-use of antipsychotics and a factor had arrived from a psychiatric hospital. Severe degree of functional impairment and dementia were the main findings associated with non-use of antipsychotics in this resident group.
The comparison of burden between caregiving spouses of depressive and demented patients
- Authors:
- LEINONEN Esa, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(4), April 2001, pp.387-393.
- Publisher:
- Wiley
Article compares the burden of the spouses of depressive and demented elderly patients admitted to a Psychogeriatric Clinic in Finland. Found that the spouses of demented patients as a group were psychologically more stressed than the spouses of depressive patients. However, when demented patients were divided into two groups, in those admitted mainly for noncognitive symptoms related to dementia and in those admitted for memory assessment and diagnostic purposes, the burden of the spouses in the former group was higher than that of the group of depressive patients' spouses. No difference was found between the latter group of demented patient spouses and depressive patients' spouses. A correlation was found within both groups between low functional capacity of the patient and the stress of the spouse. In both groups the spouses who felt their own mental health to be poor were more likely to have high levels of burden. Concludes that among the general psychogeriatric patient groups, the caregiving spouses of demented patients with noncognitive psychiatric symptoms are the most burdened group. However, spouses of depressive patients are as much burdened as those of demented patients with mild to moderate memory impairment. More support is needed for every spouse group caring for psychogeriatric patients.