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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.
Taking a positive spin: preserved initiative and performance of everyday activities across mild Alzheimer's, vascular and mixed dementia
- Authors:
- GIEBEL Clarissa M., BURNS Alistair, CHALLIS David
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(9), 2017, pp.959-967.
- Publisher:
- Wiley
Objectives: The literature commonly evaluates those daily activities which are impaired in dementia. However, in the mild stages, people with dementia (PwD) are still able to initiate and perform many of those tasks. With a lack of research exploring variations between different dementia diagnoses, this study sought to investigate those daily activities with modest impairments in the mild stages and how these compare between Alzheimer's disease (AD), vascular dementia (VaD) and mixed dementia. Methods: Staff from memory assessment services from nine National Health Service trusts across England identified and approached informal carers of people with mild dementia. Carers completed the newly revised Interview for Deteriorations in Daily Living Activities in Dementia 2 assessing the PwD's initiative and performance of instrumental activities of daily living (IADLs). Data were analysed using analysis of variance and Chi-square tests to compare the maintenance of IADL functioning across AD, VaD, and mixed dementia. Results: A total of 160 carers returned the Interview for Deteriorations in Daily Living Activities in Dementia 2, of which 109, 21, and 30 cared for someone with AD, VaD, and mixed dementia, respectively. There were significant variations across subtypes, with AD showing better preserved initiative and performance than VaD for several IADLs. Overall, PwD showed greater preservation of performance than initiative, with tasks such as preparing a hot drink and dressing being best maintained. Conclusion: Findings can help classify dementia better into subtypes in order to receive bespoke support. It suggests that interventions should primarily address initiative to improve overall functioning. (Publisher abstract)
Rating scales in old age psychiatry
- Authors:
- BURNS Alistair, LAWLOR Brian, CRAIG Sarah
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.161-167.
- Publisher:
- Cambridge University Press
There is a vast array of scales available to assess all aspects of mental and physical health in older people which may be of relevance to the work of old age psychiatrists. This article summarises some of the scales that may be commonly used in clinical and research practice and to give the reader guidelines as to where further information can be obtained.