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An informant interview for the diagnosis of dementia and depression in older adults (IDD-GMS)
- Authors:
- LEWIS Simon, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 13(5), May 1998, pp.298-309.
- Publisher:
- Wiley
The present study describes the development and validation of an informant interview for the diagnosis of dementia and depression in older adults (IDD-GMS), which is based upon the well established Geriatric Mental State Schedule (GMS). Found that the validity and reliability of the IDD-GMS falls within acceptable limits and indicates that the IDD-GMS can be used as a diagnostic instrument for dementia and depression. The IDD-GMS represents the first informant interview to achieve this.
Validation of the modified telephone interview for cognitive status (TICS-m) in Hebrew
- Authors:
- BEERI Michal Schnaider, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.381-386.
- Publisher:
- Wiley
The validity of the Hebrew version of the Telephone Interview for Cognitive Status-Modified (TICS-m) for Mild Cognitive Impairment (MCI), for dementia, and for cognitive impairment (either MCI or dementia) was investigated. Of the 10 059 who took part of the Israel Ischemic Heart Disease Cohort, 1902 of the 2901 survivors in 1999 had TICS-m interviews. Those with a score of 27 or below and a random sample with a score of 28 or 29 were invited to have a physician's examination for the diagnosis of dementia. The analysis was performed on the 576 who agreed. Based on physician's diagnosis, 269 were diagnosed as suffering from dementia, 128 as suffering from MCI, and 179 were diagnosed with no cognitive impairment. The TICS-m Hebrew version's internal consistency was very high (Cronbach's alpha = 0.98) and showed a strong convergent validity with the MMSE (r = 0.82; p < 0.0005). The sensitivity was 100% for each of the conditions. Finally, after controlling for age, education and hearing impairment, TICS-m was a strong predictor of dementia, MCI and cognitive impairment. At a cut-off of 27/50 the Hebrew version of the TICS-m is a useful screening instrument to identify subjects suffering from mild cognitive impairment, dementia and cognitive impairment (MCI or dementia).
A longitudinal evaluation of patients' perceptions of Parkinson's disease
- Authors:
- SCHENKMAN Margaret, et al
- Journal article citation:
- Gerontologist, 42(6), December 2002, pp.790-798.
- Publisher:
- Oxford University Press
Parkinson's disease (PD) is a chronic progressive neurological disorder that frequently results in nearly total disability. This study examined changes over 3 years in patients' experiences living with PD, and explored how participants' health perceptions and predicted mortality at baseline related to their actual death by Year 3. Results from interviews demonstrate the importance of identifying the most important issues for the individual with PD and suggest that these issues may change over time. Results also raise issues surrounding how patients' perceptions influence the course of their disease.
Fluctuating awareness and the breakdown of the illness narrative in dementia
- Author:
- PHINNEY Alison
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 1(3), October 2002, pp.329-344.
- Publisher:
- Sage
Examines how awareness of dementia symptoms fluctuates over time and circumstance, thus forcing the breakdown of the illness narrative. Five women and four men with mild to moderate Alzheimer's disease participated in this study along with their family caregivers. In-depth interviews and participant observations were conducted with each individual and their caregiver to gather data about the person's understanding of their symptoms. Findings illustrate how symptoms may be salient, or vague and inconspicuous; symptoms may be forgotten, or they may be entirely absent for the person. Experiencing symptoms in all of these ways means that it is difficult for people to articulate a narrative understanding of what is happening in their lives.
Dementia known to mental health services: first findings of a case register for a defined elderly population
- Authors:
- HOLMES Clive, COOPER Brian, LEVY Raymond
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(10), October 1995, pp.875-881.
- Publisher:
- Wiley
The aims and methodology of the population-based Camberwell Dementia Case Register are described. Data collection during the first 18 months of the Register's operation have been used to check the reliability of clinical diagnosis as assessed on the one hand by standardized interview and test procedures and on the other hand from available hospital records; further, to examine the predictive validity of a 'consensus' diagnosis by comparison with the neuropathological findings in deceased patients.
Interviewing elders for suspected sexual abuse: guidelines and techniques
- Author:
- RAMSEY-KLAWSNIK Holly
- Journal article citation:
- Journal of Elder Abuse and Neglect, 5(1), 1993, pp.5-18.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Presents guidelines and techniques for identifying and interviewing possible elder victims of sexual abuse. Signs and symptoms of sexual abuse are provided and the variety of sexually abusive behaviours is delineated. Guidelines are presented regarding who should conduct interviews, the location and setting, and rapport-building. The range and nature of focused questioning are examined. Examples are provided of non-leading, open-ended questions designed to screen for sexual abuse. Specific techniques are illustrated for working with non-verbal elders. Intervention strategies are suggested for cases in which sexual abuse has been substantiated.
The prognosis of depression in old age: outcome six to eight years after clinical treatment
- Authors:
- STEK M. L., et al
- Journal article citation:
- Aging and Mental Health, 6(3), August 2002, pp.282-285.
- Publisher:
- Taylor and Francis
Research suggests that the short-term outcome in severely depressed elderly in The Netherlands is worse compared to other studies in the Western world. The present study examines the long-term prognosis of hospitalized elderly patients with major depressive disorder and possible predictors of outcome. One hundred and five elderly inpatients with unipolar major depression, admitted by regional mental health services in a geographically delimited area, were evaluated six to eight years after index episode by trained residents using a structured diagnostic interview. The GP was interviewed using a standard questionnaire. At follow-up 40% of the original sample had died. Of the survivors 33% had fared well, 24% had a relapsing course, 22% had residual symptoms, 11% were continuously ill, and 9% had probable dementia. With respect to prognostic factors, personality disorder predicted a worse outcome. All patients with a major depressive disorder at follow-up received specialised care and used antidepressants. None of the patients received ECT. The mortality rate in clinically treated elderly with major depressive disorder is high.